HomeMy WebLinkAboutMIS98-00143 Cancelled Remodel - MIS Permit / Conditions - 10/3/2001 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 �C EF 1- i.._ A N E== C)t.J f:; P IF: IPI M i
MIS98-0143 PARCEL :222335200901 PLAT :MAPLO
JOB ADDRESS : 3041 F MASON I.AKE DR V QRAPFV1FW
y
APPLICANT : TESSIE GAUL_D 206-782-8547
OWNER : TESS IF GAUL.D 206- 792--W647
LEGAL. : MADINGS SUNNY SNONL ADD 16 TO 67-A pE km1,f psaATION
PROJECT DESCRIPTION : ouu- � Ott)
Y
REMODEL REBUILD EXISTING DOCK
PROJECT LOCATION :
MASON LAKE: DRIVE: E TO END OF DEAD END RD LAST NOUSE ON ROAD . DOCK IS ON LAKFSHORE .
PROJECT NOTES :
TYPO~ AMOUNT BY DATF RFCF 1 PT
PRMT -t 62 .50 KS 04/30/98 16932
STFE 1 4 .50 KS 04/30/98 16932
III CK 1p 25 .00 KS 04/30/98 16932
TOTAL 92 .00 =' OVyNER OR AGENT DATE
NIS PONT, ray: 64111192 COMPLIANCE TO AT rACNED CONDITIONS IS
REQUIRED
- n.
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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE F2R4 i "T CC)PND 1 -r 1 ON
Case No . : MIS98-0143
For .. TFSS I F CAUI_D
Page : 1
1 ) All approved plans, are required to be on-site for Inspection purposes . If i nspect i on
Is called for and plans are not on site, Approval WILL. NOT be granted . In addition, a
Re- I n:,pe,ct ion fee I n the amount of t\iil .00 per hour (m i n Imum 1 hour ) w i I I be charged and
must be collected by this department prior to any further Inspections being performed or
approval sj,P- Prlted ,._
2 ) PURSUANT 10 1�91 UNIFORM BUILDING CODE , SECT- ION 'iQ► t((' ) AND SECTION 513 , ALL S I Tf S t4U`-•T
HAVE APPROVIF0 NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PI..AINLY VISIBLE
AND L F G 1 tit F F ROM THE, STRFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BU I I_D I NG
DEPARTMENT REQUIRES TIiAT THIS BE COMPI..F1'ED PRIOR TOCAI.I.. FNG FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , BASED ON RATES IN TABI-E 3A UC THE 1994 UNIFORM HU i I D I NFL CODE: W I I-I IMF
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON � SITF PRIOR TO REQUESTING
INSPECTIONS . ,
X
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r.
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I REQUIREME
X
4 ) Changes t,o approved bu 1 1 di rig plans 't that effect oomp 1 1 ance to the 19ci1 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or $Afkon County lleclulatlon,,; must ho approved by
Mason County prior to constructionx
CONSTRUCTION PROCESS TO BE F IFLD CORRECTED AS' RF(AruF.D PF R sON COUNTY BUItDING
DEPARTMENT AND UNIFORM BUILD ING CODE . x � MAI
6 ) Water quality is not being degraded to the detriment of the Aquatic environment as a
result of this project .
7 ) The surface of floating structures shall be a minimum of eight Inches above the ,iurface
of the water .
8 ) A Hydraulic ProJect Approval from the Wash iti(Iton 'State Department of Fi ;h R Wildlife
must be granted prior to construction . For more information contact Nell Rickard,
Habitat Bio-Vo_ st , at (360)664- 4671 .
9 ) The proposed project must be consistent with all applicable policies and other
provisions of the Shoreline Management Act , Its rules , and the Mason County Shoreline
Master Progra
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10) Proper, disposal of construction debris must be on upla.nd5. . In sunh a mariner th debris
cannot enter wetlands or cause water quality degradation of ad).aoent waters.,,,/
11 ) Dock facilities must be maintained in a sate and sound condition .-
-——---—————--—--——————————— — —--—————————---
' 3/23 /19 MISg53
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION 6rtc/n Pa_,�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 Z 061ggCv
PLEASE PRINT / I1/
#1 wner ��s,/ C cf �� Phone# 7 - Fire District#
-(f)—
e Address _City
all Address /A)W S
City St
Applicant 6�a)ql a Phone#
Applicant Address _5ZZA91WG�-S iYt�c
City St Zip
-,����e .
