HomeMy WebLinkAboutBLD2010-00384 Gas Heat Stove - BLD Permit / Conditions - 5/14/2010 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
�. MasonCounty Bldg. 3 426 W. Cedar P.O. Box 186
SotoShelton'WA 98584
MECHANICAL PERMIT BLD2010-00384
OWNER: HAL, STUDER
RECEIVED: 5/14/2010
CONTRACTOR: LICENSE: EXP: ISSUED: 5/14/2010
SITE ADDRESS: 30 E SPRINGWOOD CT SHELTON EXPIRES: 11/14/2010
PARCEL NUMBER: 420125500002
LEGAL DESCRIPTION: SPRINGWOOD LOT: 2
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
INSTALL NATURAL GAS HEAT STOVE SPRINGS TO SPRINGWOOD CT TO ADDRESS
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 11
Rear: Ft. Slope: Ft.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Mechanical Base Fee TW 5/14/2010 $28.50 S120100000
Nat. Gas Stove 1 Mechanical Permit Fee TW 5/14/2010 $79.20 S120100000
Total $107.70
BLD2010-00384 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
—,` BLD20 1 0-00 3 84
r
CONDITIONS FOR
B LD2010-00384
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 onetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647- 2. h n�niis condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) Owner/A �tot 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 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 o i d building regulations.
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4) 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 h v pre ed- m bein ken. No more than one extension may be granted.
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This permit becomes null and void if work orconstruction 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 County access to
the above described property and structure for review an ec ion. ,•-
OWNER OR AGENT: r DATE:
BLD2010-00384 Please referto the following pages for conditions of this permit. 2 of 2
i-3>�� —
MASON COUNTY PERMIT NO. l
PLUMBING/MECHANICAL PERMIT APPLICATION
4 r•P. . B h 26 W.Cedar O Box 1 86, Shelton,WA 98584
Shelton (360) 427-9670•Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INF RMATION CONTRACTOR INFORMATION
Owner / Company Name
Mailing Address 0 <_ Mailing Address
City r'Z9//V- State fip Code City State Zip Code
Phone z/?Z 3 G 3 3 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address �J`'t�dt C°�"'r 1st• e f E Mail Address
Drivers Lic.# - F4 DOB / ;2 9 6 b 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 Type 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 W Ga ellet Stove---7—
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL LC�
OVVNER/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 Mpson County access to the above described property and structure for review and inspection.
PROOF OF CO N T K IS MEANS OF A PROGRESS INSPECTION.
X Date: S`i EL/2
w / wners Representativ ontractor (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 Constr.—
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
R .
401,
00
och
CONCRETE Gas Piping MANUFACTURED HOME
o Interior-Date By C
I? Footings/Setbacks Enterer-Date By Ribbons m
CD
w Da to By INSULATION Date By
� Foundation Walls Bt3/SLAB lNSUlAT10N Set-up =
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Date By Date By Date By r
FRAMING Floors FIRE DEPARTMENT
Date By Da to By
Date By Walls
PLUMBING Date By DECKS
Date By
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Groundwork Vault TANKS
Date By Date By Date By
Attic
MINN
Date By OTHER
Date By DRYWALL Type.
Date By
Water Line Date BY Type:
Date By Int.Brace Wall Date By W
MECHANICAL Dire sepera�an ate By FINAL INSPECTION c
co Date By Date By Date By o
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Pass or Request Inspect. CD
E Type of Insp. Fail Date Date Done By Comments co
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