HomeMy WebLinkAboutBLD2004-00039 Final Gas Stove - BLD Permit / Conditions - 1/22/2004 (2) 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 BLD2004-00039
OWNER: OTTO, FIELD RECEIVED: 1/15/2004
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA*98400 EXP: 9/20l2004 ISSUED: 1/15/2004
SITE ADDRESS: 90 E CRANBERRY CREEK RD SHELTON EXPIRES: 7/15/2004
PARCEL NUMBER: 321362403080
LEGAL DESCRIPTION: TR 8 OF SE NW PCL 2 OF BLA#98-22#663109
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GAS STOVE STATE ROUTE 3, TURN LEFT ON CRANBERRY CREEK RD. 3RD PLACE
ON RIGHT
General Information Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Type of Use: SF Insp.Area:Type of Work: MEC Fire Dist.: 5 Propane Stove 1 Mechanical Fee KS 1/15/2004 $52.30 S12004
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Total $52.30
BLD2004-00039 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2004-00039
4
CONDITIONS FOR
B LD2004-00039
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.
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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
contractor fail to post the address on site prior to requesting inspections.
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3) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE 1994 WASHINGTON STATE ENERGY CODE
(WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE MINIMUM STANDARDS SET
FORTH IN THE 1994 WSEC AND 1997 UNIFORM MECHANICAL CODE. X
4) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers)shall obtain combustion
air from outside in accordance with the Uniform Mechanical Code.
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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
Mason County ordinances 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 prevented action from being taken. No more than one extension may be granted.
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BLD2004-00039 Please referto the following pages for conditions of this permit. 2 of 3
This permit becomes null and void if work or constructio authorized i commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is
,commenced. Evidence of co ork is a r ssin within the 180 day period. Final inspection must be approved before building can be occupied.
OWN ER OR AGENT: DATE:
BLD2004-00039 Please referto the following pages for conditions of this permit. 3 of 3
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o CONCRETE MECHANICAL MANUFACTURED HOME
� Footings / Setbacks Date B y Ribbons
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o Date By Gas Piping Date By
m Foundation Walls Date B y Set-up
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 /-2-2 _ By
Date By Date By
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FORM MUST BE COMPLETED IN INK � 0(,'
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PLEASE PRESS HARD MASON COUNTY PERMIT NO.:
PLUMBING/MECHANICAL PERMIT APPLICATION oa-)3l
426 W.Cedar/P.O.Box 186 Shelton WA 98584
Shelton(360)427-9670 Belfair(360)�75-4467'Elma(360)482-5269
APPLICANT INFO TJIO CONTRACTOR IN FOR I
Owner I P 7 c il4 Contractor Name v- ; A.,a 9 Vku-+-�4- �-
Mailin ddre s r� [� Mailing Address
City State Zip Code(��-`�"`�`- City Stateu�_ Zip Cc
Phone - ter Ph.(.�(oD )fqO-A2S5 Ph.4ba ) t T� Other Ph.� r
Lien/Title Holder �(� Contractor Reg. # pJ.A0._y:�A��:.`1; F S
Address D r Expirations/3.,p /
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel N0.5 0 O Fire District _
Legal Description W y2- 5C4 of
Site Address (Please include street name,street number and city) j E //'
Directions to site / O/L
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Is your property within 200'of the following: Body of Water (Name) /f Z Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB New I, ' 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 Fees LPG Y Natural Gas Heatpump
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
Kitchen Sinks Wood/Gas)Pellet Stove I Jra'3y
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL 52.30
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:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor 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
requirements 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
conformance therewith. No c anges shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
appro al. first obtaining approval.
X C✓ Date v /46 X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROV DENIED o(1iRiTION'CODES
Building Department
Occ Group 3 Type Constr. PgXS mo cry F -J Ste'
Planning Department
artment
Other
Other
FEES
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 cjz-