Directions to Site: �
D
U K
#2 I No. �.�33 - .�02..-�C CAI 401998
gal Description MADi KX.-S
1 12 �'1-14 'In` rE
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater ake river creek stream pond wetland seasonal runoff marsh other
#4 Proj Start Date Il Project Completion Date (4 �� �- PAC1-S 'q
/. 7`t 4� st y/ dz,t c27� imc (%
#ri Use of Buildiing a Describe proposed construction
10
-- I GQytO
*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
I 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 FIRSTOBTAININGAPP VALFROMTHEBUILD- OBTAINING APPROVAL FRO THE BUILDING DEPART-
ING DEPARTM14124,1��,64)
DEPART-
MENT.
X OWNE X BY ✓
DATE ��8(�d DATE �1
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines )(Shorelines
Drainage Plan Easements directional by
Indicate dir
Septic Systems Name of Fronting Street I N, S, it W etc.
Proposed Improvements Name of Flanking Street
PLOT PLAN AREA N E
v
�F �rQ.�� by ow�16lJ
E, 36"
��j(��ir� 54-cPcfoc,,h
� I
I cPock a
pp I OO
-�or Sign $D X 8 En IAr� e -Form 3o K� +0
w�fh czaPdi� an o-F s+ep oven t 1 4br Sikh
L ok�
' � D afocK �s �e�ferFc/ o� PrvpFr'4�
rA
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning 44 v-a ( APP COND APP HOLD
NRF
Building 3 1 q i<
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
--- Other
Other
State Building Fee
TOTAL DUE $
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
P Y Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA N
!G' Drgv r, d!j own6(j
36 AA&y be
•� --... _. g' fit) s
h
ct I S'
i w�t11 2cica14-4an o-F s+ep o�vn r S i 'r� k r st�h
-
'� Prvper+cj
,_•" S�oTe( ,� lad -G'+
- aHae.�� ♦ 'c c;♦�\ a ��\�♦ �� �lk.\��\' •`�` +�•. �\"`\F`,�,`.`J.. a ��. ♦ \ .♦.. �„c`� .''`.�a:�, �::,' v„i `ter
,.,n.e $r. „Y'v,.�N\���� ;,�...\. a „ i 2.. xe� •�N. .1`w,x�Yo"a'`Z a.. k
. � � .. \ .\�\ £. -..♦\c. �` .,�� .a\\�:.: ♦�-,� -e a ro �� r� d"�:\,x z�?eM"'r �� � sps.: i r,
.. � a h'.. --' ;.`.�`':S<.�� � , �'�Y\\\a::� . .. Z. "aa, ♦�\?. ,�v�j\iw:��•:A. n.f ♦ . �a�.. a,:.��. ..,a.,
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
33� X gt a,: 3 , t�i'L Permit Fee $
Plan Check
Other
Other
State Building Fee k T"
TOTAL DUE $
' 312-3)1 $ MIS
MASON COUNTY -
MISCELLANEOUS PERMIT APPLICATION Pa,-)
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 Z r 0(�P&q(v
PLEASE PRINT / IA/
#1 Owner ��/ L' �Q f /C� Phone# — Fire District#
Site Address J-4�z// /J�c[�9i� -,D2 _City
Mail Address
City St Zip
Applicant Phone# -:IA-Le
Applicant Address
City St Zip
Directions to Site:
, D
till
#2 Parcel No. t� �J 3 - �02--On `�O� � 2 Q 1998
Legal Description MADi!�XrS S a- Jk)`f S�-1 ZEe R b D* 77
n Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater ake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date Il 'I Project Completion Date /�� �- PALI S V'.
L�� �n .�.� het L"
#5 Use of Buildiing Describe proposed construction
'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
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 FIRSTOBTAINING VALFROMTHEBUILD- OBTAINING APPROVAL FRO THE BUILDING DEPART-
ING DEPARTMEN . MENT.
X OWNER--, , (/ X BY ✓
DATE ��8�r d DATE �1X