HomeMy WebLinkAboutCOM2005-00131 Cancelled Woodstove - COM Permit / Conditions - 5/30/2006 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
IP10
COMMERCIAL BUILDING PERMIT COM2005-00131
OWNER: H.D.'S PUB
RECEIVED: 11/30/2001
CONTRACTOR: LICENSE: EXP:
ISSUED: 11/30/200,9
SITE ADDRESS: E STATE ROUTE 3 BELFAIR EXPIRES: 5/30/2006
PARCEL NUMBER: ;12;32;83290040 )
LEGAL DESCRIPTION: 6F'BLA 401-71 (R) PTN NW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WOODSTOVE HWY 3 JUST PAST SAFEWAY ON LEFT
General Information Construction &Occupancy Information
Type of Use: Insp.Area: No.of Units: Type of Constr.:
Type of Work: MEC Fire Dist.: 2 No.of Bathrooms: Occ. Group:
No.of Stories: Occ. Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp.Plan Desg.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2005-00131 Please refer to the following pages for conditions of this permit. 1 of 3
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Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Fee KC 11/�n1gno (tr;,2,in signn4mo
Total $52.30
CASE NOTES FOR
COM2005-00131
CONDITIONS FOR
COM2005-W131
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 potentia risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-64 098 . Thep so [gni ' condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) PURSUANT TO INTERNA 4 NAL CODE, ALL 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 REINSPECTION
FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF
OWN C TO ST TRACT
O FA ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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3) All building per Its shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to requ st a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-co lia ith Maso Co ordi and building regulations.
X
This permit becomes null and oid if work or construction 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 d str ture for rev[ d insp
OWNERORAGENT: n. DATE: /
30
�i COM2005-00131 2 of 3
FORM MUST BE COMPLETED IN INK PERMIT NO.G&A?()L��/3/
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
_ 426 W. Cedar• P.O. Box 186, Shelton, WA 98584
v Js I� Shelton (360) 427-9670 • Belfair(360) 275-4467• Elma (360) 482-5269
7"(,Q On the web www.co.mason.wa.us
APPLICANT INFORMATION --- CONTRACTOR INFORMATION
Owner. '/— 'I C �/ I-- OAd 16 N Company Name
Mailing Address a y 13( JCt 3 Mailing Address
City State 1.J A- Zip Code 2�15
City State Zip Code
Phone '-, —7 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address 06 ,j Y �6 �' ���� ' <<'�'' E Mail Address
Drivers Lic.# 5c13 C Z DOB `% ' `/-� 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. Fire District
Legal Description
Site Address (Please include street name, street number and city) 733 7 Te TT y TG'C 77,/177
Directions to site C-'ti //t / �`-� /'*J- - S/}6 E
Is property within 200'of Saltwater ti L Lake River/Creek- Pond
Wetland / Seasonal Runoff L' Stream A: J Slopes or Bluffs > 15% P C"
TYPE OF JOB - New Add Alt Repair Other Use of Building 7r`' C'
Location of Fixtures/Units - 1st Floor 4 2nd Floor Basement Garage 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 Gas Outlets
Kithen Sinks Woo as/Pellet Stove 2
Dishwasher en 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.
PROOFICO INUATION WO IS BY MEANS OF A PROGRESS INSPECTION.
/- ° S
X Date:— j 3
Owner 6 ers 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 _
Occ Group—Type Constr. o�
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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