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Home My WebLink AboutMIS95-00670 Cancelled Bulkhead - MIS Permit / Conditions - 2/10/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar — P.O. Box 186 Shelton, Washington 98584 , MIS95-0610 PARCFI. :321275300205 PLAT :LAPL (1' 1) 1 0.1 101 JOB ADDRESS : IF 420 OI DE L YMF RD SHF L.TON APPL. I CANT : TAl_ I THA WAL.DRON 426-9033 OWNER : TA1 1 THA WAL.DRON 426-9033 LEGAL : LAME LINEWICI( 4 TRACT 245 t 1#6 PROJECT DESCRIPTION : BULKHEAD P �MIEX�'�AATION VD 1 PROJECT t-OCATION : DATA �J I-AKE LIMERICK 'TO Ot D L YME RD ON CRANBERRY CREEK PROJECT NOTES : SFPA/SHORELINE Fxempt - Fwergenay TYPF AMOUNT BY DATE RECEIPT PRMT g 41 ,00 KS 09/ 12/96 40204 PL.CK $ 16 .50 KS 09/ 1 /95 40204 STFE $ 4 .50 KS 09/ 12/95 40204 TOTAL 62 . 00 OWNER OR A(;EN`f DA TE Its_FINT, rev: 94181192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date b Ribbons . Y 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 WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by r MASON COUNTY Mason County Bldg. III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 PF" iRl1n II -r C' r3N1.0 t r i t r•� I Case Nc, . r MIS95-0670 For TALI THA WAt. DRON Paor) s 1 1 ) A HvdrauIic. Pro Ieet Approval from the Washington State Department of ViSherIes must be granted prior to construction . For more information contact Neil Rickard , Habitat Biologist , at (206 )586-2193 . 2 ) The: proposed project must be ::tins i ste3nt with all applicable po l i c 1 es and other provisions of the Shoreline Management: Act , its rules , and the Mason County Shoreline Master Program . 3 Temporary erosion control measures must be im iemented to prevent water uaIit F Y p P q Y degradation of adjacent waters or wetlands . I G 6�) Approved per site-plan . . ;r► I Permit No.,, MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner Phone# ;z Site Address 0 40-Z Fire District# City St Zip Directions to Job Site � e Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor N e Contractor Reg#9, f,6 I/sC.� Address 0 O Expiration Date_ /_2f /__ City 1UJAA St Zip D a Phone#.3(00 46(0/Ga k #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel 49. 2 / - .6-3 - 0 2v S Legal Descriptio �j� & #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building el) /OO . Describe work #7 Type of Job: New 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 I 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU _Hot Water Htr _ Heatpumps Laundry Washer Vent Systems Sinks Spot Vent Fans 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 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 X BY «� DATE DATE 'i FOR OFFICIAL USE ONLY: Accepted by: Date: - - - ---. __--- - - - ----- - ----- J DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: -lb 3 Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE