HomeMy WebLinkAboutMIS97-00071 Final Woodstove - MIS Permit / Conditions - 2/19/1997 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
FkA 1 t— U ^1 N I c>Li I -I' t---' t4 0.4 1 '11- fOi INIS-PECTIONS c A L L 427- fah 10
M1397-00711 PARCEI. t220041190220 PLAT : DIV -, BLK : LOTs
JOB ADDRESS : F 155 COMMON ITY CLUB FID SHELTON
APPLACANI' t HOWARD BAUER 362-
OWNFrIt HOWARD BAUER (206)-K1?- 3189
LEGAL - TO 22 Of E112 1EI/4 & TAX 4111-8 TO 3 OF SP 1324
PROJr--,Cl- DESCRIPTION :
WOODSTOVE
P n Od I"C; I OC Al ION
FROM 14WY 3 1 URN RIGHT AT' P I CKER I NG ROAD. -f URN LE F1 ON COMMUN I f Y CLUB ROAD (APPROX 3 M I t.Fc3)
DRIVF TO ROAD FNDS !1,IGN AND 'MAN RIGHT AGAIN , TURN LEFT A FIRST DRIVEWAY .
PROJF-CT NOTES
TYPE AMOUNT BY DATE RECEIPT
WDS1 33 .00 KS 021111191 43916
TOTAL : 33 ,00 OWNFR OR AGENT PATE
MIS'-PINT, rev, 04141t92 COMPLIANCE 'TO ATTACHE,*.) �*.ONDITIONS IS
AEOUIRED
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 FRAMING by date by date by
Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date Z, date by
I
II
1 J
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . ., MIS97--0071
Fort HOWARD BAUER
Pagel I
PURSUANT 1-0 19 01 ON I FORM loll 1 I.1)1 NG C(AW , SF("I I ON 305(C. ) ANC) SE(':T I ON !,I A L I S I T F S t4OS'l
HAVE APPROVED NUMBERS OR ADDRESSUS PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBL-F
AND LEGIBLE FROM THE STREET OR ROAD r PONT ING THE PROPERTY , MASON COUNTY BI) I LD I NG
DEPARTMENT REOUIRES THAT THIS BE COMPIETED PP, iOR TO CALLING FOR ANY SITE INSPECTIONS . A
RFINSPECTION FEE , BASE I) ON RATE IN CABLE 3A OF THE 1994 UNIFORM EmILDING cODF WII'L BE
ASSESSED IF OWNER/CONTRACTOR FAII. S 7-0 POST ADDRESS ON SITE PnIOR rO REQUESTING
INSACTIONS ,
X.
2 ALL CONfSTRUCT IONf4UST MEED OR EXCEED LOCAL CODES . IF ANY OIJESTIONS, PLEASE
CALL. THIS OFFICE BErORF CONSTRUCTION ,
3 ) CONSTRUCTION PROCUSS TO BE FIFtD coRREcrE0 AS REOUIPED PER MASON COUNTY BUILDING
'b t s c
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner c'. ig qa t5 X Phone#_3lo e
Site Address �• �' �� % L�(icL ;
City St Zip �j y
Directions to Job Site o, Ica- -oirl
b oAn;��2ry ru CMG LG ��; - �i G'/L/� 7-o
Owner Mailing Address 1536
City St zcl1:2 Zip 94p 3 i
Lien/Title Holder 164&1�E 2
Address
city St Zip
#2 Contractor Name Iq /t,l Contractor Reg. #
Address HZy U 3. Expiration date
City St Ztm . Zip Phone
#3 Parcel No. U
Legal Description e r Z-
#4 Use of building //p,zjj!�= Describe work
#5 Type of Job: New _Add Alt Repair
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling_Units
_Disposal _ cfm#
_Urinals No. Other
_Other _ Gas Outlets
Woo , as, Pellet Stove 33.00
Permit Basic Fee 16.75
TOTAL PLUMBING $
Permit Basic Fee
TOTAL MECHANICAL $ .
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any
time after work is commenced. Proof of continuation of work is by means of a progress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be. located
outside of the existing structures, a plot plan MUST be submitted as required below: %
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by: gate
Receipt Na. Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY Approved Denied
Planning:
Building:
Fire Marshal: