HomeMy WebLinkAboutMIS96-00902 Final Woodstove - MIS Permit / Conditions - 1/10/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 S C:- !F= L- L__ A P4>F C3 L.0 S P F R M I -r r :ll INSPECTIONS CALL 427-9670
MI S96--0902 PARCEL. :223107900600 PLAT : t) 1 'i : RL K : L.OT s
JOB ADDRESS : NE 1520 BLACKSMITH OR BEL.FAiR
APPL. I CANT : GREGORY DENTON (206)692--4445
OWNER : GREGORY DENTON (2.06)692--4445
L r 'OAL : 19 61 Or $#IV[f I I I I
PROJECT DESCRIPTION :
WOODSTOVF
PROJECT LOCATION :
OLD BELFA 1 R HWY OFF TO RF AR CREEK DEWATI O RD, PAST 'TIGER AND PANTHER LAKE TO BLACKSMITH ROAD
DRIVE GO TO BL.ACKSM I TH ROAD TO 90 DEGREEN TURN CREST OF H I L I.. ACCESS RD
PROJECT NOTES :
TYPI' AMOUNT BY GATE RE C;F I P7"
WDS7 1 3,--00 KS 1 2/ 18/96 944
l
r
14
TOTAL : 32 ,00 _ -�W ::n nR AGENT _._._.....__._... _. ___ ...�__•---DATE `--�______.._...._
M15_Fill, rev: 04101192 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 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 C �;-7 by e/ date by
I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF RM I T GaN0 1 T 1 C1N
Case No . c M 1 S96--0902
Fort GREGO11Y DENTON
Page : 1
1 ) PURSUAPIT TO 1991 UNIFORM BUILDING CODE , SkC110N 305 (C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSED PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND I. EG I BI E FROM THE STRC f T OR ROAD FRONTING THE PROPF R T Y . MASON COUN1 Y BUILDING
DEPARTMENT REQUIRES THAT THIS Rr COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE1NSPECTION FFF , BASED ON RArFS 1N TABLE 3A nF THE 1994 UNIFORM BUILDING uODE WILL BF
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITF PRIOR TO REQUESTING
INSPECTIONS .
X
2 ) ALL CONSTRUCTION MUST 1,1E F) OR EXCEED LOCAL CODFS . if ANY QUESTIONS, PLEASE
CALL THIS OFFICE REfORE CONSTRUCTION .
X
3 ) CONSTRUCTION PROCESS TO BE FIFLD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
I�
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
DEPARTMENT AND UN i FORM RU 1 I D 1 NG CODE . x
I
A��4_MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner a Phone # Fire District#
Site Address /.___S;2;-t -I ' City
Mail Address e� ro .-Ic-,x
City f-Lfl.14 St_ Zip
Applicant . S �,,e ci s7- cq�noe_ Phone#
Applicant Address
City JJ St Zip
Directions to Site: �%39 `L-L i� a �er� 1cr,,,i✓hey, e,-�q 0'&k 14c,4')4 6�'
/rat- cl; !leLQcc�.l� �Q. f //��.•� , 1
e Inn / lG
121L , �l�r G(JOVr �/1 l� c rl I •^- P���- i 1 �7�i� ����
#2 Parcel No o - - oo QOm�
Legal Description
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date Project Completion Date
#5 Use of Buildiing �. ��Q1, Describe proposed construction L
"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 APPROVALFROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPART MENT.
X OWNER X BY
DATE DATE
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,�. �r
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal �\
Other
Special Conditions Fees
Permit Fee $---1
Plan Check
Other
Other
State Building Fee
TOTAL DUE