HomeMy WebLinkAboutBLD2002-01210 Cancelled Wood Stove - BLD Permit / Conditions - 8/4/2004 CD a 3 -�
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Date By INSULATION Date By
B G / Slab Insulation Floors Final
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Date By Date By Date By
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Building Permit# p2 -f�/Z U MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 3 / e-,. —
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
fund: Items Listed below must be corrected to gain code compliance
/ dl�/�� /tip G /-0"/
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 1 3C-10
Date / ��G _6 Z Inspector
TA
DO NOT REMOVE THIS G
FORM MUST BE COMPLETED IN INK PERMIT NO..t\1 N
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLIC T INFORMATION l- CONTRACTOR INFORMATION
Owner C• I O r� Contractor Name
Mailing Address V Mailing Address
City A State LOR Zip Code 8SR F, City State Zip Code
Phone a7�-9) a Other Ph.(SW )a71-0 o Ph.( Other Ph.(
Lien/Title Holder_Comrn noorbk 'CQ n 12 Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. / / nC;C)t�Jc'S Fire District
Legal Description L
Site Address(Pleas include street name, stye number and city)
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Adder Alt Repair Other Use of Buildings;
Location of Fixtures/Units 1st Floor_—,2&_2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL 3`-
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is 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 the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements Zr which this permit is iss ed and that all work will be done in requirements regulating the work for which this permit is issued and all work
LXapproval
nfo rman nhe with. o cha es s 11 be made without first obtaining shall be done in conformance therewith. No changes shall be made without
first obtaining approval
Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted bc] +ate Submittal Amount Due 3o Receipt No, VY
$�1 b p
#` E... :.o MI�:::::::::.::::::::::::::::::::::::::;.:::.;:.;:.;:.;:.:.�iI�D�"f:Ct?3U:.
Building Department
Occ Group Tvpe Constr.
i
Planning Department
Other
Other y+�
Permit Fee
Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAL FEES
e ' PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9870 Belfair 360 275-4467 Elma 360 2-6269 Seattle 206 464-6968
lAPPLIC&NT INFORMATION CONTRACTOR INFORMATION
Owner C' CA Contractor Name n
Mailing Address Mailing Address
cit—Y2�— �L- Stated Zip Code City State Zip Code
Phone =7a-91 a Other Ph.(3W ) r-v Ph Other Other Ph.(
Lien/Title Holder C.onnM .1�7'F p. uad.?, r , Contractor Reg. #
11 Address I Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. O,� S"L_/ / �r�r���c, Fire District
Legal Description
Site Address(Pleasel include street name, stre umber and city)
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
1
TYPE OF JOB New Adder_Alt Repair Other Use of Building w ,ram 2
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets Y
Sinks Wood/Gas/Pellet Sttiove !3C
Dishwasher F s Dirdct_Vent?� :_
Other . -
Other
Other = Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL 30
A FLOOR PLAN AND PLOT(PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&)(DID IF WORK OR CONSTRUCTION AUT+IORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is 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 the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirementsior which this permit is iss ed and that all work will be done in requirements regulating the work for which this permit is issued and all work
conirorman her h. o cha es s 11 be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT I
Accepted b e�Submittal Amount Dueb� 3—L Receipt No.� I
Building Department
Occ Group Type Constr.
' Planning Department
Other
Other
:. ...
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other t
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAL FEES
t
MASON COUNTY PERMIT NO.:T=
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elms 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner C-,f C s Contractor Name �.
Mailing Address =ry,+ r.; •a �_ ;- f Mailing Address
City State; s'`: Zip Code 1 City State Zip Code
Phone( Other Ph.( , , ) 4: Ph.( Other Ph.(
Lien/Title Holder!, ,n i ri _ Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No.
Fire District
Legal Description
Site Address;(Pleaselinclude street name, stre mber and city) ,
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
BI uffs
TYPE OF JOB New Add_ Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) 1. MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG_Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins ^"" " k_ Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher pas Outlets �
Sinks Wood/Gas/Pellet Stove
Dishwasher L��-
- -7, 7-_ eft Vent?+ -f
Dir 1
Other r _
Other
Other
---- Other
Base Fee Base Fee
TOTAL PLUMBING j TOTAL MECHANICAL �O
A FLOOR PLAN AND PLOTPLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES WILL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT�COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENbED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is 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 the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements f2r which this permit is iss d and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformanc erewith. chan es sh I be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date r /J X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted loyn.N, o%r ir oat Submittal Amount Due Receipt No. �-1
M
.....APPi#�V
Building Department
................................
Occ Group Type Constr.
Planning Department
Other
Other
Permit Fee
.....
Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAI FEES