HomeMy WebLinkAboutCOM2008-00116 Gas Piping - COM Permit / Conditions - 9/26/2008 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2008-00116
OWNER: MASON CO FIRE DISTRICT#11 RECEIVED: 9/26/2008
CONTRACTOR: HOME GAS LICENSE: EXP: ISSUED: 9/26/2008
SITE ADDRESS: 130 E ISLAND LAKE RD SHELTON EXPIRES: 3/26/2009
PARCEL NUMBER: 420121260010
LEGAL DESCRIPTION: TR 1 OF NW NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Gas Piping. Island Lake
General Information Construction &Occupancy Information
Type of Use: Insp.Area:
No. of Units: Type of Constr.:
Type of Work: MEC Fire Dist.: 11 No. of Bathrooms: Occ. Group:No. of Stories: Occ. Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2008-00116 Please refer to the following pages for conditions of this permit. 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
' Gas Outlets 5 Mechanical Fee KKK Qnr;rgnnR Rr,ai s??nnRnn
Mechanical Base Fee KKK Q/9R/9nnR ,t9R an q,gnnRnn
Total $33.21
CASE NOTES FOR
COM2008-00116
CONDITIONS FOR
COM2008-00116
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 1-800-647-098?,,T,he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X_��
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF US
F,QOCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x ((
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-complian son County ordinances and building regulations.
X /
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 Vrevented 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 ins/peption.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 an cture for review any inspection.
OWNER OR AGENT: DATE:
COM2008-00116 2 of 3
MASON COUNTY PERMIT N0.0,6W o-d(DS
PLUMBING/MECHANICAL PERMIT APPLICATION do H
426 W.Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFQFIMA�TIOt�
Owner jf�---j ii Company Name C
Mailing Add r Mailing A ress
City tateW 14 Zip Cod ' ' City tate
e Zip Code`76:V
Phone y�a _ /!/� Other Ph. Phone q w Other Ph.
y
Lien/Title Holder Contractor Reg.# xp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number a d city) Ca
Directio .to site
Is property within 200'of Saltwater Lake /VRiver/Creek Pond
Wetland - a Seasonal Runoff-Stream-Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
ype of Fixture No. of Fixtures Fees Fuel Type:Electric 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 Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BULDER 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.l 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.
PROOFrPF ONTINUATIO OF WOR IS BY EANS OF PIR?,GTSS INSPECTION.
X � -' Date:
Owner/Ow Brs Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-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
n
O
N
CONCRETE MECHANICAL MANUFACTURED HOME �>
C) Footings/Setbacks Date Gas Piping By Ribbons Z
o Interior Date By interior-Date, By Date By n
Exterior Date By Exterior-Date By Set-up O
Point Load!Isolated Footings INSULATION T Date By X
BG!SLAB INSULATION m
Date By Data By FIRE DEPARTMENT m
Foundation Wails Floors Data By
N
Date By Data By DECKS
FRAMING Walls Date By n
Date By Data By PROPANE TANKS -1
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date By Date By Type.Dale By
D.W.v DRYWALL Type. n
Int.Brace Wall O
Date By
Date By Date By N
FINAL INSPECTION p
Water Line Fire Seperation p
Date B Data By Date By tI0
Y p
Pass or Request Inspect. CD
Type of Insp. Fail Date Date Done By Comments a,
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