HomeMy WebLinkAboutBLD2005-01786 Woodstove - BLD Permit / Conditions - 10/11/2005 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
f Mason County Bldg. 3 426 W. Cedar P.O. Box 186
o Shelton,WA 98584
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MECHANICAL PERMIT BLD2005-01786
OWNER: RICHARD, PHILLIPS RECEIVED: 10/11/2005
CONTRACTOR: LICENSE: EXP: ISSUED: 10/11/2005
SITE ADDRESS: 1191 E SHELTON SPRINGS RD SHELTON EXPIRES: 4/11/2006
PARCEL NUMBER: 420122190042
LEGAL DESCRIPTION: TR C OF S 15 AC OF NE NW EX LOT: C OF SP#1945
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Install Woodstove 101 N. to Shelton Springs Rd east 1/2 mile.
General Information Mechanical Fixtures FEES
Type of Use: SF Insp.Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: 11 Woodstove 1 Mechanical Fee KKK 10/11/200 $52.30 S22005
Total $52.30
BLD2005-01786 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2005-01786
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CONDITIONS FOR
BLD2005-01786
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
1-800-64,7- 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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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. l
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
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4) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to expiration.iration. The failure
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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 ordinaq-As and building regulations.
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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
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have pre12T
action from being taken. No more than one extension may be granted.
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BLD2005-01786 Please referto the following pages for conditions of this permit. 2 of 3
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 anytime after work is
It 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.
OWN ER OR AGENT: C��- '� �✓• ;�/ C L7'— DATE:
BLD2005-01786 Please referto the following pages for conditions of this permit. 3 of 3
FORM BE COMPLETED IN INK PERMIT NO.
PLEAkE1VPWM13ING/MECHANICAL
SS HARD MASON COUNTY
PERMIT APPLICATION nl �
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
OCT 11 2005 Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APP11."W.Znx.!p�r
CONTRACTOR INFORMATION
Owners Company Name
Mailing Ad res Mailing Address
City State Zip Code City State ip Code
Phone — Other Ph. Phone ther Ph.
Lien/Title Holder Contractor Reg. Exp.
E mail address E Mail Address
Drivers Lic.# &&LV
aQZAZOB I Drivers Lic.# DOB
SEPTIC INFORMATION'- Connect to New eptic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATI N - 12 Digit Parcel No. Fire District 22�44
Legal Descriptio
Site Address (Please include street name, street num er and city) _ '"
Directions to site
Is property within 20 'of Sal Lake iv e Po
Wetland Se al Runoff Stream SI s > 15%
TYPE OF JOB - New--',Ad Alt__ Repair Other se of Building
Location of Fixtures/Units - Floor 2nd Floor Ba Garage loset
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric__ LPC�_ 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 Shen
Outlets
Kithen Sinks as/PelletStove� �3d
Dishwasher 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 a wner,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 e app ation.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or Ay other arty in interest regarding this application or the work proposed in the application,I have obtained
permission from them to y for it d conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurat gra e loye Mason County ess to th ve described property and structure for review and inspection.
PROOF OF INUAT N O ANS O A PROGRESS IN EC ION.
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wner/O ners R resentative/ ontractor (in cate which one
FOR OFFICIAL USE BEYOND THIS P INT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-TVpe Constr.
Planning Department 0aa3
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
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o CONCRETE MECHANICAL MANUFACTURED HOME
0
C) Footings I Sed cks Date By Ribbons
0 Date By Gas piping
-4 Date By
rn Foundation Walls Date By Set-up
Date By INSULATION Date By
se 1 Stab Insulation Floors FINAL INSPECTION
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.V
Date By
Water Lute
FINAL INS ECTION
Date By vat, l 17(Z 1 b B Date By
s Type of Insp. Pass/Fail Request Date Inspect. Date Done BY Gomrnents
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