HomeMy WebLinkAboutBLD2008-00238 Woodstove - BLD Permit / Conditions - 3/3/2008 Inspection Line(360)427-7262
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
MECHANICAL PERMIT BLD2008-00238
OWNER: JEREMY, CONLEY
RECEIVED: 3/3/2008
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA*98400 EXP: 8/112009
ISSUED: 3/3/2008
SITE ADDRESS: 1196 E SHELTON SPRINGS RD SHELTON EXPIRES: 9/3/2008
PARCEL NUMBER: 420122190121
LEGAL DESCRIPTION: TR 12 OF NE NW 6/68 LOT: A SP#460
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Woodstove Shelton Springs Rd. to address.
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 4 Rear: Ft. Slope: Ft.
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Fee KKK 3/3/2008 $68.00 S120080000
Total $68.00
BLD2008-00238 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2008-00238
CONDITIONS FOR
BLD2008-00238
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.
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2) 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
perm revocation.
3) 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.
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4) 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 prevented action from being taken. No more than one extension may be granted.
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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 ins ection.
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OWN ER OR AGENT: DATE:
BLD2008-00238 Please referto the following pages for conditions of this permit. 2 of 2
PERMIT NO. `LO'
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION CC)
426 W. Cedar•P.O. Box 186, Shelton, WA 98584
Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the we www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR I ORMp7 ON
Owner - L 1S►Y C'S N `�-�- � Company Name L_lG.l t Ini,1tam_'P MNC
Mailin Addre L Mailin Ad ressz-S`� 71C' ( �
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City CL`�� State '"A Zip Code 4 C4 city
Phone State A Zip Code • S
Phone ZAn- - 3 Other Ph. Phone360-4 -1 - IzoZ Other Ph.
Lien/Title Holder Contractor Reg. #auALZ�Z Exp. t I Azlp�)j
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 4 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- 1st Floor 2nd Floor Basement 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 Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Qaa Outlets
Kithen Sinks s/PelletStove_
Dishwasher hen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL ,
OVIVM3R/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 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 CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTIO
X' Date:
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Owner/ rs Representative/ ntractor (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
Occ Grou -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
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