HomeMy WebLinkAboutPre-Inspection - SPI Inspections - 2/7/1992 MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
building parks & recreation fair/convention center planning fire marshal
February 7, 1992
William M. Jefferies
6429 E Hilldale Rd
Port Orchard, WA 98366
RE: Site Inspection
Dear Mr. Jefferies,
On 1-31-92 , Don Fawver of the Mason County Building Dept. ,
did a site inspection of an existing foundation located at
Lot A of 12 , Section 10 Township 23N, Range 2 WM.
The results of that preinspection were as follows :
1 . The basement walls measuring 8" thick and perimeter
approx. 24' x 20' appeared to be in good condition.
2 . Construction of a 2 story single family residence
using the existing foundation would be acceptable
at this time.
I have enclosed a photo copy of the pre-site inspection form.
If I can assist you with any other questions regarding building
permit requirements, please contact me at (206) 427-9670 ext 356 .
Thank You,
Ile
ami r' y
Building n ector
s Q BUILDING PERMIT APPLICATION
A�A"-°� , c� 1 MASON COUNTY 3/b 7S 9o/w4 Q7 p DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
I� 427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS �/ ME WD CITY BSTATE ZIP PHONE
OWNER �lc�iAM M. �T��EZ �, 4 E. I-t/a./ [ figr Cp'c� t-A �1$�GC, F7/-23!I
DIRECTIONS /)/asr 7--m
TO JOB SITE 6t/6S7- 0 /aS dedud "�r S ZIIA14102'Cr AJ
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'rnQrp-_I 6/Gtt£-n+ i LACE /—I Lt ale�r r AJ 5ra+�cr Qd pr o,4-4-� i S Ce r n 6s f�a Ef�h.b� A
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PARCEL '4"W ",4" p� � � 'Z LEGAL A'` O� T2 AST 1 L iS H f'o t2�+ J c i i-t�.c n a*t�
NUMBER it DESCR. 10 2 2
NAME MAIL ADDRESS CITY 3 STATE ZIP LICENSE NO.
CONTRACTOR
USE OF ��77
BUILDING 0e/U� 47
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
/ILO do
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE /P SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS .Z PRIMARY RES.,tf THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS �/ o $ Ft BATHROOMS / �L SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
�(a D g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE / IS CARPORT/GARAGE
GARAGE SgFt ATTACHED Q DETACHEDA
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW ROW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FBQWZHE BUILDING DEPARTMENT. r APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN E DATE _ �`�' 9�- X BY __ ___ DATE
IF
FOf OFFICE USE ON LY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
t - > WOODSTOVE
PLUMBING
- - MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL d�
BY CASH CK MO
EXHIBIT ' A'
LEGAL DESCRIPTION:
THAT PORTION OF TRACT 12 OF SURVEY RECORDED IN VOLUME 5 OF
SURVEYS, PAGE 138 , FILED OCTOBER 22 , 1979 , UNDER AUDITOR' S
FILE NO. 368714 , BEING A PORTION OF THE NORTH ONE-HALF OF
SECTION 10 , TOWNSHIP 23 NORTH, RANGE 2 WEST, W. M. , IN MASON
COUNTY , WASHINGTON , AND THE SOUTHEAST QUARTER OF THE
SOUTHEAST QUARTER OF SECTION :3 , TOWNSHIP 23 NORTH, RANGE 2
WEST, W. M. , IN MASON COUNTY, WASHINGTON, LYING NORTHERLY OF
A LINE DRAWN NORTHEASTERLY FROM A POINT ON THE WEST LINE OF
SAID TRACT 12 , SOUTH 05 DEGREES 12 ' 30 " WEST, 384 .26 FEET
FROM THE NORTHWEST CORNER OF SAID TRACT 12; THENCE NORTH 67
DEGREES 37 ' 27" EAST, 497.08 FEET, MORE OR LESS, TO A POINT
ON THE EAST LINE OF SAID TRACT 12 , SOUTH 02 DEGREES 25 '24"
WEST 63 . 14 FEET AND SOUTH 07 DEGRESS 45 ' 34" WEST 91 . 11 FEET
FROM THE NORTHEAST CORNER OF SAID TRACT 12 .
(ALSO KNOWN AS TRACT A OF SHORT PLAT NO. 1705 , RECORDED
UNDER AUDITOR' S FILE NO. 470544) .
TOGETHER WITH AND SUBJECT TO A PERPETUAL , A 60 FOOT
NONEXCLUSIVE EASEMENT OVER AND ACROSS THE SOUTH ONE-HALF OF
THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 3 ,
TOWNSHIP 23 NORTH, RANGE 2 WEST, W.M. , IN MASON COUNTY AND
THE NORTHEAST QUARTER OF SECTION 10 , TOWNSHIP 23 NORTH ,
RANGE 2 WEST, W. M. , AS SHOWN ON SURVEY RECORDED OCTOBER 22 ,
1979 , IN VOLUME 5 OF SURVEYS, PAGE 138 , UNDER AUDITOR' S FILE
NO. 368714 AND DESCRIBED IN INSTRUMENT RECORDED OCTOBER 26 ,
1979 , UNDER AUDITOR' S FILE NO. 369021.
TOGETHER WIlri A PERPETUAL, NON EnCLuSivE EASEL•,ENT, 60 FEET IL.
WIDTH, OVER AND ACROSS THE NORTH ONE-HALF OF THE SOUTHEAST
QUARTER OF THE SOUTHEAST QUARTER, SECTION 3 , AND THE
NORTHEAST QUARTER OF THE SOUTHEAST QUARTER SECTION 10 , ALL
IN TOWNSHIP 23 NORTH, RANGE 2 WEST, W.M. , AS DESCRIBED IN
INSTRUMENT RECORDED APRIL 5 , 1978 UNDER AUDITOR' S FILE NO.
342277 . SAID ROAD PROVIDING ACCESS FROM THE BEAR CREEK-
DEWATTO COUNTY ROAD NO. 7980 TO THE NORTH LINE OF THE SOUTH
ONE-HALF - OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER
OF SECTION 3 .
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