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Home My WebLink AboutMIS94-0402 Propane - MIS Permit / Conditions - 6/17/1994 MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 S C F t t. A 1#4 U_ 0 LJ fx U- R M 141%94-0402 P,'IR(A I , iz,' ;- I 0; I , .10H hf1tJP1 F S130 14IGHWAY 1,06 ANION( AVI'l (041 HRUCF RWirNfl.ill-' IN 8 9 It2 64 t 1� HRUCV ROSUNtif-E- IN 898- ,1641 1 11111011 0461 LANAI 1401 4 IMF (8 t Wilt II, ITIRW I If is 111%44 111 lkia oi V*-� :4 10\10 Fit- I PROPANE TANK fit-SIDE I Hf ON ION COON TRY % (ORE FOR 11-it, K I I N ONION COUNTY f�'JORf-,' t S130 HIGHWAY 1.06 ONION -1 YF v .`.MOIJNI W 11611 Pi t r i P I X I o I r41 00 olf�jf p, w., Ald N I I I WIS 'PRAI, tea. 4441197 COMP11ANCE 10 A ) FACIlf-D CONDIIJOW; fi:i RFQ(IlRf f) CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 d date by ate by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 I i j I I i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 te by WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I I II I r a _ -- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING FIRE DEPT. Walls date by date b date by PLUMBING y OTHER Attic Groundwork date b date by y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I i IRMASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDINGQ PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION TO: ►� �n ry e- � 13o [�W\j 10(, �Xn-kon % W)':� cf"a RE: Permit Number # OA I C(4- 04 To Whom It May Concern pv-t)pa ru K- During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Duet'o the type of your permit and scope of work it is possible that thework has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to �/ /96 to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, C �fy\► Building Department cc: Property File - Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner 7aQ u C 1 c s n� S��i IV Phone# Site Address City St C..) Zipg Q S 9 '1 Directions to Job Site 12 s K/ Owner Mailing Address Sly► t City St Zip Lien/Title HolderDX�Y 1n Address Cit St Zip #2 ontractor Name a in ca G f�S Contractor Reg. # Address �� ?- Expiration date City �Le-<��Q _ St--& ¢_Zip Phone #3 Parcel No.3 - Legal Description LCN/6AU A.) L 4 q- #4 Use of building Describe WWI< #5 Type of Job: New Add Alt Repair Plumbing Fixtures($3 each Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, lectric, _Bath Basins Heatpump, Other K/ /A► ^Bath Tubs No. Uak Fees Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Other _Other Gas Outlets /0•Z)o Wood, Gas, Pellet Stove 25.00 Permit Basic Fee 15.00 1 1/0 TOTAL PLUMBING $ Permit Basic Fee 15.00 TOTAL MECHANICAL No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. i NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. 1 V � / -mot pot, OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALLWORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALLBE MADE WITHOUT FIRSTOBTAINING APPROVALFflOMWITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. C� DEPARTMENT. X OWNERR X BY DATE to - 1<� �( DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: ' Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: f Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #. Owner ap U c s� e F4 �0 s� n% s�� . Phone # e q S, - Q6, y� Site Address lD C12 City St U Zip q R S 9 '7 D*rctions to Job Site I 2 Q,a- !E. Owner Mailing Address SAS t-- City St Zip Lienfritle Holder Address Cit St Zip #2 ontractor Name fQ12 in �S_ Contractor Reg. # Address (�c>4_ n z T Expiration date City �Le-t�� _ St 6)(-7 Zip Phone #3 Parcel No.3 - _ Legal Description LAN/6i1� Gv�/ � dtJ L �X- / '4/ #4 Use of building Describe rk i Type of Job: New Add Alt Repair Plumbina Fixtures ($3 each1 Fee Mechanical Fixtures ($6 each No._Toilets CIRCLE FUEL TYPE: Gas, lectric, _Bath Basins Heatpump, Other K� /n► Bath Tubs No. Units Fees Showers Furn BTU _Hot Water Htr Heatpumps _Laundry Washer Vent Systems _Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No Other _Other Gas Outlets /�� Wood, Gas, Pellet Stove 25.00 Permit Basic Fee 15.00 TOTAL PLUMBING $ Permit Basic Fee 15.00 TOTAL MECHANICAL No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at an time after work is commenced. Proof of continuation of work is by means of a progress inspectic JOT'-- If this permit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. rvi�e �2 2 OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE '"iLLBE MADE WITHOUT FIRST OBTAINING APPROYALFROK WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING BUILDING DEPARTMENT. gyp.,`• DEPARTMENT. X OWNERR�c�c,� �i — s _ X BY DATE to - 14� DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: IN Qate: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: