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Home My WebLink AboutBLD2001-01319 Gas - BLD Permit / Conditions - 12/27/2001 (2) Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY Phone: (360)427-9670, ext. 352 DEVELOPMENT Mason County Bldg. 3 426 W. Cedar P.O. Box 186 IP14 Shelton, WA 98584 MECHANICAL PERMIT BLD2001-01319 OWNER: DON GAVIN RECEIVED: 12/27/2001 CONTRACTOR: C & S DEVELOPMENT 0 EXPIRES: /27/20 SITE ADDRESS: 1470 E SHELTON SPRINGS RD SHELTON ISSUED: 6/27/2002 PARCEL NUMBER: 420122200180 LEGAL DESCRIPTION: TR 18 OF NW NW SEE SUR 18/136 PCL 2 OF BLA#96-73#636014 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NATURAL GAS SHELTON SPRINGS ROAD TO ADDRESS General Information Mechanical Fixtures FEES Type of Use: SF Insp. Area: OT Type Qty. Type By Date Amount Receipt Type of Work: MEC Fire Dist.: 11 Gas Outlets 1 Mechanical Fee N.IP 19/97/9nn -Tin ar, rR1Rq Mechanical Base Fee N.IP 19197/gnn -Tgs sn sR1aq Total $34.15 BLD2001-01319 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2001-01319 CONDITIONS FOR BLD2001-01319 1) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or cont it to post the address on site prior to requesting inspections. X . 2) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Insp all be made prior to requesting additional inspections. X ` 3) Fuel piping shall be inspected after the installation of gas piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system sh�,U-�t, .4e used until the final inspection has been performed and approved by a Mason County building inspector. XC 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 Maunty ordinances and building regulations. X C �_ 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 anytime after worts is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building occupied. OWNER OR AGENT: DATE: BLD2001-01319 Please refer to the following pages for conditions of this permit. 2 of 2 FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/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 Seattle 206 464-6968 APPLICANT INFORMAT ON CONTRACTOR INFORMATION Owner Contractor Name Mailing Address `t �t-Ff t rpr� S (�'�" Mailing Address U Gc---w 44c,,V City State wA Zip Code Cit State"A Zip Code -1?s�� Phone( �iL,,()) `t Slc-,);�`J VOther Ph.( Ph.( moo ) S�4 � yOther Ph. d�3 2 zz —z3 v -" Lien/Title Holder Contractor Reg. # cs �v I v 1 t Lc ra Address Expiration/ ?z / SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. � ;to / / A / ar)ao Fire District Legal Description Site Address(Please include street name, street number�qd city) -7� 4- a Vvt- '�' Str CGS Directions to site 1 C)1 -U� Ic t Gl-F t�nD-r'D -S - _ P 1 I XD6S 2D --u(z L� t s Tt+�► �,� So 's fs5- % S t410 Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New' Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor ?C 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICA Itl$ Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG atural Gas- , Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X�A�,-- Date �1 FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date Submittal Amount Due J� Receipt No. ..... f7EPARt tJl A #i yJ: :.:;`:::::'.:> .;. .,API?RtJVIwQ .:DENI50 t�1N IS3hl CbFiES. --------------- Building Department Occ Group Type Constr. Planning Department Other Other Permit Fee Site Inspection Plan Review Fee UFC Plan Re view Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES