HomeMy WebLinkAboutBLD2017-00540 Final Woodstove - BLD Permit / Conditions - 12/1/2017 Gas Piping Cf)
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Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352
Mason County
615 W Alder St
Shelton, WA 98584
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MECHANICAL PERMIT BLD2017-00540
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OWNER: CHARLES&TERESA SMITH RECEIVED: 6/14/2017
CONTRACTOR: LICENSE: EXP: ISSUED: 6/14/2017
SITE ADDRESS: 1162 E MASON LAKE RD SHELTON
EXPIRES: 12/14/2017
PARCEL NUMBER: 321343190042
LEGAL DESCRIPTION: LOT: 2 OF SP#2824 AF#637287
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW WOODSTOVE HWY 3 N, L ON MASON LAKE RD, FOLLOW TO SITE
General Information Setback Information
Front: Ft. Shoreline: Ft
Type of Use: SF Insp.Area: :
Rear: Ft. Slope: Ft
Type of Work: MEC Fire Dist.: 5
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Final Inspection Fee AMP 6/14/2017 $73.00 S320170000(
Mechanical Permit Fee AMP 6/14/2017 $73.00 S320170000(
Mechanical Base Fee AMP 6/14/2017 $28.50 S320170000( I
Total $174.50
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0 MASON COUNTY RECEIVED
COMMUNITY SERVICES JUN 14 2017
Building,Planning,Environmental Health,Community Health
Physical and Mailing Address: 615 WAlder St.,Bldg 8, Shelton, WA 98584 615 W.Alder Street
Shelton Phone: (360)427-9670 ext 352 ❖ Fax (360)427-7798
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: �G, '006to
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: ire_ r NAME:
MAILING ADDRES U q MAILING ADDRESS:
CITY: STATE: Q C4 ZIP: Cf Ll CITY: STATE: ZIP:
1st PHONE: CJ PHONE: CELL:
2nd PHONE: $ EMAIL:
EMAIL: "1 �•C v L&I REG# EXP. / I
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number): (3Lf— q6o NZ Zoning:
LEGAL DESCRIPTION (Abbreviated).
SITE ADDRESS: I ( r_1 C CITY: e on
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees
Toilet(s) Furnace [E/G/LPG]
Bathroom Sink(s) Heat Pump [E/G/LPG]
Bath Tub(s) O Ductless H.P. [E/G/LPG]
Shower(s) Spot Vent Fan
Water Heater(s) [E/G/LPG] Propane Tank gal.]
Clothes Washer(s) [E/G/LPG] Gas Outlet(s)
Kitchen Sink(s) Heat Stove _[E/G/LP ,W]
Dishwasher(s) Kitchen Exhaust Hood
Hose bib(s) Dryer Vent
Other Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final Inspection Fee Final Inspection Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is
by signature below. I declare that I am the owner,owners legal representative,or contractor.I further declare that I am entitled to receive this permit and to
do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this
project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not
commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECT ON.INACTIVITY HIS PERMI APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X fWx_ (0 —
Si ture of Appli nt (( Date
-- _ � n tnertO�vner_s RprQ ese.tatati_velC-ontraCtor_-- -
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal
O Permit Tech (OTC permit only)
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