HomeMy WebLinkAboutBLD2008-00024 Outlet - BLD Permit / Conditions - 1/4/2008 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 BLD2008-00024
OWNER: RAYMOND, BEDFORD RECEIVED: 1/4/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 1/4/2008
SITE ADDRESS: 251 E GREAT BEND DR UNION EXPIRES: 7/4/2008
PARCEL NUMBER: 322314290124
LEGAL DESCRIPTION: TR 12-D OF GOVT LOT 2 PCL 1 OF BLA#01-93 AF#1742561
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Outlet for Propane. McReavy to 5th left on Port Townsend to right on Great Bend Dr. to site.
General Information Setback Information
Front: Ft. Shoreline: Ft.
Type of Use: SF Insp.Area:
Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 6
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Mechanical Fee KKK 1/4/2008 $5.75 S220080000
Mechanical Base Fee KKK 1/4/2008 $26.60 S220080000
Total $32.35
• Please refer to the following pages for conditions of this permit. 1 Of 2
BLD2008-00024 9 P 9
CASE NOTES FOR
BLD2008-00024
CONDITIONS FOR
BLD2008-00024
1) Owner/A 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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2) 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 Was ington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revo �o
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3) 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 Co u or finances and building regulations.
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4) 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 ha v p e ted action from being taken. No more than one extension may be granted.
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This permit becomes null and void if work orconstruction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time 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 progre $inspection.The ow 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 props 'nd strupture for rev` and i 9- ktion.
OWNER OR AGENT:/ --DATE:
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BLD2008-00024 Please referto the following pages for conditions of this permit. 2 of 2
W Gas Piping
o CONCRETE MANUFACTURED HOME - M
p Interior-Date By ----
o Footings/Setbacks ?!By Ribbons O
O0 Exlenor-Date 1: e�`
o Date By INSULATION Date By
v
-C�L Foundation Walls Set-up
8G 1 SLAB I NSU CATION
Date By Date By Date By
FRAMING Floors FIRE DEPARTMENT ic
3
Date BY O
Date By Walls Bate BY v
PLUMBING Date By DECKS
Date BY
Groundwork Vault
TANKS
Date By Date By
Date Attic
D.W.v Date By OTHER
Date By DRYWALL Type:
Date BY
Water Line Date BY Type:
Date By int.Brace Wall Date By
v MECHANICAL Date FINAL INSPECTION
Fire Seperataon 00
Date By Date By Date 7 (Sf( By (,_� ap
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a Pass or Request Inspect. 0
5 Type of Insp. Fail Date Date Done By Comments
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PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION ,)CCDA
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
APPLIC T INFORMAT ,C) ( CONTRACTOR INFORMATION
Owner Company Name
Mailing Address Mailing Address
City Zip Code City State Zip Code
Phone tate Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
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. Fire District
Legal Description
Site Address (Please include street name, street nuMber and city)
Directions to site
�0 n r # -tom 1
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 - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPC�_ 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 Wood/Gas/Pellet 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 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 parry 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 Countyaccess to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF
WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEY0jNP THIS POINT
Accepted by: Planning Pd Ck# -Date.aj 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