HomeMy WebLinkAboutMIS97-00420 Final Foundation - MIS Permit / Conditions - 7/30/1997I
MASON COUNTY
/ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
INN 1 -4z;C1 V L 1 . A N 1 C)L1 V F= 1.4 M I i UB i NSI't-G I i ONS CALI 42 i-.9670
MIS97-0420 PARCEL :32 1 3 4 7500020 PLATc DIVI BLK : LOT :
JOB ADDRE SS c F 151 CATFISH LAKE' RD SHE I.TON
APPL I CANT : LAWRENCE WOOD 360-•877--6503
OWNER - L.AWRENCE WOOD 360--877- 6503
LEGAL. : TA 2 AF SURVEY 2190
PROJECT DFERGRIPT1ON :
FOUNDATION ONLY
PROJECT LOCATION :
Catfish Lake Rd about 1 /2 mi In on Icatt
PROJECT NO,tFS :
TYPE AMOIIN'I BY DATE RECEIPT
FDNO t 41 .00 KS 07 / 10147 44889
STFF T, 4 .50 I'S 07110/97 44889
i (11l�l 4ti .F10 OW H OR AQFNT PAii
Yid Poll, i svi 1141/11192 COMPLIANCE 1-0 ATTACHFD CONDITIONS IS
RFOII I RE0
i l
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date 0 ' 7 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 _ O, y by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F' F:- F 1 m 1 -f C' C> N U 1 `T i C) N -1
Case No . : MIS97-0420
r or ; t_AWRE_N"E WOOD
Page _ 1
1 ) PUR;RANT TO 1991 UNIFORM BUILDING COPE . SECTION 30F►(C ) AND SECTION 513 , Aft SITES M11S
HAVF APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
ANT) LEGIBLE FROM THE STREET OR ROAD FRONTING THE PPOPFRTY . MASON COUNTY BIJ I L D I NG
DEPARTMENT REOU1RES THAT THIS BE COMPLETED PRIOR TO CALLING FOR :ANY SITE INSPECTIONS , A
RE I NSPECT I ON FEE , BASED ON PATES IN iABL_F 3A OF THE 1994 UN I FOR.10 BU I L.D I NC, CODE W I t.L t3 -
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO RF_.OUESTING
INSPECTIONS .
2 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL. LOCAL CODES AND UNIFORM BO I L D 1 NG
CODE
I ALL CONSTRUCTION MUST MEET REOUIRED SETBACK$ AS ESTABLISHED PER MASON COUNTY ORDINANCE.
37•-96 AND ASON COUNTY SHORELINE MASTER PROGRAM IT' APPLICABLE .
I THE FOUNDATION IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION, IT W11_.L BE -THE
OWNERS LIABILITY TO REMOVE SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN
THE TIME SPECIFiFD BY THE BUILDING OFFICIAL . IT SHALL BE DEEMED A VIOLATION FOR ANY
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) ALL CON;:;'rR(ICT I ON MUsr MFF T OR EXCEED ALL LOCAL CODES AND UBC
REQUI EM NTS
X
A ) Proposed structure or, any portion thereof groater, than 30" in height from grade line ,
munt maintain a minimum of 5 ' setback from all property lines and easement lines- and 10 '
from all - C�-_"t
y and StateRoad right at ways .
4
X _,_ _1.
5) Proposed structure or portions thereof with an projection over 30" In height from grade
line , must maintain a 5 ' sera at n distance between a�i )acert structures and that
furthest projection . X . �
6) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
7 ) CONSTRUCTION PROi'FSS TO BE F I FL D CORRECTED .AS F�} r r► PER MASON COUNTY BU 1 L D 1 Ni.;
DEPARTMENT AND UNIFORM BUILDING CODF . x _ �
.SITE ADDRESS.
Permit No.
` SCHEDULED FOR'TH
"FIELD ON MASON COUNTY
WILL ATTACH.TO.
UILQING PERMIT APPLICATION
IDEMARK WHEN.
ASSIGNED. _GMM' edar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
Iling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 �Ow er %�`2�('L�. 4ti1 -( Phone # �J `�77^(U"5-U3
\� Site Address C(kfFl`-5h LCd 2( Fire District#,
City 6 h e l f(>n 4ti St zip�1�5�a
1 Directions to Job Site U bo i k4- Z M'1 1 L I l Oil
Owner Mailing Address �( C2011 Z'zt7}
city !�1 r✓j st v! zic(i 9�5z-�•
Lien/Title Holder
Address
Clry St Zip
#2 Contractor Name C� Contractor Reg #
Address "j� I(�J�" /�;.fir (_ I �.I� l.l' '�.. Expiration Date
City r�'1 !, St ILIA Zip -1"2-31 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)
#4\Parcel No.�JZ �� - 7�7 - 0
Legal Description
#5 Building Square Footage:
1 st FIiT�� �`: 2nd FI 3rd FI Loft Basement
# Bedrooms {'l,t'Z'v # bathrooms f1lao Deck ( L? Other
Garage Carport (Circle: Attached or Detached?)
#6 Usq of building V=(L D ¢ { `y
MAY 2 1 V9 t7
#7 Type of Job: New Add Alt Repair Other
r rr,��,, rr-.t i+rr-
#8 MOBILE/MANUFACTURED HOME INFORMATION -- �i �'i S
Model Year Cl � 7 Make ' � yltq) Model A q L�&
Length Width A-�, Serial No. 2-4 -�Go
# Bedrooms Wtt # Bathrooms ,)rl Type of Heate) M IC1
Purchase Price$ 1'?I;l�OX q4 r
#9 Indicate by circling the applicable source if a_ny water is on or adjacent to subject property:
River Pond Creek Stream Wetland �Lak�Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways j
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 ---
d= •
r�
i
0
Vo-
i -
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
r
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) l
No. T ets CIRCLE FUEL TYPE: Gas, Electric,
Bath Ba ins 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 Stipp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING S 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 TOTAL MECHANICAL $
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.
X OWNE�Z�G�� G��� X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: - Date: 4'�� /Z�"
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
G—
Environmental Health:
Building Plan Review n
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee 160
Other �-
Other 4eia
Other
Building Valuation: TOTAL FEE