HomeMy WebLinkAboutMIS94-01020 Final Woodstove - MIS Permit / Conditions - 1/20/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 17:C E 1_ L ^ N E n U S P E fA M 1 I FOR I NSPEC T I UN,I) CALL 421—9670
MIS94-1020 PARCEL :321275300107 PLAT :L.APLO DIV - BLK : Lur -
JOB ADDRESS : E 381 DARTMOOR DR SHELTON
APPLICANT : THOMAS SWIDECKI 876-7548
OWNER . THOMAS SWIDECKI 876-7546
LEGAL : IAKr.. t.11FRICI( 1 TRACT 107
PROJECT DESCRIPTION :
WOODSTOVE
PROJECT LOCATION ;
MASON LAKE RD . TURN RIGHT AFTER THE LAKE LIMERICK MINI MART ONTO DARTMORE STAY TO THE RIGHT AT
THE "Y" GO TO THE BOTTOM OF HILL. . HOUSE ON THE LEFT .
PROJECT NOTES :
TYPF AMOUNT BY DATE RECFIPT
WDST T 25 .00 CPH 12/ 12/94 37960
TOTAL : 25s00 O NER OR Av NT fDATE
IIIS—FAIT, rev: 141111 192 COMPL I ANCF TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING data by OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by ¢aC J _ —'Z C}—` y date by
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MASON COUNTY
- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM 1 'T' cc) N0 1 T 1 CaN �
Case No . ; M I S94-• 1020
For : THOMAS SWIDECKI
Page : 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPAPTME:NT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X.
2 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND IJBC
REQUIREMENTS
X __-
3 ) ALL CONSTRUCTION MUST MEED OR EXCFED LOCAL CODES . IF .ANY QUESTIONS, PLEASE
CALL THIS OFF'16E BEFORE CONSTRUCTION .
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by I date by
MISC H-ND
MASON COUNTY
• MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner_7_hM1.4S = 5AA11)./ sS!y1'c1 c Ce, Phon #_ l7G- 75y��c�o�k) Fire District#�_
Site Address �, 31/ 1�Ur7�lnDrcr City c'5AK5L70i✓
Mail Address
City St Zip
Applicant Phone#
Applicant Address
City St Zip
Directions to Site: 1-a9C_ ;PC)a d' 7ur.tJ t 6'H a-Piee JA v
_/Qkle Z I-rn er/Ck N/',VJ" -Mad - 0h7`o L7ar744-nOY-e 516t to
#2 Parcel No. /CA
Legal Description �l; :�01 Z/?),Ier/GK l// Z=o f Zd 2
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other D
#4 Project Start Date Project Completion Date
#5 Use of Buildiing I Y�5id 2�p Describe proposed construction Gt)64L)57'y l/ n
Nt°,4) l ey-A-PI-ecl 4,)o0dS/d V e
"Depending upon the type of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRSTOBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTM T. MENT.
X OWNE X BY
DATE )Z/1 Z ���' DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
L�
TOTAL DUE $