HomeMy WebLinkAboutBLD2011-00964 Final Replace Oil Stove with Pellet Stove - BLD Permit / Conditions - 1/17/2012 Inspection Line (360)427-7262
totoMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
oShelton, WA 98584
o MECHANICAL PERMIT BLD2011-00964
OWNER: ELVIN, MARTIN RECEIVED: 12/8/2011
CONTRACTOR: LICENSE: EXP-. ISSUED: 12/8/2011
SITE ADDRESS: 250 NE ROY BOAD RD BELFAIR EXPIRES: 6/8/2012
PARCEL NUMBER: 123291400031
LEGAL DESCRIPTION: TR 3-A OF S 1/2 SE NE '
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE OIL STOVE WITH PELLET STOVE FIRST HOUSE ON RIGHT ON ROY ROAD ROAD YELLOW HOUSE WITH
WHITE FENCE
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 2 Rear: Ft. Slope: Ft.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Pellet Stove 1 Mechanical Permit Fee GMM 12/8/2011 $73.00 S120110000(
Mechanical Base Fee GMM 12/8/2011 $28.50 S120110000(
Total $101.50
BLD2011-00964 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2011-00964
CONDITIONS FOR
BLD2011-00964
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Divisi . There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-80 �-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) Ow Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State o Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
perm revocation.
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4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Insp for shall be made prior to requesting additional inspections.
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5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Xaso o��ordinances and building regulations.
6) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time
for actOR4or a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the
permV holder have prevented action from being taken. No more than one extension may be granted.
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BLD2011-00964 Please refer to the following pages for conditions of this permit. Page 2 of 3
This permit becomes null and void 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 progre s inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Ma ounty access to the aboveLd �cribed property and structure for re iew and inspection.
OWNER OR AGENT: DATE:
BLD2011-00964 Please refer to the following pages for conditions of this permit. Page 3 of 3
o CONCRETE Gas plpi"� MANUFACTURED HOME 3
o Interior-Date By
Footings I Setbacks Ribbons -i
Rxtergr-Date By
o Date By Date BY Z
INSULATION rn
� Foundation Walls BG I SLAB INSULATION Setup r
Data By Date By Date By <
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FRAMING Floors FIRE DEPARTMENT
Da to BY Da to By
Date. By wan$
DECKS
PLUMBING Date By ®Y
Dsr ca
Groundwork Vault TANKS
Date By Date By
Date By Attic
D.W.V
Date By OTHER
Rate By DRYWALL Typo:
Date By
Water Line Date BY Type:
Date By Int.Brace Wall Date By
v MECHANICAL Date By FINAL INSPECTION
m Fire Seperation O
CD
Date By Date Sy Date By
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Pass or Request Inspect. W
CD Type of Insp. Fail Date Date Done By Comments a)
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MASON COUNTY PERMIT NO
PLUMBING/MECHANICAL PERMIT APPLICATION 00%�_
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
Shelton (360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailin A ress6/npu,.-Mc$6 01 Mailing Address
City State 1ac�L Zip Code is-ME City State Zip Code
Phone 'T 60 c' - 4 770ther Ph. Phone Other Ph.
Lien/Title Holder—Sa.r Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# 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(PI ase include street name, street number and cites) a
Directions to sit o/� ° ,J°Ro
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric_LPG_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 Outle
Kithen Sinks Wood/G ell St
Dishwasher Kitchen 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.
PROD CONTINUATION O WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:/��5f I
Owner/ wners 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.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES