HomeMy WebLinkAboutMIS98-00027 Final Wood Stove - MIS Permit / Conditions - 1/26/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar �� �
P.O. Box 186 Shelton, Washington 98584
M i S C: E L. L. IA N F C71.J d3 P E R M I T F014 1 NSPECT I ON y CALL 427-9670
M I S98---0027 PARCEL r 32 1 34500002 1 Pt.tkT :RAPt 0 D I V c ELK : I OT :
JOB ADDRESS : 130 E FVER43REEN DR SHELTON
APPLICANT , JOHN KUY7FRS 4 'T-9436
OWNER ; JOHN A K1=YZERS 427--9438
LFGAL • RAINBOW IAKF III 21
PROJECT DESCRIPTION :
!NST I,t WOOD STOwE
PROJF::•T LOCATION :
RAINBOW LAKE . IT 'S AN 11--0--L.--Y YEl t OW HOUSE ON RIGHT NAND SIDE .
PROJECT NOTES .,,
TYPE AMOUNT BY MATE RECEIPT
WDST 1A 34 ,00 NJ P 01 1 16/98 1626R
TOTAL : 34 .00 ''---6WNE R 014 � DA f F
.::�_�.�.�::���,:�•-,��.�—..,�--:ter:_-��:.<_-.-:�.:
N I S_PANT, rev: 94111 M COMPL I ANCE TO ATI ACHED CONDITION:, IS
RFOU I Rr D
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 Attic OTHER
Groundwork date b
date b y
D.W.V. WALLBOARD NAILING
date by date by (_
Water Line FINAL INSPECTION DK
date by date t_G 6 5'j by date by
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MASON COUNTY
'-� Mason County Bldg. III 426 W. Cedar
R0, Box 186 Shelton, Washington 98584
P E= R M E -r to co N U E -V 1 C, EV E
Case No . : MIS98 0027
Fort JOHN A KEYZERS
Paget i
1 ; PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305{C ) AND SECTION S13 , ALE S1TVS MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 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
RE1NSPECTION FIE , RASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BF
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
2 ► ALL CONSTRUCTION MUST MEET OR EXCEED ALE_ LOCAL CODES AND LIBC
REQUIREMENTS
X ,
3 ) CONSTRUCT 1 ,.)N PROCESS TO BE FIELD CORRFCTFD AS -AF-OVIACt, PER MASON COUNTY BU i I D I Nil '
DEPARTMENT AND UNIFORM BUILDING CODE .k.__.._
'r
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner d Phone#
Site Address E_ 13D b V6--k 6o ►_15✓ W. k-
City , l 2 V1 St Zip
Directions to JobSite
- - �- V-
r , uelinlo janilseok-
Owner Mailing Address S iC O
City St V Ip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. l - -
Legal Description
#4 Use of building I Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.45 each) Fee Mechanical Fixtures ($7.00 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
_Showers _ Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Other
_Other _ Gas Outlets
Wood, as, Pellet Stove 34.00
Permit Basic Fee 17.25
TOTAL PLUMBING $ _
Permit Basic Fee 17.25
TOTAL MECHANICAL $
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any
time after work is commenced. Proof of continuation of work is by means of a progress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to ated
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALLBE MADE WITHOUT FIRSTOBTAININGAPPR LFROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILQlNG PEPARTMENT. DEPARTMENT.
J®, GL
X OWNER ? X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by: ''Y'C Date:'
Receipt No. clef rred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY
Approved Denied
Planning:
Building:
Fire Marshal: