HomeMy WebLinkAboutBLD2005-00222 Final Woodstove - BLD Permit / Conditions - 4/12/2005 Inspection Line(360)127-7262
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
RESIDENTIAL BUILDING PERMIT BLD2005-00222
OWNER: EDWARD SMITH RECEIVED: 2/15/2005
CONTRACTOR: LICENSE: EXP: ISSUED: 2/15/2005
SITE ADDRESS: 500 E MIKKELSEN RD SHELTON EXPIRES: 8/15/2005
PARCEL NUMBER: 321341390111
LEGAL DESCRIPTION: LOT: 1 OF SP #2478(R) S 8/32 500 E MIKKELSON RD SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Woodstove Hwy 3 from Shelton to Left on Mason K
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: Insp.Area: No.of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: Fire Dist.: 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 KKK 2/15/2005 $52.30 S22005
Total $52.30
BLD2005-00222 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2005-00222
s
CONDITIONS FOR
B LD2005-00222
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 47-09Q,3. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads," all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspection
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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. Occupancy 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 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 hav pe reverted action 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.
OWN ER OR AGENT: t�L� 1� �� DATE:
BLD2005-00222 Please referto the following pages for conditions of this permit. 2 of 2
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^'o CONCRETE MECHANICAL MANUFACTURED HOME
0
U' Footings / Setbacks Date B y Ribbons
0
oN Date By Gas Piping Date By
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►� 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 'Y//-?h--V
Date By Date By
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MASON COUNTY PERMIT NO. 11C
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 R
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 11 ",-1 -1 L.,'n , Company Name
Mailing Address '7u0 E r, Mailing Address
City \, State_Vjk Zip Code `�`� 1 City State Zip Code
Phone_ 1 Zcz I -�,J Other Ph ^ / I Phone Other Ph.
Lien/Title Holder cx , eA Contractor Reg..4 Exp.
E mail address— E Mail Address
Drivers Lic.# 0e.IiS L►? = DOB tPS 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. -4- ( Fire District
Legal Description
Site Address (Please include street r�ame, treet nymb rend city)
Directions to site r.,, -) � lS 0
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 - 1 st 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/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/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 CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X`� 1 IA /11/l, Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-TVpe Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES