Loading...
HomeMy WebLinkAboutBLD95-0815 Gas Furnance - BLD Permit / Conditions - 10/9/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 M I S C:. E 1_ l_ A N F C3 U c PERM I T FOR INSPECTIONS CALL_ 427-967O MI 595-0815 PARCEL :42012219O18O PLAT : D I V : 81-K : LOT : JOB ADDRESS : E 71 BOARDWALK SHEL.TON APPLICANT : LEE DCFRATES 426-5434 OWNER : LEE DEFRATES 426-5434 LEGAL.. : T1 11 Of Of 11 11 4 Of SP 1421 SEE SNIYEI $161 PROJECT DESCRIPTIONt GAS FURNACE '(NATURAL GAS) PROJECT LOCATION : NORTH OF HIGH SCHOOL. ON RIGHT SIDE OF ROADWAY . PROJECT NOIESc TYPE AMOUNT BY DATE RECEIPT MCFE $ 6 .00 KS 10/09/95 40481 MCBS $ 15 .00 KS 10/09/95 40481 TOTAL : 21 .00 SOP E WOA ENI DATE f NIS PONT, rev? 04/01112 COMPLIANCE TO ATTACHED CONDITIONS IS RFQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date Pby Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by `U•C 1--f•teo?K?W- IIV-See 0- Ti CA, /Z- Z Z -9—�-- `"iy�G ��LEa M.EC`i•�iriic.R�, �X,� /r!d GAS co VAW& /V0 < .45 sDi PO SiE�-r r�.Ci9 xf s eo.ec-, A> �cT.eae MASON COUNTY • Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM I T CC� N [J t "1" 1 C) NS Case No . .. H 1 S95-08 1 5 For , i.EE DEFRATES Page , i PURSUANT TO 1991 UNIFORM B(IItDING CODE , SECTION 305(C ) AND SECTION 513 , AIL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFOPM BUILDING COOF WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 2 ) ALL REPt.ACEMENT FURNACES SHALL. MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE 1994 WASHINGTON STATE ENERGY CODE (WSEC ) . ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED/REPLACED SHALL MEET MINIMUM STANDARDS SET FOR IN THE 1994 WSEC AND 1991 UNIFORM MECHANICAL CODE . Yam, A CONCRI�TE qWWI&L MOBILE HOME Footings Setback - by Ribbons t` date by Gas Piping date b Four•Jation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by ----------- -- --- /n 4q _�Y16- Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner /,oe_ [4,1" Phone# '5�9 Site Address t;— City ��,/ „-, St LJo Zip y�S Directions to Job Site o TA fcxao/ Owner Mailing Address Zz T0,gAo r).oL-,,c City E h_/14,. St Zip Lien/Title Holder Address City St Zip #2 Contractor Name / mr- &1r, 4cr k_ Contractor Reg. # /,1641-P- -05.2a'7 Address . _&X 150(.f_ Expiration date City St &6JJ Zip ?'MN Phone #3 Parcel No. q,;�U al - &`o Legal Description #4 Use of building r-Alw Describe work -7w-s . !i Sgz u0o ffm R 4 I/Ni ILAff2 Axrd 64 o,%d E sILn #5 Type of Job: New Add Alt Repair Plumbing Fixtures($3 each) Fee Mechanical Fixtures 6 e ch No. Toilets CIRCLE FUEL TYP . Gas Electric, _Bath Basins Heatpump, Other Bath Tubs No. unk Firs _Showers Furn 50, p BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Other _Other _ Gas Outlets Wood, Gas, Pellet Stove Permit Basic Fee 15.00 TOTAL PLUMBING $ _ Permit Basic Fee 15.00 TOTAL MECHANICAL $Q No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. ' OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALLBE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTM NT. X OWNER X BY DATE DATE YS— Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628 FOR OFFICIAL USE C?f' LY:_Accepted by: Date. Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: