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MIS96-00679 Cancelled Replace Dock - MIS Permit / Conditions - 1/6/1999
MASON COUNTY � 'S- Mason County Bldg. III 426 W. Cedar PERMIT OID gY EXIPIR!?TIOµ NULL 8t P.O, Box 186 Shelton, Washington 98584 �y it/ _ DAT,I .p - R of 1 r C: I~ l_ t...AN P4 F 0 U IS-; P E= F11VM 1 -T' FOR INSPECTIONS CALL 427-9670 MIS96--0679 PARCELt223195000081 PLAT %WOPLO DIVt BLK : LOTt JOB ADDRFSS : NE 2420 TAHUYA BLACKSMITH AD `i'AIIUYA APPL I CANT : FRANCES COLE=MAN 275-5029 OWNER : FRANCES COL.EMAN 275-6029 LEGAL v 100TE1 LAKE TRACTS 11 11 PROJECT DESCRIPTION : REPAIR EXISTING DOCK AND DECK PPOJECT LOCATION : GO 'r® BEL FA 1 R . GO DOWN NOR THSHORE (HWY 300) . TAKE RIGHT AT BEL FA 1 R TAtIUYA RD GO UNTIL YnU REACH STOP SIGN, TAKE A LFf=T, GO LINT 1 L NE:Xl• STOP SIGN TAKL: RIGHT GO ABOUT 110 YARDS TO 2420 HOUSE PAST SPENCER . PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT 1 PI1MT $ 59 . 75 CPH 10129/96 0000 s 'SI FF $ 4 .50 CPH 10/29/96 0000 TOTAL .. 64 .25 bWNI-«2 Oil AGENV DATE qr � • Nis—I'llf. rev; g11AF19� 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 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 ( E. RM 1 -1" C" C3NU.) 1 T' 1 0W -4--3 Case No . , MI S96--0679 For : FRANCES COLEMAN Paqe . 1 1 ) A Hydraulic Project Approval from the Washington State Department of Wildlife must be granted prior to construction . For more information contact Gloria Mitchell , Habitat 8 t o i og 1st , at ( 360)7,53--2600 . X._.—.m_- r 2 ) A Section 10 Permit (Rivers and Harb(-.4r Act of 1699) or exemption must be granted by the Army Cdrps of Engineers prior to work within navigable waters of the United States. . X.. 3 ) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act its rules and the Mason County Shoreline Master,. Program . X - 4 ) All construction and demolition dabsis must be removed from the shoreline after, project comp i -3t i on C.� MASON COUNTY Mason County Bldg, III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 x 5 ) Dock factiIities must be maintained in a safe and sound condition . X 6) Appr,ppred pet- dimenssions on submitted site--plan , X .1.z i_z -',r 1f l, if j 7 ) Proposed structure or any portion thereof greater than 30" In he )ght from grade fine, must maintain a minimum of 5 ' setback from all property tines and easement lines and 10 ' from a l:is, County and State Road right of ways . X Y 8 ) All appt:nved plans are required to tie on-site for I n .pect i on purpose's . It inspection is called for and plans are not on site, Approval WILL NOT be granter! . in addition, a Re- inspection fee In tnel amount of $32 .00 per, hour (minimum 1 hour ) w111 be charged and must be collected by this department prior to any further Inspections being performed or approval ,j,94,anted r 9) PURSUANT 4- 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513, ALL. SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LECIBLU 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 PATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED, Ii= OWNER/CONTRA►'TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPECTII OVIS . X 10) ALL. CONSTRUCTAON MUST MEET OR EXCEED ALL LOCAL CODES AND IJBC REQUIREMENTS` X 11 ) Changes to approved building plans that Pffeat compt1lrlcr to the 1991 Washington State Energy Code, 1991 V oti n I ai Code, the Uniform Ildi Cod ON t1 UNTYatIons must be approved by Mason County prior trust. i on x Mason County Bldg. III 426 W. Cedar 12) CONSTRUCTION PROCES : t~ I �. Box 186 St It � t4 :9c 8 0l1N 1 Y 8 L'I I.C�I NQ ' I Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 f(���� ��� PLEASE PRI \' #1 wner r rN + 2 - W Phone# a75'-sozq ite Addre 0(� -TZ:khiiV& 131C�C r.S►�'t t KO Fire District# City V C— St zip � Directions to Job Site&Q-tU 6e, k,( . G-� 6611 Ylo�-I�l.,,I-IoU c- j4 ,v 3c-y 7ZA t yt&k4- aJ -TaVN Go v LvA .T v O-e +a r i a tzcd ► io a d 20. Na us Own Mailing Address 1C 1 dr5' C St Zip Cl SS�x Lien/Title Holder Address Clty St Zip #2 Contractor ame �-� lO G�1o1� Contractor Reg Address Expiration Date / / r City St I AJA Zip & Phone# oY1s—�C�Zq L9 . #3 If septic is located on project site, include records. NOT n Connect to Septic? Public Water Supply Well U Connect to Sewer System? Name of System SEP 7 n 1 ! (If residential, proof of potable water is required) /� ® c #4 rceI No. Z3 - S -CX1 4 �� a escri tion L-0�- 4' 0- (54s 9 p I C ly©O n L li_P y©�u n'�2 #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other p,� PL sq.ft. / #6 Use of building 1 S 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 water is on or adjacent to subject property: River Pond Creek Stream Wetland ake Marsh 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) in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($8 each) beg Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. JLni 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 OFTHE 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 -9G FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hola' Approval Planning: Environmental Health: Building Plan Review (,JLc- fd,z�s Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit 7 S' Plan Check e, Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee i Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE