HomeMy WebLinkAboutBLD2001-00840 Final Plumbing - BLD Permit / Conditions - 11/16/2001 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT hone: (360)42L001-00840
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 /�✓-��
Shelton, WA 98584 /�/
T�PLUMBING PERMIT
OWNER: JAMES F LEBLANC 360-275-3441
CONTRACTOR: RECEIVED: 8/17/01
SITE ADDRESS: 220 NE CHENOOK DR BELFAIR ISSUED: 8/17/01
PARCEL NUMBER: 123303200300 EXPIRES: 2/17/02
LEGAL DESCRIPTION: TR 30 OF GOVT LOT 3
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PLUMBING FOR DISHWASHER ST RT 3 TO BELFAIR, LEFT ON ST RT 300, RIGHT ON MISSION CREEK
RD ALMOST TO END, RIGHT ON CHENOOK DR, PROPERTY ON RIGHT
SIDE.
General Information Plumbing Fixtures FEES
Type of Use: SF Insp. Area: Type Qty. Type By Date Amount Receipt
Type of Work: PLM Fire Dist.: Dishwasher 1 Plumbing Base Fee KS 8/17/01 $20.00 57134
Plumbing Fee KS 8/17/01 $7.00 57134
Total $27.00
BLD2001-00840 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2001-00840
CONDITIONS FOR
BLD2001-00840
1) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible
and le.gibi m the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site
inspections re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor f It ost the address on site prior to requesting inspections.
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2) All constryct' must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason
County a4t ,Stat of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or
occupancsult in permit revocation.
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3) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
fails �reu t a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-co ason County ordinances and building regulations.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended fora period
of 180 days at any time after wade menced-.--Evidence of continu work is a progress inspection within the 180 day period. Final inspection
must be approved before-bu can eilding occupiedAy
OWNER OR AGENT:
i
BLD2001-00840 Please refer to the following pages for conditions of this permit. 2 of 2
jrCONCRETE MECHANICAL MOBILE HOME
Foo*W-So back date by
Ribbons
s Gas Plpkq
ate by
Fmxbtion Waft date by set up
e INSULATION date by
B Insulation Floors Final
by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attle OTHER
Groundwork date by
date by WALLBOARD NAILING
D.W.V. date by
date by
Water Line FINAL INSPECTION )
date by date by `�Z� date by
� ` v
FORM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESS HARD MASON COUNTY
` PLUMBING/MECHANICAL PERMIT APPLICATION
4.26 W.Cedar/P.O.Box 186,Shelton,WA 98584
_ Shelton(360)427-9670 Belfair(360)275.4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT NFORMATION CONTRACTOR INFORMATION
Owner of C , Contractor Name
Maid Add s "C-7'2-7o C, A . Mailing Address
City State ;�BJS(Zip Code City State Zip Code
PhoneO SAS--3Y Other Ph. Ph. Other Ph.(
Lien/Title Holder Contractor Reg. #/:
Address n9 —C / Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic ✓ Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 dig i T x Parcel No. l a 33® /3A / (nano Fire District �
Legal Description
Site Address(Please include street name street number and city) _ Ltt)L)
Directions to sit '
l rUAW
�ci f
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF.DOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other /��� Other
Base Fee �1l l Base Fee
TOTAL PLUMBING —��"- TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Regist a io aw RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which t is permit is issued and th all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No ch ge II be a without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
te-X -?.-�"z� X Date
-Da1
/ FOR OF I,CIAL USE BEYOND THIS POINT
Accepted by Dat -�J ubmittal Amount Due Receipt No. t
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Building Department
Occ Group Type Constr.
Planning Department
Other
Other
.........................................................
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES