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Home My WebLink AboutMIS94-00188 Final Dock Replacement - MIS Permit / Conditions - 9/18/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 tool 1,t F 5101 HIGHWAY tG6 UN [ON wJ 1 It oN } CHFNCO MAR INF IIIJNIi R -- ('N><"NCO MARINE A1 IINIwiI NO0 (ANAL IAMB 111P e+1 tit- 1 101, I-/ >t IAt 1#.## I6; (fit 1460 Ilt 0-1 VAC EANAI SI All i Vif INf 00CK REPLA('.IMENT HWY I®t> 11000CANAI MARINE. I y} 1 6I'l++kt Af t }i lift I i II Fes'mI 1 0 t 1`11 oc. 0 I 1 (i ( A k 00:�,r.�•:�� :.-.--- _.. _. .,, ,,._.._,.i r+,. ..; tit �1+,F h� i +r, ? ; 11}'; PRMT, 19v, i(f!1(91 COMPI IANCU TO AI I'ACIJFD CONDII ION", Ins I7EQ1lI.REU i 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 Groundwcrk Attic date by date by WALLBOARD NAILING D.W.V. i date by date by Water Line FINAL IN PECTION date by date /O by j7/ date by i i i I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 ----------------------- ---------------- -- - --------------- ---------------------------------- MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Ji 4 v I'j j 1 1 i 1 t4 I Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner Chenco Marine Phone# Site Address E 5101 Hwy 106 Fire District# City Qhiom St WA Zip AR-171 Directions to Job Site SAME AS ABOVE Owner Mailing Address 106 N. Meridian City Puyallup St WA Zip 98371 Lien/Title Holder ChPnm Ch Marina Address 106 N. r eridian Clty Puyallup St VR Zip 98371 #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #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. - Legal Description SEE ATTACK EXHIBIT "A" #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other Jrc.k- sq. ft. / -7 SZ #6 P�AIn Dock 24!i ' Describe work #7 Type of Job: New Add Alt Repair X 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 Wetland Lake Marsh EEiE 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 SEE ATTACHED APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Mechanical Fixtures $6 each Plumbing Fixtures ($3 eachl Fee ( ) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units 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 THEREW H. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST T INING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPA DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Dater DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: D1 J?l Environmental Health: Building Plan Review Occupancy Group: Type of Const: S-N Fire Marshal: Other: Special Conditions: FEES Building Permit oa Plan Check s0 Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee q , S-3 Other Other Building Valuation: (o , CI TOTAL FEE CJ • 0c)