HomeMy WebLinkAboutMIS96-00519 Cancelled Dock - MIS Permit / Conditions - 12/9/1998 11 CONS f RUCT ION PPOCE SS 10 SF f t : tl MASON COUNTY BUILDING
DEPARTMENT AND UNIF 1 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
ZP.O. Box 186 Shelton, Washington 98584
M ! r-;C:- V t_ I_. A N FEE C)tJ c; R M i -V FOR INSPECTIONS CAI L 427--9670
MIS96-0519 PARCEL :222335200060 PLA.IcMAPLO DIV: SLK : LOT :
l JOB ADDRESS : F. P701 MASOM LAKE! DR E GRAP€:VIEW
APPLICANT : LEONARD 13RUDVIC 215-5029
OWNER : LEONARD WIDVIC 275-5029 PERMIT
I� LEGAL : MA®iNfiS SUNNY 16GAE Apt 16 TI Of
NULL & VOID BY,EXPIRATION
'f PROJECT DESCRIPTION - DATE I _q —
qb BY
Cons-trout a 420 square foot "L." shaped dock with ton untreated p1 l ina .
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PROJECT LOCATION :
4 PROJECT 'NOTES :
SEPA #SFP96-0187 issued 819/96, comment period ends 8/24
TYPE AMOLINI BY DA'fE RECEIPT
SE-PA $ 105 .00 CPO 09/03/96 0000
PAMT * 62 .50 CPO 09/03/96 0000 �
STFE: * 4 .50 CPO 09/03/96 0000
TOTAL : 172 .00 \ *(Qt{_W.i3. AG'Ekf ._�.... _. _. '" T .
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NIS PpNI, revi 04111192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
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 FIRE DEPT.
date by Walls
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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF RM 1 .r t; c�ND 1 I- 1 011`4 -4:3
Case No . ! MIS96-0519
For ; t EONARD BRt1DV I C
Pager 1
I ) A Mv(irautic Project Approval from the Washington State Department of WIIdlife must be
granted prior to construction . For more information contact Gloria Mitchell . Habitat
Biologist , at (206 ) 858-7217 .
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2 ) All up I and arAas d i st urbed or new I y created by construction activities shra 1 l tie seeded,
vegetated or c) iven some other equivalent type of protection against erosion .
? ) The proposed project must be consistent with all applicable poIiuie<, and other,
provisions of the Shoreline Management Tact , its rules, and the Mason County Shoreline
Master Program .
4 ) Dock fao t l i t I es mun t be maintained In a -,ale and sound c:ond i t i on .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
5 ) Approved per site-plan .
6) Proposed str uoture or arty port Ion theeroot greater than 30" 1n he IQht from peace l irlk .
inust ma i nta i n a rt i ti i noire of 5 ' setback f rom a I I property tines , easements and right (if
ways . ,
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7 ) Al I approvers plans ate required to be on-site for I nspe( t i on purposes . It I nspact i on
Is called for and plans are rtot on site, Approval WILL NOT be granted . 1n addition, a
Re- inspection fee In the amount of $32 .00 per hour (minimum 1 hater ) will be �;hat qod and
must be collected by this department prior to any further Inspections being performed or
approval chanted .
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8 ) PURSUANT 10 1991 UNIFORM BUILDING CODE , St.C 1 1 ON 306 (C ) AND SrC'F I UN 613, ALI ti i TFS MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE S'TRFET OR ROAD FRONTING THV PROPERTY . MASON COUNTY BUILDING
DFPARTMFNT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RF 1 NSPEC:T I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BF
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
I NSPECT I ON:, .
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9 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL. CODES AND 08C
REQU I REMEN,�
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10) Changes to proved hui1ding plans that etteat cc,mpIian(.er to the 1991 Washington State•
Energv Code, 1991 Ventilation and Indoor Air, Quality
Code , the Unirorra Building Code and/or Mason County Regulations must be approved by
Mason County prior to oonstructionX r _
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11 > ALL CONSTRUCTION MUST MEED OR EXCEED L08W CODES . IF ANY QUESTIONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
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MASON COUNTY
12 ) CONSYRUCT i ON NROCt , Mason County Bldg, III` 426 W. Cedar '11414 + r BU i I D I NG
ui=FARTM( NT AND (!N P.O. Box 186 Shelton, Washington 98584 ---
133 A water quaI Ity i .indards nod If ioatIoti vvi i I t,r rwgc.; ii fro, itin i.vpdrtment of Euoiogy
for this ,project (WAG 173-201 -035 ( 8 ) (e) ) .
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Permit No.
MASON COUNTY ��� ��
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT t
#1 Owner L P-o Oar Phone# J`S-S02q
'� ress LC' O a a f Fire District#
Ci{y St Zip
Directions to Job Site .S e C- 1�7cwa -- UD I 11 r I (,� I-� 1 l-�
Owner Mailing Address C, v cj
City h� �1 �C� RU Sl _ Zip
Lien/Title HolderJ� -
Address k \ 1
City St Zip
#2 Contractor Name ocm5icQc, f/K- Contractor Reg#k"Aa q
Address Q Expiration Date
City kK- St Zip g52-Y Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If 'residential, proof of potable water is required)
#4 ParC V.222 - �J� - d U(00 Legal Description Q�(0() RA IA d kn!A u n)5 S ►-J Shor,2 k U , n (o
#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 ' Describe workCs
#7 Type of Job: New_ ' Add Alt Repair Other
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#8 MOBILE/MANUFACTURED HOME INFORMATION ~''
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat n
Purchase Price$ f Q
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences GL
Structure Setbacks 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 Frontin Street in relation to plot plan
9
APPLICANT TO DRAW SITE PLAN BELOW
I
of
(O O
�ry
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0
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
1
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
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 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. DEPARTME T.
X OWNER X BY
DATE DATE 2
FOR OFFICIAL USE ONLY: Accepted by: Dater
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ' Pb mcU4
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< ru < 4-0c.4V4 F�IZF
C44�rTc" s
Environmental Health:
Building Plan Reviews C
Occupancy Group: I Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
`f zo K g = 3, 7 o Building Permit (e Z `�
Plan Check -r-oL(1 Lp ti —
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 5r
Other
Other
Building Valuation: 3, 760 TOTAL FEE
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