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Home My WebLink AboutMIS95-0932 Cancelled Sink - MIS Permit / Conditions - 6/1/1996 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 S G E 1__ I A IV E C3 U S P E M 1 T FOR INSPECTIONS CALL 427--9670 MIS95-0932 PARCEL : 123201003300 PLAT DIV : BLK : LOT : JOB ADDRESS : .n .C. J JoZQ. ou 1 ` APPLA CANTv ALBERT DROUILLARD , OWNER : ALBERT P DROIJIL LARD LEGAL : Td S! IF E112 NE i 1112 if PROJECT DESCRIPTION : SINK INSTALLATION PROJECT LOCATION - SEE ADDRESS — NE 1 120 01_D BE:LFA 1 R HIGHWAY PROJECT NO1F S : TYPE AMOUNT BY DATE RECEIPT PLFE S 3 .00 NJP 11 /30/95 40843 PLBS $ 15 .00 NJP 11 /30/95 40843 TOTAL. : 18 .00 OWNER OR AGENT DATE iiS_PINT, revs 11111192 COMPL. IANCE TO ATTACHED CONDITIONS IS REQUIRED R 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 OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date I '��`)k 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 PE RM I "i- CCaND I -T 1 (.3N Case No , : MIS95-0932 For : ALBERT P DROUIL.LARD Pages 1 VV) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , A!.l SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM Bit 11_D I NG CODE WILL. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR, TO RFOUESTING INSPECTIONS . X CONSTROCTION PROCESS TO BE FIELD CORRECTED _A$ REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x ALL CONSTRUCTION MUST MEET OR EXCEED AlL LOCAL CODES AND UBC REQUIREMENTS X ! °t 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 OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I Permit No./ �t — � MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner /,G b(_gT 77 Phone# oZ7S- A 8S Site Address A/6- //,ZO 04Z) BEL FA+4 daJ)/ City 3E1 CA+ c St 08 Zip 993o?gy Directions to Job Site Owner Mailing Address J qHe- kS 4&;✓t- City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name 0a),J6-P— Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No. 7caU;26 -1(L- 6 3 366 Legal Description #4 Use of building /REST DF_AJC_4E Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Unita Fees Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer Vent Systems Sinks 13'4 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 $ 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 um or other unit to be located p pp P pump 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 COUNTY ORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPART N DEPARTMENT. X OWNER 6V X BY DATE ��/,30/9� 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. R erred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: