The URL can be used to link to this page

Home My WebLink AboutMIS97-00108 Final Retaining Wall - MIS Permit / Conditions - 5/16/1997 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 M I A G E 1._. i.. A N 1z C*)U S P F R M I V FOR I N>PECT i ONS CALL. 42 T-0670 MI S97- _. .. , _ € I.Ai :L.AI'l.0 DIV : BI K : LOT : .JOB ADDRESS : F 531 DARTMOOR DR SHE L.TON APPLICANT : ROBF111 ESSOM 426•-4005 OWNER : ROBERT ESSOM 426-4005 LEGA R PROJECT DF_SCR I PT I ON z ROCK RETAINING WALL PROJECT I.00AIION : NORTH ON HWY 3 WEST ON MASON LAKE-. RO TO DARTMOOR nR I VF UAKE LIMERICK) FAS-t ON DARTMOOR DRIVE AROUND TO 531 . PROJECT NOTES �Ssrya..acm::-c:cri.:s•.r_�-r�:isr:scrnx.:.as•:---:.rsss:;+cz�.+raca.�-:.,.�c:asssarr;._ TYPE AMOUNT BY DATE RE CE I P'F� .aw•:xa+�:ecr-x.-aaxrar�cc.rr.-.ins•rat-.r-s-:ae�.::—Esc-_..�:as•�uscann:asr=u.r,,v�cz,,�� it PRM1 ;,'1 .00 K%, 04 /03/97 44204 P1 CK 7 22 -80 KS 04/03/97 44204 STFE '$ 4 .50 K:: 04/03/97 44204 TOTAL- ; 84 .30 OWNER OR AGENT DATE :r-.c�.-.r.e:..:cya-rm -vr�^vc:•+nv�ar^.__r-.--rsa:...:�==�-z:�n.•.v�...::a.n:_:.>a r. _ i MIS ?IMT, rev: 11111192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED I i 1 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date _�l I j by � date by I+ I I I J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF f1M 1 T 4C01NII i 7T 1 01NE�.Z Cage No . s MIS97--0106 Fort ROBERT ESSOM Page , 1 1 ) All structrtres over 30' In height muz;t be setback 5 ' from all easements and right of ways , a total of 10 ' from property tines . x. The under c4 r i.:tne d proper t v owner is aware of the under t a i nt y r enard i nct Mason County 's development re(ju 1 at i ons oreate*d by the Growth Mlianagment Hearings Board 's Order of October 2 , 1996, and in ronsidecation of Mason County ' s willingness to proceed with processing of applications wh i e.h irr l ght be affected by the Order , the undersigned property owner hereby agrees to waive any lawsuit , action, or a l i aria for damages against Mason County which may arise out of Mason County 's actions in acceptance, processing and/or issuanaa of such permits or apprc.-tvais ( hereinafter "permitting actions" ) , wnieh damages are attributable to the County ' s decision to take permitting actions despite the rtsk thtat changes to the County ' s devoIopment regulations might later make the County 's permitting actions invalid . ,3 > Propo-sed s1 ruet ure. or any port I nn thereof greater than 30" in height from grade i i nr. , 1 E MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 must maintain ce m 1 n imam of S ' setback from all property 1 i nes and easement lines and 10 ' from a 1 I Cunt y and Stater Roped right of ways; . X 4 ) A 1 I approved plans area rerqu i red i o be on-- t i tie -for i nspe of ion purposes . If i nspect. i on is called for and plans are not on site, Approval WILL NOT be granted . In addition, a Rea- I nspect iron fee i n the amo+.rret of $3�1 .00 pear hour (m I n 1 mum 1 hour ) w i I I be r,therr ge d and crust be col iecte9d by this department. prior to any further Inspections being performed or approval grantees, 5 PURSUANT TO 1991 UN i FORM BUILDING CODE , SECTION :305 t(% ) AND SECTION !i 1 3 . ALL S 1 1 FS MUST HAVE APPROVFD NUMBERS OR ADDRUSSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND I.EGIBLT: FROM THE STRFF-T OR ROAD FRONTING THE' PHOPFRTY . MASON COUNTY 81.111.DIN(z DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR -1 O CALLING FOR ANY SITE INSPECTIONS . A RE 1 NSPFCT I ON FFF , RASFD ON RATES IN T ABLF 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO AFOUF.STING INSPECiIONS , X 6 ) A[ I C:ONSTRUC:TION MUST MEFT OR EXCEED ALL LOCAL CODES ANI) URC, REQU I RFMFNTS X c - Y ) Changes to approved bui IdIng pIans that offeaot comp iance3 to the 1991 Washington State: Energy Code , 1991 Ventilation and Indoor Air Quality Code, the Uniform Bu i td i ng Code rand/or Mace bunty Rego l at i cons mein t,e approved tly Mason County prior, to construct l onX.-- 8 ) CONS1 R11C1 ION PROCESS TO RE FIELD CORRECTED AS R�QU i RED PF_R MASON COUNTY 81.11 t.D I NG DEPARTMENT AND UNIFORM BUILDING CODE . x =<" r" f MIS 91—N g MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 O r /(c Pc-� C ESS ur Phone# `� Bo S Fire District# Site Address�_S 3 / �u�r �-rrcn.- 1� City S�x� Mail Address Sic City St iy63 Zip Applicant '0- b -e G Cis"'J Phone # T Applicant Address 6 e- c- ✓a 1 City t St Zip Directions to Site: tifr)64 tl3 _ tX)e o ' r tr i't-e ry u z !VU S 3 MAP 4—W #2 Parcel No._3 Z 1 Z 7 - 5 3 - U o / Z.7 HEALTH ;EAL E Legal Description L" c >1 /Z �t L L; Y.'c h' l� b'e/ ?14 �y 19 #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 #4 Project Start Date /y9 G✓r ,� ot7 <=- Project Completion Date �'� ��'-�• �c_ #5 Use of Buildiing A///7 Describe proposed construction cock �i� ..e•v, / / 8 J A/- a1�, `fS��/rl'�t. � 5//Z- ��' G�yver mod. 5/-_S�i f11oi/✓/e.- evJg/ Dts;sIa _j;0_5 T�2 IfIlGO GY /I7' 1CY� /'UG/1_d�►7�J Tc 'Sci � /T�� i�//eX�S�i�C1 �1N/Te1l^LY/'G�ii �?/"t�T vs Q"/ Azl't /Z AQ 17) r a 4 Ia// `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 APPROVALFROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT. MENT. X OWNER X BY DATE f/' ! A 7 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 f f l, 'L19 j T��' J/ZC1ti� /alk (`z r► /� - -- ---- FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building Fire Marshal Other Special Conditions y,S v yG-S Fees Permit Fee $ 5 7 Plan Check Z2.90 Other Other State Building Fee TOTAL DUE $ y GARY YANDO,DIRECTOR PyON-STA AC MODEPARTMENT OF COMMUNITY DEVELOP s v DEVELOPMENT T N PLANNING - SOLID WASTE - UTILITIES Y ti BLDG. I • 411 N. 5TH ST. • P.O. BOX 578 �1864 SHELTON,WA 98584 • (360) 427-9670 DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions'), which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. 32- J z, 7 53 mC fZ Date (Parcel No. or Legal Description) Property owner's signature(Notarized) (or the County may accept the signature of the owner's authorized agent upon proper proof of authorization) ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) STATE OF COUNTY OF On this day of , in the year , before me Notary Public, personally appeared personally known to me to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. WITNESS my hand and official seal. -For County use only- Reviewed by applicant on (Date) Notary's signature Staff Initial: My Commission Expires: