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Home My WebLink AboutBLD2003-00415 Final Backflow Preventer - BLD Permit / Conditions - 6/18/2003 Inspection Line(360)427-7262 t MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186Hw��1 i Shelton,WA 98584 e-11 k`d 3 PLUMBING PERMIT BLD2003-00415 OWNER: JOHN, THEINE RECEIVED: 4/14/2003 CONTRACTOR: LICENSE: EXP: ISSUED: SITE ADDRESS: 51 E RAINBOW DR SHELTON EXPIRES: PARCEL NUMBER: 321345000063 LEGAL DESCRIPTION: RAINBOW LAKE LOT: 63 PROJECT DESCRIPTION: DIRECTIONS TO SITE: INSTALL BACKFLOW PREVENTER NORTH ON STATE ROUTE 3. LEFT ON MASON LAKE RD. LEFT ON RAINBOW DRIVE. HOUSE IS LIGHT GRAY WITH DARK GREEN TRIM General Information Plumbing Fixtures FEES Type of Use: SF Insp.Area: OT Type Qty Type By Date Amount Receipt Type of Work: PLM Fire Dist.: 5 Backflow Devices 1 Plumbing Fee NAP d/1d/gnnz P7 nn R?dQ7 Plumbing Base Fee NAP d/1d/,?nn� 4,?n nn F9aQ7 Total $27.00 BLD2003-00415 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR t. BLD2003-00415 CONDITIONS FOR B LD2003-00415 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 1-800-647,0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contracto ,!,fo to post the address on site prior to requesting inspections. X 3) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 p revocation. X �. 4) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building InspecM II be made prior to requesting additional inspections. X - 5) 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 X Mason Co�rordinances and building regulations. 6) 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 have evented action from being taken. No more than one extension may be granted. X I I BLD2003-00415 Please referto the following pages for conditions of this permit. 2 of 3 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 continuati n of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWNER OR AGENT: ! '� �— —� DATE ( � BLD2003-00415 Please refer to the following pages for conditions of this permit. 3 of 3 W o CONCRETE MECHANICAL MANUFACTURED HOME oFootings /Setbacks Date By Ribbons o Date By Gas Piping Date By a' Foundation Walls Date B y Set-up cn 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 By Date Byp�L-- Date By CD -X o v 0 a bd y r oCn d s O C� O O � x C11 0 FORM MUST BE COMPLETED IN INK PERMIT NO.: •� PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT_ INFORMATION CONTRACTOR INFORMATION Owner jo Gt %G•a rv� Contractor Name Mailing Address S—/ E (2��r a ✓ Mailing Address City 5 he ( State L,../A Zip Code 9g"S&q City State Zip Code Phone -5 0 Other Ph. 7, �O (aFrG Ph. Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic,-',_Connect to Sewer System Name of Sewer System PARCEL INFORM ON- 12 digit Tax Parcel No. Fire District Legal Description Site Address(Please include street name,street number and city) Directions tO site _ E , L ati f>—iar��e�..-. �✓. Is your property within 200'of the following: Body of Water(Name) ��n "' L k Saltwater Lake River/Creek Pond X Wetland Seasonal Runoff Stream Slopes or Bluffs 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 Fuel Type: Electric Type of Fixture No.of Fixtures EM LPG Natural Gas Heatpump Toilets Type of Unit No.of Units Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebilps , Dryer Vent Other /�r�( (J�f I � Other Base Fee Base Fee TOTAL PLUMBING 7_() TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project. Acknowledgment of such is by signature below: [requirements NER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a tractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance for which this permit is Issued and that all work will be done in requirements regulating the work for which this permit is issued and all work formance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without roval. first obtaining approval. Date l / d X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by DateY/ b ubmittal Amount Due Receipt No. ION; O"D > : rE;;:p»..pEPA.TMEN1 ;R VY•»:»::':':: »xr ::; P ED 1~NIEU ::::.>:.::>:>:?>:::>#><:`::>:'<%+:'ri>:»:<>::: :> t7N Tl . G i~S AL A.PEtC1.. Building Department G F Occ GroupType Constr. L� t` Planning Department i Other Other ................................................................................................................................................................. Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES