HomeMy WebLinkAboutMIS99-0041 Furnace - COM Permit / Conditions - 2/18/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98684
11A i 3 C-F" 1— 1._- A N FEE C>kJ S'* Fa F. M 1 T F011 INSPECTIONS CALL 427-9670
MIS99•-0041 PARC1"L -. "1232N41f7P1140 PLAT a r)i V a BL K : LOT :
JOB ADDRFSS : 23780 HE STATE AOUTF 3 BELFA I It
APPL I CANT MASON COUN1 Y 411Y 46 tP
OWNER ; MASON COUNTY 427---9670
LEGAL s TH 14 Of If Sr
PROJECT DESCRIPTION :
GAS FURNACU
PRO�,ECT L.0r,AT I ON -
MASOtt, COUNTY BE I FA I R ANNF X
PROJECT` NO-�F S
TYPI AMOON'T BY DATV Rrc1. I r i
MIFF 'I 38 .25 KS 02/02 /49 1339
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'rO`rAt e ?l � `` OWNF R OR AG EN LTA TV
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It$_Fill, r¢Y r 04111192 COMPLIANCE IANCE TO ATTACHf:D",,(,'ONO IT I ON,> 1 4;
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 INSPE�(TION
date by date ��` Y� by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
R E.. F1 M 1 "T C: C 3 N f7) 1J 1 f,;)N ;�!;
Case Nis . , M1899-0041
f MASON COUNTY
Pace ': 1
1 ) ITURSUANT VO 1994 UNIFORM 8011 D i N[; ('OfiF: , Al.[ S i TF.' MUST BF MARKED WITH APPROVED NUMB RS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PL.A I NI.Y VISIBLE AND LEGIBLE FROM THE
`: -IRFF 1 OR ROAD FRONT I NC THE PROPEPl Y : MASON COUNTY 110 1 L D I NG D PARTMENT REQU I RFS I IIAT
THIS BE COMPLETED PRIOR TO CALL I NO FOR ANY SITE INSPECTIONS . A RE I NSPFCT 1 ON FEE , RASFD
ON RATE,", IN TABLE 3A OF TF-IF 1994 I)N 1 FORM €30 1 I D I NG CODE Witt. RF ASSESSED IF
OWNER I CONTRACTOR FA I L.S TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS ,
r ,e
t
2 ) ALL CONSTRUCTION MUST MEED OR t XCE.FD LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRt)CT I ON
X
3 ) ALL FURNACE INSTALIATIONS xHAI_I MF17T THE MINIMUM EFFICIFNCIFS SIFT FORTI-1 IN TI-IF 1994
NON-RESIDENTIAL ENERGY CODE (NREC ) , ANY PORTION OF THE MECHAN I(.AL. SYSTEM THAT Is ALTERED
OR REPt..ACF-. f1 SHAF t MFFT TFIF MINIMUM Sl ANDARDS SET FORTI# IN THE 1 q94 NRF"C AND 1994
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 FRAMING by date by date by
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
1
`1
1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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 FRAMING by date by date by
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
F �T PERMIT NO.: MIS
E
_ i D MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W.CedarlP.O.Box 186,Shelton,VVA
427-9670 Selfai�36D�275 d467 Etma 36U 482.69—�E�O_6�464-696_8_—
CONTRACTOR INFORMATION, ng i Air C6.-tcl �J
Wail
APPLICANT INFORMATION t' YDu Contractor NameGareei-li�'
Owner M�l.k 1 I Ui-; t ry t Mailing Address 5000 0"'I I
13L2—
Mailing Address ( Gity . ,rtYr t-n,� State 1Ni1 Zip Code__ \
City P I�-rm State VVA Zip Code �$ - Ph.t; �.Y�1$ `t�--
1 other Ph.( -)
Phone( � Contractor Reg. #�
LienTritle Holder �'-� Expiration
Address -
Fire Distm,i _
PARCEL INFORMATION-12 digit lax Parcel No. I 3a�'I- �--� �- '�- ------
Legal Desciiption "�
Site Address(include street name an city Ni= 780 -� iA�r WKI
Directions to site:
Will timber be cut and sold in parcel preparation? (YeslNo)�L Saltwater'_
Is your property within 200' of the following: Body of Water (Name) _____-- Slream Slopes or
Lake River/Creek_ Pond Wetland _ Seasonal Runoff
Bluffs -- -- ---- --- ---_
Use of Building ` ` t 1 'S -
TYPE OF JOB New Add Alt x_ .Repair Other n I
Describe /rh/op/fosed construction
r
Replacement Repair_ Expansions
SHORELINE PROJECTS New p Length — Heigil.
E3ulkhead Material (concrete, rock, wood, etc.) _---.
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING CAN THE TYPE OF PERMIT -
OR
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED YS AT ANY TIME AF ER THE WORK IS COMMENCEDIF he
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF on
PROOF OF CONTINUATION OF WORK I a BY MEANS
EAN e0s of PROGRESS
asonRcotmy aPEessON. The owner Or a
to the above described tproperty and structures for review and
Information provided is accurate and grants P Y
Inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIpAUIT-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIUAVIT•I certify that I am currently registered as a
contractor in the State of'4ashington and that I am aware of the
the Contractor Registration Law RCW 18.27 and am aware of the ordinance requirements regulating the work for which this permit Is issued
ordinance requirements for whioh this permit is issued and that all work and all work shall be dowN in conformance therewith. No ch urges shall
-
will be done in conformance therewith. No changes shall be made without be made without first obtaining approval.
first obtaining approval. -��
X Date x Q�k
FOR OFFICIAL USE BEYOND THIS POINT
Date_ ._.�.,
Submittal Amount Due Receipt No.No.—Accepted by
DEPARTMENTAL_REVIEW ARPRovEo DENIfiO CCINDITION CODES
Building Department --- f Const. !�
Occ Gr Type
Planning Department ----
Environmental Health Department — --
Public Works Department
Fire Marshal __—,---- — —
Valuation ------
FEES
Site Inspection
Building Permit Fee
_�—.--
Plan Review Fee Other
-- -------r--- Other
UFC Plan Review Fee }
Pre-Paid at Submittal
Violation Fee -
" ' ' FL
TOTAL C
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