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HomeMy WebLinkAboutMIS94-00108 Final Foundation - MIS Permit / Conditions - 4/6/1994 MASON COUNTY Mason County Bldg, III 426 W, Cedar P,O, Box 186 Shelton, Washington 98584 M I S C E L L A P4 E Q 4J S P E Ft M = T FOR INSPECTIONS CALL 427-9670 MIS94-0108 PARCEL : 321322390004 PLAT : DIV : ? BLK : ? LOT : ? JOB ADDRESS : E 171 STONEBRIAR PL SHELTON APPLICANT : THE JADE CO 791-5531 OWNER : THE JADE CO 791-5531 LEGAL : SW NU EX PROJECT DESCRIPTION : FOUNDATION ONLY PROJECT LOCATION : NORTH BROCKDALE , RIGHT JENSEN ROAD . , LEFT STONEBRIAR PLACE , LOT ON LEFT THIRD FROM END . PROJECT NOTES : I TYPE AMOUNT BY DATE RECEIPT 1 FOND $ 15 . 00 WLC 03 /18/94 35349 STFE $ 4 . 50 WLC 03 /18/94 35349 TOTAL : 19 . 50 OWNER QRR AGENT DATE MIS_PRMT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footin S ck date by Ribbons date b4� 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 WALLBOARD NAILING D.W.V. date by date by Water Line FINAL SPECTION date by date qr/� �c bye date by I II I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 u::.� rr::::: II�;L IPIi ::II:: ...u._ il;::;; q,::;u II•dl II:::;U ::If.:: ...IL_ ::II::. if,;u iP,ll �:::::i; Case No . : MIS94-0108 For : THE JADE CO Page . 1 1 ) Proposed structure or any portion thereof greater than 30" in height from grade line , must maintain a minimum of 5 ' setback from all property lines , easements and right of ways . / X 2 ) All approved plans are required to be on—site for inspection purposes . If inspection is 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 collected by this department prior to any further inspections being performed or approval ��granted . X (f— — 3 ) 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 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 IF OWNER /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 x Cam. 4 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UNIFORM BUILDING XODE��r— /� ALL CONSTRUCTION MUST MEET REQUIRED SETBACKS AS ESTABLISHED PER MASON COUNTY ORDINANCE 138-92 AND MASON COUNTY SHORELINE MASTER PROGRAM IF APPLICABLE . X IF THE FOUNDATION IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION , IT WILL BE THE OWNERS LIABILITY TO REMOVE SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN THE T M ECIFIED BY THE BUILDING OFFICIAL x 5 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND OBC REQU Nlr IT 6 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code and/or Mason County Regulatio s ust be approved by Mason County prior to constructionX__ -- - �_. MASON COUNTY Permit No. BUILDING PERMIT APPLICATION ,A, p`0 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 n� D� PLEASE PRINT �� 79/- 5,531 #1 Owner ;n r '4}0'a- CQ. Phone# GO(— 4L-5'7-47Z5 rnESs Site Address d /7/ 576�A1E1P. 42,9//? Fire District# J City S/ CL;©A.! St �41h Zip 9� Directions to Job Site /Y �I: Q�C,E , /�' �/Enl ,tl RD. . 4-i72- e-nk/ 7V//ZD AP " e-A-42 Owner Mailing Address�� �Jc J`�730 City L,l�Gc�` St W4 zip ' - Lien/Title Holder Address City St Zip #2 Contractor Name % c/i9/�� Cam, Contractor Reg#J#0CC- -n Address Expiration City G.�6Y St W, ? Zip ?8503 Phone #3 If septic is located on project site, include records. Connect to Septic?_j,,� Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No32/3Z -�- qn!262¢ Legal Description 2Z #5 Building Square Footage: (existing/proposed) 1st FI / _2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / 3 #bathrooms / Garage /4-4-c> Carport / (Circle:4KE or Detached?) Other sq. ft. / #6 Use of building Describe work #7 Type of Job: NewJz—� Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model �'J ,n Length Width Serial No. �f # Bedrooms #Bathrooms Type of Heat Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: NRiver 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 r APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each No. Toilets CIRCLE FUEL TYPE: Gas, v Bath Basins Heatpump, Other Bath Tubs No. Uaija 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 OBTAH_ _ ROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPA �f X OWNER X B DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: J DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. '" Hold Approval Planning: Environmental Health: Building Plan Review 1— N A O J x Occupancy Group: 3 Type of Const: sN 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 l q.