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Home My WebLink AboutMIS96-0258 Gas Insert - MIS Permit / Conditions - 4/29/1996 tit MASON COUNTY Mason County Bldg. III 426 W. Cedar \ P.O. Box 186 Shelton, Washington 98584 M 1 SCE 1 1--. ^ N C C3IJ:E-1 F" F R M 1 71" F011 i NSPFC I I ONS CALL 427-9670 M1596--0258 PARCEL :420125500007 PLAT :SPPLO DIVe BLK : LOT : 7 0015 ADDRESS : E 50 SPR I NGWOOD LN SHEI TON APPL 1 C;ANT i V I RG I L ALLEN 04YNER : V I RG 11. F ALLEN LEGAL : SFIING1008 PtK: LOT+ 1 PROJECT DESCRII,TION : GAS INSERT I PROJECt LOCATIONS 60 OUT SNFL TON SPRING AD PAST SHFI TON 111 tiff SCHOOL SECOND RI) ON H i GHT IS SPP 1 NGWCtOD DTURN R I G11T GO TO SECOND ST . ON R I G"T TURN N 1 GH t SECOND HOUSE ON RIGHT PR0JFC'1 NOT'E:3 , TYPE AM01.1147 BY DATE AIFCF: I F'T WDS T $ 32 00 '114 04/2 9/96 41 169 TOTAL. 0 32 .@!� OWNE P ENT DATE .y 11S_PONT, rev; 04101192 COMPLIANCE TO ATTACHED CONDITIONS IS REOII I RED CONCRETE MECHANICAL / MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date ,t—/I yL 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 date by PLUMBING Attic by OTHER Groundwork 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 Case No . I NI i S96-0268 for - V I PG 1 1 F ALLEN Page . t 1 ) ALL CONSTPUCT 1 ON MI-IST MEET OR FXCFFD ALL LOCAL COVES AND 1113C: REQUIREMENTS. CONS iRUC'r l ON PROCESS rn BE F 1 EI. D CORRECTED AS RFUU I E. �, PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BO I LD I NG CODE. 3 ) The owner shall have available on site Tor Inspeotion by Mason County, a report Indloeting the name and license number of the installer , the amount of pressure at the time cal` testing and the length of test time . 1 h I s repcurt. sha I I he s Igt�ed by the person conducting the test: . 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 by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date_ by date by date by I I I I +I I II i I Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670 PLEASE PRINT #1 Owner cl-1 Phone#� Site Address S r i N v City cS D St Zip 7 Dir ctions to Job Site . ' Owner &ilingAddress �, Sd, 5 ,P h City c5 H e- St Zip Lien/Title Holder V 2 Address S5 A City 5 Pg St Zip #2 Contractor Name ) V i C , Q P> Contractor Reg. # Address �Ll44n ;A Expiration date City St Zip Phone #3 Parcel No. ) -_ - QQ Legal Description #4 Use of building Describe work Type of Job: New Add Alt Repair Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees Showers Fu rn 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 No. Other _Other _ Gas Otet Wo d, Ilet Stove 32.00 Permit Basic Fee 16.25 TOTAL PLUMBING $ Permit Basic Fee 5 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. m r h NOTE: If this permit application includes the placement of a fuel tank, heat pump o other unit to be located e 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. 1� 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 COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILD; DEPARTMENT. DEPARTMENT. X WNER �. X BY E 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: