HomeMy WebLinkAboutMIS96-00537 Final ReRoof - MIS Permit / Conditions - 8/23/1996 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I F_- L. t- A N U_ 4(7)U-c-4 U, I= 1-4 m I 'T FOR INSPECTIONS CALL 4?,*- 967fd
MIS96-0537 PARCEtt321353400050 PLAT t D I V : BUK LOTt
JOB ADI)Rf ",S : U 4833 STATE ROOTP 3 SHFLTON
APPLICANT : HEI.FN MORAN 426-5056
OWNER : "FtFN MORAN 426--5066
LEGAL : 19 5 OF SE 31 EX SEE SNIT 8160
PROJECT DESCRIPTION :
RE--ROOF
PROt)FC1 LOCATION ,
"11Y 3 PAST 84Y8HORE , 112 M I I E P81 MASON LAKE RD, ON LIFIFT , COI-OR IS WHITIF AND VERY CLOSE '11) NO ,
f's ON "OUSE/
PR(.kIFCT NOTES :
TYPE AMOUNT by FWATE Rucu I PT
STIFF $ 4 .60 "PH 08109/96 42603
REPr $ 32 .00 OPH 08/09/96 42603
I OT,4 1 36 .50 (6)W4VER .. R A F
Illi PINT, tern 0410110 COMPIIANCE TO ATTACIiED CONDITIONS IS
REQUIRED
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 FRAMING by date by date by
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 2- by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
!F F 1 i IU1 1 0 N L 1 1 C1 N
Cage No . : MIS96-0537
For : HELEN MORAN
Paget 1
1 ) PURSUANT 10 1991 UN I FORM BU I LD I NU CODE , SECT ION 3016 (C ) AND SECT ION I,13 , At 1 S I IFS MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASION GOIJNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPC CT I ON FEE BAS I) RATES IN [ABLE 3A OF THE 1991 UNIFORM BUILDING
CODE Will BE
ASSESSED IF OWNER/CONTRACTOR FA 11.S TO POCJ ADDRESS ON SITE PRIOR TO REQUESTING
I NSPEC) I ONS ,
X_ ________.___.�_
2 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALI. LOCAL CODES AND UBC
RkiQU hR44ENTS
` 3) CONSTRUCTION PROCESS T 3 HE F f FLD CORPF CTE u REQU t kED PER r�tnSON COUNTY t3U 1 LD t NG
I DEPARTMENT AND UNIFORM BUILDING rODE .x�.7 -- _—
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner � dh.•'� Phone# 3G o y2 G 5 0s'C Fire District#
Site Address y / ,S�` znf S City
Mail Address ,5ZZ3 3 �
City St 4--Z4 Zip
Applicant /'�,+—1 Phone# `/L 7 -
Applicant Address S—f o ��
City S`vfc�.�- St ,,d!!z _Zip
Directions to Site: r` s��i d� s 71-1-
C L) Y)CA CY1 hX�)�f
#2 Parcel No. �
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 Project Completion Date
#5 Use of Buildiing Describe proposed construction Af- 1
`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 DATE L
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: Date:
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
�LQ�TOTAL DUE $