HomeMy WebLinkAboutBLD2007-01559 Gas - BLD Permit / Conditions - 8/30/2007 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 �
P10
MECHANICAL PERMIT BLD2007-01559
OWNER: STEVE, COLE
RECEIVED: 8/30/2007
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA`98400 EXP: 8/11/2009
ISSUED: 8/30/2007
SITE ADDRESS: 420 W HIGHLAND RD SHELTON EXPIRES: 2/29/2008
PARCEL NUMBER: 420183190030
LEGAL DESCRIPTION: TR 3 OF SW TR 1 OF SP#1939
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GAS INSERT SHELTON MATLOCK RD TO DAYTON, PAST STORE ON LEFT IS
HIGHLAND RD TO ADDRESS 4.2 MILES ON RIGHT.
General Information Mechanical Fixtures FEES
Type of Use: SF Insp.Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: Fireplace 1 Mechanical Fee KS 8/30/2007 $60.00 S12007
Total $60.00
BLD2007-01559 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2007-01559
CONDITIONS FOR
BLD2007-01559
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
X800-6470982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Owner/ gent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such ro s connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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4) 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 Op until the final inspection has been performed and approved by a Mason County building inspector.
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5) 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 my or inances and building regulations.
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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 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 property and struc ure for review and i ectio .
OWN ER OR AGENT: DATE:
BLD2007-01559 Please refer to the following pages for conditions of this permit. 2 of 2
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o CONCRETE Gas Piping MANUFACTURED HOME p
o Interior-Date By r
oV Footings!Setbacks Exterw_Date e;9 By Ribbons m
o
Cn Da1° By INSULATION Date BY Cn
Foundation Walls Set-up m
BG I SLAB INSULATION
Date By Date By Date By m
FRAMING Floors FIRE DEPARTMENT
Da to By Date By
Date By Walls
PLUMBING Date By DECKS
Date By
Groundwork Vault TANKS
Date By
Date By Attic Date 2..� By
p yy V Date By OTHER
Date By DRYWALL Type.
Date By
Water Line Date By
Type: W
Date By Int.Brace Wall Date By
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MECHANICAL Date By FINAL INSPECTION
Fire Separation O
Date By Date By Date By y
m '
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s Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Commen 01
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PERMIT NO.�`�
4 ! PE MASON COUNTY /
L NG/MECHANICAL PERMIT APPLICATION
AUG 3 0 426 W;Cedar•P.O. Box 186, Shelton, WA 98584
2oWelton (360)427* 0-B ifeb it(30)275-4467-Elma(360)482-5269
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APPLI j� UU CONTRACTOR Il ORMff ON
Owner , C_ � " �" �- Company Name L1G1 t I laV�� ZY�C
Mailin Addre Z- �1� Mail Ad ress2.S0 71t� l IJ. ZZo
City State S ip Code ` S Citys�e State A Zip Code S
Phone 4 - 1 lob<� Other Ph. Phone o' 2- 17-oZ Other Ph.
Lien/Title Holder Contractor Reg. #t�aA1.L�A"� 12 N J•' Exp. 4 t t 'O it
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 Z i Fire District
Legal Description
Site Address(Please include street name, street number and city) 2-Q
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs J 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:Electnc_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 Wodf/ a 3ellet Stove=
Dishwasher Kitchen Exhaust Hood
Hosebibs 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 perm`[revocation.Admowledgement 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 infomnation
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF(O UAT10N OF WPIIK IS MEANS OF A PROGRESS INSPECTION. /—
X ` Date: l L
ner/ wners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd_----- Ck# _____Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
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