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Home My WebLink AboutMIS94-00949 Foundation - MIS Permit / Conditions - 3/30/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 SC'. E L_ t... AP4F- C3kJ % PE--' RM 1 —1— FOR INSPFCT IONS CALL 421- (4610 Intl S94-0949 PARCEL. :32.1275300104 PLAT :LAPLO D 1 V : BLK o LOT : JOB ADDRESS : F 420 DARTMOOR DR SHELTON APPL I CANT : RUCE G 1 LL.ET 754--7567 OWNER : .RUCE GILLET 754--7567 LEGAL : I.Alf I.I11EIICK 4 TRACT 11+ f. 421 SAtT11061 11 PROJECT OFSCRIPTION : FOUNDATION ONLY PROJFGT I OCAT I ON MASON LAKE RD TO DAR TMOOR PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT S'TFE $ 4 .50 NJP 10/02/96 40390 FDNO $ 15 .00 NJP 10/02/95 40390 \ TOTAL : 1 9 .'-P► OWN '/ 4O GFNT � DA F 1IS tIN(, row: 11111/99 COMPLIANCE TO ATTACHED CONDITIONS IS RUGU I RF D CONCRETE l MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date ,---) I,C,' to i Gas Piping date b Foundat&Walls date by Set Up date I I 1� ` —191- 2 L INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF-_. iFif0 1 I (: C7NI ) I ._l._ I CaN Case No . . M 1 :594 -0949 For - ROCE G I L L ET Page : 1 1 } Al l approved plant; are required to be on-- site for inspection purposes . It inspection if; called for and plans are not on site, Approval WILL.. NOT be granted . In addition , a Re-- Inspection fee In the amount of $30 .00 per hour (minimum 1 hour ) will be charged and must be .oi? llected by this department prior to any further, inspections being performed or approy,&4 granted . X z 2 ) PURSUANT TO 1991 UNIFORM BUILDING CODE SEC .. ION 305 C AND SECTION 5 3 S L I ( } FC7 1 N 1. AL I- S 1 TE. MUST HAVF APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBI.E FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT 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,,417 OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING N SPFCT i'ONS 3 ) ALI_ CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UNIFORM BUILDING CODE 1 -- - - - - - - - - - - -- - MASON COUNTY Mason County Bldg, III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 X � AI_i CONSTRUCTION MUST MFFT RFOU I RFD SETBACKS AS FSTABL. I SF1CD PER MArON COUNTY ORD I N.ANCV 138-1)? AND MASON COUNTY SHORELINE MASTER PROGRAM IF APPLICABLE , X IF THr,-O OUNDAT I ON IS, PL Ar,F D IN V I OL.AT ION OF ANY MASON COUNTY HFGUI Al ION, I T WILI BF THE OWNERS LIABILITY TO REMOVF. SAID CONSTRUCTION AT THE OWNERS EXPFNSF AND TO DO SO WITHIN THE TIME SPFCIFIED BY THE BUILDING OFFICIAL.. X.__._. X 4 ) AL i.. CONSTRUCT ION MUST MF.F:T OR EXCEED ALL LOCAL_ CODES AND URC REOU I RFME NTH: X ri ) Placement of st rojet ure mrr�st comp i V with standards setf cir t h per 013C sec, 290 t regarding d e s c e n d i n g and/or a s c e n d i n g slopes . X F ) Proposed st ruet ure or anv port I on t hereof greater t ha it 30" I n he i ght -f rom grade I i ne , I must maintain a minimum of 5 ' setback from a I I ro erty lines , easements and ri ht of p p 9 wavy . 7 ) Proposed st ruot uro or port i ons t hereof w i t h an pro j ec:t i on over 10" 1 r► tie I qht from grade line , must maintain a 5 ' separatl-on distance between adjacent structures and that furthest pro Iaet Ion . X j I MN2vTN [ -: m 1�94.-o p9 D � - Permit No. MASON COUNTY � OCT z 4BUILDING PERMIT APPLICATION ` 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 #1 wn T/'S_ 2(,[G i `� lL Phone# 7 cj 1-( . 7 ` l `7 i e Address E �� /7tS►,P�_ p Fire District# City S'� Ire St _Zip Directions to Job Site / 094 ,d,Mw Owner Mailing Address 102,66 20--i4e-,h 41 G-in S� City StZip Lien/Title Holder /1 em� Address Clty St Zip #2 Contractor Name S/g12cS I'm ltf:ho C- j' Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. SW 6-- Q e� - Connect to Septic? �Public Water SupplyA�Well Connect to Sewer ystem? Name of System g-je Z'gll (If residential, proof of potable water is required) #4 cel No�Z-� - ��L� ALegal Description L nor€2 #5 Building Square Footage: (existin proposed 1st FI 2nd FI / 3rd FI / Loft / Basement / _Deck / #bedrooms / #bathrooms / Garage / 'V60 Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building Describe work #7 Type of Job: New__,4 Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms #Bathrooms Type of Heat Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences �? Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW 5F- F APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �, 5 U7o j S��f Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. 02 Toilets CIRCLE FUEL TYPE: Gas, Electric, a.Bath Basins Heatpump, Other Bath Tubs No. Units Fees _Showers Furn BTU / Hot Water Htr _ Heatpumps / Laundry Washer Vent Systems 1 Sinks 4{ Spot Vent Fans Z _Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems _Other Auto. Fire Alarm Sys 50,00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER d C _ ��/� X BY DATE �� — 'Q�{ DATE FOR OFFICIAL USE ONLY: Accepted by: .l'r Date: 7 DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning:— (A Environmental Health: Building Plan Review 1niS C'44 1 C-DcJ Occupancy Group: Type of Const: S- Fire Marshal: Other: Special Conditions: FEES q(eo Building Permit UO ytID g Plan Check IS-7 s'o Plumbing Fee s 00 Mechanical Fee 00 Wood/Gas/Pellet Stove Radon Monitor 00 Violation Fee Site Inspection �f L/ Building State Fee T Other o Other Building Valuation: TOTAL FEE