HomeMy WebLinkAboutMIS93-0757 Mechanical Natural Gas - BLD Permit / Conditions - 12/2/1993 MASON COUNTY PERMIT
-- Mason County Bldg, III 426 W. Cedar NULL & VOID BY EXPI ATION
P.O. Box 186 Shelton, Washington 98584 DATA'AUL!� BY -----
1 �757 VARI'f 1 P l A I ! tt l t
AP111 II:ANI SIANt.t:Y BISHOP
01.JN1.1 STANLEY BISHOP
! I (;fal IN 1 of Nt St` iS #6141 Nk #631
r t tI! I ,: I !, It I1,9d
NA 1 OkAI GAS HOOK - MP .
('i�1).il�t; i ! ilI ri l .l I1Fi
NORIII BE-FAIR (Ott) BELF-AIR HWY) TO BEIFAIR VAl l.l•:Y NIIR%URY ON I t-FI SIDE ROAD.
TY}11 AMOUN 1 BY DA 1 f I?I f I:1, I I
MIF , +,i s.14,►tc1
F: � .L.. HH TW
MCHS ; I.h . 00 fW .f 4'.Ho
47
1 101At a ZVOO �/� (l�"'f7 .iW A61 N1 „��_. flit ! I
oV, CONPIIANCE tO A-ITCHED I:ONDITIONS 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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
CA-,ff No IIIV,,IJ3 -0PI
For !�,"1 ANI_f' Y It I `M01-'
Pacie , I
I1 PORSIL1ANT 10 I91� 1 UNII` ORM till) t.t► INii (:(Jot , St'.(: 11014 W0 ( (, ) AN11 '#I. 1' 1101`4 F, t .t „ All ', tIi ', 190'. 1
HAVF APPRr1VI D N11MH1: 1?s ON Af►DR E� ":E , Ptt(IV I Of I) t N ';tlf:" A 1)0', 1 1 ION A*- 10 fit V1 N t N1 'Y V1 ti tH1 1:.
AND I.F6J H1.F f ROM I NE ,;1 Rt"f' I Ok k(IA(i FRON I 1 Nt-i I I1f: PROPF k 1 Y . MASON I MIN I Y Hitt 1 ft I NN
f1f PAk TMF NI Rf.Oil t RI S 1 HA I 1 Ill `, HI C IIMV t i I I D 1'I( I Ok I o 1.AI 1 1 N(i t OR AN'Y ', I If: IN'-.Ill 1 1 1 0N', . A
RE IN'�',PEC I ION Ff- f . IIA`yf 1) oN kIt 1 1: IN I AISLE it; Uf I Ilf 11,1141 IIN 1 1 11ilm ft11 I I H I Nii 1 t111t 1,11 1 1 fit
ASSESSED IF OWNF'k/1'1)N1 HAI' 111ti I"A I1 ', 11) I-W,1 AMIPt `.', ON 1 I l- t* Ir11? 141 10 0111 1 1 N11
f.NSPF.:C'f:CONS:
Thp owrlkr %haF/ II'm a v a
t otl I•V mak, lit 1,o11t11 lr 1 1 •.>Itt11 I
irdi.c:at .i.rtg C.he na1nle fi lld I7 {:t:tt`?ra tlll{111!< t /1t II1 ^ 1tts• I !, I IoI . I1w r1momitt {, I lit {''„•1111 A al I
time c) (f I:Wt tlriq an(I 1tl (11 .ti I.f"-- t t il11':' 1III 1 i,I,.{t i. �,:Ifr9I I Ii•-? :n.irlil4frl 111f 1.tiF= (,e;,Iy[11t
condt.Ic.ti11c1 t:he r..es,v ,.
i
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M = SCEL LAItiIEC? US PERM = T
MTS93-0757 PARCEL : 123204100010 PLAT :
?i);i l;OClf r , . . . . . . . . . . . . . . . .
"!'! r!' 011,1' STANLEY BISHOP
"1'N.r P : STANLEY BISHOP
1 OF NE SE* FS 15141 RK 1636
"f) ' CT U`"`1C;?IPTION :
NATURAL GAS HOOK-UP .
rnn,lr' r"� Inc, Ar ? ri ..
�,t
1 MILE NORTH BEFAIR (OLD BELFAIR HWY) TO BELFAIR VALLEY NURSERY ON LEFT SIDE ROAD .
AMOUNT BY 0ATE. RECEIPT
me E_ 12 . 00 1W 12/02j93 34580
il':;B 15 . 00 TW 1 �02r�93 3j4580
w
IS XTAE e - 89191192 COMPLIANCE TO ATTACHED CONDITIONS IS
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner Phone# �7� C 2 ,5a
Site Address C
City / f' "k St a/rt Zi
Directions to Job Site
Q 41�4A
Owner Mailing A ress
City i St Zip 6,Zj✓
I A- e
Lien/Title Holder
Address
City St Zip
#2 Contractor Name t Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. ,/ �3 -_ �- /oo /d
Legal Description
#4 Use of building v Describe work 0
/fW .1~�9
#5 Type of Job: New Add _Alt Repair
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYP . Gas Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No.. JLia
_Showers Furn Oa 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
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00
TOTAL PLUMBING $
Permit Basic Fee 15.00
TOTAL MECHANICAL $.'X7__
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.
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, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, 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 ALLWORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALLBE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE 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 No. Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY Approved Denied
Planning:
Building:
Fire Marshal: