HomeMy WebLinkAboutBLD2010-01112 Final Woodstove - BLD Permit / Conditions - 12/23/2010 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
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j Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
MECHANICAL PERMIT BLD2010-01112
OWNER: JARED, FORD
CONTRACTOR: PETERSON'S STOVES PLUS 360-3670 490-0178 LICENSE: PETERSC098P1 EXP: 1/271 RECEIVED: 12/10/2010
ISSUED: 12/10/2010
SITE ADDRESS: 173 E SLEAFORD RD SHELTON EXPIRES: 6/10/2011
PARCEL NUMBER: 321275400025
LEGAL DESCRIPTION: LAKE LIMERICK 5 TR 25 S 31/111
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WOODSTOVE STATE ROUTE 3 TO MASON LAKE RD RIGHT ON BELTRAY LEFT ON
COLONALITTY RIGHT ON SLEAFORD RD
General Information Setback Information
Type of Use: $F Insp.Area:
Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: Rear: Ft. Slope: Ft.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Permit Fee Tw 12/10/201 $73.00 S120100000
Mechanical Base Fee Tw 12/10/201 $28.50 S120100000
Total $101.50
BLD2010-01112 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2010-01112
CONDITIONS FOR
B LD2010-01112
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
1-800-6 a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) Owner/Age a to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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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. Occ cy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
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4) 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
Mason County ordi d building regulations.
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5) 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
holder have pre ction from being taken. No more than one extension may be granted.
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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 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 provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection.
OWNER OR AGENT, DATE: /O Nee- ZOiO
BLD2010-01112 Please refer to the following pages for conditions of this permit. 2 of 2
o CONCRETE Gas Piping MANUFACTURED HOME p
o Interior-Date By
o Footings!Setbacks Exterior-Date By Ribbons
Dote By INSULATION Date By D
iv Foundation Watts BG!SLAB INSULATION Set-up m
Date By Date By Date By
FRAMING F1°o FIRE DEPARTMENT
Da to By Da to By
Date By Walls DECKS
PLUMBING Date By Date By
Groundwork Vault TANKS
Da to By Date By Date By
Attic
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Date By OTHER
Date By DRYWALL Type.
Date By
Water Line Data By Type:
Date By int. Brace Wall Date By
MECHANICAL Fire Separation By FINAL INSPECTION o
Date By Date By Date By O
m O
Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments
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MASON COUNTY PERMIT NO.-1�5��•�J�
PLUMBING/MECHANICAL PERMIT APPLICATION
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
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner _1 Arc.-eb Fo0-IS Company Name Pc .zsoNr sro,.�s
Mailing Address/"I3 F St_-E4 oreb K-ts Mailing Address
City S t'row State iZip Code q City Mate Zip Code
Phone 54-o YK0 -7s3S Other Ph.3Go 37-o -1-18 1 Phone Other Ph.
Lien/Title Holder C&:&- ` Contractor Reg.# Exp.
Email address15'�YF'agD 1-I NSP Y",20, e-064 E Mail Address
Drivers Lic.# DOB(nc1.S u L-/98Z:— Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site &,),ajr res o&j gecrn143/ co4-oA.-4r- r/
ruGizzz as12b
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
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
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 Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL O
O VNER/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 party 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.
PROOF OF CONT RK IS BY MEANS OF A PROGRESS INSPECTION.
Date: /U Det zA�o
caner wners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYONDTHIS 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
Plumbina & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES