HomeMy WebLinkAboutBLD2004-01542 Final Gas and Outlets - BLD Permit / Conditions - 10/27/2004 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
Ir Shelton, WA 98584
��
MECHANICAL PERMIT BLD2004-01542
OWNER: CHRIS, LADNER
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA*98400 EXP: 7/24/2006 RECEIVED: 9/27/2004
ISSUED: 9/27/2004
SITE ADDRESS: 1130 NE OLD BELFAIR HWY BELFAIR EXPIRES: 3/27/2005
PARCEL NUMBER: 123201003310
LEGAL DESCRIPTION: TR 33 OF E1/2 NE &W1/2 NW SEE BLA#03-38
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GAS STOVE, OUTLETS FROM BELFAIR GO 1.1 MILES ON OLD BELFAIR HWY, TAKE PAVED ROAD
ON THE RIGHT BEFORE TH UNION RIVER, FIRST DRIVEWAY ON RIGHT
General Information Mechanical Fixtures FEES
Type of Use: SF Insp. Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: 2 Gas Outlets 1 Mechanical Fee KS 9/27/2004 $52.30 S12004
Propane Stove 1 Mechanical Fee KS 9/27/2004 $10.65 S12004
Mechanical Base Fee KS 9/27/2004 $23.50 S12004
Total $86.45
BLD2004-01542 Please refer to the following pages for conditions of this permit. 1 of 2
I
CASE NOTES FOR
BLD2004-01542
CONDITIONS FOR
BLD2004-01542
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. Thpre are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-!} 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X ((�i
2) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from
the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their
background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as
adopted by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspectio
X t"
3) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air from out& in accordance with the international codes.
X G
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 Co�ordinances and building regulations.
X
5) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of ins ection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system
shall no�s�ed until the final inspection has been performed and approved by a Mason County building inspector.
X
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora 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 ins tion.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described props a cture f evie d inspection. v
OWN5R OR AGENT: Z
DATE: �,) 7 �/
BLD2004-01542 Please referto the following pages for conditions of this permit. 2 of 2
co
r l I
o CONCRETE MECHANICAL MANUFACTURED HOM
Footings / Setbacks Date Ribbons
o Date By Gas Piping16) Date B y
01
N Foundation Walls Date By Set-up
Date By INSULATION Date By
B G / 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 WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By ... .,n . . Date By
%oo_CD
L
a
CD
CD
C
a
0
CD
8
O I_
i
o p
U1
El N
0
r
o CONCRETE MECHANICAL MANUFACTURED HOME
.A Footings I Setbacks Date By Ribbons
0
cn Date By Gas Piping Date By
to Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G I Slab Insulation Floors Final
Date By Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date Byj» x %
., Date By
--------------
Yo
0
s
m
0
0
cn
v
Cn
r
8 d d
a O �
CA
CA O v
O_
� N
0
MASON COUNTY PERMIT NO---) ---)
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 INFORMATION CONTRACTOR INFORMATION
Owner t'� 1_advte Company Name
Mailing Address Mailinp Address
City State LJA Zip Code-A-S k City tat -� - Zip Code -
Phone a Other Ph. Ya6 3r Phone Other Ph.
Lien/Title Holder AL2 i I' 0& Contractor Reg.4QUAL1 A 19 it-, L- Exp.
E mail address L L LAdH er I-,- (0•-1 E Mail Address
Drivers Lic.# lA M66 F?50A)* DOB 9-114 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. h o 33►c Fire District �-
Legal Description
Site Address (Please include street name, street number and city) I r if LA .
Directions to site FtO^ RP IL �4'y"
1M kf d r ti -e os!
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 Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric— LPQ-- 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 Wood/Gas/Pellet Stove
Dishwasher Kitchen 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 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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/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