HomeMy WebLinkAboutBLD2005-01697 Woodstove - BLD Application - 9/27/2005 Inspection Line(360)327-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
too
MECHANICAL PERMIT BLD2005-01697
OWNER: AL, BUMGARDNER RECEIVED: 9/27/2005
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA"98400 EXP:7/24/2006 ISSUED: 9/27/2005
SITE ADDRESS: 50 W BLUEGRASS CT SHELTON EXPIRES: 3/27/2006
PARCEL NUMBER: 420087890073
LEGAL DESCRIPTION: E 331.38'OF TR 7 SURV 15/150 TR 3 OF SP#2380
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WOODSTOVE DAYTON AIRPORT RDTO DAYTON TRAILS RD TO MEDOWS PLACE TO
BLUEGRASS CT
General Information Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Type of Use: SF Insp.Area:Type of Work: MEC Fire Dist.: 16 Woodstove 1 Mechanical Fee KS 9/27/2005 $52.30 S12005
Total $52.30
1
`2005-01697 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
B LD2005-01697
CONDITIONS FOR
BLD2005-01697
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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982, The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X �
2) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from
the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their
background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as
adopted by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
X !,
3) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers)shall obtain combustion
air from outside in accordance with the international codes.
X
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-compliant with
Mason County ordinances and building regulations.
X
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 owneror 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 a d inspection.
OWNERORAGENT: �/ �' DATE: y�rOs
BLD2005-01697 Please refer to the following pages for conditions of this permit. 2 of 2
r //��
a-V '�
MASON COUNTY PERMIT No
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar•P.O. Box 186, Shelton, WA 96584
Shelton (360)427-9670• Belfair(360) 275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANI INFORMATION / CONTRACTOR IN ORMATIO�!
Owner //ey �JS�I��F ,�//fl?0 t/L�l� Company Name ual�ty 1-���l�ar�cR, , ZY1c
Mailing Address -5 E/vf 9Z Mailin��,Add
� re� ss 25�s O vino`` KWti N• �Z.L°
City 5ti e/T State(l/9 Zip Code �Y City�AlLL gy\—_State W°` Zip Code 9 8 5 84-
Phone3643 `/27 7s�- Other Ph. Phone 3GQ - 'k2-1- 12.0 2 Other Ph.
Lien/Title Holder -S ? `� r Contractor Reg. #c�0 ALZAZQ 13 N Ex, o t 1 200'7
E mail address E Mail Address
Drivers Lic. 6iL& DOB F '3f Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Qigit Parcel No, 76v Fire District
Legal Description Z 33/- 2e OF 5f Z S Lit!/ iS i '• V_
Site Address(Please include street name, street number and city) d'e, !?/u 5. sS G S"tie/ !l-A
Directions to site •ag;/ Uh 7,a 4,<,
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 Floo 2nd Floor B�aselnent Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas_Heat Pump_
Toilets yoe of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Outlets
Kithen Sinks o Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base 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
penrA 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 them to apply for this permit and conduct the work proposed. The owner or agent on 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.
PROOF OF CONTINUATIO OF WOR IS BY MEANS OF A PROGRESS INSPECTION.
X Date: �' -�y ^U T
Owner/Owners Repre ntative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department n o n 0 e kl p
Occ Group-Type Constr. ( ' , I
Planning Department
Environmental Health Department 2
FEES
Plumbing&Base Fee Site Inspection
Mechanical&Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Yolation Fee TOTAL FEES
W
o CONCRETE MECHANICAL MANUFACTURED HOME
Footings f Setbacks Date By Ribbons ` ,
O Date By Gas Piping Dote By
rn
4 Foundation Wafts Date By S4Wp
Date By INSULATION Date By
Bc I slab insulation Floors FINAL I NSP'ECTION
Date By Date By Date By
FRAMING Walls FIRE DEPARTMENT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
Date By
D.W.w
n.
Date By
Water tins FINAL INSPECTION
CD
Date By Date By Date By
m
s Type of Insp. Pass/Fail Request Date Inspect. Date Done By Comments
0
0
cn r C
a v �
8 c D
a � �
a o v
En Z
° m
D
� r
0
h