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HomeMy WebLinkAboutMIS95-00637 Cancelled Retaining Wall - MIS Permit / Conditions - 3/12/1999 MASON COUNTY � Mason CountyBldg� III 426 W, Cedar r P.O. Box 186 Shelton, Washington 98584 M I ; C V 1... t- A N IE: Ca U P IF- "M 1 -I- FOR INSPECTIONS CALL 427-9670 MI S9J idb",; l PARCE'I 222:335200031 PLAT xMAP[0 DIVI BLK r LOF a JOB ADDRESSi E 2555 MASON LAKE OR E GRAPEVIEW APPLICANT - WILL IAM NELSON 7v2-01 1 7 OWNER : W I l A. I AM NELSON 752-01 17 LEGAL ; 11! 11116S 41141V SNORE ADS 06 It S1 DN PROJECT DESCRIPTION - RETAINING WALL ��o�.va PROJECT LOCATIONt D HWY 3 10 MASON HENSON RD TO MASON LK OR EAST RIGHT TURN PROJECT NOTESr ahreuk 1 i n t required, sailed to Roger Danny on 9129 TYPE AMOUNT BY DATE RECEIPT STFF.. $ 4 , 50 TW 09/21 /96 4272E PRMT T 41 .00 TW 08/21 /96 42726 Pt.CK 9+ 16 .50 T'IY 08121196 4272E �, __._.___. _-._. _� 4. 4 TOTAL c 62 .00 OWNE iH o A a ' T DATE MIS fill, real 1141I 92 COMPLIANCE TO ATTACHE© CONDITIONS 1S REQU I RF 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 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 by date by I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PEHN1 1 f C' 0N [1 1 '"r 1 CAN Cass; No . : M i S95-0637 For , Wit i 1 AM NE►_:�OM Page , 1 1 ) But k head mu,.t be to i ace(i rte r4ir t her wr�tesrwsrd than ex i s t i n!, bulkhead . . t 2 ) A Nyrdrau l i c. Project Approval from the Washington State Department of Wildlife must be granted prior to construction . For more information contact Gloria Mitchell , habitat Biologist . at (206 ) 858--7217 , x 3 ) The propobod t,rolect must b" consistent with ai 1 appi ic;:ralb►e pol ir, ies and other provisions of the Shoreline Management Act , Its rules , and the Mason County Shoreline Master Program . A ) A i I hpproved p I axis r►re regtt i red t o be on-s i to for i nspeat i on purposes . If i n ip"at i on is oalied for and pldns are not on site, Approval WII_i.. NOT be granted . In addition, a MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Re- Inspection fee tit the amount cot $30 .00 oar hour (at i n i mum 1 hour ) will be otiarged and must by ool1ected by this department prior to any further Inspections being performed or- approval granted . X_ 5 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND OBr REQUIREMENTS X 6) EROSION CONTROI. MEASURES MUST HE IN PLACE PRIOR TO ANY CLEARING, GRADING OH CONSTRUCTION . THESE CONTROL MEASURES MUST BE EFFECTIVE TO PREVENT SOIL FROM BEING CARRIED INTO SURFAf;E WATER BY STOR14WATER RUNOFF . SAND, SILT , AND oft W! 1-t DAMACE AQUATIC HABITAT .;4Nt) ARE CONSIDERED POL.LUTANI S . X 7) The project may require authorizatinn from the U .S . Array Corps of Engineers under, Section 404 of the Clean Water Act . Please: contact Lorl Morris , telephone (206) '164-34915, concerning specific permit requirements . X 4X, pit � ���,✓ /c'af` �vG[sc.v • �. �ASS r�,��e„� �� I, Ir C�gginJ Y� �lr o �a ,UE�cH.Qe�(s k. -------- w - J \O �q rn P J N � � GL�PNCaE� f rf pc M r f � `t' x 2c• pl.0 s � °� � � t � W I F�'�T 1 �x ST�UC� t Permit No. MASON COUNTY AV Oy- BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Ow /(,�/,Q/J� ,(�E(,�(f� Phone# 06 7 �Z ® f l 7 ite Address C-: 2S3 5 /Y)4bUrJ (.KC /X EW T- Fire District# S' City 6AAFW IC--L,4 St y,A Zip� �� Directions to Job Site )l/A/Ay -P —16 /JZQ•l7 , /..l ,L'Q 7-d /1<1&a✓ 14 Ot C-AaT ,e &J47 JC! - Owner Mailing Address oZI7/(, AJQ <fZtjC- Sf city TACGA9i4 St �4 Zip Ct, ' 7 Lien/Title Holder Q1V1(-- Address Clty St Zip #2 Contractor Name 6E, ,(�; rt�!,16� Contractor Reg# C-i✓�(,✓�W// -?-T� Address 461 1;1&641 L4' �Z 6a r' Expiration Date_(2Z City 662-4-,'�W,&J St &v P Zip Phone# 4124512 #3 If septic is located on project site, include records. Connect to Septic?*- Public Water Supply Wod"" Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 cel No.2ZZ33 - SZ- 6dQ egal Description /�fia/A/6 (YuA/ J-wex 16 ear 3/ #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.�ft. / #6 Use of building &�/A/�✓�Gt/ t c' ( (Z4AJL Describe work /c C� 6t/JT7Al-6 u/'iT60 &V066 u/IA" CprJW7F #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTU D HOME INFORMATION Model Year M e Model Length Width Serial No. # Bedrooms #Ba rooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source-I-"water is on or adjacent to subject property: River Pond Creek Stream Wetla ak Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones ` Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW /9TT�C�CYJ APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW ! - Plumbing Fixtures ($3 eachl EPg Mechanical Fixtures ($6 eachl No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs UQ- Fees Showers Furn BTU of Water Htr _ Heatpumps _ aundry Washer _ _ Vent Systems 'nks -_ _ Spot Vent Fans _FI or Drains jy4. Boilers/Compressors _La ndry Basins HP _Dis washer big, Air Handling Units _Disp�sal cfm# _Urinals _ Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic ee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLU BING $_ JyQ, 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 OFTHE 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 pproval Planning: o/�/ Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: FEES Special Conditions: / Building PermitAL Plan Check M� Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee u�0 Other Other Building Valuation: �� �t� TOTAL FEE