HomeMy WebLinkAboutBLD2012-00862 Gas Insert - BLD Permit / Conditions - 11/14/2012 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 279
Irflo Shelton, WA 98584
MECHANICAL PERMIT BLD2012-00862
OWNER: JACK SMITH RECEIVED: 11/14/2012
CONTRACTOR: CAPITAL CITY STOVE LICENSE: EXP: ISSUED: 11/14/2012
SITE ADDRESS: 2005 PATTERSON RD SHELTON EXPIRES: 5/14/2013
PARCEL NUMBER: 420134200180
LEGAL DESCRIPTION: TR 18 OF SE NW SE EX
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GAS INSERT(NATURAL GAS) OLYMPIC HWY TO G STREET GO TO END TURNS TO PATTERSON RD
ADDRESS ON THE LEFT
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General Information Setback Information
OiReaar:
Ft. Shoreline: Ft.
Type of Use: SF Insp.Area: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: ? Ft.
Valuation:
Ft.
Mechani I Fixture FEES
Type Q Type By Date Amount Receipt
Gas Outlets Mechanical Permit Fee TW 11/14/201: $79.20 S220120000C
Nat. Gas Stove Mechanical Base Fee TW 11/14/201: $28.50 S220120000(
Total $107.70
BLD2012-00862 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
BLD2012-00862
CONDITIONS FOR
BLD2012-00862
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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) All construction must meet or exceed all local ordinances and the international codes 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 result in
permit revocation.
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4) Fuel piping shall be inspected after the installation of fuel.piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less-than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system
shall not be used until the final inspection has been performed and approved by a Mason County building inspector.
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5) 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-compliant with
Mason County ordinances and building regulations.
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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
holder have prevented 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 inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason Cou
nty access to the above described property and structure for review and inspection.
OWNER OR AGENT: -)-IDATE: 11 f 1`- Z
BLD2012-00862 Please refer to the following pages for conditions of this permit. Page 2 of 2
Permit# �2 L = �—
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 2L)O�- {'G, 74 fsc/✓� �'�
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
,Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑ This is not a complete inspection disasters.This is NOT a
Date 1 a 13 Department li CORRECTION NOTICE.
Inspectort-
110* M N*' T , 149mV T I -h, T , -* mw
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PERMIT NO�1
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 INFO TM
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Owner Jack 1 t. S,r,{�, Company Name &.,,fin 1 C'�`r Sdwe+ Cir1
Mailing Address_ Loos f be „rsu ort Mailing Address 2118 t?c?c C'c Ave. 5E
City- 51-c-IL-1 State W} Zip Code 96SP4' City St to�A Zip Code 9'8 lk
Phone� 4-2-1- 953 Z Other Ph. Phone 24 3 'S62 Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# SMZTH-AMSDbpq� DOB -1 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 Fire District
Legal Description
Site Address(Please include street name, street number and city)
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 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 jyoe 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 Woof Stove I
Dishwasher Kitcee aust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING 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 ^1 1 Date: i
n /Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld 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
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PO CONCRETE Gas plpl"g MANUFACTURED HOME 3
o Interior-Date By
N Footings!Setbacks Ribbons
EAerrtx-Date By 2
Date By 00 INSULATION Date By
N) Foundation Walls Set-up n
SG J SLAB 1NSULATION
Da to By Date By Date BY
FRAMING Floors FIRE DEPARTMENT
Da to By Da to By
Oats BY Walls
PLUMBING Date By DECKS
Data BY
Groundwork Vau It TANKS
Date By Date By
Date BY Attic
D.w.V Date By OTHER
Date By DRYWALL Type:
Date BY
Waterline Date By Type:
-v Date By Int.Brace Wall Date By W
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U) MECHANICAL °ice seperaa� BY
FINAL INSPECTION o
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Pass or Request Inspect. 0
Type of Insp. Fail Date Date Done By Comments N
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