HomeMy WebLinkAboutMIS98-00336 Cancelled ReRoof - MIS Permit / Conditions - 10/3/2001 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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M1S98--0336 PARCEL s321345000021 PLAT ,RAPI-0 PIV ! BLK : LOT -
JOB AI_►DRF,�S : 130 E EVFRGRFLFN DR SHE LTON ,
APPLICANT : JUNN 27--9438
OWNER . J01-IN A KEY7FRS 427— 9438
LEGAL_ : AA11801 LAKr TA 21
4
PROJECT DESCRIPTION ,
RF—ROOF SSE
0
PROJECT LOCATION :
RAINBOW LAKE 9 I T 'S AN U-0--L—Y YE 1,L OW 140081= ON R I GHT HAND S I DE .
PROJECT NOTES :
TYPE AMOUNT BY DATE RF G1 ! PT
� exas:•rFs;:-.wa:r.�t�G.t�a•�z8sr::a�r�•n+x:cmr ezts»u:.av•_w+,-;�jrt's.Y:rn•:-•�"`•,.sseusY:�:
STF"E $ 4 .50 N.JP 06130/98 47550
RFRF 4 4:' .00 NJP 06/30/98 47550
i r
TOTAL : 46 .50 -/ OWNER OR AGE T DATE
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MIS Pr111, rev. 04ifiiV COMPLIANCE TO ATTACHED CONDITION« IS
RE0111 RED
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 PLUMBING by date by date by
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
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
C (.>N [31 T IONS
Case No , MIS98- 0336
r car ., JOHN A KEYZEAS
Page : 1
1 ) PURSUANT TO '19P4 UNIFORM BIJI [ DING CODE , ALL SITE MUST BE MARKED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE- AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE POOPERTY . MASON COUNTY BUILDING DEPARTMENT REDO IRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABLE 'AA OF Tlif 1994 UNIFORM 6UILDING CODE WILL BE ASSESSED IF
OWNER!CONTRACTOR FAILS TO POST AODAESS ON SITE PRIOn TO REOIJESTING INSPECTIONS .
X
21 AI-L CONSTRUCTION MUST MEET OR EXCEED ALL LOPAL CODES AND UBC
p F X CRT-FmFN^
- IUI�D CORRECTED CONs,rRUCTION PROGE'SS TO BE F ED PFA MA ON COUNTY BUILDING
DEPARTMENT AND HNIFORM BUILDING CODF .x
FORM MUST BE COMPLETED IN INKS
PLEASE PRESS HARD PERMIT
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275- 467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner �vti1�^ I�e��`72 Contractor Name
Mailin Address 13n 5:� bK - Mailing Address
City ( - State Ldl&_Zip Code Ct City State Zip Code
Phone(.,-42t)) 7 —fU3qRher Ph.( Ph.(_ Other Ph.(
Lien/Title Holder T- Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. `� 13 / A�o � Fire District r
Legal Description w- '.zj
Site Address(Please include street name, street number and city) CV _
Directions to site �� a
1 I�
Will timber b cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work e t s � — e ---LecknL
No. of Bedrooms No. of Bathrooms SQUARE FOOTAG -1st Floor / r��_2nd Floor
3rd Floor Loft Basement Deck Garage Carport
Other sq. ft.
MOBILE H FORMATION-Make Model Model Year
Lengt Width Serial No. No. of Bedrooms No. of Bathrooms
T of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Ty
Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conforma ce therew' ges shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approva r first obtaining approval.
X & Date — X Date
FOR OFFICIAL rUE BEYOND THIS PO//INT
4A Accepted by Dat ubmittal Amount�_y[Q._�7�� Receipt No.�
APPROVEt� ��(�Q�TIC�1�:��E�i�. ::.
DER,�EtT:.: :::..T�.:;f�E �1 ::.:.;:::::::::::::::::::::::::::::.::::::.:.::R.:.:.:....:..:::: . .........
Building Department
Occ Group :_3 Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
Building Permit Fee J i Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other oy
Violation Fee Pre-Paid at Submittal ( )
FEES