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Home My WebLink AboutBLD95-0120 Gas Insert and Outlet - BLD Permit / Conditions - 2/27/1995 MASON COUNTY �P Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I M i s(, E L. L. A N E C>U S P E R M I T FOR INSPECTIONS "ALL 427-9670 MIS95-0120 PARCEL. :420125500013 PLAT :SPPLO DIV : BLI( s LOT : 13 JOB ADDRESS : G- sal. G?V^'y�.�� APPLICANT : RONALD ELLIS J OWNER : RONALD FLLIS LEGAL. s SPAING1605 RI.Ks LOT: 13 FS 10222 6K 166A fPROJECT DESCRIPTION : I GAS INSERT AND OUTLET PROJECT LOCATION : SPRING ROAD TO SPINGWOOD ST 2ND CUI_ DE SAC FIRST HOUSE ON LEFT II PROJECT NOTES : s TYPE AMOUNT BY DATE RECEIPT MCFE $ 6 .00 NJP 02/27/95 38458 MCRS * 15 ,00 NJP 02/27/9:5 38456 WDST * 25 .00 NJP 02/27/95 38458 ,-- r� A TOTAL. : 4r> .00 OWNER OR AGENT DATE y'S_.'INT, rev: 041#1192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 d to by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by lqke I-A —Z- Cl Le `_ `J- 7 -CT C..o r o-V\-� Cv S MASON COUNTY �\ Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PFF: Rt0 I T C: C) ND I T I ['1N � Case No , : MIS95-0120 Fors RONALD ELL I S Page : 1 1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 306(C ) AND SECTION 513 , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 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 I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE. 1991 UNIFORM BUILDING C ODF WILL. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING i NSPEC IONS . 64 2 ) The owner shall have available on site for inf>pection by Masan County, a report indicating the name and license number, of the installer , the amount of pressure at the tlme of testing and the length of teat time . This report shall be signed by the person conducting the test . 3 , Al_L CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC RFQ11IF3fMFNTS 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 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 i MASON COUNTY Mason County Bldg, III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 4) CONSTRUC`i 1 ON PROCESS TO BE F i EL.D CORK G ED AS, jFAU 1 RED PER MASON COUNTY R!► i 1 D 1 Nt DEPARTMENT AND UNIFORM BUILDING CODE 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 PLUMBING date by OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT / #1 Owner Phone# 4XI� `7 Site Address City St 441A Zip Directions to Job Site /'//!1 f!• — h U 9G 's T D Y7 Owner Mailing Address I)f l�Gih City it/ St Zip Lien/Title Holder 15- Ct / Address city i✓ St Gc/A- Zip #2 Contractor Name Contractor Reg. #Wabg° Address Expiration date City St Zip Phone #3 Parcel No. I�2C)/2 000 / 3 Legal Description r/YI #4 Use of building Describe work 67/45 4""T #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. unt Fees _Showers _ Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# Urinals N Other 'a _Other Gas Outlets Wood, Gas, Pellet Stove 25.00 Permit Basic Fee 15.00 TOTAL PLUMBING $ _ Permit Basic Fee 15.00 TOTAL MECHANICAL $ No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced 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. 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 foll6wing 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 AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR U, HICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE LLBEMAD,F OUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING BUILT RTMENT. DEPARTMENT. FATE uRf1=R - X BY o2^ 02 7 ^ �f 2 DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: _ Date: Receipt No. Referred To DEPARTMENTAL REVIEW Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: