HomeMy WebLinkAboutBLD2011-00295 Final Woodstove - BLD Permit / Conditions - 6/7/2011 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
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MECHANICAL PERMIT BLD2011-00295
OWNER: ANDREW, BOUGHAL RECEIVED: 4/19/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 4/19/2011
SITE ADDRESS: 6980 E GRAPEVIEW LOOP RD ALLYN EXPIRES: 10/19/2011
PARCEL NUMBER: 122294300010
LEGAL DESCRIPTION: PCL A OF BLA#01-46 PTN TR 1 SW SE S 28/4
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Free standing wood stove ST RT 3, R ON GRAPEVIEW LOOP RD, TO SITE ADDRESS ON THE RIGHT
SIDE
General Information Setback Information
Type of Use: SF Insp.Area:
Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 5 Rear: Ft. Slope: Ft.
Valuation:
Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Permit Fee GMM 4/19/2011 $73.00 S120110000
Mechanical Base Fee GMM 4/19/2011 $28.50 S120110000
Total $101.50
BLD2011-00295 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
B LD20 1 1-00 2 95
CONDITIONS FOR
BLD20 1 1-00 2 95
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. Theson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE
MINIMUM STANDAjFQS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
• permit revocation.
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4) 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 ordin�nc s and building regulations.
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5) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevent tion from being taken. No more than one extension may be granted.
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This permit becomes null and void if work orconstruction 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 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 the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review a d inspectio
OWN ER OR AGENT: `� t!���� DATE:
BLD2011-00295 Please refer to the following pages for conditions of this permit. 2 of 2
1 MASON COUNTY PERMIT N0102-DI I
PLUMBING/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
APPLICANT INFORMATIO �,A1 CONTRACTOR INFORMATION
Owner ;� ► ` l`�/`th. Company Name
Mailin Address Mailing Address
City. State_112k-Zip Code Q7qnCity State Zip Code
Phone C5'Kl1 061-1092TOther PhA /1 07-(p40 Phone Other Ph.
Lien/Title Holder Contractor Reg. tt Exp.
E mail address brULtG&AL. 106-A - COW E Mail Address
Drivers Lic.# 141COA706 DOB 9 ' i--4 7 I 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. y0 07 Fire District
Legal Description
Site Address (Please include street name, street number and city)'AWy G
Directions to site CpAe ��Q ��n �� i3 ,ru�r vrc�rljlL d 11:g
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1 st Floor_ 2nd Floor Basement Garage---k—l'� Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPC__ 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 �utlets
Kithen Sinks #6#Gas/PelletStove�—
Dishwasher tte-hen Exhaust Hood
Hosebibs Dryer Vent
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 parry 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 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:
Owner/Owners Representative/Contractor (indicate which one)
/; ! FOR OFFICIAL USE BEYONI T IDS POINT
Accepted Icy: �"' �Tanning Pd Ck#_ Date '� f Bld Pd Receipt No.
DEPARTMIkNTAL 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
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oo
03
o CONCRETE Gas Piping MANUFACTURED HOME
o Interior-Date By C
Footings I Setbacks Exlerwar-Dale By Ribbons
N Da to By INSULATION Dt3te By y
Cn Foundation Walls BG I SLAB INSULATION Set-up r
Date By Da to By Date By Z
FRAMING Floors FIRE DEPARTMENT X
Date BY l to BY
Date BY Walls
PLUMBING Date By DECKS
Da to By
Groundwork Vault TANKS
Date By
Date By Date By
Attic
D.W.V Date By OTHER
Date By DRYWALL Type-
Date BY
Water Line pate BY Type:
Date By Int.Brace Wall Date By
r
MECHANICAL Date FINAL INSPECTION
Fire Seperation O
Date By Date By Date
C
Pass or Request Inspect. N
5 Type of Insp. Fail Date Date Done By Comments N
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CD
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