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Home My WebLink AboutMIS94-0577 Cancelled Dock - MIS Permit / Conditions - 2/1/1996.�_-___-__ 1 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 A--> t: F2 M L T I 11{< i N -1 1 { 1 ► 01`4'. hi l 4:1-961 A HIS94--0577 1,AR(A 1 -430f,000 8; PLA I • HAI't H rs1 i 1 t� 1 ,I0N A111MI": , HE 641 HAVEN IAKF DR TAHUYA A11N1 Ti.AN1 HOWARD CARTER 871--249N1 ))ONF f+ - HOWARD CARTER 871-2490 ! F I'.A I NAVIN lilt It. #1 TS t6484 Nt 468-- PERIVIT ()Ocv NULL & VOID BY EI"R "TO 'I DATE By pttit If r i ! !)� lii i �1N , 7y1:1 !"UN1 My UAIt f(F F 1I' 1 11Rm1 , I 00 hl,iF' 10/0E>/94 j/40H 1'1C'h" 1O . 0N NAP I0t0!1 /94 1%408 10 { f► 0WNT Ir ffil 1 N I !14t i I MTS MT. rev; 1+111147 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 I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION 17c- /-a(#95 TO: t Jr,ik-)CkCo� eaY-+.e- rvq Uci LDC K r V D rCrcvCCl , W Y',- °N�63c Ae RE: Permit Number # (Yl l :S Gj.-_q, _ v,6-7-7 To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 clays between each .required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to () I / 2U90to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Department Prnnortw Filo - Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 _EASE PRINT c� 1 O ner r �Y��Y' Phone# —7 'Addres E Fire District# City St k I)a _Zip Directions to Job Site Owner Mailing Address City Y St ( Zip qA3(eC Lien/Title Holder Address Clty St Zip Contractor NameI I Contractor Reg#L'Ar—eSC"0 ISS�p► Address Expiration Date /,S0/ City St Zip Phone# Z�S`SOa 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 I o:2Z�3C� L a Description ►^0 +4'C' 3 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / 3 Use of buildina Describe work Type of Job: New _Add Alt Repair Other 3 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 i!jany water is on or adjacent to subject property: River Pond Creek Stream Wetland Lakel Marsh Saltwater Seasonal Runoff Other I 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 i APPLICANT TO DRAW SITE PLAN BELOW • r I APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i I i I i I i I ' ! I Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. ni 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 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. r, X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Dater DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: - Environmental Health: I I Building Plan Review I Occupancy Group: Type of Const: i Fire Marshal: I I Other: Special Conditions: FEES _ Building Permit S i Plan Check ' P►umbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee , Other Other Building Valuation: I TOTAL FEE