HomeMy WebLinkAboutBLD96-00223 Final Deck - BLD Application - 3/18/1996 MIS
MASON COUNTY Rib � 3
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner 1 Phone kg37-q(o70-a.-,6.rf W F Fire District# 5
Site Addre s / City 'J 17Q. 4 6/_)
Mail Address G
City , n d+(`��l St Wa- Zip
Applicant _C54!-pP I—ID (2hn L,(.-ro Phone#
Applicant Address
City St Zip
Directio%s to Site: (�ro a'l j- u�_� (� (� 46 h, rd. 7(_,V1)
P ton l')'l6o&) iq/) ae- �0 ;ILI,IScry ka
C, � D/-1 w, ( d Ile 10 cl P 40 6
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#2 Parcel No..—S:
Legal Description .-1 Cls �L �T '"j
5u_''VCX1 BSI.-ba
#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 I"ph CID10(bo -l1. Project Completion Date
#5 Use of Buildiing f9tc_t, `� Describe proposed construction
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"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 APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE 3- 1-q(,4J- 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
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FOR OFFICIAL USE ONLY:Accepted by: ' bate;
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
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Building
3-s-SC
Fire Marshal
Other �.✓�v1�Ip� „kh'l 1` rr�v9 r XSC �•?1 E g �v
Special Conditions Fees
Permit Fee $ 31
Plan Check
Other
Other
State Building e
TOTAL DUE $ ` S 60
Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0223
TYE HUNTER
445 MIKKELSEN RD SHELTON
03/20/96
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BLDA010 Application received / / / / 03/07/96 03/07/96 CPH
BLDB110 Structural Plan Review 03/07/96 / / / / 03/07/96 CPH
BLDB130 Planning Review 03/07/96 / / 03/07/96 DONE MMS 03/07/96 MMS
BLDB200 Environmental Health Review 03/08/96 / / 03/08/96 see condition.psd DONE PSD 03/08/96 PSD
BLDC050 Pre-site Inspection 03/11/96 03/11/96 03/11/96 after the fact deck and cover, FAIL DH 03/19/96 DWH
post beam connection, handrail, add
2"x4" rafters 12110c.
add guardrail or bring up soil to within
29" of deck level.
BLDC155 Final inspection 03/12/96 03/18/96 03/18/96 corrections are done. PASS DH 03/19/96 DWH
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