HomeMy WebLinkAboutMIS98-0576 Foundation - MIS Permit / Conditions - 10/3/2001 MASON COUNTY
• Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M i k+G, E— 1__ 11— A N V 0 t_l S f-A t . VI M i I" FOR 1 NSF'LG 1 i ONS CALL, 427--9670
M1598-0576 PARCEL. :22 3 3050003 1 6 PLAT :14APLO D I V s BLK : LOT .-
-JOB ADDRESS : 430 NV HAVFN LAKE DR TA1111YA
APPL 1 CANT : DAV i D LESSF11 RMIT QN
OWNER DAV I T) i FSIRLR p dY EXpia�n
LEGAL ; MAVF1 I.AKE TN, 316 LL �YQ
PRO,.)E(,T DESCR I P 1 1 `IN c 0A BY
FOUNDATION ON1._Y OA
f PROJECT I OCAT I ON :
, NORTH SIIOR ETD TO RITI F A IRI TAM)YA '10 HAVFN WAY LEFT ON HAVEN i AI<f DR ON IF FT AT ADDRESS
PROJECT NOTF i=3 :
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TYPES AMOONI BY PAIF RECF I PT
STf'E 4 t50 KS 10/22/98 1271
FDNO 16 100 .00 KS 10/22/98 1277
'I OTAL 104 , 50 ,\/�`\ ()VVNF F+
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MISFRMI, ravc 041/1192 COMM., ANCE 0 ATTACHED CONDI VIONS IS_
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date 1 =7 by ? Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
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
11' 6—4? ��T/� ,��9.SS C2%�OlTloni� c.
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
('nDF�.��
All CONSTRUCTION MUST MEET REOU 1 Rt D F TRACKS At, FSTA131. 1 SA-1F.1) PER MASON COUNTY ORDINANCE
37 ANn uASON COUNTY SHORELINE MASTER PROGRAM IF APPt. 1 CAB1_E .
I F THE FOUNDAT i ON I `y PLACED 1 N V 101 Al I ON OF ANY MASON COUNTY RF'GUt AT i (IN, 1 T W I 1 1_ BF THE
OWNERS L I AB i 1. I TY TO REMOVE SAID CONSTRUCT 1 ON AT THE OWNERS EXPENSE AND To DO SO WITHIN
THE TIME SPEC I f 1 ED BY THE R011 DING OFF 1 C i Al IT rliALI Sr Df-FMUD A VIOLATION FOR ANY
WOOD FRAME CONSTRUCTION TO BEGIN ON THIS FOUNDATION WITHOUT THE ISSUED BU I t.D I NG PERMIT ,
x
X
4 ) Alt 00NSTFt0C*1 ION MUST MFEI OR FXCF F-D ALL LOCAL COOS AND I►BC
RF 1 F=NT;
X
5) CONSTRUCTION PROCESS, TO BE FIELD CORRUCTF A� E0(J I RFD PER MASON COUNTY BUILDING
OE PAR TM1°NT AND VN I FORM BUILDING CODF .x
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Fes' E_ F=i m i _.F.. e: t: N U 10 1 _T, 1 t) N
Case No . j M1898-0576
ror, : DAV I D I.F8SF P
Page . 1
I
1 ; A I I approved p I an=: ire reclit I read to he on ; 1 t e for 1 rospect I can purposes , If 1 w."pect i can
is caned for and plans are not on site, Approval WILL NOT be Uranted . In addition, a
Re- I n pecit. i can fee in the amottrtt of 1-42 .00 per. hour (minimum 1 hou,r ) w i I I be. c:harge(i and
must be i o I I ec ted by th i s depar twent prior to any f or then inspections being performed or
approval cir anted .
x
2 ) PURSUANT TO 1094 ON r0FM Ft I ! DI NG CODE ALL. c Ifr MOST SF MARKED WITH APPROVED NIr BF RS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PI.A I NI_Y VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD f RONT I Nei THE PROPERTY . MASON COUNTY BUILDING OC PARTMF'NT RE DU I RE S THAT
THIS HE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECT1ON FEE , BASED
CAN RATES IN TARLF 3A OF THE 1994 IrN i rORM 130 11 D I NG CODE WILL BF" ASSFSSE D IF
OWNER : 'ONTRACTOR FAILS TO POST AI)P41 F.SS ON SITE PRIOR TO REOUEST I NG INSPECTIONS ,
3 3 ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES .AND UNIFORM BUILDING
'r►
Building Permit # MASON COUNTY
BUILDING'111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location ram. aip•
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
1) Ol�c�'�yc ,���,�,•,%�����— �N �Gyr�15�y "TF�-L use — L2���'�:
622%
F C/C>
GICC E �- •L� c
ell.v
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date Inspector
moos NUT ► nmMOOV T Fuh, T A
FORM MUST BE COMPLETED IN INK
PL2AS1F PRESS HARD PERMIT NO.: MI i L/-5-2�
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
476 W.Cedar/P.V.sox 116,Shelton,WA 98584
Shelton 60 427-9670 Belfair 360 276-4467 Elms 360 462-8269 Seattle(206)46413968 Y
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner flv r L Contractor Name ,) 1-f , ; F _�_lotl %£S _
Mailing Address:1 ti0 $ 1 SZ'' 0 S r _ Mailin Address.. (13
City TU jr,t�i c A. State�/I Zip Code sLt_88 CityW.lti- state L-4.4 Zip Code :?
Phone(��) 7'`1 �oyl OtherPh.(!� Ph.i (,�p��7i �75S=0therPh.(�,
Lien/Title Holder Contractor Reg.# J�,u`f 0,r N �093 �g,6
It Address Expiration___/ 0 3 /
PARCEL INFORMATION-12 digit Tax Parcel No. ;ZZ 3 3 O /�C30.3 1 4 Fire District A!
Legal Description J,e T- '� IL F-IA'Z J IL F?K L
Site Address(include street narJ�a and city
Directions to sitP-'b FA rIc IT gtfL)LeA '-JV KnJ it:J LK y L D,C.-'-
LFT _
Will timber be cut and sold in parcel preparation? (Yes/No) ,0v
Is your property within 200'of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetiand Seasonal Runoff Strcam Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Le proposed construction 3 �S V Q ��� 0 b C�,.�C:ts�i y e� f►4��'-A Cr -
SHORELIN�ateria
JECTS New Replacement Repair Expansion
Bulkhead M (concrete, rock, wood, etc) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ARANDONFO FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION Or WORK IS BY MFANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided 16 accurate and grants employees of Mason County access to the above described property and structures for review and
Inspection of this project, Acknowledgment of such Is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor In the Stath of Washington and that I am aware or the
ordinance requirements for which this permit is Issued and that all work ordinance requirements regulating the work for which this permit is ixsued
win be done In conformance therewith. No changes shall he made without and all work Shall be done In conformance therewith No changes shag
first obtaining approval. be tle without first gptaint proval
f �17
X Date X �� " ���.�`' a.,r Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by�� Date'�O/Z/46 Submittal Amount Due Receipt No. 2 7
DEPARTMENTAL.REVIEW APPROVED oeNiEo _ CONDITION CODES_______
Building Department
_Occ Grp Type of Contyt.
Planning Department
Fnvironmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Bulldino Permit Fee Site Inspection
Plan Review Fee Other
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES