HomeMy WebLinkAboutMIS96-0315 Foundation - MIS Permit / Conditions - 7/31/1996 ------------------
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I f3 C I=— 11— L... A N F— C3 U 3, P Er I[I fV11 I —F FOR INSPECTIONS CALL 427-9670
MIS96--0315 PARCEL .223305000277 PLAT :HAPLO ()fV1 BLKt LOT#
'JOB ADDRESS : HE 181 LAKE DR TA"UYA
APPLICANT - JERRY HANSON
OWNERr JERRY HANSON
LEGAL : PAVEN 1,AXE T1. 217
PROOECT DESCRIPTIONS
FOUNDATION ONLY
PROJECT LOCATION :
WEST SIDE OF IIAVEN LAKF ON LAKE DRIVE. ACCROSS LAKE FROM NE 812 LAKE DRIVE
PROJECT NOTES t
TYPE AMOUNT BY DATE RECrIPT
FDNO $ 40 .00 TW 07/30196 BELFAIR
STFF $ 4 .50 1W 01130f98 BFLFAIR
TOTAL c 44 .50 OW E OR XGfNT DATE
i
IIIS—'1`1111t, rev, 441#1102 COMPLIANCE TO ATYAC"ED CONDITiONS IS
REQUIRED
CONCRETE (S�. `` ' �"� p'9��``�' MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date ?—/G—`i c 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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
rw a;/-,U
�� �- 057 0
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
IP' E� tr� M i T C. C7NU i 'F i C7N `a
Case No . : MIS96-0316
Fors .TERRY HANSON
Pare . t
1 ) All approved plans are r ceyu i red to be on-site for i nspe(,t i on purposes . If inspection
is called for and plans are not on site , Approval WILL NOT be granted . In addition, a
Re- inspection fee in the amount of $30 .00 per hour (m i i', imurrt 1 hour ) will he oharg ed and
I must be collected by this department pr~ ioi to any further inspections being pv;rformed of-
approva I grantert.
2) PURSUANT -10 1991 UNIFORM BUILDING CODE . SECTION 30 5(C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO RE PI.AINLY VISIBLE
AND LEGIBLE FROM THE STRFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO C,'.LLiNG FOR ANY SITE INSPECTIONS A
PF I NSPECCT 1 ON FEE , BASED ON FATES IN TABLE 3A OF t HE 1991 UN I FORM BUILDING CODE: VV I! I. Ili`
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
t NSP-CT I ONS .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
CODE
;40ST ME T RFtdU i RED SETBACKS AS FSTAfst_ f SHEU PER MASON COUNTY ORDINANCE
1.4 VL CON
1,39-92 ND MAC /COtl1NTY SHOREL t NF MASTER PROGRAM IF APPLICABLE .
1 THE FlUNDAT I ON IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION. IT W I i.L BE THE
r` 41E'R3 !ABILITY TO REMOVE' SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN
THE TIME SPECIFIED SY THE BUILDING OFFICIAi. . IT SHALL BF DFEMFD A VIOI.AT1CAN FOR ANY
WOOD FRAME CONSTRUCTION TO BEGIN ON THIS FOUNDATION WITHOUT THE ISSUED BUILDING PERMIT .
V
q ) ALL. CONSTRUCTION MUST MEET OR FXCFED AI.L LOCAL CODE: AND 11L;C
REQL I OEMFNT`'
IA-
5 ) Proposed structure or port o')ig thereof wl -th ran projeution over SIB" In height from gradr
line , must maintain a 5 ' 4ep$ratiov i st rice between adjacent structures and that
furthest project I cwn n
6) Changes to approved building pat effect camplian4: a to the 1991 Washitigton State
Fnergy Code, 1991 Ventilation and I nd(:o , Air Quality
Code, the Un i f oven Building Code and/or sort cou 4�'�-q a I at ions must be approved by
Mason County prior to construct i aa�
7 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED 4. REQU 1tRED PE MASON COONTY BU I I O I N
DEPARTMENT AND UNIFORM BUILDING CODE . �'��c� . �'�;Z�
8 ) CONCRETF SPECIAL INSPFCTION IS REQUIRED FROM AN APPROVED TESTING LABORATORY, AND
RESULTS SUBMI TTEFD TO THE MASON CO TY RO I LLD I NCB DEPT . THIS NEOU I RMENT IS FOR CONCRETE
WITH PS 1 GREATER THAN 2500 . //
MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670
PLEASE PRINT II �
#16t� er �45aglz w h!.gnsDn Phone .925•—Q/5`/ Fire District e
ite Address n e_6 I (a,��„ � City
Mail Address
City St Zip
Applicant Phone#
Applicant Address
City St Zip
Directions to Site: o
A&.- ZA.�
#2 P rcel No. 2 23 -�'�- 0�Z,�`Z_
Legal Description A ¢Gs- .4 f S2_2
#3 Indicate by c' the applicable source if any water is on or adjacent to the property site:
saltwater lake r' er creek stream and wetland seas al runoff marsh other
�091
#4 Project Start Date Proje t Completion Date
#5 Use of Buildiing l�-,p1� e, e54�Z2 5;,6&,"e Describe proposed construction
"Depending upon the type of permit,a floor plan and plot plan may be required.
"This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDA I
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY TT I AMA ' URI Y REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN ST OF INGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE INA PE RE ENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK F HIC E T IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE BECo ANCE THERE-
FORMANCETHEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGE . ALL E M ITHOUT FIRST
WITHOUT FIRSTOBTAINING AP ROVALF OMTHEBUILD- OBTAINING APPROVA OM THE ILDING DEPART-
ING DEPAR T. MENT.
X OWNER X BY
DATE ��'" S� DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate 2rectiorfal by
Propose provements Name of Flanking Street N, S, E, W etc.
14
PLOT PLAI AR PA D
u
4
00
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning CZI�l0 trZ- S U?40rcIC rJ�O`tr.'Of ?� .q� — A'PR.iG jC.S APP COND APP HOLD
rn rm s (e rn ✓ so, RRr-
6 S'/z8
Building —G-C,
Fire Marshal
Other
Special Conditions Fees
Permit Fee
Plan Check
Other
Other
State Building Fee
TOTAL DUE $