HomeMy WebLinkAboutMIS97-0379 Reroof - COM Permit / Conditions - 6/24/1997 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
\ P.O. Box 186 Shelton, Washington 98584
A 1 5 CF= U. L_ A N E= C:�tJ S F' E F4 M 1 _r. FOR INSPECTIONS CALL 427--9670
11 S97 -0379 PARCEL. : 1 23294 1 601 40 PL.AT i D i V : 81_K : I...OT :
TOES ADDRESS + Nf 23780 STATE ROUTF :3 BFI.FA 1 R
,PPL I CANT i 427-9670
OWNER : 4INSON COUNTY 427--9670
LEGAL. . TA 14 OF 1E SE
'ROJECT DESCRIPTION ,
IFROOF
'ROJFCT LOCAT ION
IASON COUNTY REI._FA 1 R ANNEX
'ROJEC#T NOTES s
TYPE AMOUNT PY DATE RE'CE I PT n
Y�rr-�mc:snx ar.�.:cPs+srmmaxa-.:ae:inz,emt�:ve-�a.a,.^�.x cuc.......r sn.,•.;-t asr^vs.n:_sx,r=vm.
STFF 1+ 4 ,50 LLH 06/24/97 44'168
RRF 1; 46 .00 1_1.1-1 06124/97 44768 /
TOTAL. a 50750 CI VF.R R AGENT DAI F
b
13 1lIY1, rev r 441/1112 CO#APL I ANt;E TO ATTACHED CONDITIONS IS
IF9J IRED
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
r4 • / 7 -- i6
'f'�•x1� D�/- 7- /?- 9 � L�
MASON COUNTY
,Mason County Bldg. III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
E: t3FA ! -v C, toNU1 I -r I C>Ns .;
;ase No , t MIS97--0379
For : MASON COUNTY
Pages 1
f THE t'DEM0L.. I TJON AND DISPOSAL. OF DEM01. 1 T I ON DEBRIS MUST MFF"T REQU i RF=MENT S A'S PER MA`:UN
COUNTY REGp1.A"r 1 ONS .
X
t
1 AI.L. CONS TRU011ON MUST MEET OR EXCEED ALL LOCAL. CODES AND UPC
REG IR MFN
x
CONSTRUCTION PROCESS TO BE FIELD C;ORRECTE S RER 1RED PER MASON COUNTY BOILD1NG
DEPARTMENT AND UN I FORM BUILDING CODE .x
r
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MIS
• , MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 - 427-9670
PLEASE PRINT
#1 Owner Phone # Fire District#
Site Address AtOk 3 City "lfr
Mail Address
City St Zip
Applicant Phone # 42
Applicant Address 1-o' t�3A Z38Z
c.,
City St L.;,g Zip la
Directions to Site: 4)6'� P{u y 3 -no t3e_�- {I`��lll `hA4a SAb
#2 Parcel No. /23. 9 - t/l/ �b l q-c
Legal Description
#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 `Fl 2ql�7 Project Completion Date �/Z 71 F7
#5 Use of Buildiing u Describe proposed construction
`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 4HANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILD- OBTAININ 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: pate;
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
0 1 SCE L L A N E O U S PERM I T FOR INSPECTIONS CALL 427-9670
4IS97-0379 PARCEL : 12329416O14O PLAT : DIV : BLK : LOT :
1OB ADDRESS : NE 23780 STATE ROUTE 3 BELFAIR
kPPLICANT : MASON COUNTY 427-9670
OWNER : MASON COUNTY 427-9670
LEGAL : TR 14 OF ME SE
'ROJECT DESCRIPTION :
IEROOF
'ROJECT LOCATION :
1ASON COUNTY BELFAIR ANNEX
'ROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
STFE $ 4 .50 LLH 06/24/97 44768
RRF $ 46 .00 LLH 06/24/97 44768
TOTAL : 50 .50 0 E R AGENT DATE
IS_PRIIT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS
1EQU I RED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
PERM I T C O N D I T I O N S
ease No . : M I S97-0379
For : MASON COUNTY
Page : 1
1 ) THE EMOLIT/fpN AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON
COU Y REG AT IONS .
X
? ) ALL NSTRU ION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQ I EMEN
X
3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTE S RE IRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x