HomeMy WebLinkAboutMIS97-0596 Natual Gas "Wood" Stove - MIS Permit / Conditions - 9/9/1997 JY
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
iM i l;C-, E t— L. A N F C:>tJ P F R M I -T' 1`411 INSPECTIONS CALL. 427-1.4870
M 1897-•O596 PARCEL :42>012550002.5 PLAT :SPPI_10 D I V : BLK s LOT : 25
,108 AI)DPFSS : E 91 SPR I NGWOOD DR S"E1 TON
APPLICANT : GARY BE11TRANn 426-6312
OWNER : GARY BFRTRAND 416- 5312
LEGAL : SPAING100n N to LOT: 25
PRUJFCT DESCR 1 PT i LAN =
INSTALLING NATURAL CAS "WOOD"ST'OVE
PROJECT L.00AT I ON :
SHE L TON SPRINGS ROAD . PAST HIGH SCHOOL . SPR I NGVI OD DRIVE TURN RIGHT . FOURTH HOUS1 ON LF F t .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECE i PT
�WDc T $ ru .00 NJP O9/09197 45393
TOTAL. • 33 ,00 OWNE� R�AfTEPIT DATE
NIS_PINT, rev 11111119. COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas P' ing date b
Foundation Walls date -�J/ 1 b 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 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 �l b date by
:� P-_ -9,7
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F' F f" m 1 -1 c.r (' NF`) 1 -IF 1 NC;
Cash No . : MlS97- 0596
For : GARY BERTRAND
Page : . 1
1 ) A 1 I approved p I an.s are requ I red t he can-- ..3 i to for I ncpeot i on Purposes . It i nc;pect : on
is called for and plans are not on site, Approval WILL NOT be granted . In addition, a
fle-- Inspect ion fee In the amount of $32 .00 per hour (minimum 1 hour ) will be o narged and
must be coliected by this department prior to any further Inspections being performed or
apR,ruva I granted .
o
X
2) The owner' �hra I I have ava i 1 a I e on I to for Inspection by Ma;=on County , a repnrt
Indicating the nam*: and license number of the installer , the amount of pressmure ;)t the
time of testirtcl find the length of test time . fhi report shalI be sic;ned by the person
coilducnt i ng the test ,
31 CONSTRUC f i ON PROCESS TO BE F I Ei D CORRLC f Abe' RLOU 1 RF D PER MASON COUNTY BUILDING
DFPARTMEN T AND UNIFORM BUILDING CODF . 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 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
4 ) PURSUANT t O 1991 UN I FORM BU I I D I NG CODE ,, SEC.i ION 3OF)(C ) AND L51-C'f t ON .`i 13 , ALL 'SITES MUST
14AVE APPROVED NUMBERS OR ADDRESSES PROV 1 DED 1 N SIICH A PO',`.*ITI ON AS TO BE PL.A I N1 Y V 1 S I BLE
AND LFG I8I FROM THE STREF T OR ROAD FRONTING THE PROPERTY MASON CtJUN I Y BIJ I I D I N(i
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE. i NSPFCT 1 ONS . A
RE I NSPECT I ON FFf , BASED ON RATES I N TABLE 3A Of THF 1994 UN I FORM BU I LD I NGi COLIF W i 1 1. BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X _ �'`-'
r
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 by date by
PLUMBING OTHER
I` 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
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MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner .r C-- AC~ cx� Phone# Dko —S J 12 Fire District#__Ll
Site Address City ILJF
Mail Address
City St Zip
Applicant C.— Phone#
Applicant Address_
City St Zip
Directions to Site: opt S Sc Locp
W)n o dl b f- . LAf to 5_ID,c ti vJ o C> CQ
#2 Parcel No.Legal Description c , l4ls 12Z a'ACn
I
�:f C C Y,A<- O T VAA C.) to A
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date_ C( — 2 Project Completion Date �i - 19 - 5 7
#5 Use of Buildiing Fo'u..; yg!s L�E K�E Describe proposed construction kA S la 1
(
CC CA'.v'a� — — E
Ov' - — E %.3rn el LA, C LA, `.
'Depending upon the type of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRSTOBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
G�
TOTAL DUE $