HomeMy WebLinkAboutBLD2004-00133 Final Woodstove - BLD Permit / Conditions - 2/18/2004 Inspection Line(360)127-7262
lipMASON 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 '
RESIDENTIAL BUILDING PERMIT BLD2 4- 1 00 00 33
OWNER: JOHN GLENN
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA*98400 EXP: 9/20/2004 RECEIVED: 2/9/2004
ISSUED: 2/9/2004
SITE ADDRESS: 31 E BRAMBLE LN SHELTON EXPIRES: 8/9/2004
PARCEL NUMBER: 324;232-@^'L70 0eZL+g-j
LEGAL DESCRIPTION: N1/2 SE NW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WOODSTOVE Comb(n.t_cL W1 3213a-3a-0003a JENSEN RD TO BRAMBLE LN
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: OT No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: MEC Fire Dist.: 5 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:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi
Side 1: Ft. g..
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
WOodstove 1 Mechanical Fee NJP 2/9/2004 $52.30 S22004
Mechanical Base Fee NJP 2/9/2004 $23.50 S22004
Total $75.80
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BLD2004-00133 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
B LD2004-00133
CONDITIONS FOR
B LD2004-00133
1) Contractor registrati n laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potenti� sks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982,Tfie 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) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and
legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site
inspections. A r -inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fail post the address on site prior to requesting inspections.
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3) In buildings,ot. nusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air from it in accordance with the Uniform Mechanical Code.
4) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the St Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in y r ' revocation.
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5) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the U r Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector a made prior to requesting additional inspections.
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6) 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 inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason C rdinances and building regulations.
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7) 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 per' "hot exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have rated action from being taken. No more than one extension may be granted.
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BLD2004-00133 Please referto the following pages for conditions of this permit. 2 of 3
This permit becomes null and void if w r struction 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 continuatio f is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWN ER OR AGENT: _ DATE:Z '
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BLD2004-00133 Please referto the following pages for conditions of this permit. 3 of 3
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W r
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o CONCRETE MECHANICAL MANUFACTURED HOME
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Footings / Setbacks Date By Ribbons
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D ate B y Gas Piping Date B y
w Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date B y
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINA IN PE��B
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Water Line Datez (F� v� y! 'V3 J
D ate B y �� ate By
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FORM MUST BE COMPLETED IN INK PERMIT NO.:bq
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PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186 Shelton,WA 98584
Shelton(360)427-9670 Belfair(360W54467 Elma(360)482-5269
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner .��,�n 4 �aLt n�,u 61 Q rn Contractor Name � U A0#kt
Mailing Address bu Mailin Addr ss 5',35 O i 1a =-1,
City.S )e_I to n State yj_ Zip Code q QsszU City � 1, State UU Zip dode
Phone(kf.p -/-a7 5R3;ggOther Ph.( Ph. 0 2. -iZa Other Ph.
Lien/Title Holder Contractor Reg. # Q aJLAL_11A 1. 9 15'N L_
Address Expiration_/ / 045
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel No. / 3 2, / Fire District
Legal Description
Site Address(Please include street name,street number and city)
Directions to site
Is your property within 200'of the 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 tlets
Kitchen Sinks Eood/ as/Pellet Stove
Dishwasher n Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
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 w i s permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance th o changes shall be made without first obtaining shall be done in conformance there` [�q C e e made without
approval. first obtaining approval. 1\L IF
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FOR OFFICIAL USE BEYOND THIS POINT 6 W. CEDAR ST,
Accepted by Data Submittal Amount Due 70� Receipt N __ G`
fJEPAfiTNEEtV1Aj R EUY APPROI(ED t3>"NIEi} CONDtTI(?N .ffES
Building Department M
Occ GroupT e Constr. 1V r 1
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Planning Department
Other
Other a,q
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......,::::::::::::::::::::::::::::::::::::::::::::....:..........................................................................
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