HomeMy WebLinkAboutMIS96-00678 Replace Dock - MIS Permit / Conditions - 10/30/1996 MASON COUNTY
Mason County Bldg, III 426 W, Cedar
P,O, Box 186 Shelton, Washington 98584
M 1 -E�Cf=- L_ LANE: 0L):r F''V ftm r "-U FOR INSPECTIONS CALL 427--9670
MIS96-0678 PARCEL :223195000082 PLAT :WOCTEN LAKE DIV : BlK : LOT :82
JOB ADDRESS : NF 2400 TAHUYA BLACKSMITII RD TAHUYA
APPLICANT : JOHN SPENCER 275-5029
OWNER : JOHN SPENCER 275-5029
LEGAL : /01TEA LAKE IAACTS TO 12 AE 2.411 TANOYA-BLAC9311TI Al
PROJECT DESCRIPTION :
REPLACE. EXISTING DOCK, ADD 8 FT _ BY 8 FT . SECTION, AND DRIVE 8 PILING FOR SUPPORT .
PROJECT LOCATION :
GO TO BFLFAIR GO DOWN NORTHSHORE HWY 300 . 1AKE RIGHT AT BELFAIR TAHUYA RD GO STRAIGHT UNTIL YOU
REACH STOP SIGN, TAKE LEFT UNTIL NEXT STOP SIGN, TAKE RIGHT GO 100 YARD LOOK FOR SPENCER SIGN .
PROJECT NOTES :
TYPE AMOUNT BY DATE. RECEIPT
PRMT s 59 .75 CPH 1+0129/ 98 0000
STFE $ 4 .5V, CPH 10/29/96 0000
TOTAL : 64 .25 bWNFR OR AGE1 T DATE
I.
MIS.P111 , rev: 0410/192 COMPLIANCE TO ATTACHED CONP I T I ONS IS
RFOUIRED
r
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 bydate b y date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM f �I" GC7NL7 f T i t�IV :
Cabe No . : MIS96-0678
Fors JOHN SPENCFR
Page , I
1 ) A Hydraulic Project Approval from the Washington State Dept . of Fish & Wildlife must be
granted prior to construction . For more information contact Gloria MitobeIf , Habitat
BinIogis-lt, at (360) 753-2601 .
x�._. __.
2 ) A Section- 10 Permit (Rivers and Harbor- Act of 1899) or exemption must be granted by the
Army Corps of Engineers prior to work within navigable waters of the (United States .
X
3 ) The proposed project must be consistent with all applinable policies and other
provisions of the Shoreline Management Act , its rulers , and the Mason County Shoreline
Master Program .
X
4 ) All oonstruct 1 do and demolition debris milst be removed from the shoreline after project
(�ompietion .
MASON COUNTY
°- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
x
5 ;, Dock facIIIties must be maIntaIned in a safe and souod
condIt .
6 ) Approver per dimensions on submitted site--plan .
7 ) All approved plans are required to be on-site for inspection purposes . If inspection
i ., called for and plans are not on site, Approval WILL NOT be granted . In addition, a
Re Inspectiott fee in the amount of $32 .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval granted .
x
8 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL SITE,- MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITIOq AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONY
9 ) ALL CONS,T"CT I ON MUST MEET OR EXCEED ALL LOCAL CODES AND OR.(,
REOU IRE1r)EAIN'fQ
X
10) Changes to lapproved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or lAas-Q,n County Regulations must be approved by
Masan County prior to constructionx �7
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
�J
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �S a r
PLEASE PRINT h
#1 ner T()6 r 1 P-+Su2anne. �Pak Phone# oaf s'S0-2-q
Site Add s j� 4'tD �h Y:, QZIC S Vnn tA'::L\, rd Fire District#
City I ahu st IZN St 11 )a Zip
Directions to Job Site f qsin ctavn no"Y
Imo- C o, a
Own ailin ddress U
City t)p—� V St UA Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name l0 i 1 7' , Contractor Reg# -Sc. 155JA
AddF444S Expiration Date/ /_qa_
City St Zip a Phone# _�SCUD_
#3 If septic is located on project site, include records. -
Connect to Septic? Public Water Supply Well ��lJ
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) " '
#4 �el No - S - Mox�- SAL° ' � SERVI/1l Description W('y�-e r�10� r-q % �12 ��
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building r l�C Q P i'S G Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOB LE/MANUFACTURED HOME INFORMATION
Model ar Make Model
Length Width Serial No.
# Bedrooms Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if water is on or adjacent to subject property:
River Pond Creek Stream Wetland ake arsh Saltwater Seasonal Runoff Other
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
w� LQk4�
CD
P fix'S� Ks
D
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbina Fixtures ($3 eachl Fee Mechanical Fixtures ($6 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. UaL 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 TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
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:—
1
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
n Approval
Planning: WUZVx,WA 54
Environmental Health:
Building Plan Review wC
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
30,4 Building Permit -7 S�
Plan Check -pL� --9 4�0
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee S-U
Other
Other
Building Valuation: TOTAL FEE 0 ,