HomeMy WebLinkAboutMIS98-0157 Woodstove - MIS Permit / Conditions - 3/26/1998r
MASON COUNTY
\� �r Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1ki1 1 4:3 C1 F L_. L A N F C3 0 V F R M 1 T- FOR INSPECTIONS CAL I. 42 7- 9670
Mi S98-0157 PARCEL s 322.32505 1045 PLAT si,INPL.O 51 D I V : BLK : 51 LOT ,
JOB ADDRESS : 131 F SFATTLF ST UNION
APPL. 1 CANT n ROY S IMPSON 698 -3057
OWNFR : ROY S 1MPSON 890- ;105 r
LEGAL : UNION HOOD CANAL LAID A 1MP CO R1K, 51 LOT 45 47
PROJECT VE SCR I P'T i ON s
WOOODSTOVE
PROJECT LOCATION !
5TM AND SEATTLE UP f7ROM FIRE STATION
PROJECT NOTES :
1 YP1: AMOUNT BY DATE RF.CE I PT
WDST 1 34 W KS 03/26198 46676
V-JLf
Tf.)TAL : 34 .00 NER OR FNT CIAIE
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MIS Pill, rew t 0411h 92 COMPL. I ANC:F TO A't TAC14ED CONDITIONS IS
REOLJ 1 RE D
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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 FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date _to- /8 by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P f._ FsM { 'r 0t) N0 1 T' I caWS
Case No . s MIS98-0157
For : BOY SIMPSON
Pagel 1
J
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , IS CT ION 05(Cr ) AND SECTION 513 , ALL. "I FF S MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO RE PLAINLY VISIBLE
AND LEGIBLE FROM THE STFIL T OR ROAD FRON l" 1 NC, THE PROPFRTY . MASON COUNTY BUILDING
DEPARTMENT RFQUIRFS. THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE1NSPECT'ON FEE , BASED ON RATES IN TABLF 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER t CONTRACTOR FAILS, TO POST ADDRESS ON SIIE PRIOR TO REQUESTING
INSPECTIONS .
2 ) CONSTRUCTION PROCESS TO RE f 1 FE D CORRECTED AS Rf QU I VD PEH MASON COUNTY BUILDING �
DEPARTMENT AND UNIFORM BUILDING CODE ,x,__
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 FRAMING by date by date by
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
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MISoq'a S 7
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner a t, L S i m p S�N Phone# W f - .3 0 S 7
Site Address A3I
City U/V i vPL) St V_)A- Zip
Directions to Job Site 0,0A,y jeg, D f - /9`/VQ 5 Q-:/4++f E
/ 47/6 44-L( u jC�oM /CiX6
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. .3d 13 1- - S-0 - 4-/ 0 Vs�
Legal Description
#4 Use of building C- P,"G E Describe work
I?(k 'S-t /_0 7s
#5 Type of Job: New ✓ Add Alt Repair
Plumbing Fixtures ($3.45 each) Fee Mechanical Fixtures ($7.00 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_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
J �, Gas, Pellet Stove 34.00
Permit Basic Fee 17.25 T�1�
TOTAL PLUMBING $ _
Permit Basic Fee 17.25
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.
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.
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 COUNTY ORDINANCE 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
SHALL BE MADEWITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE 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:
i
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building: 2�^Z�C���cJ 3 •s�'48
Fire Marshal: