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HomeMy WebLinkAboutMIS94-00261 Cancelled Replace Dock - MIS Permit / Conditions - 11/5/1997 MASON COUNTY PERMIT Mason County Bldg. III 426 W. Cedar NULL & VOID BY EXPIRATION F.O. Box 186 Shelton, Washington 98584 DATE I�S 9T BY 14IS94-9261 i1ARCF1- ! 2 "3.t,jfN00@06/ Pl Af twopi.Ya i „I t iai .100 6011[' i ". 2720 TAFII)YR R ACKSHI IH RI) i;ti'±,i s I r1N ! - I OYI) KFNNFI)Y :'/S-50<'14 (zi.lh4f k t 0Y0 KFNNF I)Y t75 -•S0�'q i t I;!st 081(E1 tAlt IMIS If 61 FS 46441 1E #0 RFPt ACF DOCK F-REIM BE LFAIR GO [)OWN Nt1R1-H HORC ROAD fO f4t I FAIR 1fAI111YA ROAt) Citt R1611f 60 At OO1 6 K I I Fl,> 10 MOUNTAIN VffW 60 1,F f 1 60 t /«? MIi U b0 R 1611 1 ONI0 1AW1)YA N1.AC:K`lMI IN ROAV, do I. /2 MIII- c-.0 I ORIVFWY A 21041 HEX11 140U' F Is 27,4A 411 Of) i, PI! 011i hI C r•- '� i f ':z+A �-i'tiv)t,,[ ,�r�r1 ;�-;:' rr-� i i ii `�; i !i€? s i'i9 GI(„. ' /`-�•1 ifs - � .� i�A i 1 i !1i`; P6141. r ,,. 11j9lj ? COMPI IANC.F: TO AITAC11FI) Ct1NI)I410Nt� IS ItrQU1'IIt_I) CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 RO, Box 186 Shelton, Washington 98584 II -------------- I MASON COUNTY Mason County Bldg. III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 I D R@ R 0 T R D Permit No. UU MAY 0 3 MASON COUNTY \ BUILDING PERMIT APPLICATION �\ 4 Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ©"� SFRVI� S #1 Owner Phone# i" Z Z .15-0 Z Site Address aZ U G�i y ci 8/4U15; chid io2d Fire District# City , C�/ii, St (A C-t Zip Directions to Job Siitte / S k"'C. �IeC4 n 6L2 �7 6�i i' �is�� ic,�t'r DN Tom//7 y�/ �4C S�►r i�i K�/, Cbv r Z oo Nt s� Z7 2 0 Owner Mailing Address SPh (o.-r�rccLf' /�z/�icsS City St Zip Lien/Title Holder 11 )- -er2. Address City St Zip #2 Contractor Name Adel 5 '-L L'-0 Contractor Reg Address , U fox /o-5--e Expiration Date/ City St Gt'1141 - Zip 9l5"z S-- Phone# o? 7.5- - 5�q #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No`z 2 3/9- -.5-0 - v OCR O 7 Legal Description Wjo�-e h A' G h-aL,15 TIC (o :.7 #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other 4 sq.ft.A Yo / #6 Use of building C Describe work 4121 pv4Z_ #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 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 P N BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) -No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Unk 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. DEPARTMEN X OWNER X BY DATE DATE r 7 Af FOR,fJ ICIAL 15 QtULY Aw We( �y. .- : Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: I Other: Special Conditions: FEES Building Permit Plan Check Sv Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee cf.Sp Other Other Building Valuation: 0 ` TOTAL FEE r