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Home My WebLink AboutMIS95-00439 Cancelled Foundation - MIS Permit / Conditions - 8/22/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 K4 1 *:1-C: Iw U- L.. A N F C3 ll:4 P E "Iru'M 1 1- FOR INSPECTIONS CAI L 42 7--9670 MIS95-0439 PARCEL :223305000095 PLAT :HAPLO DIV : BLK : LOT : JOB ADDRESS : NE 571 HAVEN LAKE DR TAHUYA APPLICANT : L.ESI_ i E QUANDE 275-7996 OWNER : LE yL IE QUANDE 275-7996 LEGAL : RAVE1 LAKE TO. 95 PROJECT DFSCRIPTION : FOUNDATION ONLY PROJECT LOCATION : NORTH SHORE: TO FIRST MAIN STREET AFTER BELFAIR STATE PARK GO 6 OR 7 MILES LEFT ON HAVEN LAKE DRIVE PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT STFE $ 4 .50 KS 07/ 17/95 39649 FDNO $ 15 .00 KS 07/ 117/95 39649 T"OTAL c 19 .,,F Qf T�W _H OR AGENT D 11$_}11T, r eM r 11111;92 COMPLIANCE TO ATTACHED CONDITIONS IS I REQUIRED C CONCRETE MECHANICAL MOBILE HOME Footings-Setback f date by Ribbons date � 2— ` — 5 by Gas Piping date b Foundation Walls date by Set Up date -- Z Z — by INSULATION date by BGISLAI§Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork 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. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case Nn . i MIS95--0439 For - LESLIF OUANDE Page : 1 1 ) All approved plans ave required to be on-site for inspection purposer. . It inspeotican Is called tor and plans are not on site , Approval WILL NOT be granted . in addition, a Re- inspection fee in the amount of $30 .00 per hour (minimum I hour ) will be charged and must be collected by this department prior to any further Inspections being performed or approval granted . , P ) PURSUANT TO 1991 UNIFORM BUILDING CODE , -,.,-Lc-rON 305 (C ) AND SECTION 513 , ALL SITES 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 . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RI~ INSPECTION FEE , BASED ON RAfFS IN TAKE 3A OF THE 199-1 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITF PRIOR TO REQUESTING INSPECTIONS . X 3 ) Att CON STRUC110N "UST MEET OR EXCEED ALL IOCAL CODES AND UBC MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f R it Ou i R i~Mi=N-rS I x 4 ) Approved for, existing footprint only . i II I NO KLIe y v1S � Permit No.blz� /� m��`t5-o4�9 I A ON COUNTY �,6• '' BUILDING PERMIT APPLICATIONv� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT O #1eSite r L"e �e �(,� P- Phone o 5/3.2 - b 7 ddress h E S'1 I /�Aa EN G p k e DR , Fire District# ja1to VA _ __ _ St pC/rections to J b Site o r ►-n a cf w e ,0r 4o6 op- 7 m Q,s (-e ff- oO AAdP J Owner Mailing Address S" .22 city &eAd9 V6Y2- Lien/Title Holder S6 w. Address Clty St Zip #2 Contractor Name Contractor Reg #AomestiiiA oSS K 4 Address $30 PP9C(c is Poe- '06/6113 Expiration DateJ-5--/�/�_ City (QR e-m e"o r') St U)4- Zip '?933 Z 3 Phone 6 360) 77 -O 73 51 S e-e- /f7r D kA #3 If septic is located on project site, include records. l Connect to Septic? Public Water Supply Well Ov✓tev Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 P cel No.e1 233U - .Sv - 0ocj 9- egal Description +�Frw-; 1 L-"E 10+ 95- #5 Building Square Footage: (existing/lafepe9et 1 st FI 22' }q 3 0 ` 2nd FI / 3rd FI / Loft / Basement / Deck / # bedrooms / # bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building ,ti Describe work �v �f�s�i.by hoKs e #7 Type of Job: New AddA,iJdp/syaAlt Repair Other #8 MOBILE/MANU CTURED HOME INFORMATION Model Year Make Model Length Widt Serial No. # Bedrooms # hrooms 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 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 Cab%N � D _may, 3 I \ L � J APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbina Fixtures ($3$3 eac!i Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers _ F n 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 ed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fi'B prink Sys 25.00 TOTAL PLUMBING 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 / G DATE DATE Z( T [FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 1�4 Flel ly c a rat v0- U,A`�/ mS' IZ G Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE