HomeMy WebLinkAboutMIS93-00034 Foundation - MIS Permit / Conditions - 2/23/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1E S C E L L A N E O U S P E R M I T FOR INSPECTIONS CALL 427-9670
MIS93-0034 PARCEL : 2231175O0060 PLAT : DIV: BLK : LOT :
JOB ADDRESS : NE 1241 TONNERVILLE . . . . RD BELFAIR
APPLICANT : CHARLES MARCHELL 852-8044
OWNER : CHARLES J MARCHELL 852-8044
LEGAL : T1 6 If S18VE1 VOL 3 ►6 91 FS 15385:1 B1 166A
PROJECT DESCRIPTION :
FOUNDATION ONLY
PROJECT LOCATION :
BEAR CREEK DEWATTO RD TO TOONERVILLE DRIVE SOUTH ON TOONERVILLE DRIVE ON LEFT 300 , SOUTH OF
BIG CULVERT. (1ST RD LEFT AFTER TOONERVILLE . )
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
PRMT $ 15 . 00 NJP 02 /23 /93 32136
TOTAL : 15 . 00 OWNER OR AGENT DATE
MIS_PRMT, rev: 04/61192 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 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
II
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS93-0034
For : CHARLES J MARCHELL
Page : 1
1 ) This is an AT YOUR OWN RISK permit . Owner /Contractor assumes all
liability /responsibility . All construction must meet or exceed local codes . Any
construction in violation of Mason County Regulations will be removed at owners expense .
Do not pour prior to approval from the Mason County Buildinq Department Inspector .
I
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VENT F -J NCO%Tl0[,,.] PLA["-.J APPROVED
AT 1 Sq Ft Per 150 $q =--- ------_-==_— MASON BUILDING INSPECTOR
SUBJECT TO APPROVAL
DATE -L -`1
L)vOl
DEPARTMENTAL RE 4�6)�A _
_ Permit No.BLD �3 Q
, FOR OFFICE USE orrLY BUILDING PERMASOMCOUNTY
T APPLICATION
•�"� PLEASE PRINT
Planning:
#1 Owner
Phone#
/ �
Site Address ll/.� , 9/ 70ONEe 11,4. .,e
City �4 �ro.57/,e State Gc/�
Directions to JoI'llb Site G,e _ Zip 2 0 Environmental Health: % O��„ � �P RQ jO
1
'109/V e
-.;I '�� -
I/E /S T .P v .
Owner Mailing Address__
Building Plan Review; City /�Ei(/7r State_ ri�/,s9
Lien/Title Holder U T Zip
Address_ 92/ 7 6 / S7' Avg w
Occupancy Group: City�J/l/lam ,(- E� j� State_ Gel /51 Zip
Fire Marshall: #2 Contractor Name 5 r( P.-
Address Contractor Reg #
Expiration Date / /
City State Zip Phone
Other: #3 ` If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water may be required. )
FEES =, #4 Parcel No. Z / / !11, - per®
Special Conditions: Site Inspection
! Legal Description
#5 Building Square Footage: (existing/proposed)Building Permit 1st Fl_" //9�7 2nd F1 /
Basement_ / 3rd Fl_ Loft
Deck__ / 3s #Bedrooms_ /-�O,0 #Bathrooms_L9S
Violation Fee Garage 1669 Carport / 1
' Other (Circle: Attached or Detached))
' sq ft /
Violation Investigation Fee �
#6 Use of buildi �y� �.
Plan Check � ��
��ibe work
PlumbingFee �(a3 #7 Type of Job: New (/ Add
Alt Repair Demolition
Woodstove Re-roof Bulkhead
' � Other
Mechanical Fee i3
#8 Mobile Home Information
Woodstove Fee Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms
BuildingState Fee Type of Heat
Building Valuation:
#9 Any water on or adjacent to property: Saltwater
TOTALS Pond Wetland Lake River
—seasonal runoff Other
Show folt� n Plumbing
wi Q on thethe - each
Fee:
A °`kz y< No. Toilets No. Boilers/Co
Lot' Dimensions Flood. Zones � �: � �° � , ,y . �o ,00 mpzesSOr Fees;
Existia structures:: R Bath Basins 0-3 HP
g` Fences , _--�-�Stnscture Setbacks "
water. Driveways K.'• . _ t Bath g 3-15
x - Tub o o HP
Lines —�
Shorelines 15-3 0 HP 0'
Drainage Plan � Topograp '•�M'r- ".:•:..- .: _ 2• Showers �—
septic system hy
wells Hot water Htr 30-50 HP
Proposed improvements Easements 3 .DO ��
Name of Flanking Street ��. 1 Laundry Washer � V — 50 + gp
Name of Fronting.Street Scale:. _ ,p12
- • Sinks
6.0
Air Handling:Date _ 8 Floor Drains N°' i g unit
APPLICANT TO DRAW SITE PLAN BELOW. _Laundry Basins oo <= 10, 000 cfm.
_Dishwasher goo > 10, 000 cfm.
Disposal
gss-'Ov- 3o IIrinals Other
Other --- Evap Coolers
o`[N I Hoods
s PeoN.PELP Permit Basic Fee 1aS —_Fire Suppression
-N
�-
� I r TOTAL PLUMBING $ .� 00 Domes. Incin.��•�' -
h J N Conunl. Incin.
ati N Mech — Reloc/Repair
anical F;Yr,*rea
882..62'. ST No. Fuel Types as Outlets x 2.00
Furn < 100K BTU 6.00 Woodstove —zit
ern >- 100K BTU - Other P�racp
T�NE.2vtuE P.�i,IE•• _
Furn - Floor
Heat Pumps Permit Basic Fee
6.00 TOTAL MECHANICAL
Vent System x 3.00 $
a _.�_Vent Fans x,3�00
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW NOTICE: THIS PERXIT . BECOMES NULL QOID
AUTHORIZED IS NOT CMo=CED:➢PITH= 180 DAYS,.;.- OR IF CONSTRUCTION-:0
SUSPENDED OR IF WORK* OR. ONSTRIICTION
ABANDONED FOR._A PERIOD OF 180,;DAYS AT x.WORX-IS
CCED.
»� _ ANY: TIbD3 AFTE$.1P0
OWNERS AFFIDAVIT
jCONTRACTORS AFFIDAVIT
Fi�nconformance
at I am exempt from the requirements of the
rs registration law RCW 18.27 I certify that I am a current)
and am Y registered contractor in
the Mason County Ordinance requirements for the State of Washington and I am aware of the
s Permit is issued and that all work done will ordinance requirements regulating the work for which
formance therewith. No changes shall be the permit is issued and all work done will be in
out first obtainin a conformance therewith. No changes shall be made
0 pproval from the BuiidinQwithout first obtainin ent. Q approval from the Building
Department.
X OWNER
DATE: X BY ,
DATE
Return Permit to: Department of General Services 426 w.
Shelton, wA 98584 427-9670/1-800-562-5638r Street/P.O. Box 186
FOR OFFICIAL USE ONLY: Accepted by _ 1 ��
Date '