HomeMy WebLinkAboutBLD92-0694 Final Chimney Liner, Insert - BLD Permit / Conditions - 12/30/1992 ———————— — —
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Aker t I W.-A t I I I N r Al 1 1 427-9670
HL r)9.'--Olb9 4 PA le C I 1 0 0
I i i,I '," - 24930 HE HWY -&IN'Y. . . . . HELFAIR
E COKELLI ?75-1*01
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PROJECT 11NER1,11ISFRI
PROIECT 1101tiII130:014HT JOSI RUM SHOPPIA6 %&It & ACROSS fRON NAPA 11 1IMA11c
igli Pfliilli otfollrS It"ll AND VOID IF 00PIr OR (011-AIIII(TION AIITHQRI'10 IS 001 j(100filifl) U11010 18* PAY I). OF If (OISMIMION 00 U4PI( Ili s11M%Ofli FOP A PFITOD
OF ISO IlAy" Al AOV If f AfI I 1 4019 Ix CowNcro m omf of (011111#0ATION Of VARY Ti A P1061,1`5S TOSPUM90 1,1111110 IN[ IN# DAY PIFRIAP fINAl IIISM11of 011%1 81'i
Apr-PeW 11 Ai fe-r' tilly, 6 CAN af A IPIIQ
AUNER OR A6[NT DRIC,.
810-PPRI. Q f41
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 by date by
Water Line FINAL INSPECTION
date by date�a_3v_yz b .� date by
,S,o-?.&Ke f),6cl;uJ/2 03
MASON COUNTY `
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1'a.1 1::ii N :1, N:::::: N::�' M —9 6 7 0
BLD92-0694 PARCEL : 123283290080 PLAT : DIV: BLK : LOT :
JOB ADDRESS : 24030 NE HWY 103 . . . . . BELFAIR
OWNER : E COKELET 275-2001
CONTRACTOR :
L E G A L : TR 8 OF 1W SW TR B OF SP 1457 FS 15262 BC 164A
I
CLASS OF WORK . . : NEW B E D R : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : OTH STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : Oft WOST $ 15.01 OJK 17115/92 31873
TYPE OF CONST . . : ? FIREPLACES . . . . : 1
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
OWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE?. . . . : ? TOTAL: 15.01 VAIUTATION: 1
SETBACKS------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . . ? Oft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0
REAR . . . . ? Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . ? Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2 ) . ? Oft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#-----
DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR /CARP : ? 0sf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPTI0N:CHIANEY LINER`INSERT
PROJECT L0CATI0N:RIGHT JUST BEFORE S H 0 P P I N 6 MAIL 6 ACROSS FROM N A P A IN BEIFAIR
THIS PERMIT BECOMES NUII AND VOID IF 0RK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 GAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TI" AFTER WORK COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION RUST BE
APPROVED BEFORE BUII G CAN BEW'UPIEO.
OWNER OR AGENT: DATE:
BLD PRMT, rw-/#q 91
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
Jl 427-9670 DATE ISSUED
I ( �.�
cr 1. /-T( PERMIT NO. �"zu/'�4�(-(X.C��'t
OWNER NAME MAILADDRESS CITYBSTA E ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCEL ���/n�Q� 1 LEGAL " -�7�
NUMBER 1Z ^ ZYwC1V DESCR. r6 (, �.� �. Lv 1r
NAME MAIL ADDRESS CITY&STATE L EN E NO. Z PHONE
CONTRACTOR Z
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE J
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR W H THE_,PsRkll
ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANe HER H.NO CHA ES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVA R T ILDING DEPART ENT. �j
X OWNER DATE X B DATE _/ `
FOR OFFICE S 5 ONLY
DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENQ BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY nyo,
VIED FOR ISSUANCE PERMIT VALIDATION
CASH CK MO TOTAL ( J--