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
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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: