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 :
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TYPE AMOUNT BY DATE RECEIPT
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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 -
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
PERM I T CC3NU3 1 T.. 1 C1NE3
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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
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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:
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