HomeMy WebLinkAboutCOM2005-00018 Kitchen Sink and Exhaust Hood - COM Permit / Conditions - 2/7/2005 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)127-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352
Shelton, WA 98584
COMMERCIAL MECHANICAL PERMIT COM2005-00018
OWNER: HARMONY HILL RECEIVED: 2/7/2005
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 7362 E STATE ROUTE 106 UNION EXPIRES:
PARCEL NUMBER: 322334400040
LEGAL DESCRIPTION: W1/2 GOVT LOT 1 S 9/57 EX TAX 683-C, 669-C 7362 & 7361 E HIGHWAY 106 UNION
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
KITCHEN SINK, DISHWASHER, KITCHEN EXHAUST EAST ON HWY 106 PAST ALDERBROOK INN 3/4 MILES
HOOD
General Information Construction &Occupancy Information
Type of Use: Insp.Area: No.of Units: Type of Constr.:
No. of Bathrooms: Occ. Group:
Type of Work: MEC Fire Dist.: 6 No. of Stories: Occ. Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: remodel kitchen:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline & Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp.Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2005-00018 Please refer to the following pages for conditions of this permit. 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Mechanical Base Fee KC 91719nns wi r,n C9l)nnrnn
KitChF„rSi,;� 1 Plumbing Fee KC 9i7i9nns A7 nn q,gnnrnn
i
Plumbing Base Fee KC 9nignns �?n nn o.99nnrnn
Plumbing Base Fee KC 917i?nns 4,?n nn R99nnrnn
Mechanical Fee KART 9/1R/gM6 Q1n r;F C?gnnrnn
EH Plan Review r.F\A/ aiv,)nnr nn C?9nnrnn
Total $116.15
CASE NOTES FOR
COM2005-00018
CONDITIONS FOR
COM2005-00018
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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) PURSUANT TO INTER ATIONAL CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY
BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION
FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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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 County ordinances and building regulations.
X '— I
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 any time after work is
commenced. Evidence of oontinuation 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 th agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described proper, d structure for review an spection.
i
OWNER OR AGENT: DATE:
COM2005-00018 Please refer to the following pages for conditions of this permit. 2 of 3
n
K CONCRETE MECHANICAL MANUFACTURED HOME
N
o Footings / Setbacks Date By Ribbons
o Date By Gas Piping Date By
o Foundation Walls Date B y Set-up
00 Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date 3123105 FINAL INSPECTION
y Water Line Date By
Date 3123Ios yR Date By
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1-1 9tiV MASON COUNTY PERMIT N&r2120C� -Uy�/X
is p VPLUMBING/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
AP I FORMATIQN CONTRACTOR INFORMATION
Owner 6,kw�v 4 L Company�- Name -5;,- Pal h '
Mailing Address 736.2- 6- Mail Address 3y6p n� M,,SS14.4rj 2d-4�
City L/�1 UN State w R- Zip Code 2358 c/ City f �+�fTor-' State 4- Zip Codegk3 i z
Phone Z6-0 89W-9363 Other Ph. Phone 360 - alb=ozZy Other Ph.
Lien/Title Holder Contractor Reg.#s� P I E Exp.
E mail address_ f,�'ec �v !� c�r<lam- E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION -Connect to New Septic Existing Septi - Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No, 3 Zz 33 -4k!-cxcD vD Fire District
Legal Description c u efs l &,/✓- 2! e5L-,; L�a r t S--C 3 3 T z ZN P� 3 w w w/ . ,, rt cso c T_,
Site Address(Please include street name,street number and city) 736-z C S 16
Directions to site Erf-s arr
Is propetty within 200'of Saltwater 6& Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB- New Add Alt Repair Other Use of Building NI tLTr w�.
Location of Fixtures/Units- 1st FlooL� 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 Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Cl he asher Gas Outlets
�in3ks ellet owe
D chen Exhaust Hood—��
Drye
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 info niatiom
provided is accurate and grants employees of Mason County access 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: �. G
w aoO S
Owner/ ners Represe.a /Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd k# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW P,P VED,, bENIED NOTES
Building Department
Occ Grou Type Constr.
Planning Department
Environmental Health Department e-'
FEES
Plumbing& Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES