HomeMy WebLinkAboutMIS94-0823 Furnace - BLD Permit / Conditions - 10/7/1994 MASON COUNTY PERMIT
NULL & VOID BY EXPIRATION
Mason County Bldg. III 426 W. Cedar 3p
P.O. Box 186 Shelton, Washington 98584 DATE -
BY
M31ISCIF— t.. L 4% P4F- 0U RF_` RM1 I FClR 1.N`:PFC1'10N CA1..t 4 t- 9670
NfS94--0623 PAR('f.L t 3.'008751r4*0 2 j III_ A 1 81, K s 1.O
.JOB i'MI-►ki E: 2£I0 HIAWAI14A FILVO SHE LTON
A441.1r:AN•T . SPEC FRO,SCOPY SPECIALTIES 427-245h
OWNER ° SPECTROSCOPY SPECIAL.TIES 421--2466
1-G At. : I'1 3-1 IF SIItt 1?1164 TI 1 if S! 111I4 FS 111210 11 121
PR(L)ECT 01;_r'CklI' I ION
JOHNS PRAIRIE ROAD TO HIAWATHA HUSINE SS PARK . %OIJTHH SIDE" QF ,JOHNS PRAIR FE
PI7OMA I NO I t 'n
T yI-'E ' AMOUNT BY 0A FE REU, IW I
.+1 W'3n2'ik[NGC':4•Awt':.�„^':"..^^...L:'4kO'. l'_eAfi!',Yffi`iS'J.W 4'.JCS`.�Y,'.'SJn..:Y'6.^S4L"yC:R'.9SF.
01 At. a 21 . 00 CHAN 6t tie A(11 N I DA 1 t
,_ - m¢:sasc...•:xrxxsvas:=ac-t-sxmrs-r+:znrm:;;s.n�c:.-:c;s.—.:-r_a-:sxc.�aa+raxeer
1Iv MI. re, W4110' COMPI TANCEE TO Al TAt'HF11 CONDIT ION% IS
REQUIRED
Ppppp,,4ETE MECHANICAL MOBILE HOME
'1gs-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
ate by
D.W.V. WALLBOARD NAILING
date by
date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS94-0823
For . `;PFC'I-RO' t'OPY SPEC [At TEES
page , i
E) PiIR"'MANi TO 1.E3141. IINCFORM Hill DINO COIII . S>F.CTION 3ON (C: ) AND SEC I JON c?1 :.; , A1. I 1F`; Ml,viI"
NAVL. APP1tOVFD Ni.IMHl". Rc. OR A01)HES":FS PROVIDUl) 1N '+If CH A POSII .10N A'; 10 RC I'l A],NI.Y VIS1bI E
AN I. F G IF31 E FROM [HE r�TREE:-I OR ROAFI FRON I .ING I l-IF PROPFR-I Y MA`%ON i:C'IIIN I Y fill 1 1t.I N6
DFPAR1'Mf:NI RFQ0TIF1; 'I HA'( 111T HE COMP LFTVI) PP1OR 10 VAI1. 1NIi 1.014 ANi' '=: 1 '11 1NtiPF;VIT1)N!� A
RF1N,SPI-'1r;'TVON FF:E . RA`0-.(1 ON HATES IN TAHI17 'IA OF IH17' 191111 ON11`01?M H(Jll_I►TNfi [:i)11F 11J1I.i. RF:
ASSESSUD III` OWNUR /C'ONIRt1C WH f All i T'O POST AI)ORF."% ON 5,I"'ll UR1t11: I0 HI OI1F '; l' lNri 5
INSPECT'TON`". ,
of heAti.ng egll:i (ament in jingle I-.Inity 1.1ro r"qu.irement
of the 1991. Wti;E the furna(—v t.o bra inwtAI IP.ri "ItAI I Idol eaXrov ai IC,A f t;llea Itp,AU,intl
des, 1gn .10Ai eIt 1)rcescri_Pt.iVe. rQcluit'Q01tsntf, of I:1`1Apt.4--r 0 , fiiviiac - FIi" ncy F-hAII bo Ii3
AFIJE. or higher 011c' t:F Ebel i. by t.mppd . cr410(1 Afl(I Ill CIIan.iral ly 1aF:t;c:<nkid it:I a mlIti III llrn of
s fti4: r i@ s pG i joi.Ilr.. 1)11r, L ItaII be i. 1lAt.p(T 1 ;a H 8
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 Attic OTHER
Groundwork
date by
date by WALLBOARD NAILING
D.W.V.
