HomeMy WebLinkAboutMIS96-00339 Final Bulkhead and Repair Deck - MIS Permit / Conditions - 9/6/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 S C`. E L_ L A N F 01 U; P E R M f -T FORt 'I NSPECT I ONS CALL. 427-9610
MIS96—O439 PARCEL #3222.45000031 PLATiCAPLO DIV : BLKa LOT :
JOB ADDRESS : NF 11031 NORTH SHORE RD BELFAIR
APPL I CANT : MORR I S SUDER 367—6251
oWNER s NORR 1 S SUDER 367�--625 t PER 9T pT1ON
LEGAL a CABT'S S1161SE SEACI T1. I OF TIS 46-47 L T.L. t4L)LL & V01® BYu P`R
PROJECT DESCRIPTION - PATE a
RUCKHEAD AND REPLACE: OR Rf MQVF PECK FOR (REPAIR)
P110JE:CT LOCH r i ON
NORTH SHORE TO ADDRESS JUST BEFORE ACCESS W Of.t.FA I k V I TAW � # rt•I f
PROJECT NnTES
•.-:_.::.'�:-i2-..-"-SLi.["4R.f'd"�'.•-1Y1.+6R�-.•,:::..-a!L�J[3.-:1R9.4-"G.."^^.:.:a'cf�'O:'ZQ'Y:1:aL.'.:a:.
TYPE' AMOUNT BY DATE RECE 1 PT'
FRM7 S 68 �00 C!'I1 08/ 151 fife 0000
PL_CK $ '17 .20 CPH 08/ 15/96 0000
STFF 4 . 50 CPH 08115 96 0000
TOTAL. 89 . r0 OWNER OR AGENT �6ATE
r.a�szap¢aorta. aanxeaecax4amcss.x^�:Rvtms�ancRr,--••�.::.ter. ..
S 1 COMPLIANCE ANC Y• ATTACHED CONDITIONS T I ON.� IS
REOUIL1L D
I
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 FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING AttOTHER
Groundwork datle b
date b y
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
PE RM 1 T' C0NC) 1 T" 1 CUN
Case No . : MIS96-0339
Fort NORR 1 S SURER
Page ! 1
1 ) A Hydrau I i c Project Approval from the Wash i ngi on State DepartsaPn t of �� i Sher I es, must be
grunted prior to construction . For more information oontaot Neil Rickdrd, Habitat
B l o I.pc11 st' at (360)664--4671 .
2 ) A Section 10 Permit (Rivers and Harbor Act of 1899) or, exemption must be chanted by -the
Army. Corps of Cnginoers prior to work within navigable waters of the Unit�d States .
X
3 ) The proposed proieot must be conslstert with all applicable policies and other
provisions of the Shoreline Mansoement Act , its rules , and the Masoif County Shoreline
Master Proqram _
X
4 ) All construction and demolition debris must be removed from the beaoh after project
oomp l et,i on .
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
5) Concrete loachate must be oontainad during pouring, such that water quall-ty deciradatlon
of adjacent waters does not ooaur .
X
6 ) Tempor►•ry erosion cont pry 1 measures must be I mp I emented to prevent water quality
degradat I,on of adjacent waters or, wet 1 ands .
X
7) Approved dimensions arid setbacks on submitted per site-piton .
8 ) Proposed structure or any portion there3ot greater than 30" in height frorw grade line,
gust maintain it minlmurn of 5 ' setback from all property lines , easew.�'nts and right of
ways .
X
9) Ali approved plans are required to be on- site tot i ni4pvct i on purposes . It i nspeot i on
Is oailed for and plans are not on site, Approval WILL. NOT be granted . In addition , a
Re- Inspection fee In the etmount of $32 .00 per hour, (minimum 1 hour ) wi I l be charged and
must be collected by this department prior to any further tnspactions being performed or,
approval granted .
X
10) CONSTRUCT I oN PROCESS TO BE FIELD CORRECTED AS RE 0U I RF U PER MASON COUNTY BU I LD t Nu
DEPARTMENT AND UNIFORM lit) 1 LD I NG CODE .x .
1 'I ) Changes to approved building {glans that effect rompl tanoe to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform Bu I I d i ng Code and/or Mavon.. County Resat► 1 at long m►► ,t he approved by
Mason County prior to construotIonX
r-
I 0 �E , I MIS
MASON COUNTY
fo1AY 2 MISCELLANEOUS PERMIT APPLICATION
nn 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINFNIS`��AL
#1 Owned /�l'rJ e .5�r p�e/^ Phone#�D( �, ���/ Fire District#
ite Address N f. //0_3/ /YorTI spar P /Pal city,
Mail Address �/ 3 D 3„:C' - � !/P
City S'eq T,r/� St U2Sl Zip
Applicant e Phone #
Applicant Address
City St Zip
Directions to Site: &6 7W S'loy-e To g �✓�� �lsr BUST 6 o f��
# Parcel No. .3,Z�
Legal Description 5! O 4nc !'1W n-,-^
#3 Indic to 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 .TG//L xpp Project Completion Date)`
#5 Use of Buildiing `4L1:"'7 Describe proposed construction Cai,Sli�T
•� /" l z4alne,
Dr �41 � i rriti ,Cs_� ��oU�" �C/J�IIf e �eCiy'
`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 FIRST OBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY �-
DATE 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 OFFICI L USE ONLY
Planning APP COND APP HOLD
Ad- Ile A
/mil
Building cayr-r-ek-i 0,y, be g�jVraM ior +r
i>r,";AId-
Fire Marshal
Other
Special Conditions Fees
6X a"z 1 Permit Fee $
D Plan Check
Other
Other
State Building Fee
-� '� TOTAL DUE $