HomeMy WebLinkAboutBLD2009-00180 Replace Water Heater - BLD Permit / Conditions - 3/16/2009 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 li6'
Irflo Shelton, WA 98584
PLUMBING PERMIT BLD2009-00180
OWNER: MARY, WICKMAN RECEIVED: 3/16/2009
CONTRACTOR: FAST WATER HEATER COMPANY 800-454-8955 LICENSE: FASTWWH948BC EXP: 1/3/: ISSUED: 3/16/2009
SITE ADDRESS: 541 WEST"H" ST SHELTON CITY EXPIRES: 9/16/2009
PARCEL NUMBER: 420134200190
LEGAL DESCRIPTION: TR 19 OF SE NW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Replace Water Heater. MOBILE HO E BE IND 541 "H" ST THE BACKYARD.
General Information Plumbing Fixtur AS 0 FEES
Type of Use: SF Ins .Area: TA Ty By Date Amount Receipt
Type of Work: PLM Fie Dist.: 4 rajr He 1
lumbing Permit Fee KKK Ariannna ItA 7n R99nngr
P umbing Base Fee KKK AnRnnna a�a 7n R9gnngr
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Total $33.40
BLD2009-00180 Please referto the following pages for conditions of this permit. 1 of 2
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CONDITIONS FOR
BLD2009-00180
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0 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Divisicn.There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor, Further Information can be obtained at
o t-84qLt347-098 The person signing this condition is eitherthe homeowner,agent for the owner ora 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
o State of Washington. Occupancy is Cmited to the approved and penmltted classification_ Any non-approved change of use or pe occupancy would result in
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3) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
w to request a 5naf inspection or to obtain approval wi!1 be documented in the legal property records on file with Mason County as being non-compliant e failur
with
Ivtas nay dinances and building regulations,
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4) Al permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Buiiding Official may extend the time for
action or a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hold rev nted action from being taken. No more than one extension may be granted.
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This permit beoornes null arxi void If work or construction authorized is not oor wmnced within 180 days,or if construction or work is su ended fora
commenced_ Evidence of oontinukon of work is a sP period aF 18{l days at any time attic work is
progress in�ec6onv_rithinthe18 �aypgn_�jnalingpectgnmustGeapprovedbeforebuildingoarbe000upied.-proof ofcontinualanof
-6vorlc�eby me�it0 a progres irispeclion.The owner or the agent on the owners behalf,represents thal the P format!on provided is accurate and grantsem to es of Mason Co
n the above descrbed groper d structure fop rev' __ n �etion employs arty accass to
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Please rarer to 140 following pages for conditions of this permit_ 2 of 2
433765
PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
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 INFORMATIpN
OwnerWICKMAN MARY & FRENCH, ANN Company Name FAST WATER HEATER COMPANY
Mailing Address 541 W H ST Mailing Address 12601 132ND AVE NE
City-HELTON State ALA—Zip Code 98584 CityKIRKLAND State W/ Zip Code 98034
n Phoe(360)462-9595 Other Ph. Phone425-636-7054 Other Ph.
Lien/Title Holder Contractor Reg. f{FASTtAAA/Hg4RRC^Exp,114/1D
E mail address E Mail Address carolrQfastwaterh eater.com
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.420134 00190 Fire District
Legal Description Remove/Replace Electric Water Heater PANTRY/LAUNDRY
Site Address(Please include street name, street number and city) 541 W H ST SHELTON
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 Replace Use of Building
Location of Fixtures/Units- 1 st 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 1 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 PLUMBIN TOTAL MECHANICAL
OWNER/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 INSPECTION.
X Date: 3/10/09
XJ(�xl€4r/xG�xC9C@6TBQF€34�(DrhIDQe/contractor (indicate which one)
FOR OFFICIAL USE BEYq N THP POINT
Accepted by Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED I NOTES
Building Department
Occ Group-Typp Constr.
Planning Department
Environmental Health Department
FEES
Plumbincl & Base Fee Site Inspect
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
o CONCRETE MECHANICAL MANUFACTURED HOME
o Date By n
CD Footings f Setbacks Ribbons
CP Gas Piping
o Intenor Date By interior•Date By Date By D
00 o Exterior Date By Exterior-Date B Setup ?
Point Load I Isolated Footings INSULATION Date By
BG I SLAB INSULATION _--
Date By
Data By FIRE DEPARTMENT X
Foundation Walls Floors Date By
--...._.._._.......-
Date By Data _ By DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Dater By OTHER
Groundwork Attic
Type-
Dale By Date By Date By
D.w.v DRYWALL Type:
Int.Brace Wall Date ey W
Date By Date By FINAL INSPECTION p
v Water Line Fire Seperation N
Date By Dale By Date By p
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Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments
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