date by date by
Water Line FINAL INSPECTION
date by date by date by
II W
U
MASON COUNTY
SAP 2Pt9UMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 , 427-9870 OCT 5 1994
PLEI"ItWAL SERVICES
CZ r-A r-Q A
VIC
#1 OwLr 'S 5c-0PQ Phone #
Site'Address ' � O I Vi Wtl-
City 1N) St �A- Zip
Directions to Job Site
Owner Mailing Address o
City'.---.:5LC014 St _Zip-
Lier�Title Holder f=r � F0 V-2,
Address
City: St Zip
#2 Contractor Name L5�ACa.:L -Pn C VIC Contractor Reg. # n AJSF-A-V-- ZOO
Address-02.ID �)wd -,I-f Expiration date Z
T
,""
Zi *4
City! I ri ceu Phone &
Pat, el
LegV Des7rl -AWA-- A+k Y�A
04 Use.of building Y-P'Val cl i AI(A,'A(-. Describe work I tfb A eAA)
1 7-
LLbL
6 Typ6 of Job: New Add Alt Repair i
Plurnbing Fixtures ($3 eachl Fee Mechanical Exlures($6 each)
No. 1 Toilets CIRCLE FUEL TYPE: Gas
_Toilets
Baslns Heatpump, Other
Bath Tubs U-n i Fees
Showers Furn 61 J�X) BTU W
Hot Water Htr Heatpumps
Laundry Washer Vent Systems
Spot Vent Fans
Floor Drains hL�L Boilgirs/Compressors
Laundry Basins HP
Dishwasher No. Air Handling Units
T--:Disposal cfm# .1,160
T—
Urinals � QLhQr
Other Gas Outlets
Wood, Gas, Pellet Stove
ermit Basic Fee 15.00'
TOTAL PLUMBING $
Permit Basic roe 15.00
TOTAL MECHANICAL
40TICE:I'This permit becomes null and void if work or construction authorized is not commen ed'
NlthIn 180 days or if Construction or work Is suspended or abandoned for a period of 100 days at ny"
I
rime aftei work is commenced. Proof of continuation of work Is by means of a progress inspect 1;n.';
10 .
NU I I_: It this permit application includes the placement of a fuel tank, heat pump or other unit to be loC�ted
outside of the existing structures, a plot plan MUST be submitted as required below: ;
Show followling on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood&Zones, Wells, Shorellnes, Easements, Name of Flanking 8, Fronting Streets, Indicate directional by N,S, E, W,etc.
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OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CON�RAG-
THE CONTRACTORS REGISTRATION LAW ROW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWAREOF�HE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORD FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
GONE WILL,BE IN CONFORMANCE THEREWITH,NO CHANGES CONFORMANCE THEREWITH, NO CHANGES SHALL_ BE t,IADE
SHALL BE IV ADE WITHOUT FIRSTOBTAIN ING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUI4DING
THE BUILDING DEPARTMENT. DEPARTM fT,
X OWNER X BY c
DATE ___ DATE '
Return permit to: Department of General Services
426 W. Cedar/RO. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628
"ki:
FOR OF FI IAL,USE ONLY; Accepted by: :, ., Dale.:.:... E ;
-�... a
R2ceipt Noll Referred To •�:fYKr.a : ;;;a.:. a
DEPARTMENTAL REVIEW proposal Propo;;al
FOR OFFICIAL USE ONLY
Approved Denijd
Planning: E ,� _--
1
1 Building: '17-
;
_4 _
Fire Mars4l:
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