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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 M -F. � [: IF= U L rK► N 1- Cl 417—9 G 7 0 14.1S94-- 0502 PA,1•1('FL t is k;'Ai{t30040 ),I 1) I � „ I Wk l'.111w( '. NE 1661 T ATIUYA R IW R RD I'A1141"e t, 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 S " X fi3O ' t i p r•'31) bU t k h e a d ;!'3'ri 1t �_ i ! ttr ;1i 7tiii ' 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 R IVF11 ROAD , t . 'i NI1 LS ON t f t 1 4113T: OF ROAD. 0 t 1 Nit ; I . 1 4 i't'a _ t:;ililisT 1 kti`i 13it 1 i (!F t v If'. 1 ! ': ( t ; '.j. '? f:>N 1 1.1 N F; / '€: 1 c1 tl •,,rd I t1 / ��// A 111 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 x a a.i w tt a. : 4 ) ywp M y R 1 N 0. i I t t ,. 1 j,�•i . . �. .„1� ,.l •til � ( .. ,j � tl kI• •i; � i 1 1 .t_1 ��esl t,•-t, �= .. - { tl'-'�t�. �- 1 t oil f Y.a tl�t ( ilt -,mw I,i 1116i It 1,011Hit i i1•11(i 1 - t' Ii 1 . ? t t. ;1�i. �� !t' t r 1 . '1 i•.a .. - .�(,k i i � 1 ., t t �,I��. t _ I i I. j I i I --------------------------------- MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 11'r'l Ijil" t till : I Ill io i ; If if f I i IFk iq 0 1 01; 16li ill- w-:t if t lot it, I I .0v 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 0 �' �cifWyp �(ve v ' t m�N '/C �XrLSr 12 4 rv'uS'I f3 7. A , / / I B I' i3 c Low Onti I,- ii-RA D I (.Tc i IIG N we 7:v O i�;.,d k,& ��i!Mrp1 IL /ei, !Z°CILS Cuv ' r aL Grz Ntii L��PTz-o�1c:p ,�► ,virw 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