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HomeMy WebLinkAboutMIS95-00215 Foundation - MIS Permit / Conditions - 4/4/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M i E;t, IEF L.- 1_... A N F: C3 U �: p r' " M I T FOR INSPECTIONS CALL. 427•-9610 MI S9!5--0215 PARCEL. :223195000074 PLAT :WOPLO D 1 V : BLK : LOT : JOB ADDRESS s APPLICANT : DON HCDMAN 405-1553 OWNER : [SON HEDMAN 405-1553 LEGAL : f84TE4 LAKE TRACTS TR 14 1 1112 73 fS /5449 3K /81 PROJECT DESCRIPTION : FOUNDATION ONLY PROJECT LOCATION : LOT 74 TAHUYA BLACKSMITH RD TON WOOTEN LAKE , VIA HAVEN WAY . PROJECT NOTES : TYPE AMOUNT BY [SATE RECEIPT STFE $ 4 .50 KS 04/04/95 38727 FDNO $ 15 .00 KS 04/04/95 38727 TOTAL : 19 .50 0 R OR A N DATE MIS PINT, rev; 04101/02 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date S C�,-- 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. I 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 S C C. c-n I c ,sue c (I S y 1 l lF�, � , !� 2 ' �n ► e, fre r r n Fv 7-7 [5y u ` a f• r iP L16 T 1 n n S/.Z e-- i U— I I I I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P' V Rtut 1 r GC.3N0 1 -T I CGN Case No . : MIS95-0215 For .. DON HEDMAN Page : 1 1 ) All approved plans are required to be on .; Ito for, Inspeotion purposes . If inspection Is called for and plans are not on site , Approval WILL NOT be granted . In addition, a Rea- I nspeevt i on fee in the amount of $30 .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 2 ) PURSUANT TO 1 91 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513, ALL. SITS MUST 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 . t4ASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RF 1 NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM 130 11. D I NG CODE: WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING !NSPECTIONS . X 3 ) - ALL CONSTRUCT N MUST MEET' OR EXCEED ALL LOCAL CODES AND UNIFORM BUILDING CODE i I 1� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 X ALL CUNSTRU ION ^MUST MEET REQUIRED SETBACKS AS ESTABLISHED PER MASON COUNTY ORDINANCE 138--9' ND SON COUNTY SHORELINE MASTER PROGRAM IF APPLICABLE . X _ IF T E FOUNL " ION IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION, IT WILL BE THE OWNERS LIAR ITY TO REMOVE SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN THE T �* SF IFIED BY THE RUILDING OFFICIAL X —•---��— _� _ - 4 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQU I R ' ENTS 5 ) Placement of s ruoture must oomplV with standards setforth per BC sec: . 2907 regarding desoend i ng and/car ascending slopes . X. G ) Proposed structure or any portion thereof greater than 30" in height from grade line, must ma i nta i n a in I n imum of S ' setback from a I I property i i nes , easements and r I ght of ways .� X---- 7 ) Proposed structure or port Ions theereeof with an projectIon over 30" 1n height from grade line, must maintain a 5 ' separation distance between adjacent structures and that furthest projection . 8 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x _____ _.ar_��_ ,,1�__,__ - DA6 �- i Permit No. °< .p�� MASON COUNTY BUILDING PERMIT APPLICATION y, 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT 4Y O� #1 eite r 'D O Aj hLED Yo+X Phone# � — /S`�3 ddress k,c. Mo TAH:LAVA— �t-G� iITH- /L/� . Fire District#�TA-H-t v A- St WA zip 98 S7—$ Directions to Job Site 1-0 T- ? bk WooT-t-iu Le-, yIA- LA� Owner Mailing Address r 0. 3 Ox l96/ City `t�6 F7-/JZ- w.4: St tt11�, Zip y��`2_Y3 Lien/Title Holder Lbw iv ra— -- Address Clty St Zip #2 Contractor Name 'T/��rf3�z[,� 4^ sT- (�oV 1` Contractor Reg# "1 07 3tTt tZI Kv Address f?-v • ZA '77 Z Expiration Date y 57-/ Z-7 / gS' City �Z F-r�c St +��� Zip `�9 TZf6 Phone# Z 7 S-- 91 2 ? #3 If septic is located on pr ject 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) E�cSr�Trry u'�zL #402 el No. Z Z31 g - 5-0 - do o —14 Legal Description G.v i -7 4 w #5 Building Square Footage: (existing/proposed) 1st FI l 16o8 2nd FI / 0 3rd FI / a Loft / O Basement / O Deck / #bedrooms / z #bathrooms / z Garage /Zo Carport / O (Circl .Attache or Detached?) Other sq. ft. / #6 Use of building (2-Esr © EW c�� Describe work Nv w #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION M D Model Year Make Model Length Width Serial No. MAR 17 IJ # Bedrooms # Bathrooms Type of Heat Purchase Price$ WALTH SERVICES #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland QD 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 Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW pep, ce Qos eo s�n W c, o APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW u� tp i + o c Mc 1�.1��lii3 HIJIA� Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYP ( Gas Electric, Bath Basins Heatpump, Other I Bath Tubs No. Units Fees Showers Furn BTU I Hot Water Htr Heatpumps Laundry Washer 7) Vent Systems Sinks Spot Vent Fans 2 _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 p _ 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 .5'- - FOR OFFICIAL USE ONLY: Accepted by: `l ` `� Date: !mil C L DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold /Approval Planning: ! �� •-���(�t,� /�17LL7 Environmental Health: Building Plaq Review Nv N� Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES O Building Permit g Yam_ Plan Check Plumbing Fee Mechanical Fee Coo`d as/Pellet Stove �� PlCytD �e Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: 1 TOTAL FEE 1 -2 �g`