HomeMy WebLinkAboutBLD2008-00159 Final Woodstove - BLD Permit / Conditions - 2/28/2008 Inspection Line(360)427-7262
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
MECHANICAL PERMIT BLD2008-00159
OWNER: ROBERT, FRANKS RECEIVED: 2/12/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 2/12/2008
SITE ADDRESS: 1160 E MASON LAKE RD SHELTON EXPIRES: 8/12/2008
PARCEL NUMBER: 321343190041
LEGAL DESCRIPTION: TR 4-A OF SURV 6/37 PCL A OF BLA#95-62#610517 PCL 1 OF BLA#97-70
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Woodstove. Mason Lake to right at 1160.
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 5 Rear: Ft. Slope: Ft.
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Fee KKK 2/12/2008 $68.00 S220080000
Total $68.00
BLD2008-00159 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
` BLD2008-00159
CONDITIONS FOR
BLD2008-00159
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 The 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/A nti responsible 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. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocatior}�—�
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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 Cgynt�ordinances and 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 hayrev nted action from being taken. No more than one extension may be granted.
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This permit becomes null and void if work orconstruction 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 t 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 i tion. '
OWNER OR AGENT: DATE: I� v
BLD2008-00159 Please refer to the following pages for conditions of this permit. 2 of 2
o CONCRETE Gas Piping MANUFACTURED HOME m
o Interior-Date By — -----
w Footings 1 Setbacks Exterec�t Date By
Ribbons Z
o Date By INSULATION Date By 1 0
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Foundation Wails BG!SLAB INSULATION Set-up
Date By Date By Date By W
FRAMING Floors FIRE DEPARTMENT m
Date By
Date By - Bate BY
Wells DECKS
PLUMBING Date By Date By
Groundwork Vault TANKS
Date By Date By Date By
Attic
D.W.V Date By OTHER
Date By DRYWALL Type: 4jea:r,)4�
Date -0,-7'r dr— Byre
Water Line Date BY Type:
Date By Int.Brace Wall Date By W
MECHANICAL Date FINAL INSRECTIDN
Fire Seperatian O
Date By Date By Date _�Q By pop
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a Pass or Request Inspect. CD
5 Type of Insp. Fail Date Date Done By Comments CD
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CD
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., PERMIT NO. L`�
MASON COUNTY
�D
PLUMBING/MECHANICAL PERMIT APPLICATION Q�
426 W.Cedar•P.O. Box 186,Shelton,WA 98584
Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
n the we www.co.mason.wa.us
APPLICAN INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailin Addres - Mailing Address
City State VIA Zip Code 9 B 5"� City State Zip Code
Phone AL S 2 V 317 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address ►" *? E Mail Address
Drivers Lic.# 6013 C 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,stree nun er and city)
Directions to site.A le_ct '
Is property wi hin 200'of Saltwater 4 Lake River/Creek Pond Alt
Wetland . Seasonal Runoff Stream -, Slopes or Bluffs > 15 0 A n
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 !We 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 subrnission of inaomrate 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 pemussion 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 grarrt employees of Mason County access to the above described property and structure for review and inspection.
PR �1�/F CONTNUA F WOR IS BY MEANS OF A PROGRESS INSPECTION.
X i �fte .<�t cz , Date:
Owner/Owners Representative/Contractor (im icate 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-Type 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