HomeMy WebLinkAboutBLD2013-00245 Plumbing - BLD Permit / Conditions - 4/8/2013 Inspection Line(360)427-72. :
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone:(360)427-9670, ext.
Mason Cour , Bldg. 3 426 W. Cedar P.0 ::ox 279
Shelton, WF-- A8584
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PLUMBING PERMIT BLD2013-00245
OWNER: MICHAEL, TICE RECEIVED: 4/8/2013
CONTRACTOR: LICENSE: EXP: ISSUED: 4/8/2013
SITE ADDRESS: 4840 E STATE ROUTE 302 BELFAIR EXPIRES: 10/8/2013
PARCEL NUMBER: 122282400060
LEGAL DESCRIPTION: TR 6 OF GOUT LOT 2 &TAX 129-G & 712-G
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PLUMBING FOR REMODEL BLD2013-00217 FOLLOW ST RT 3 ALLYN, R ON NORTH BAY RD, FOLLOW TO ST RT 300
TO SITE ADDRESS ON THE RIGHT SIDE
General Information Plumbing Fixtures FEES
Type of Use: SF Insp.Area: Type Qty. Type By Date Amount Receipt
Plumbing Permit Fee rMRA AIAM15i R7R An cv?nisr
Type of Work: PLM Fire Dist.: 2 Water Closets (Toilets) 2 Plumbing Base Fee rKAM A/Ri?n1,A !04 7n gigniv
Lavatories 4
Showers 2 Total $103.00
Dishwasher 1
BLD2013-00245 Please refer to the following pages for conditions of this permit. Page 1 of 3
�_ASE NOTES FOR
z LD2013-00245
CONDITIONS FOR
BLD2013-00245
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 - 7LThen 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) Oer/ e 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) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
Sta W hingt n. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
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4) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
ope h a&cbtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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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
tore es a fi I ins ction or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Ma\,s C un or n c s and building regulations.
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6) 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 eri Qac
ceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder hav tion from being taken. No more than one extension may be granted.
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BLD2013-00245 Please refer to the following pages for conditions of this permit. Page 2 of 3
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work 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 as n my cc s to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
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BLD2013-00245 Please refer to the following pages for conditions of this permit. Page 3 of 3
0 CONCRETE MECHANICAL MANUFACTURED HOME
C� Date M
1�1 Footings I Setbacks Gas Piping Ribbons
C) Interior Date By Interior-Date By
C) Date By
r1j 0
-N Exterior Date By Exterior-Date
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Point Load I Isolated Footings INSULATION Date By M
Date By BG I SLAB INSULATION
Date By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Date By DECKS
FRAMING Walls Date By
Date fay Date B Y PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Data LfIrz,J)3 By L,0) Date By Type-
Date By
DRYWALL Type.
—R Int Brace Wall Date By
Date '6 By:2 .te By 17,
FINAL INSPECTION 0
Water Line Fire Separation fN
(D
Date B Date By Date 8
77/Z
Pass or Request Inspect. 0
Type of Insp. Fail Date Date Done By Comments
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CD ee26 13
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MASON COUNT( PERMIT NOT)(GI
PLUM BINGIMECHANICAL 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 INFORMATION CONTRACTOR IN ORMA 1
Owner/fit. I —6��a 6j �C Company Name I C-
Mailing Address 48 40 ems± !kj '24 3o a, Mailing Addr o
City State Zip Code a!?z"La 9, City 1J State Zip Code S
Phone Other Ph Phone— ther Ph.
Lien/Title Holder Contractor Reg. -1 Exp. 1 1
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 \f t C— 6y.o w
" PARCEL INFORMATION- 12 Digit Parcel No. Fire District
Legal Description
Site Address(Please include street name,streets numbAer arld city) 3
Directions to site 9,4 [� c Em 21 �-'R
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 159/6
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtur - 1st FI 2nd Floor Basement Garage Closet
PLUMBIN FIXTURES( ow Number o ach) MECHANICAL UNITS
T o ure No. of Fixtun ees Fuel Type:Electric�LPG_Natural Gas_Heat PumpX
ilets Tie of Unit No. of Units Fees
Bathroom Sink -f --t — Furnace
Bath Tubs 1 1 Heatpumps � w.s
Showers Spot Vent Fan
Water Heater Propane Tank
hes Washer Q T Gas Outlets
en Sinks Wood/Gas/Pellet Stove
'
ishwasher }-�1- Kitchen Exhaust Hood
sebibs Dryer Vent
er Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OVVNER/BULDER g mission of Zrrate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare I am the e,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 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 accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROD ATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X AL Date:-3 " �J
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Doc 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