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BLD2003-01499 Gas Stove Exhaust Hood - BLD Permit / Conditions - 10/20/2003
Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 ,M Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton,WA 98584 oto MECHANICAL PERMIT BLD2003-01499 OWNER: ROY, JOHNSON RECEIVED: 10/20/2003 CONTRACTOR: PETERSON'S STOVES PLUS LICENSE: EXP: ISSUED: 10/20/2003 SITE ADDRESS: 1431 E SHELTON SPRINGS RD SHELTON EXPIRES: 4/20/2004 PARCEL NUMBER: 420122200050 LEGAL DESCRIPTION: TR 5 OF NW NW PROJECT DESCRIPTION: DIRECTIONS TO SITE: INSTALL GAS STOVE AND EXHAUST HOOD 3/4 MILE PAST HIGH SCHOOL. SITE ON LEFT General Information Mechanical Fixtures FEES Type Oty_ Type By Date Amount Receipt Type of Use: SF Insp.Area: OT Exhaust Hood 1 Mechanical Fee NJP 10/20/200 $62.95 S22003 Type of Work: MEC Fire Dist.: 12 Nat. Gas Stove 1 Mechanical Base Fee NJP 10/20/200 $23.50 522003 Total $86.45 BLD2003-01499 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2003-01499 CONDITIONS FOR BLD2003-01499 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 1-80Q- �7--282. person signin�this ondition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or ,c�trp/'£orfail to post the address on site prior to requesting inspections. 3) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 7C r� . rmit revocation.,f 4) The"construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Insp o� all be made prior to requesting additional inspections. X 5) All bui ding 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 Masooty ordinances and building regulations. 6) 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 holde prevented action from being taken. No more than one extension may be granted. X-� BLD2003-01499 Please refer to the following pages for conditions of this permit. 2 of 3 This permit becomes null and void if work or constru;0ptdd is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is commencrRAGENTI. of ntinuation of work is a plion within the 180 day period. Final inspection must be approved before building can be occupied. OWNER �� DATEi/V BLD2003-01499 Please referto the following pages for conditions of this permit. 3 of 3 FORM MUST BE COMPLETED IN INK i PLEASE PRESS HARD PERMIT NO.. MASON COUNTY v' PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Shelton(360)47C-9e6d7a0r/PB.Oel*f apro x(3 06 '75467'Elma(360)482-5269 AFf`LlCA INFO N CONTRACTOR If�FQRMArIO� rs�'Y Owner o Contractor Name��rr 1�2/"/�� Mailing Add s / Mailing Address Cit State {}Zip Code City State 'Z� Code Phon t h e r Ph. Ph. Other Ph.( Lien/Title,44VIder -t_ Q Contractor Reg. # G Y Address {� Expiration Q IY,Y TIC INF RMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of SEPTIC System PARCEL INFORMATION- 12 digit Tax Parcel No. ©t Z / / 000-S _ Fire District Legal Description Site Address (Please include street name,street number and city) Directions to site Is your property within 200'of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 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 Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump 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 O is Kitchen Sinks Woo /Gas e�e Stove � Dishwasher Kitch n xhaust 52. 34 Hosebibs Dryer Vent Other Other —��� Base Fee Base Fee �J•�p TOTAL PLUMBING TOTAL MECHANICAL S A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: RE OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that T2fn�uE D registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washing�j�d hat I am aware of the ordinance requirements for which this per . issued and that all work will be done in requirements regulating the work fbfk4ctl$p issued and all work conformance therewith. No Changes all be made without first obtaining shall be done in conformance therewith. No cha=all be made without ;pr �1. / first obtaining approval. 426 VV, CEDAR ST., �i�L11.�0"a' ��'' X Date FOR OFFICIAL USE BEYOND THIS POINT / &) Accepted by DatV11 Amount Due �( Receipt No. & DEPARTNE TAC RE tEW RPPF2(]1lED DENIED CONDITION CODES Building Department _ Occ GroupType Constr. I�1 b L� ZU/0 3 Planning Department Other Other FEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing& Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES 00 r o CONCRETE MECHANICAL MANUFACTURED HOME w Footings / Setbacks Date By Ribbons Date B Gas Piping� y ip' g Date B y Foundation Walls Date i� ,�% %3 B y OIL- Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date B y Date B y PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date z7d3 B &0 IL - T Date By Date By 1 7 D -ID G17 4ss LD CD C 0 CQ G_ '�m✓ VJ 0 1 8 21 y r CD El d � o 0 o � o 0