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HomeMy WebLinkAboutMIS99-0305 Mechanical - MIS Permit / Conditions - 7/20/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 �. t k;Uz L_ i— A !'rtE C?U—cl pF- FtM 1 It FOR INSPECTIONS CALL 427-9670 MI S99--030`; PARCEL :4201 8/200050 PLAT ; D I V : BLK : LOT : JOB ADDRESS : 7622 W SHE L. TON--MA TL_OCK AD SHEL TON APPLICANT : J I M W I DMYE:R 427--0719 OWNER : J I M W I DMYI R 42 7--0719 LEGAL . TO 5 11 NE F1 1.1 RIO 1 7622 SIIFLT01-•1AT1.0!3 NO PROJECT DESCRIPTION : MECHANICAL PROJECT LOCATION : FOLLOW RAILROAD AVE TOWARDS MATLOCK FOR APPROX . 7 .5 MILES, PROPERTY ON RIGHT SIDE PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT MCFE S 16 .00 KS 07/20/99 50959 MCBS $ 22 .00 KS 07/20199 50959 TOTAL e 38 .00 T �J OWNER OR AGENT ✓J DATE #IS_?NOT, rev., 041010 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 1 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 itPt FIRE DEPT. Walls date by date —/y'9 y by date by PLUMBING OTHER Groundwork Attic date date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by P A(f- �fl� -le, x,_ 0 ', r c— D c_ 4cr �K W D W 9-30-�►9 L",-t II I i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE RM i T a N D 1 T i aN4: Case No . : M1S99-0305 For : JIM WIDMYER page : 1 1 ) A11 approved plans are required to be on-.site for Inspection purposes . If Inspection Is called far and plans are not on site, Approval WILL NOT be granted . In addition, a Rey Inspection fee in the amount of $42 .00 per hour, (minimum 1 hour ) will be charged and must be coIIeeted by thIs department prior to any farther inspections being performed ar approval granted . X r 2 PURSUANT TO 1997 UNIFORM BUILDING CODE . ALL SITE MUST BE MARKED WITH 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 REINSPECTION FEE , BASED ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 3 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC 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 REQUIREM TS X A ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Cade, 1991 Ventilation and indoor Air Quality Code, the Uniform Building Code andi car M4son County Regulations must by approved by Masan County prior to constructionX,y,� 5 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE CALL. THIS OFFICE BEFORE CONSTRUCTION , X.. r 6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x 7 ) 1 . SEPARATE PLANS AND PERMIT REQUIRED FOR SUPPRESSION SYSTEM . 2 . A 20BC RATTED FIRE EXTINGUiS14ER IS REQUIRED WITHIN 25 ' OF THE COOKING AREA . X CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas piping date b Foundation Walls date by Set Up dMe by INSULATION date by BG/S, AB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date bydate by PLUMBING Attic OTHER Groundwork d date by ate by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i I r � PERMIT NO.: Jam✓ / _05c- 5 MASON COUNTY �Is 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 C6VI APPLICANT INFORMATI N CONTRACTOR INFORMATION L4,,PfEM Don Z Owner 14. Contractor Name 7C c�✓1 E Y�.. Mailing Address r Mailing Address City ­>h C.• State Zip Code Iw; {-c City State Zip Code Phone(' ) Other Ph.0 Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 9 0 i', / t_� / O Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site 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 2nd Floor Basement Garage_ Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural 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 _ Othercf/c,ss 7 Nm� Other _ Other Base Fee _ Base Fee Z�= 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. ' Date / X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENT It li£ EYU> AF RO1FIrQ DENIED::.. 0 NDtTIONCORES Building Department W`� Occ Grou Type Constr.SfJ `-2Qj Planning Department Other Other FEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES MASON COUNTY PROJECT SITE INFORMATION Case No. Name PARCEL NUMBER Date T - SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- I (\ I f-adjacent property line ISO 00 w 3r --T� I � I I I I I I I sob f I 1 I I I I N I I I I I I I 1 I I I I I adjacent property line4 I I E-adjacent property line SAMPLE SITE PLAN adja�nt property line-� 2La, _ _ Fadjacent property line I D 30' ��r:ve ao-al I' ti fi CREEK \ I I HOM tr i .Cs fla6nJ I j Pri0 pca4z I 1 I R I VAGn,T I 7 c nrtAa� \ I I 30' I i (� � P0.oPosCD I T AGR=u_LTt&_RAL so I 1 I I / I �-80• _'� I I � I I \ i /DO" I � I L_.eLL I I I I I ]a /00' —� I L��GLL I adjacent property line- ; I a"• \i <-adjacent pro ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the 11 degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dts+ar.ca. to ShruLtLa.1�G dib't'a r.LC *� l Slop¢ •f-c¢ `-- EV �• ` dis+anca 4o a Signature Date