HomeMy WebLinkAboutMIS97-0744 Reroof - BLD Permit / Conditions - 10/31/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
td1l 1 CAE L.- L_ ANIFFC3U-`y:' F"F" 1iMM 1 1 FOR : 'it..,i k i{: ; CALI
91I S97--0744 PARCEL. a 321362190160 PLAT' : D I V i 61-K i LOT s
,1013 ADI)AFSS : 4193 IF DEER CFIFFK RD SHE 1-TON
APPL. I CANT : TRAV I S 60--459--4 y29 360--701 -9583
OWNER : TRAV I S S DIIMONT 3fi0--454-4"i29 360--701-•958 3
LEGAL : TO 14 OF NF NO TO B OF aP 1222 AF1 312722
PROJECT DESCR I PI ION o
REROOF
PROJECT LOCATIONx
HWY 3 TO DEERCREUK RD, TURN L.FUT . FOI. -011 TO D I RY , VFAR LEFT PAST BANK OF MAILBOXES, WH I Tfr 2
STORY ON R I G"T .
PROJECT NO'I E :
O PEE
V41
TYPE AMOUNT BY DATF HECFIPT
rn�s.rr_•cpmama:ama-:rx..c rxaa.-c.,
STFF 4 .50 KS 10/31 /97 45809
REM' 03 33 .00 KS 10/:31 /97 V"i809
TOTAL . 37 .50 OWN . AC NT DATE
VIS PIMT, rev; 111PI19 COmPLIANCV TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Fqjmdation 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
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
p F, ul 11A I 'T C; C,:) N 0 1
Case No . , MIS97-0744
For . TRAV IS S 01,1MONT
Paget I
1 ) PURSUANT 10 1991 UNIFORM BUILDING CODE , SECTION 305(V ! AND SFCTION 513, ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A rosiTION AS TO BE PLAINLY VISIBLE
AND LEG IBLF FROM THF STREET OR ROAD FRONTING TfIE PPOPFRTY . MA1,1,10N COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FFr , BASED ON RArFs IN TABLE 3A Of THE 1994 UNIFORM BUILDING CODE wILL HE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
CONCRETE MECHANICAL MOBILE HOME
Footino-Setback date by Ribbons
date by Gas Piping date b
Foi,yndation 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
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT �i
#1 Owner + f�� l Phone #,"&� �71 ,S 2; Fire District#
Site Address City(o
Mail Address- 324a2 P., �!
City St Zip���_
Applicant Phone #
Applicant Address 1zdlw'2
City St Zip
Directions.to Site:
3.7/3 (a 19a 4,0
#2 Parcel No. - -
Legal Description --Er-. 6 aE A)C V L)
#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
' / {��e�o•t� apt
#4 Project Start Date /Q -7 Project Completion Date
#5 Use of Buildiing Describe proposed construction
a
`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 FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTME 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
EFOROFFICIAL 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
TOTAL DUE $