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Home My WebLink AboutMIS97-00605 Cancelled Foundation - MIS Permit / Conditions - 1/6/2000 Y MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 L1 C E L. L_ /A N F' 01 U S P ice=. i i P.r i I I oh I NSPEC I ; ONS CAI_i_ 427-t)b i v I MIS97-0605 PARCFL. :3�11 ?41390100 PI.AT : DIY : Fll. K : LOT ., JOB ADDRESS i 441 E h11 KKEL.SEN RD SHFI..TON APPI ICANT : I. INDA COUBS 14P-T-,4404 OWNER : L. I NDA COUSS 427 4404 LEGAL : TO it 4F SI IF Tt C or SP im SFE soon w? QfpM, IT PROJECT L7ESCf2 1 PT i ON : E!,XwPATION FOUNDAT ION ONLY Idl,�" �� D AT1-=--'ts�" PROJFrT LOCATION WALLACE 8L VD TO RROCKDAL E HD A I GHT ON I EFT MCF WAN PR RD R I GtI"L ON MA`. )N I-Akf. 141P 1 / 4 MI I V 10 MIKKEL.SFN RD 1 /2 MILE DOWN MIKKELSEN RD TURN LFFT, 1ST HOUSE ON TfIF RIGHT , PROJECT NOTES : " :4937`= Stl:Y6JT'ezn+�a"S9i..'T.1f".�.'.�75•T@;'L31 T✓54..,YSRT.'.'!if9CJ.11",:.'J."n": fRT..:.:.:--=..Y TYPE: AMOUNT PY DATF RFCF I PT cs�.r»:::rr.ter-.axxa'nu.=xacx.:vmvrrs•:a�:x..x�sc..a=:acsar-a�+rarvi°«cszu, -.rd>a-a•. FDNO $ 41 00 TW 09/23/97 15511 >TFE 4 - 50 TW 09/1. 3/97 4,5911 TOTAL : 45 . 5O OWNER OR AGENT I f. MIS FRY1, revs 841111191 COMPL IANCf TO ATTACHED CONDITIONS IS REOU 1 RFD f CONCRETE r, MECHANICAL MOBILE HOME Footings-SetbacIPA �AtiTi rGYG 9 date by Ribbons date ZoO—,/—f 7 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 by date by Z6 "l-FJ tTi � Pi�SS�/l` Q1 (^c •I ,,L�� C�I r C,G2 cJ' / Y�G-f H G� �G� �C_ T C G� YJ G c� A roJ ICJ c— 1.� 2 _ c s r j LY I II I MASON SO COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E~ FT M 1 7- C CI N Cs 1 '1- 1 Case No . : MIS97-0605 Fort I I NDA COMPF; Page 1 1 ) Proposnd structure or any portion thereof qre n ter• than 30" In he i qht from grade I i net, must maintain a minimum of 5 ' setback 'from all property line4 and easement lines and 10 ' from all County and State Road right of ways . 2 ) All approved plans are required to he on-site for 1 nt. pe ct i on purpo-�:eq . It i nsper.t i on is oa I I ead for and plans are not on site, Approva i WILL, NOT be granted . In addition , a Re- inspection tee in the amount of $32 .00 per hour (minimum 1 hour ) wiiI be charted anti must be collected by this department prior to any further Inspections be i nq performed or ,:*pprr)vra 1 granted . :3 ) PURSUANT TO 1991 UNIFORM hU I t_D I NG CODE , SECTION 305(C ) AND SECTION 1513 , ALi SI I I E S "US-I HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISInI. E AND LEG i BI F FROM 'THE STREET OR ROAD FIIONT I NG THE PROPERTY . MASON COUNTY BIJ I t.D I Nn, DEPARTMEW REQUIRES THAT THIS BE COMPIFTED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A -- ---------------- - MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 41 wii4. M. '3 1- OWNL k i 1,UN i fiA(,I Oh f A I L,� 10 vUc,T ADDHL io ON 6 1 i E PH i (,)i, 1 j H L ST I nu I N"PFCT t ONE:; 4 ) ALL CONSTRUC I I ON MUST mrFT OR EXCEED AIA, I ()(.AI C(-)01 AND 11N I I OPM P-(i I 1 01 NO CODE CONSTRUCyT1ON— M,-tS-,T- MEET <;ETBACKS A" l�STABLI ':01FI) PER MASON c-01)NTY ORU INAN(Ir 37 -96 AND MASON COUNTY SHORELINE: MASTER PROGRAM IF APPLICABLE , I THE FOUNDATION IS PIACrr) IN VIOLATION OF ANY MASON COUNTY RFG11t ATfON, If WI1 L 131 rift: OWNERS I- IABII ITY TO REP40VE SAID CONSTRUCTION AT THE OWNERS, EXPENSE AND To DO SO W1TIfIN THE Timf- SPECIFIED BY 1'% BUILDING OFFICIAL , 1 -1 F-HAII BE DEEMED A VIOI, A'11 ()N VOR ANY WOOD FRAME (',ONS'VRUCTION TO BEGIN ON THIS FOUNDATION WITI,iOIJT THE ISSUED BUILDING PT: IMIY . 