HomeMy WebLinkAboutMIS96-0905 Furnance - MIS Permit / Conditions - 12/20/1996 ` MASON COUNTY
p� IT
Mason County Bldg, III 426 W. Cedar \10@ a EXPIRATio�
P.O. Box 186 Shelton, Washington 98584 ��L �_�Y
7)A
M 1 :S 0 1= L- 1L- ,A N f! C71..1,'3 PIE R !'VM i If._ FOR INSPECTIONS CALL 42 i—9670
MI SPH--0905 PARCEL a 123294400010 PLAT - D I V c BLK : LOT
JOB ADDRESS : NF 23730 STATE ROUTE 3 BE:LFAIR
APPLICANT : KEN B AKE
OWNER v KEN Eft AKE
LEGAL : TA 1 6F SE SF M $VlVfV Il t21
PROJECT DESCRIPTION :
FURNACE: WAS ONCE IN STRUCTURE , TOOK OUT AND IS NOW PUTT 1 NG BACK INTO STRUCTURE .
PROJECT LOCATION :
NORTH END BEL.FA I R ACROSS FROM PtIGET SOUND FLANK (KEY BANK) LOT BUILDING
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCF'E * 6 . 50 NJP 12/20/96 43665
MCRS $ 16 .2.5 NJP 12 /20/96 43665 \
TOTAL - 22 .75 6WNI:R�OR "AG NT i?A'TF
#IS_r11i, rsv� 94101;92 COMPLIANCE: TO ATTACHED CONDITIONS IS
REOUIRED
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
d date by
ate b te WALLBOARD NAILING
D.date by date by
Water Line FINAL INSPECTION
date by date by date by
��✓ / 2- 23-5�
ILI
I
I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
M I S C E L L A N E O U S P E R M I T FOR INSPECTIONS CALL 427-9670
MIS96-0905 PARCEL : 1232944OOO1O PLAT : DIV : BLK : LOT :
JOB ADDRESS : NE 23730 STATE ROUTE 3 BELFAIR
APPLICANT : KEN BLAKE
OWNER : KEN BLAKE
LEGAL : TR 1 OF SE SE SEE SURVEY 1I124
PROJECT DESCRIPTION :
FURNACE WAS ONCE IN STRUCTURE , TOOK OUT AND IS NOW PUTTING BACK INTO STRUCTURE .
PROJECT LOCATION :
NORTH END BELFAIR ACROSS FROM PUGET SOUND BANK ( KEY BANK) LOT BUILDING
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCFE $ 6 .50 NJP 12/20/96 43665
1',4CBS $ 16 .25 NJP 12/20/96 43665
TOTAL : 22 .75 OWNER OR AGENT DATE
M I S—PRAT, rev: 04101192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E R M I T C O N E) I T 1 O N E;
Case No . : MIS96-0905
For : KEN BLAKE
Page : 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
• ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSP CTIONS(.�
2 ) The owner shall have available on site for inspection by Mason County , a report
indicating the name and license number of the installer , the amount of pressure at the
time of testing and the length of test time . This report shall be signed by the person
conducting the test .
3 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
I
14
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 > CONSTRUCTION PROCESS TO BE FIELD CORRECT D AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . �A
1
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner Phone#
Site Address 'C�
City St Zip S�Z.
Directions to Job Site
Owner Mailing Address 40 61
City r, ,.-A St L)!% Zip�3
Lien/Title Holder
Address
City St Zip
#2 Contractor Name 1- a `�� Q per_ Contractor Reg. #
Address Expiration date
City v a V St�Zip �'g 3 (,(e Phone S 1) (p 0 )
#3 Parcel No. cum kp
Legal Description
T
#4 Use of building Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers Furn BTU (p,�<�
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ 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 32.00
Permit Basic Fee 16.25
TOTAL PLUMBING $ _
Permit Basic Fee 16.25
TOTAL MECHANICAL $kk
No Basic Fee for Wood, Gas, Pellet Stove
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 pump or other unit to be located
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
AWAREOFTHE MASON COUNTYORDINANCE 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
ALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
BUILDIN DEPARTMENT. DEPARTMENT.
X O NER X BY
v
DATE 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:
i
j Receipt No. Referred To
i
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: