HomeMy WebLinkAboutBLD2008-01293 Final Woodstove - BLD Permit / Conditions - 12/17/2008 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
NP10 Shelton, WA 98584
MECHANICAL PERMIT BLD2008-01293
OWNER: DAVID, CROSSWHITE RECEIVED: 10/16/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 10/16/2008
SITE ADDRESS: 70 NE KIMBERLY DR BELFAIR EXPIRES: 4/16/2009
PARCEL NUMBER: 123303200180
LEGAL DESCRIPTION: TR 18 EX, 19 &20 OF GOVT LOT 3
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Installed woodstove north shore right on mission creek right on sietz drive to kimberly dr
General Information Setback Information
Front: Ft. Shoreline: Ft.
Type of Use: SF Insp.Area: Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 2 Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove t Mechanical Fee TW 10/16/200 $68.00 B120080000
Mechanical Base Fee TW 10/16/200 $26.60 6120080000
Total $94.60
BLD2008-01293 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2008-01293
CONDITIONS FOR
BLD2008-01293
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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1 80,0 �4�-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Ow?!) nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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 of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
peron!
tion.
X
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 international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Ins all be made prior to requesting additional inspections.
X tth
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
Ma n unty ordinances and building regulations.
X
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
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hol r h e prevented action from being taken. No more than one extension may be granted.
Xb� —
BLD2008-01293 Please referto the following pages for conditions of this permit. 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 progress inspection.The owner or the agent on the owners behalf, represents that the information ovided is accurate and grants employees of Mason County access to
the above described pro and struct for w and inspection.
OWN ER OR AGENT: DATE:
BLD2008-01293 Please refer to the following pages for conditions of this permit. 3 of 3
o CONCRETE Gas Piping MANUFACTURED HOME 0
o Interior-Date By 0
C) Footings!Setbacks Exterior_Date By
Ribbons (p
N Date �' INSULATION Date By
tW Foundation walls BG/SLAB INSULATION Set-up =
—i
Date By Date By Date By tT1
FRAMING Floors FIRE DEPARTMENT
Da to BY D
Date By walls Date By G_
PLUMBING Date By DECKS E5
Date By
D
Groundwork Vault
Date
BY TANKS
Date By Attic Date By
D.W.V Date By OTHER
Date By DRYWALL Type:
Date By
water Line Date BY Type:
Date By Int.Brace Wall Date By �
MECHANICAL Dlresepera>ion ate ` FINAL INSPECTION o
� o
m Date By Date By Date _ - By pp
� O
Pass or Request Inspect.
EF CD
Type of Insp. Fail Date Date Done By Comments w
Cn
a
s
a
N
O
EP
0'
(D
O
FORM MUST BE COMPLETED IN INK P E R M I
PLEASE PRESS HARD MASON COUNTY aaw�--7�
PLUMBING/MECHANICAL PERMIT APPLICATION 1
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
APPLIC T INTFMAT ON CONTRACTOR INFORMATION
Owner - S �h, 7� Company Name ��&1»�
Mailin Ad res �-v l 4'L- 12. Mailing Address
City ��` State i./o. Zip Code 2 City Mate Zip Code
Phone 36y 2-77-323 '7 Other Ph.3ccl 710 y7)-`t1 Phone Other Ph.
Lien/Title Holder t- 13/- to c tl b Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic. DOB /- 7- G Drivers Lic.# DOB
S-EZIf�INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Na eO Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city) 0-4--"t ht 61 r w1 2 U7
Directions to site ",-a �'"h SS���e v _5;r,(c;— gm_ AIrA7 ap� SirTf 9A, Tr rat
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15%
TYPE OF JOB - New Y 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 Outlets
Kithen Sinks W /Gas/Pellet Stove= (�
Dishwasher i chen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OVVNER/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 parry 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.
P �FCONT U N OF WO S BY MEANS OF A PROGRESS INSPECTION.
Date:
Owner/Owners 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 Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood /Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES