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MIS98-00079 Cancelled Gas Stove - MIS Permit / Conditions - 10/3/2001
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 �3 C. IE 1_ L. A N E ©U F' [=_ F3 M i T FOR I NSPF CT i ONS CALL 427--9670 MIS983 09l9 PARC:E1. :34' 177'�4001?7 PL.AT :1,AFF L IMfRICK DIV :5 St-K , LOT : 1 ?7 JOB ADDRESS : 81 E CROMARTY CT SHELTON APPI ICANT , JJ FLYNN ; 602 426-7691 OWNER : J.) FLYNN 360-426 7591 LE'OA1 - LAIF 11IFIICK 5 TA 171 f Ai WfA#T9 �i N PROJECT DE:SCR I PT I ON : GAS S I'OVE 01V {' PROJECT LOCATION . Qp►vE I� RIGHT ON OLD LYME PD, LEFT ON PFFRI.ES COURT, LEFT ON C:ROMARTY PROJECT NOTES : TYPE AMOUNT BY DAIF RFCEIPTI WDST $ 34 . 00 Kr 0 / 18/98 46455 I TOTAL : 34 .00 OWNER R AGENT DA FE 115—Pill, rev, 1111f 192 COMPLIANCE TO ATTACNEn COND I T 1 ONS IS REQUIRED 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 OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by /. �� � S+C• '� (�.�C-� � �LS�� ��,� �� c�\ C.L.1 �`n �S�i,.r r ��S Cam.a�,F_ !} 011 L�i��� {-1.Z �'���J�r �Sh.Z �-lr 4 et e- tin nc c tom, 1i. 46 �rs +c��a� L 7 1 n i G b�S c cr I I I I � I MASON COUNTY �\ Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P FF-; 10 1 -F C: (7) P4CJ I T I C7N a Case No . : M I S98-00*79 For .- JJ FLYNN Page : 1 1 ) PURSOANT TO 1941 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL SITES MOST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS, TO BE PLAINLY VISIBLE AND EFGIBLE FROM THE STREFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FFF , BASED ON RATES 1N TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNERKONTRAC,TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . I have available I abl a on site for Ins pact i on b Mason Count a report ? ) 1he owner shall h i Y Y, Indicating the name and Ilcense number of the Installer , the amount of pressure at the time of testInq and the ienq-th of tent time . This report shall be signed by the person conducting the test OR the lines 3haI1 be under pressure for a minimum of 15 minutes at 10 1bs and have accurate pressure nauge on site under, test rE:fIectinq test requirements sA ' t: Inte of i rrspe�:,t I on . MASON COUNTY Mason County Bldg. III 426 W. Cedar ► P.O. Box 186 Shelton, Washington 98584 3 ) 1 f the tank size le, between 12�: and ttoo gal Ions you mu:;t fo i low these gu i de I I ner 1 Tank Is to be 10 feet from any buldiing, public way or property fine . It the tank Is exposed to probable veh i cu I ai damage, provide protective bollards . 3 , All weeds; , grass , bru:,h , trash and ether combustible msater i a I ,half be kept a minimum of 10 feet away from LP containers . 4 ) CONSTRUCTION PROCESS 1'0 BE FIELD CORRECTED AS REQUIRED PER MA ON COUNTY BUILDING DEPARTMENT AND UNIFORM OU11DING CODE Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT , #1 Owner CCAY DILI KI 'fr�J rt4r)Q Phone# !-PO ' �a ll? • 5�1) Site Address 81 cron-)cd r i C-i-- city f 1i✓° t ton Zip 9 -Z55.8q r Directions to Job Site Y I q ht On U I C1 1`/M e Q CA , 0n P-cc i'wr S CU U—yj , I e-i f pr1 C, c- Owner Mailing Address (f a I CG✓OM O V rt�A Cl- city 5hCLt-0rl St Uj d Zip Lien/Title Holder Co-l-len in-fi c),j rnbr'q 6 q-c (-.o, Address City 5Q-bLL p St W o Zip G SBC� #2 Contractor Name V)e f ba irC,h u Contractor Reg. # Address Expiration date city e l St Zip G $SBt� Phone #3 Parcel No 3Q Legal Description L 0, c_Ic #4 Use of building Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3.45 each Fee Mechanical Fixtures ($7.00 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 Handlina Units _Disposal _ cfm# _Urinals No. Other _Other I Gas Outlets Wo Pa Pellet Stove 34.00 Permit Basic Fee 17.25 TOTAL PLUMBING $ _ Permit Basic Fee 17.25 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 CONTRA& THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE 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 FIRSTOBTAINING 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: Date: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: