HomeMy WebLinkAboutMIS96-00846 Final Dock - MIS Permit / Conditions - 6/11/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 *3 C F L 11_- A N E., C)4.l ; p E_- " M I 1 FOR INSPECTIONS CAI L. 427-9670
MI596--0846 PARCEL :2231 A5f00f0042 PLAT :WOPL.0 D I V : BLK : LOT :
JOB ADDREc S : NE 751 MOUNTAIN VIEW DR TAIIUYA
APPLICANT : KATHLEEN GET*fMAN 275-5029
OWNER : KATHL.EEN K GETTMAN 275-5029
LEGAL. : NOOTEN LAKE, TRACTS IR 42
PROJECT DESCRIPTION :
DOCK
PROJECT LOCATION :
GO TO SEL.FA 1 R , OO DOWN NnRTHSEIORE HWY 3100 UNTIL YOU RUACH TAKE. A RIGHT, GO UNTIL YOIJ COME TO
STOP SIGN, TAKE A RIGHT ON MOUNTAIN VIEW, 00 ON STRAIGHT AWAY YOU WILL G0 DOWN HILL_ ON COITNER,
LOOK. FOR SIGN WITH GFTTMAN ON LFF T
PROJECT NOTES :
.'WC::4T.'s A�':_'tw^.:.:D:.:T.1:G'i�.Ri'o'ffiCLRSP�GS�itSCL'1F=iLTF:Y.1'SSA.�'.69Su'fCt.1RRe4t':L^.X1SYE+E4^
TYPE AMOUNT 8Y DATE RECEIPT
PRMT S 54 .00 KS 01 / 10/97 0000
PL.CK. T 21 .50 KS 01 / i0/97 0000 ?
STFF 4 4 ,50 KS 01 / 10/97 0000
TOTAL_ : 80 .00 E ,OWNER R AGENT GATE
NIS F211, rev, 1011192 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 7 by C date by
I
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.0, Box 186 Shelton, Washington 98584
P F R- INA I 'V C k7 N U 3 1 T I C")PJ
Case No . : MIS96-0846
For . KATHLEEN K GFTTMAN
Page : I
1 ) 'The undersigned proper-tv owner is aware of 'the uncertainty regarding Mason County ' s
development regulations created by the Growth Managment Hearings Board 's Order of
October 2 , 1996 , and In consideration of Mason Couiity '% w ! IIngnetf3 to prorieed with
processing of applications which might be affected by the Order . the iindersigned
property owner hereby agrees to waive any law,--ult , action, or cliam trot damageo. aijalnst
Mason County which may arise out of Ma,ion County 's aotions in acceptance, processing
and/or Issuance of soott permits or approvaln ( hereinafter "permitting aotions" ) , which
damages are attributable to the County 's decision to take permitting actions despite
the risk that channes to the County 's development regulations might later make 'the
County ' s permitting fictions Invalid .
2 ) Proposed structure or any portion thereof greater than 30" in height from grade line,
must maintain a minimum of 5 ' setback from all property lines and easemont lines and 10 '
from all -Co tnty and State Road (- Ight of way-,v .
X
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
opr oved per I.i Ira
4 ) A Hydrau 1 i c Project Appr ova I from the Mash I ngton St ate Department of Fisheries must be
granted prior to construction . For more Information contract Gloria Mitchell , Habitat
Biologist , at (360)495--3068 .
5 ) The proposed project roust be consistent with all applicable policies and other
provisions of the Shoreline Management Act , Its rules , and the Mason County Shoreline
Master program .
6 ) All construction and demol it ion debris mint be removed from the bench after project
completion .
7 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REOU I RED PER MASON COUNTY Y BUILDING
DEPARTMENT ANC► UNIFORM BUILDING CODE . x r _7.
6 ) ALL CONSTRUCTION MUST METED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL THIS OFFICE: BEFORE CONSTRUCTION .
9 ) Changes to approved bu 1 Id i ng plans that e rfet t Comp l lance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Cade , the Uniform Building Code and/or Mason County Regulations crust be approved by
Mason County prior to constructionX
10) ALA CONSTRUCTION MUST MFFT OR EXCEED ALL LOCAL. CODES AND URC
REQUIREMENTS
X
11 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION '305(C ) AND SECTION 513 , ALL SITES MUSI
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE; PROPERTY . MASON COUNTY BUILDING
nFPARTMFNT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
0r Ier(1r1rr_T ►AM r,r:r- Rnc.rti nm nATrc- IM rAF11 c 'tA Or rt4r 10AA P.ritr n1rur_ Pnr)F wit 1 r+F__ . _ _
ASSESSED IF OWNER/c;i.N I"NAC iOH I-A I I. If) PW- t n1)I►HF`s OM : I 1 F. PH I UH 10 HE:t M—b I I N6
INSPECTIONS .
x � , MASON COUNTY
Mason County Bldg. III 426 W. Cedar
12 ) All approved plans , , P.Q. Box 186 Sheltpr), \Ngshingtor) S 8584 es . It Inspection
I s ca l I ed for and Li l are a zT ptr oval W i L1. NOT be i ed . In addition , a
Re- Inspeotion fee In the o r hour (minimum 1 F . . w e charged e
must be collected by this department prior to any further inspections being performed or
approval granted .
4.
Permit No._
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 Vk
PLEASE PRINT
#1 ner C:--'2 Phone# VWl
k)Site Address W. -751 Mc"Yylam U l Q-Lu Or . Fire District#'
City -tn\'�JLIG St �e, Zip
Directions to Job Site G 40 PV14n'I.V-. Coo dnwy\ U)04K '-S hC)rP
nollA. Qo opl'l
r� -�.
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractorjame �`A e �� Contractor Reg# r SC-V ► 5 ,�
Add res ` Expiration Date 4 / 3 o/ (-]
City St WO, Zip S�f6 Phone#-�OS -eOc:�9
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of SystemAi-
(If residential, proof of potable water is required)
114A� I Noas3 co0��-
Legal Description ob t4 'r124A
#5 Building Square Footage: (existing/proposed)
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage Carport Carport / (Circle:Attached or Detached?)
Other sq. ft.�MT/
—1 14 tuo UJ/ ff-�-o
#6 Use of building 1-0 ►( ) Describe work
#7 Type of Job: New Add _Alt Repair_Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$
9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetlan Lake.�*rsh Saltwater Seasonal Runoff Other G-
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
1 � r
Li
(can c�x-k
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
eGC/ YUt�I�- -`v
Plumbing Fixtures ($3 eachj Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Unija Fees
_Showers Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
A proval
Planning: tfA- C
to
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: Z. t-10 It FEES
Building Permit 5 ,
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE