HomeMy WebLinkAboutBLD2005-01848 Propane, Outlets, and Stove - BLD Permit / Conditions - 10/24/2005 Inspection Line(360�427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
MECHANICAL PERMIT BLD2005-01848
OWNER: STEPHANIE, TALLEY RECEIVED: 10/24/2005
CONTRACTOR: LICENSE: EXP: ISSUED: 10/24/2005
SITE ADDRESS: N MATLOCK RD SHELTON EXPIRES: 4/24/2006
PARCEL NUMB 300010
LEGAL DESCRIPTION: 1R 1 OF E
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Propane tank . outlets, and stove. 1 block north of Loggers Inn. Enter at 7613 driveway.
General Information Mechanical Fixtures FEES
Type of Use: SF Insp.Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: Gas Outlets 4 Mechanical Fee KKK 10/24/200 $73.60 S22005
Propane Tank 1 Mechanical Base Fee KKK 10/24/200 $23.50 §22005
Propane Stove 1 Total $97.10
BLD2005-01848 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD20 0 5-01 848
CONDITIONS FOR
BLD2005-01848
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
1-800-647- 82. The rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads," all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from
the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their
background.
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 international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
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3) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the
Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply
and/or re va roved documents will result in failure of required building inspections.
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4) 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 aid permitted classification. Any non-approved change of use or occupancy would result in
permit rev ti
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5) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspectors'gaII b de prior to requesting additional inspections.
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BLD2005-01848 Please referto t e following pages for conditions of this permit. 2 of 3
6) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical
system air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials.
Propane tanks less than 125 gallons must also be located a minimum of 5'from any building opening (foundation vents, windows, doors etc), property
line ore ropane tank is exposed to probable vehicular damage, protective bollards must be installed.
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7) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet*!!!=
ments and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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8) Fuel piping shall be inspected after the installation of fuel 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
shall not us the final inspection has been performed and approved by a Mason County building inspector.
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9) 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
Mason C t cdirr5rices and building regulations.
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10) 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
holder hav action from being taken. No more than one extension may be granted.
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This permit becomes null and void if work or construction authorized is not oommenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime 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 owneror the agent on the owners behalf,re resents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for r view and inspection.
OWNER OR AGENT: DATE: Ze— e2C(r���_.
BLD2005-01848 Please refer to the following pages for conditions of this permit. 3 of 3
co
o CONCRETE MECHANICAL MANUFACTURED HOME
CD Footings t Setbacks pate By Ribbons
C) Date By Gas Piping Date By
00
CCo Foundation Walls pate aY set-up
Date By INSULATION pate By
BG ti stab Insulation Floors FINAL 1 NSPECTION
Date B y Date B y Date By
FRAMING Walls FIRE DEPARTMENT
Date B Y Date B y Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
t7ase 8v
D.W.V
Date By
Water Line_ FINAL IPIPECTION
Dates By Date 'r -1 JK By Date By
m
s Type of Insp. Pass/Fail Request Date Inspect. Date Done By Comments
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PERMIT NO.
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
On the web www.co.mason.wa.us
APPLICl�DI I IFORMATION CONTRACTOR IN ORMATIO
Owner /� .11 Company Name uD'�`} k'�^�-e- lhL .
klailin r �' / Mailino Address 25 o S vi
O no �- �l�ti N �-Z °
City State ik&Zip Code City Sh Q t t�h State W°�• Zip Code 9 8 5 84
Phone Other Ph, Phone 36Q - 42-1 - 12.02- Other Ph.
Lien/Title Holder Contractor Reg. L��ZAZq�3 N J Exp. O 8 t 2007
E mail address f 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 Noo, Fire District
Legal Description
Site Address(Ple se incl dp street name, street number and city}
Directions to si
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 Floor 2nd Floor Basement Garage 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 Tyne of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank T—
Clothes Washer Gas O ets
Kithen Sinks Wo Ga ellet Stove
Dishwasher Kitchen aust Hood
Hosebbs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement 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 party 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 property and structure for review and inspection.
PROOF ONTINUATIIOO OF WORK IS Y MEANS OF A PROGRESS INSPECTION.
X v"' Da!e:/O�ol�/�d5
Owner/Owners Repres ative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTE
Building Department (� h n t
�c Group Type Constr. fie) !w
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
LayawaQuality Ap�iance, Inc
2505 Olympic /Order# :
y 4332
Hwy N. Ste 220 Date: 10/07/05
Shelton, Wa 98584 Cashier: KB
360-427-1202 FAX 360-427-8637 Sales Person: JAM
Customer PO# :
Transaction Type: LAYA
Reference# : 379323765
Billing Address : Customer Address :
TALLEY, STEPHANIE STEPHANIE TALLEY
7611 W SHELTON MATLOCK RD 7611 W SHELTON MATLOCK RD
SHELTON, WA 98584 SHELTON, WA 98584
Phone: 805-290-0297
Phone; 805-290-0297
432----- (CONTR. ) O c� Z,S
l I1�S� r� 432-7914 (CONTR.
------------ ---------------------
------------------------------------
'I'Y DESCRIPTION UNIT COST EXTENDED
------ ---------------------------------------------
1 .00 SD903B-36" PIPE LENGTH BLACK --------- ----------
1 . 00 2768-DV ADAPTER TO VC DV $0 . 00
1 . 00 SD940-ROUND CEIL SUP/WALL THIM $0 . 00
1 . 00 SD991-HIGH WIND CAP $0 . 00
1 . 00 SD953-DVGS STORM COLLAR $0 . 00
1 . 00 SD912B-12-17" ADJ PIPE BLACK $0 . 00
1 . 00 SD943-0-6/12 FLASHING $0 . 00
1 . 00 SD902-DVGS 48" LENGTH $0 . 00
1 . 00 STTS/R2-WIRELESS THERMOSTAT $0 . 00
1 . 00 VERMONT CASTINGS HEARTH PRODUCT $119 . 00 $119 . 00
DUTCHWEST DV STOVE, NG/LP
Model # :2465 SIN: $1, 049 . 00 $1, 049 . 00
1 . 00 HEARTH PRODUCTS
INSTALL & VENTING
Model # :HIN SIN: $701 .00 $701 . 00
SALES TAX Sub Total : $1, 869 . 00
$155 . 13
Total : $2, 024 . 13
10/07/05 DEPOSIT CREDIT CARD Visa
�$2, 000 . 00-
i
Balance Due on Invoice : $24 . 13
Total Amount Tendered at Time of Order: $0 . 00
Change Returned at Time of Order: $0 .. 00
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