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Home My WebLink AboutMIS95-0953 Antique Appliance - MIS Permit / Conditions - 12/7/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 S C EF L. t— A N CC C3 tJ S P E. F-i Nil 1 1 FOR INSPECTIONS CAI. L 427-9670 MI S95--0953 PARCEt.. :3223451 00005 PLAT :01. PI 0 D I V i BLK c LOT : JOB ADDRESS : E 20 MT . ELL_ I NOR CT UNION APPL I CAN r Y JAMES CONNER 641 —8709 OWNER : JAMES CONNER 641-8709 LEGAL : OLV1tIC VISTA TA 5 L VAC STS ADJ VAC OI 11►IC VISTA 01 A DI FLt11011 C0811 PROJECT DESCRIPTION ANTIQUE UNLISTED APPI1ANCF (1929) PROJECT LOCATION : FROM HWY 106, GO SOUTH ON OLYMPIC VISTA DRIVE 112 EAST OF ALDFRBROOK INN, 1 /4 MIt' UP HILL ON CORNER OF Oi YMP I C VISTA DRIVE AND MT. EL I NOR CT . PROJECT NOTES & TYPE AfAOONT BY (DATE RECEIPT ..�..M.-.r.:�•.r»ra.^.-xr...:s-�^-."n�...r,c.r�s:.c�::m.�.zc:-.x.::.a-ar-.�c....., WD:iT S 25 .00 KS 12/07/9`i 40888 TO'1A1.. 00 ~� OWNER OR AGENT DATE _.._—..�._�. NIS PINT, rev; OQF81,'92 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date r_ date by ILI- i4 S; J MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f� R fVl f T c; C) r4 L. f "T" 1 0 N Case No . , MI SR5-0953 For ,JAMES GONNER Page , i 1 ) PURSUANT TO 1091 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , 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 RE1NSPECiION FEE , ERASED ON RATES 1N TABLE 3A OF THE 1991 JIN1FORM RUILDINV NODE WILL BE ASSESSED IF OWNER/CC►NTRACTOR FAILS TO POST ADDRESS ON S 1 TF. PRIOR TO REQUESTING INSPECTIONS . X 2 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL. LOCAL CODES AND URC REOUIREMENTS 3 ) CONSTPUCT I ON PROCESS TO BE FIELD CORRFCTFD AS REQUIRED PER MASON COUNTY BIJ I L D I NG DEPARTMENT AND UNIFORM BUILDING CODE . x 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 by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT rZD� V i - 9 70 9 #1 Owner � ,1d&�5 �'1, Gt�.rJil Phone#13ell Site Address G 7- City J�AJI DAJ St IVR Zip Sg z Directions to Job Site /0 G A/Q-F-� 15,C e9900 k i PU 61-YVZZG i/1 sp-,4 Owner Mailing Address P D /v p X -5-3 8,/ City t A)10/l.) St ! _Zip 11az Lien/Title Holder Address City St Zip #2 Contractor Name A 4-G1 W 5 VA,) C ox,4 S'v, Contractor Reg. # Address Expiration date City S /1f4- St— Zip Phone #3 Parcel No. 3 - - Legal Description UkU4MJell #4 Us of building Describe work C>AAP PA #5 Type of Job: Newer Add AIP Repair Plumbina Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Unija 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 Woo _Gas, Pellet Stove 25.00 i Permit Basic Fee 15.00 I 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, Sep Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, F , 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 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 SHALL BE MADE WITHOUT FIR 'AIN ING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILD EP RT NT. DEPARTMENT. X OW X BY DATE oZ 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 Na. ` Referred To DEPARTMENTAL REVIEW Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION j9-.o( /a/96 To: rywz Conl� E. RE: Permit Number #MIS4 �-D 63 To Whom It May Concern; 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. Due to the type of your permit and scope of work it is possible that the work 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 0-7 / /�)_/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, Building Department cc: Property File