HomeMy WebLinkAboutBLD2008-00224 Final Woodstove - BLD Permit / Conditions - 7/3/2008 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 BLD2008-00224
OWNER: ROBERT, FRANKS RECEIVED: 2/27/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 2/27/2008
SITE ADDRESS: 1160 E MASON LAKE RD SHELTON EXPIRES: 8/27/2008
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 2/27/2008 $68.00 S220080000
Total $68.00
BLD2008-00224 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
M . BLD2008-00224
CONDITIONS FOR
BLD2008-00224
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
1-800-647rQ,9$2. 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/Aclent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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 revoc 0 X
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
Masoryouc 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
holdernevented 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 a agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described propertystructure for rev;a inspection.
OWNER OR AGENT: DATE: a 7X
BLD2008-00224 Please referto the following pages for conditions of this permit. 2 Of 2
Permit number BLD
Mechanical Permit Checklist
• Name of owner: d n g /� Name of Installer:
• Fuel Type? LPG Nat Gas Electric Other LU 66 a
• If propane, what is the proposed size of tank(s)?
• What type of mechanical unit will be installed?(i.e.freestanding stove,forced airfurnace,etc.)
• If the unit is a wood stove, provide: ake Model /1 G 0
Year ..2ct�5A7 Label Number
• What is the use of the structure? (Circle one) Residential Commercial
(A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application)
• Type of structure:,(Circle one) Site Built Home Manufactured Home Other,/�, n A
• What room will the mechanical unit be located?
• Will the unit be located in a basement?(circle one) Yes
• How will combustion air be s pp 'ed to the mechanical unit? (Describe,i.e. direct vent, air inlets,etc.)
• How will the mechanical unit be exhausted to the outside? A plies to appliances using gas, oil or wood fuel.
(indicate B-vent,direct vent,L-vent,etc.) �1� - ��-�
• What year was the structure constructed? /� Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e. thermostat,etc.) IY,7 � Z
• Will the proposed mechanical unit be a heat source?(circle one) No
• Additional information:
Signature of Applicant Date *? >
Typical mechanical fees:
Forced air furnace $ 17.10
Heat pump 17.00
Propane tank 68.00
Gas Outlets 5.75 additional outlets over 5, $1.15 each
Mechanical base fee 26.60 or$ 8.40 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace, pellet stove or wood stove $68.00
$4.50 state fee will not be collected on.mechanical permits
Gas Piping -n
0 CONCRETE MANUFACTURED HOME
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INSULATION
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Da to By Date By Date By 100
Floors M
FRAMING FIRE DEPARTMENT X
Date BY Date By Date by
Walls DECKS
PLUMBING Date By Do te By
Groundwork Vault TANKS
Date BY Date By
Da to By Attie
D.W. Date By OTHER
Date By DRYWALL Type:
Da to BY
Water Line Date BY Type:
Date By Int.Brace Wal I Dam By 17,
By
MECHANICAL Date FINAL0 INSPECTION N
Fire Seperabon CD
i3 Date By Date BY Date BY 00
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0 Pass or Request Inspect. CD
5 Type of I nsp. Fail Date Date Done By Comments
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PERMIT NO.
MASON COUNTY - d
PLUMBING/MECHANICAL PERMIT APPLICATION C%
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
APPLICA JNFARMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing/ddres Mailing Address
City �Le / ---' State L±-- State Zip Code
Phone ��' *� ��? Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address " E Mail Address
Drivers Lic.# d Si Zi7 OB 7 -,1r Drivers Lie.# 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,s,tre number and city) /
Directions to site c!�
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs J 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/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 gran ployees of Mason County access to the above described p7perty and structure for review and inspection.
PROOE--PF C NTW TI WORK I BY MEANS OF A PROGRESS INSPECTION.
X 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-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