HomeMy WebLinkAboutMIS98-0501 - MIS Permit / Conditions - 9/17/1998 .Ya
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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 i
BG/SLAB Insulation Floors Final
FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION i date by • date by date by
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FORM MUST BE COMPLETED IN INK
'-PLEASE PRESS HARD
PERMIT NO.:M
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
APPLICANT INFORMATION / CONTRACTOR INFORMATION
Owner L � �, � i /c� Contractor Name
Mailina.Addr ss e ar ZT,, /e, 7 Mailing Address
City State Zip Code � City State Zip Code
Phone(_3 )Other Ph.�_) Ph.(� Other Ph.(�
Lien/Title Holder Contractor Reg. #
11 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. / C) /��� Fire District
Legal Description
Site Address(Please include street name, street number and city) Jo9O e' r K
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 Add Alt Repair Other Use of Building
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
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee �--F
TOTAL PLUMBING TOTAL MECHANICAL
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-[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 for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall 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 E BEYOND THIS POINT -71
Accepted by Date Submittal Amount Due- , Receipt No.-VI -��j�zP
AEPf#RTNEENT # fEW; ? . , .Ai'FROVQ t?EhIIE#} GONDtjI4?N CC1RE5
Building Department
Occ Group Type Constr. /,- in
Planning Department ��✓
Other
Other
...............:.:.:.
::>:::<::<:::>:::::: :>:::::<:::»:<:: >::»::::>::>:<>::
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee a � Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
"niation Fee TOTAL FEES
M
P age No. 1 CASE HISTORY FOR CASE NO.: MIS98-0501
CLYDE FITZGERALD
N540 DUCKABUSH DR W HOODSPORT
09/28/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MISA010 Application received / / / / 09/17/98 09/17/98 NJP
MISA050 Approved For Issuance / / / / 09/17/98 DONE NJP 09/17/98 NJP
MISA500 (F) Issue permit / / / / 09/17/98 DONE NJP 09/17/98 NJP
MISB135 RLC Checklist Review / / / / / / 09/17/98 NJP
MISC135 Mechanical inspection 09/22/98 09/22/98 09/22/98 NO DITCH DUG ON GAS PIPING RUN, NO TANK FAIL LW 09/23/98 KW
IN PLACE. OWNER IS TO OBTA N A MECH
PERMIT FROM L&I FOR GAS UN TS IN M.H.
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Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: MIS98-0501
CLYDE FITZGERALD
N540 DUCKABUSH DR W HOODSPORT
09/28/98
1) Site Plan -- Approved per dimensions and setbacks on submitted site-plan.
X I
2) POST ADDRESS -- PURSUANT TO 1994 UNIFORM BUILDING CODE, ALL SITE MUST BE MARKED WIT I¢ APPROVED
NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIB1I11II��E FROM THE
STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THA'}' THIS BE
COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON TES IN TABLE
3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON
SITE PRIOR TO REQUESTING INSPECTIONS.
X
3) Gas Pipe Pressure Test -- The owner shall have available on site for inspection by Mason County, a
report indicating the name and license number of the installer, the amount of pressure at the time
of testing and the length of test time. This report shall be signed by the person conducting the
test OR the lines shall be under pressure for a minimum of 15 minutes at 10 lbs and have accurate
pressure gauge on site under test reflecting test requirements at time of inspection.
X
4) ALL CONSTRUCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC RE UIREMENTS
X
5) Propane Tank -- If the tank size is between 125 and 500 gallons you must follow the e guidelines:
1. Tank is to be 10 feet from any buidling, public way or property line.
2. If the tank is exposed to probable vehicular damage, provide
protective bollards.
3. All weeds, grass, brush, trash and other combustible material
shall be kept a minimum of 10 feet away from LP containers.
X
6) Field Correct -- CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON C UNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x