5 ) Change-, to approved b0ilding plans that etteol compliance to the 1991 Washim 4 t on ,'�t a t e Energy Code, 1991 Ventilation and Indoor Air Quality ( ode , the Uni -form Building Code andlor Mason county lltioulatlons mug.J be approved ft-y, Mason Countv prior to oonctruotionZ/j 6) ALL CONSTRUCTION MUST MEED OR FXCEFV LOCAL. CODFS . IF ANY 011ESTIONS, F)tEA .'>E CALL T141S OFFICE BEFORE CONSTRUCTION . 7 ) CONSTRUClION PROCESS TO BF F' IEtJ)* CORRt--(;1*FF) AS RIFOtIlPF-1) PEP MASON (-,oUNTY BUI1.1) INCI DEPARTMENT AND UNIFORM BUILDING CODE 4� f Permit No. MASON UNTY BUILDING PERMIT APPLICATION q�, C� 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1 800 562-5628 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) 0y PLEASE PRINT #1 L-!n/I7 C�y�213 S Phone - Address y�// 1?1 i 4-&/e.SP/N •6?/� Fire District#�_ ity c i�/moil/ St 4" _Zip Directions to Job Site k - e - P111a CU - k r P m( k1-2l s evi R af:&A r n I e C 1- ! S G► c S a vt Owner Mailing Address 54 In P G S - St zip - city lien/Title Holder Address City St Zip #2 Contractor Name -5 P /'� Contractor Reg# Address <' ��/ /�'/��/Sri L? Expiration Date_f_J City S'�P/r�/r/ Phone# #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) arcel No. ,, Legal Description CS3n #5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement # Bedrooms #bathrooms Deck Other Garage d 8f Carport (Circle:Attached or Detached?) #6 Use of building raev J Describe work #7 Type of Job: New Add Alt epair er #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat /jqs 199J CI Purchase Price$ /STAiVC£ #9 Indicate b circling the applicable source if an water is on or adjacent to subjectproperty: CENTER Y 9 PP Y 1 1 River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Fences �l Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Indicate Directional by (N, S, E, W) Name of Side Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW 300 r M _ l O a �0 s srPm W r i O �ojr ,Qr4 1 µ i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �aral{ �i►/1 e C�p PIumbing FlXtur'eS ($3.35 each) Fee Mechanical Fixtures ($6.75 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 16.75 Auto Fire Sprink Sys 35.00 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 16.75 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 OFTHE 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. XOWNER� � �1-LkQ, �� XBY DATE �j DATE FOR OFFICIAL USE ONLY: Accepted by: Date: /Q ` DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: a:.1�/ �.,/ : Building Plan Review /ve per{ leo. A-y �� '�• �«�� Occupancy Group: Type of Const: Fire Marshal: Other: FEES Special Conditions: Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee In Other 0 D Other Other Building Valuation: TOTAL FEE