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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 ,