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Home My WebLink AboutCOM2010-00112 Plumbing - COM Permit / Conditions - 7/27/2011 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)127-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton,WA 98584 COMMERCIAL PLUMBING PERMIT COM2010-00112 OWNER: MASON COUNTY FIRE DIST#3 RECEIVED: 1216/2010 CONTRACTOR: LICENSE: EXP: ISSUED: 12/6/2010 SITE ADDRESS: 4350 E GRAPEVIEW LOOP RD GRAPEVIEW EXPIRES: 6/6/2011 PARCEL NUMBER: 121082160041 LEGAL DESCRIPTIONCL 1 OF BLA 3-09 PTN TR 4 G.L. 1 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Plumbing Only..new shower in existing bathroom General Information Construction&Occupancy Information Type of Use: Insp.Area: No. of Units: Type of Constr.: Type of Work: PLM Fire Dist.: 3 No.of Bathrooms: Occ. Group: No. of Stories: Occ. Load: Valuation: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desg.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2010-00112 Please refer to the following pages for conditions of this permit. 1 of 3 Plumbing Fixtures Mechanical Fixtures FEES Type, Qty. Type Qty. Type By Date Amount Receipt Floor Drain 1 Plumbing Permit Fee r RA iwronln 4.t17 An glgnlnnn Showers 1 Plumbing Base Fee rMne 19rennln ��a 7n g1gnlnnn Total $42.10 CASE NOTES FOR COM2010-00112 CONDITIONS FOR COM2010-00112 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potentiaj risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0 2. The pers3n signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X,� 2) Owner/Agef is respon 'ble to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. Gar 3) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF U .E OR OCC P�WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. 4) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-com iant with Ma County ordinances and building regulations. X al,--� 5) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for actton for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit hold a Drevented action from being taken. No more than one extension may be granted. X _ CG ` This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review-and inspection. OWNER OR AGENT: _, t (� DATE: COM2010-00112 Please refer to the following pages for conditions of this permit. 2 of 3 n CONCRETE MECHANICAL MANUFACTURED HOME oFootings I Setbacks Date Gas Piping By Ribbons +r o Intenor Date By interior-Date By Date By Z o Extenor Date By Exterior-Date B Set-up 00 N Point Load I isolated Footings INSULATION Date By Z BG 1 SLAB INSULATION z Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By TI Date By Data By DECKS X rn FRAMING Walls Date By p Date BY Date By PROPANE TANKS CA PLUMBING vault Date By *t Dale By OTHER w Groundwork Attic Daps / —/l By Date By Date By I DRYWALL m D.VY.V Type- s Int.Brace Wall Date By n m Dale By Date By 0 FINAL INSPECTION ° Water Line Fire Seperation N o� Date By Date By Date /�• � By C v Pass or Request Inspect. c o Type of Insp. Fail Date Date Done By Comments TF 0 n 0 3 a o' y ' O -w S 0 fD 3 r�► W O W F 3 4ORP ' \ r1 tJ s r nn J y s va�� Cans a�fie. '�f and >s-� a I cc f�'OLS f 6 `) �� MASON COUNTY PERMIT NO. 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 On the web www.co.mason.wa.us APPLICANT INFORMA ON CONTRACTOR INFORMATION Owner L 3 Company Name 40772 - Mailin Mailing Address City tatV� Zip Cod City State Zip Code Addres Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPC2_ Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other 16� Other Df�l%ase Fee Base 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from t em to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is acpgmto and gra employees of Mason County access to the above described property and structure for review and inspection. PROO=01FINIJIA IS BY EANS OF A PROGRESS INSPECTION. /✓YiM A S1 00-- Date: l 2'C)6 —/7 X Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYONDTHIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES