HomeMy WebLinkAboutBLD2003-001548 Propane - BLD Permit / Conditions - 6/20/2003 Inspection Line(360)327-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
l�
RESIDENTIAL BUILDING PERMIT BLD2003-00548
OWNER: VIC SEAMANS RECEIVED: 5/2/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 6/20/2003
SITE ADDRESS: 1191 NE LARSON BLVD BELFAIR EXPIRES: 12/20/2003
PARCEL NUMBER: 1 2331 51 001 06
LEGAL DESCRIPTION: BEARDS COVE DIV 8 LOT: 106
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK SET NORTH SHORE RD RIGHT ON LARSON LK RD LEFT ON CUTLASS WAY
TO LARSON BLVD
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: MH Insp.Area: OT No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: MEC Fire Dist.: 2 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft.
Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Mechanical Fee NJP 5/2/2003 $21.30 S12003
Propane Tank 1 Mechanical Base Fee NJP 5/2/2003 $23.50 S12003
Total $44.80
BLD2003-00548 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
• BLD2003-00548
CONDITIONS FOR
BLD2003-00548
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 conti Stiop, of w a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWN ER OR AGENT: _ �2G� �� �� DATE:
BLD2003-00548 Please refer to the following pages for conditions of this permit. 2 of 2
r
o CONCRETE MECHANICAL MANUFACTURED HOME
o -
l^' Footings / Setbacks Date By Ribbons
0
�o„ Date By Gas Piping Date By
co Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / 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 FINAL INSPECTION
Water Line Date B y
:2 Date By Date By
z-q 6 (�
m
a
0
v
a
8
a �
o
m Q
w
1
Ul
^Cn
l 1
0
i
APPROVE
LJ
MASON COUNTY DCD rIANNING ,
v� SITE PLAN - -
REQUIRED TO 3E 00 SITE
_
WHAGES SUBJECT TO + ja
o _
.,, . ,,.,...._ _ ..._._._...... _..__.. B _
..._ Date.,
•_ `vim/ �-J " _
..t
1
C
C Otto
CL
co
' V
�r
:
A ,
j .. _._ _: -L 1 ,
FORM MUST BE COMPLETED IN INK -
PLEASE PRESS HARD PERMIT NO.:
MASON COUNTY
k48
PLUMBING/MECHANICAL PERMIT APPLICATION 0(3cD
426 W.Cedar/P.O.Box 186 Shelton WA 98584
Shelton(360)427-9670 Belfair(360)�275-4467'Elma(360)482-5269
APPLIC I CONTRACTOR INFORM
OwnerT Contractor Name
Mailin s Mailing Address
City St at Zip C e City State Zip Code
Phon ( �6) S Q S er Ph.( Ph.(� Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address f Expiration
SEPTIC INFORMATION-Connect to New Septic�_Existing Septic Connect to Sewer System Name of
Sewer System
/PARCEL INFORMAT ON- 1 d it6 ParNo. Fire District
Legal Description Ap-�
Site Address (Plea clude st et e, r num r and city)
Directions site
Is your property within 200'of th following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff -Stream
Slopes or Bluffs
TYPE OF JOB 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
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets ire
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee Z 3. .5-p
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 Registration Law 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 this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued an6.II work
conformance t erewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be madewithout
approv / first obtaining approval. 2003
Date —e3 X Dat
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTALRMEW APPROVED DENIED 'CV.NDITIQN.CODES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
FEES
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