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Home My WebLink AboutBLD2009-00981 Gas Stove Replacement - BLD Permit / Conditions - 11/9/2009 Inspection Line(360)127-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 1rf;0 Shelton,WA 98584 MECHANICAL PERMIT BLD2009-00981 OWNER: ALFRED, FAULKNER RECEIVED: 11/9/2009 CONTRACTOR: QUALITY APPLIANCE INC 360.427.1202 LICENSE: QUALIA1973NJ EXP: 8/11/2011 ISSUED: 11/9/2009 SITE ADDRESS: 24 E CHERRY PARK SHELTON EXPIRES: 5/9/2010 PARCEL NUMBER: 420125400024 LEGAL DESCRIPTION: CHERRY PARK LOT: 24 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACE GAS STOVE SHELTON SPRINGS RD RIGHRT ONTO ISLAND LAKE RD RIGHT ON CHERRY PARK LEFT ON CHERRY PARK General Information Setback Information Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Type of Work: MEC Fire Dist.: 11 Side 1: Ft. Valuation: Side 2: Ft. Mechanical Fixtures FEES Type Qty. Type By Date Amount Receipt L Propane Stove 1 Mechanical Permit Fee GMM 11/9/2009 $73.00 S120090000 Mechanical Base Fee GMM 11/9/2009 $28.50 S120090000 Total $101.50 BLD2009-00981 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2009-W981 CONDITIONS FOR BLD2009-00981 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 monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-6 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X �. 2) OWner1A nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X ✓ i 3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in per tion. X 4) 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 Mas\� ordinances and building regulations. X 5) 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 ooldh ✓ ✓ evented action from being taken. No more than one extension may be granted. This permit becomes null and void if work or construction 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 prope v ndinspectioon.e ^- OWN ER OR AGENT: ��2 -�`'"`�" DATE: �� 7. C✓ 9 BLD2009-00981 Please refer to the following pages for conditions of this permit. 2 of 2 r PERMIT NO._ MASON COUNTY PLUM BING/MECHANICAL PERMIT APPLICATION 426 W. Cedar•P.O. Box 186, Shelton,WA 98584 Shelton (360)427-9670•Belfair(360)275-4467•Elma(360)482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATPN CONTRACTOR INFORMATIO Owner ? . �t C�f f �.�1//�L C'-� Company Name t Mailin Addre Mailing Ad ressZ-Sos (��y Mailing.Address She 4 State '�A Zip Code S� City �i I t-?t(Lj State -Zip Code City Phone ��- ��C�`� --Other Ph. Phone36o-�21 ' 1�-o'Z Other Ph_ _ Lien/Title Holder Contractor Reg. #1 OUP E mail address E Mail Address Drivers Lic.# DOB_ 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 L Fire District Legal Description Site Address (Please include street name, street numper and city) Directions to si Ci(^L 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- 1st Flooc 2nd Floor Basement Gara e 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 Wood/Gas/PelletStove Dishw asher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee .2 TOTAL PLUMBING TOTAL MECHANICAL i 0 �O OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowiedgement 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 parry 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 Mason County access to the above described prope and structure for review and inspection. PROOF OF COIQTiVUATION OF-VV40RK IS BY M OF A PROGRESS INSPiECTDON. � X Date: �I rJ/ Owner/Own Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department c Group-Type Constr. '4 Planning Department Environmental Health Department FEES Plumbing&Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES