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HomeMy WebLinkAboutMIS96-0144 Gas Insert, Hot Water, 1 Outlet - MIS Permit / Conditions - 3/11/1996 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I <4 G FF L L A P4 F C3 U ES P IE R M I —I FOR 1 NSPECT I ONS CALL 427-9670 MIS96-0144 PARCEL :420125500001 PI AT eSPF1.0 DIV : BLK : LOT : 1 JOB ADDRESS : E 20 SPRINGWOOD CT SHELTON APPLICANT : STAN GRAHAM OWNER : STAN GRAHAM LEGAL : SPIING1001 BIN: 101: 1 PROJECT DESCRIPTION : GAS INSERT, HOT WATER, ONE OUT--LET PROJECT LOCATION : TURN OFF OF SHELTON SPRINGS AD ONTO SPRINGWOOD DRIVE AND THEN TURN RIGHT AT FIRST CUI. DE SAC AND THEN RIGHT ONTO FIRST DRIVEWAY, GREEN HOUSE . PROJECT NOTES : ic.ai.er�scarac_--orczar,C�:ncaea�srr^sr-sm�.c.z. TYPE AMOUNT BY DATE RECEIPT mv ::.�s .a, caarzxnc:xsr: WDST * 25 .00 TW 03/ 11 /96 41431 MCFE $ 6 .00 TW 03111 /96 41431 MCFE $ 6 .00 TW 03/ 11 /96 41431 MCBS $ 1 5 .00 TW 03/ 1 1 /96 41431 TOTAL : 52 .00 OWNER AGENT DATE MIS PANT, revs 14111192 COMPLIANCE TO ATTACHED COND 1 T I ONC 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 Final Floors date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date 5- 1v_f C K by HJ date by IJ o-r t i,)!tr c rL i!t t A t-t 2 1^j4s &IM: CN/9nl C-t 0 A CAT Tt ST WAS (Za di—r-rt s cD A v M C - Gc/L.C_ I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 PERM I T CC3NU3 1 T.. 1 C1NE3 I Case No . e M I S96--0144 For : STAN GRAHAM Page : 1 1 ) PUHSUAN'l TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL SITES MOST 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 1 NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 2 ) The owner shall have available on site for inspection by Mason County, a report Indicating the name and license number of the installer , the amount of pressure at the times of testing and the length of test time . This report shall be signed by the person conduoting the test . 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 P.O. Box 186 Shelton, Washington 98584 3 ) ALL CONSTRUCTION MUST MEET OR EXCELD ALL. LOCAL CODES AND Ub(, RE70U I RFMF.NTS 4 ) CONSTRUCTION PROCESS TO BF FIELD CORRECTED AS REQUIRED PER MASON COUNTY 110 I ► 0I NG DEPARTMENT AND UNIFORM BUILDING CODE . 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 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 v r &R Phone# Site Address C--. . City St w l- Zip E5.y q Directions to Job Site i e -r & Tu iZiU [& 4� 15t 0► I ��e �} _ -I h Ri4 i�� V A0 Owner Mailing Address 5*/Vit.j�F_ City St Zip Lien/Title Holder�/ 5- FW,0 - / Ake- Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No. ao I a -�55-- Legal Description f_�r i ,n_ dj )c-!Uj f� �-�- #4 Use of building Describe work #5 Type of Job: New Acq�,, Alt Repair Plumbing Fixtures ($3 each) _F pg Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Unk 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 No. Other tt _Other Gas Outlets to 0�) �1 Wood, Ga Pellet Stove 25.00 Permit Basic Fee 15.00 I �� TOTAL PLUMBING $ T_ Permit Basic Fee 15.00 TOTAL MECHANICAL $��L(5�!) 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 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 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 FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER �"_ // X BY DATE 31(_P DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 I 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: I