HomeMy WebLinkAboutMIS97-00062 Foundation - MIS Permit / Conditions - 2/6/1997 MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
m 1 IC3 c- F= L- I— ^ N F.� C3 t A to f I j 1 N S P i- A 1 L 4 2 9 6 c 0
MIS97-0062 PARCEL t323312390024 PLATt DIV : SLKi LOT
JOB ADDRESSi N 26970 U .S .HIGHWAY 101 HOODSPORT
APP11 CANT' i CINDY SUND 360-877--9474
OWNS At CfNDY SUND 360-877- 9474
LEGAL a 1# 2-0 1 TAX 271-A-4 TA 4 01' 5? 12466
PROJECT DESCRIPTIONIf :
FOUNDATION ONLY
PROJECT LOCATION :
TRAVEL WORTH ON HWY 101 , APPROX 3 MILES NORTH OF HOODSPORT OF MP 329, SITE IS ON THE WATERSIDE:
OF ROAD .
PROJECT NOTE,$,
TYPE AMOUNT BY DATE RECEIPT
STFE $ 4 .50 K". 02/06/97 4388P
FDNO $ 41 .00 KS 02106/97 431389
TOTAI- t 45a50 OWNER OR AGENT DATE
MIS—PRIII, rm 94111192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
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r—
CgNCRETE MECHANICAL MOBILE HOME
Footings-Setback �✓ date by Ribbons
date Z / _ 7 by Gas Piping date b
Foundation Walls date by Set Up
date by date b
INSULATION Y
BG/SLAB Insulation Floors Final
date by date b
FRAMING date by FIRE DEPT. y
date by Walls
date by date by
PLUMBING Attic OTHER
Groundwork date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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I
II
I
a
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . , M1897-0062
Fort CINDY SUMP
Page I I
11 All approved piftns are required to be orr-site for inspection purposes . If inspection
is called for and plans are not on site, Approval WILL NOT be qranted . In addition. a
Re- Inspection fee In the amount of $32 .00 per hour, (minimitm 'I hour ) wl I I be obarged and
must be collected by this department prior to any further Inspections being pert oi'med or
approval granted
X_ ._ _. �,�e�Er —._.__..__... _, __._ _.._.._ _ __..
2 ) PURSUANT TO 1991 UNtUORM BUILDING CODE , SECTION 305(C ) AND SECTION ;,s'13, ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PPOPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITF INSPECTIONS . A
REINSPECTION FFF , BASED ON RATES I N TABLE 3A OF THE 1994 IJN I FORM BU I LD I Nn' CODE W I 1 1, 13F
ASGESSFD IF OWNERI CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) AL CONSTRUCTION MU,'-;T mFr*r OR f XCLE0 ALL LOCAI CODES AND UNIFORM 6(J I L.D I Nay
CODE
AI- 1, CONSTRICT ION MUST MEET REQUIRED SIFTBACKS AS, ESTABLISHED PER MASON COUNTY ORDINANCE
37-96 AIIJD M ASON COU_.NTY SH____.____..ORELINE MASTER PROGRAM IF APPLICABLE .
X
__
IF—THE FOUNDATION 1 �, PLACED IN VIOLATION OF ANY MASON COUNTY RE64ULATION, IT WILL BF THE
OWNERS LIABILITY TO AFMOVE SAID CONSTRUCTION AT 'THE OWNERS EXPENSE AND TO DO So WITHIN
THE 'TIME SPECIFIED BY THE HUIt-DING OFFICIAL. . I 'l SHAI. I, BE DEEMED A VIOLATION FOR ANY
WOOD FRAME CONSTRUCTION TO BEGIN ON THIS FOUNDATION WITHOUT THE ISSUED BUILDING PERMIT ,
X
X
4 ) ALL CONSTRUCTION MUS4 FAVET OR FYCEED ALL. L.0('Al. (,'OP-FS AN[) of AC
REOUIRE
5 ) Changes to approved bu I Iding plans that effect oompt lance 'to the 1991 Waohington State
Energy Code. 1991 Ventilation and Indoor Air Ouality
Code, the Un i form Su I I d I ng Code arid/or AAAS C I aunt V Rpe( ulatlow-z must be approved by
Mason County prior to construct lonX
6 ) AL.1- CONSTRUCTION FAUST MEED OR FXCEED LOCA1- CODES . If ANY QUIFISTIONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
X Gv
-7 CONSTRUCIION PROCESS To BE F I E L0 CORRECTED 11 -"OU I RED PER MASON COUNTY BU I I D I NG
DEPARTMENT AND ONIFORM BUILDING COVE ,x
MI ����
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner �(�Al lJ Y QS7Y��� Phone # $77— / 2- 3 Fire District#
Site Address �— ! 0 �y AU/ ti City 17T10�S�"
Mail Address sit
City Y-T M(f St Zip
Applicant Wl�_5 0 A/ Phone# �,Z6� �2-7 7
Applicant Address e_� / 6 T 0#1—PC�
City S ke �I'v/I/ St Wq • Zip 9 Fs-g
Directions to Site: h1(te5 �� <11
TA �U�� dti /O
r �p
#2 Parcel No.
Legal Description `(-�: • Z �/� Z�6 5
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltw lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date _rC 6• >/ Project Completion Date_ 7 c- Z
#5 Use of Buildiin 8 V I,r— A UtC ScDescribe proposed construction i l
+0 iy Q "0-V yV—
'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 FIRSTOBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY (�(/
DATE DATE Z 0
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
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by' Date:
Q
DEPARTMENTAL REVIE
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $