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Home My WebLink AboutMIS97-0027 Gas Fireplace and Furnance - MIS Permit / Conditions - 1/15/1997 MASON COUNTY - Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I n c: E L L. ^ N I-=- CJ U S3 Lam' V O M I T FOR INSPECTIONS CAI-1. 427---9670 MI S97-•0027 PARCEL 1420134200070 PLAT - D I V : BI..K t LOT , JOB ADDRESS : . . . . . . . . . . .. . APP;. ICAN1" t L.ARRY MANKE 360--426-•460:3 OWNFR t L.ARRY MANKE 360•-426. 4603 LEGAL t S 2 ACRES OF E112 SF N1 St 1919 PATIERS01 Rf PEpM�cxP1AAT�OtJ PROJECT DESCRIPTION : VAUILL l GAS FIREPLACE, FURNACE I_ PROJECT LOCATiONt FROM RL..DG 3 GO UP HILL TO U01INTA I N VIEW, TURN LEFT ONTO "U" STREET GO AL-L THE WAY TO THE: END AND YOU WILL rOL_.LOW THE. STRFFT TO THE I-EFT 10 DR 1 VFWAY . THIS I S IN THE COUNTY . PROJECT NO'rFs t .CSC.-.IC:�F7S�i.twit.^i"'t]17T+.Fm!iSiXR.,lR'�IX-IA.'.LSRG(Lim-J`69(�i.-^d1SIC'Ktt.".^..ROk"'R:2^.LgTT!:.. TYPE AMOUNT BY DATE RECE 1 P r MCFE S qB .a', Kra 0i / 15/47 43767 _ MOBS S~ 16 , 75 Kc 01 / 15/97 43767 1t)'fAI_ : 63 .20 'OWNER dR AGENT .'rieasr�i_rac.:r-:..:sari:.r-ax.erw�`.:r.:c.r�-':.z.�wsnx�x:rx�x•cxz�---:ec^ a•::.-.-:ss:.-.^_-_ NIS_fall, rev: gG01192 COMPLIANCE TO ATTACHED CONDITIONS IS RFOUIRF'D . 1 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by 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 /dilatee by date by I I� II II -. — 1 J I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Go s:-o No . : M 1 S97-00.r27 i or + LAPPY MANKE P► go : 1 1 ) PUIISUANT TO 1991 UNIFORM 81.011 D I NG COOP , SECTION 305(C ) AND SECTION 913 , ALL. SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISiBLF AND LEGIBLE FROM THE STREET OR ROAD 1-11ONT I NG 'THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPt.E T'ED PRIOR TO CALL I NG FOR ANY SITE INSPECTIONS . A. RE I NSPECT I ON FEE , BASFD ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE W i t L BE ASSESSED IF OWNE R i CO3NTRACTOR FAILS TO POST ADDRESS ON SITE PR 1 OR TO REGO STING INSPECTIONS . x 2 ) The owner sh i i i have available on F, I to for iris-,Ppct j on by Mason County, a report i nd i cat i nm the name and license number of the installer , the amount of pressure at the time of tost inO and the length of test t lme� This report 0-ill I he signed by the; person oonduct I nr1 the;�test . 1 f CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by 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 ------------------ -------- ----- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MASON COUNTY BUILDING DFPARTMENT AND UNIFORM BUILDING CODE x CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by 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 bydate by PLUMBING Attic OTHER Groundwork date by date by te WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by II `I I - I I I I I i I II I I Permit NA —VCip1 MASON COUNTY • PLUMBING/MECHANICAL PERMIT APPLICATION i 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 -427-9670 PLEASE PRINT #1 Owner ; Phone# Site Address O�� City St /04. Zip Directions to Job Site Owner Mailing Address City St Zip Lien/Title Holder Z), � Address City �,---- -St Gl Zip #2 Contractor Name �' �.;Contractor Reg. # Address s f. _ Expiration date City St Zip Phone #3 Parcel No. Legal Description Z- -Z ` 5 #4 Use of building Describe work_ � ��,��' a. #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 each No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers J_ Furn BTU (p� Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks Spot Vent Fans _Floor Drains N oilers/Compressors _Laundry BasinsI I L. _Dishwasher Q _ Air Handling Units (J� _Disposal _ cfm# _Urinals No. Other _LOth r'a�� _ Gas Outlets Woo , Gas, Pellet Stove 33.00 , Permit Basic Fee 16.75. TOTAL PLUMBING •$ Permit Basic Fee �F75 TOTAL MECHANICAL $ ; 2 No Basic Fee for Wood, Gas, Pellet Stove NO CE: This permit becomes null and void if work or construction authorized is not menced 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. I 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 COUNTY ORDINANCE REQUIREMENTS ORDINANCE REQUIREMEN FF REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONEW:L-BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALLBE MADE WITHOUT FIRST OBTAINING APPROV FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDIN�DEPMENT. �J �.j,% DEPARTMENT. X OWNER y / X BY DATE `' DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 xxvx FOR OFFICIAL USE ONLY: Accepted by: Date: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: