HomeMy WebLinkAboutMIS97-00470 Cancelled Woodstove - MIS Permit / Conditions - 12/4/2000 ----------------------
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 1.-.^ r4 V--,c)lrl 4; F, U=- R m I -r FOR INSPECTIONS CAIA. 427--9610
MIS97-0410 PARCEI- t321362190191 Pt.AT .- DIVv 1.1 L K - VOT
JOB ADDRESS : E 221 DEER CREEK RD SHFI.TON
APPLICANI : JEFFFRY GREENFIELD 1641
OWNER JEUFFRY GREENFIELD 352-7641
LEGAL. ! TR 19 Of If. Of I v'pf Of FS 16973ya PERMITE XPIRATION
. kAj
PROJECT DF r4ULL & VOIDG
py SCHIPTION :
WOODSTOVE D AT E BY
PRO-jECT i.00ATION .-
HWY 101 NORVH 1ST Still-TON EXIT, PAST UUM13FRMENS. ONTO HWY 3 T-01 AI,LYN, DEERCREEK RIB ON cm- OFF
HWY 3 .2 MILES SITE ON LEFT.
PR0,..IF(; I' NOTES ;
TYPE' AMOUNT By DA I F RECEIPT
WDST $ 33 ,00 KS 07/30197 45042
4)-C4r7
[LU
TOTAL 33 . 00 OWNER OR AV ENT DATE
VIS-11`111, rqvt #41#1192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQU I RED
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
I
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Casey No . : MIS97-0470
For : J€FF€RY GREENF I EL D
Page .. 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 3OF (C ) ANO SECTION 5.1 3 , ALI_ S I TEfi MUST
NAVE APPROVED NUM8FRS OR AGGRESSES PROVIDED IN SI)CH A POSITION AS TO RE PLAINLY VISIBLE
AND LEGIBLE: FPOM THE STREET OR ROAD FRONTING 'THE PROPFRTY MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE. INSPECTION FEE , BASED ON RATES IN TARLE 3A OF THE 1994 UNIT-0AM BUILDING CODE. Will BE
ASSESSED IF OWNER/CONTRACTOP FAILS TO POST ADDRESS ON SITE PRIOR TO RFOUESTING
INS ECfT I ONS> .
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MIS` -7—'V41 (6
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner (�► >'h Phone# Fire District#
Site Address City
Mail Address— E 6'erk. 671
City ��" n ( St zip
Applicant 1) Yl Phone#
Applicant Address /
city -S� l 4 z)r; St k-" zip 8s
Directions to Site: OUJJJ 3 *1(J&*d A *9Yn-),�&n . rn 4Wf v n Ape"" of en. led -
M J w(Li,A ay) Lt-f f k_g,� d t L4 s ram- �y�t1, as i �-
#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 �1' ka� Describe proposed constructionIJ
_
'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
1 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 FIRST OBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER 2 n 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: 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 $