HomeMy WebLinkAboutBLD2007-01582 Final Woodstove - BLD Permit / Conditions - 9/10/2007 Ins
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: 27-96670 ext 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
lot$ Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT
OWNER: KING BLD2007-01582
CONTRACTOR: PETERSON STOVES PLUS LICENSE: EXP: RECEIVED: 9/6/2007
SITE ADDRESS: 173 E NELSON RD ALLYN ISSUED: 9/6/2007
PARCEL NUMBER: 122294400030 EXPIRES: 3/6/2008
LEGAL DESCRIPTION: TR 3 OF G.L.6 N 105'OF S 548'&TAX#411 D-2
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WOODSTOVE GRAPEVIEW LP RD L ON NELSON RD R AT END ON LEFT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No.of Bathrooms: Occ.Group: Lot Size: Deck:
Type of Work: MEC Fire Dist.: 5 No.of Stories: Occ.Load: Building:
Valuation: Building Height: Occ.Status: Unknown Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Model: Width: Ft.
Rear: Ft. Slope: Ft. SEPA?:
Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp.Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type QtY Type By Date Amount Receipt
Woodstove 1 Mechanical Fee KS 9/6/2007 $60.00 S12007000
Total $60.00
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BLD2007-01582 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2007-01582
CONDITIONS FOR
BLD2007-01582
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- 8 . T person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Ow r/ n sponsible 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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3) In s f un sually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
r fr i n accordance with the international codes.
4) The internabon ode requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
aces ds required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
suc roa co e h a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to reques a ns ction or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Ma C i ances and building regulations.
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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 continuation of work is progre 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 pr s inspection.The ner or e gent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above describe operty rxi'structu or ev spection.
OWNER OR AGENT: DATE:
BLD2007-01582 Please refer to the following pages for conditions of this permit. 2 of 2
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o CONCRETE MECHANICAL X
N MANUFACTURED HOME
Footings J Setbacks Date By Ribbons G)
Gas Piping
intenor Date By Interior.Date By Oats g
Ln
00 Extenor Date By Exterior-Date By
r1iy
Point Load/Isolated Footings INSULATION Date e
BG 1 SLAB INSULATION y
Date By Data By FIRE DEPARTMENT
Foundation Walla Floors Date By
Date By Date By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic ,-/ ,/
Date By Date By Typ9.vY�G� VIZ
DRYWALL Date By
D.W.V Type.
Date By Int.Brace Wall Date By
Date By FINAL INSPECTION p
Water Line Fire Separation N
Date By Date By Date By O
v
Pass or Request Inspect. o
° Type of Insp. Fail Date Date Done By Comments 0
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0
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0
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FORM MUST BE COMPLETED IN INK ( U L7
PLEASE PRESS HARD MASON COUNTY PER NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
Shelton (360) 427-g70 • Belfair(360) 275-4467• Elma(360) 482-5269
n the web www.co.mason.wa.us
APPLICANT INFORMA ION., CONTRACTOR INF MATIO
Owner Company Name
Mailing Add es Mail'n Address
City le
Zip Code Cit `�� tate Zip Code
Phon Other Ph. Phone Other Ph.��� `U-7ciD.
Lien/Title Holder Contractor Reg. Exp. 1.( ^IC=QS7
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 Distric
Legal Description <
Site Address (Please include street name, street number and,-city)
Di 2 ns to site L
— 01
Is property within 200'of Sa6vater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New P�dd Alt Repair Other. Use of Building
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Location of Fixtures/Units - 1st Fr ,x. 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric— LPCi_ 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 elletStove�_
Dishwasher aust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING I TOTAL MECHANICAL
OWNER/BUIDER 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 information
provided is acc an rants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTIN N OF WORK IS BY MEANS OF A PROGRESS INSPECT N.
X Date: &-Q'7
O r/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid 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