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
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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
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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
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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
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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
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CREEK \ I I HOM tr i .Cs fla6nJ
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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
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degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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Signature Date