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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 � - J 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. X 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 J