HomeMy WebLinkAboutMIS94-00502 Cancelled Rip Rap Bulkhead - MIS Permit / Conditions - 7/15/1996 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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14.1S94-- 0502 PA,1•1('FL t is k;'Ai{t30040 ),I 1) I � „ I
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nt'I S ! , .Jt PATRICK HARRY 411S--H6S2 PERMIT
IW141 1 PAT-RICK HARRY _17�)--H6S2 NULL & VOID BY EXPIRATION
It I of St SV IS INS43:11 of OIIe DATE
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I RON BELFA IR. TRAVF 1. 4 N7 t 1_ ; UP NOR UIViHORF kOA0 AND TURN R ION'T UP HU i FA1R- I AHUYA ROAD, -fRAVF 1
ABOUT 5--6 MItf-S ON HF.I fATR TAHUYA ROAM AND 'TAKF 1 t f 1 Of Ht-1 1 ATR- TAHCIYA ROAD . TOWARD`s FOI 1 IHS
CAKE: . IRAVt- 1. ANUTHUN 3 NttFS (APPROX ) 1. /2 HILt PAST" TFt LAKE I.NIRANC:F AND TAKF A IFFT aN TAHUYA
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NTt ✓FIlT, rov , ITj1111v? COMPi IANCE TO ATTACHED CONDITIONS IS
RFOUIRF D
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
Groundwcrk 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. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.III 426 W.Cedar
P.O.Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
a/j�)/96
TO: pa-f 'lCe
RE: Permit Number #m 1S gZI-Q (nQ
To Whom It May Concern;
During a recent review of our files, it was determined that your permit
may meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please contact this office for a final inspection, update ,
inspection or extension prior to 0-) / /,�) /96 to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our office.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sincerely,
0" &Ty�
Building Department
cc: Property File
O ECHWE a Permit No.
ON COUNTY y� ��
BU�ILD G PERMIT APPLICA&N
426VWALOW. 4,EAelton, WA 98584 427-9670/1-800-562-5628 1:3
PLEASE PRINT p /
#1 O ner v�c s�� Phone# Z 7� S��2
ite Address y6 A / T� �r ��� e� Fire District# �
city St tu'l- zip 9�5
Directions to Job Site �e 8e �'%v T�u�� 4�, *s ""IA 5.4, 'el q
?l/4-10"- T/fu V 4 14 %vetvel aho..`f - � :�,/;�P o.1 �t�{�vv
�2r� dTM�T G ar -/ 70cvA� f �v! i ,5
/zH„A u5 77 e La�IC eL,�vRticP
Owner Mailing Address /11 F AW T�-y4 AL-,,'-
city T � X C? St t-- - Zip F S o&
Lien/Title Holder 6ii-Iye,c4, Le 5-,1,
Address
Clty '�i 4, St 1-)4 Zip
#2 Contractor Name Se Contractor Reg #
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.All--4
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System JI
(If residential, proof of potable water is required)
#4 P cel No. z 21 7- - 3 4 _ o o o/b
Legal Description j.c /1�0��l. 2�6 1 f 5� 11A ��
2/V /2 3 !e. e
#5 Building Square Footage: (existing/proposed) /V/`r
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building '1VA Describe work
#7 Type of Job: New Add Alt Repair 1/ Other =�
#8 MOBILE/MANUFACTURED HOME INFORMATION/V/1j
Model Year Make Model
Length Width Serial No.
# Bedrooms #Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
iv r Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
x
Show following on the site plan
Lot Flood Zones
Ex g Structure Fences : `/
Str Driveways /
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional b
Name of Flanking Street yN, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
'o7e �'��ti A
/ y
I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW / ey -.,,Q
o�1CwAl1 /� /ucrd o u
Log i AA
o
o �
TG�CAyu �1V2 v
l
Show following on the site plan
Lot marl. ' Flood Zones
Ex g Structures Fences
Str �,.ttrg6ac.k Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
MUST ""`FT 4I-L CURRENT
WAS u.a �' ���,f THESE PLANS MUST BE
's ON THE JOB SITE
FOR INSPEC I N.
-- --'Un- MNGES
89AI1T C14ANGES FOR APPROVAL
OR TO PERFORMING WORK
MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVAL
�
D ATE_
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
f ��l 5 1, dy ,,o
/1 P;l o Y, ��"`� b� d�c��9 00 h,
L
MUST MEET ALL CURRENT IF'°z WC,/�Ho�
CURES Ra�4 �r �<<�he��o,, f/o„A Q
WASHINGTON STATE
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Ntii L��PTz-o�1c:p ,�►
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Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins 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 Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ 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 15.00
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 OF THE 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 OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
100
Environmental Health:
Building Plan Review
(JJ
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
b 1-:> Building Permit S om
DS� S Plan Check , 570
F��X (1jkc_ Plumbing Fee
t.V`Dr Mechanical Fee
It-k-)U IAA--,) g 7 -a Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee L{ S�
Other
Other
Building Valuation: Z TOTAL FEE eo, 00