HomeMy WebLinkAboutMIS99-00463 Final Furnace - MIS Permit / Conditions - 8/17/1999 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Ali I S C IF L- 1- A N V— C-3 kJ <3 P F--_' F1 M I -I- FOR INSPECTIONS CALL 427-9670
MIS99---0463 PARCEL %321364200010 PLAT : DIV : BLK : LOT :
JOB ADDRESS : 40 E GOSSER RD SHELTON
APPLI CANT i MERLE BLANKENSHIP 360-427-1105
OWNER : MERLE BLANKENSHIP 360-427- 7105
LEGAL s 41 SE I Or 1111 11 111 ti-12
PROJECT DESCRIPTION :
GAS FURNACE, GAS LOG SET, EAC
PROJECT LOCATION :
HWY 3 EAST TO AGATE RD, TURN RIGHT . Fms-r HOUSE ON GOSSER RD .
PROJECT NOTESt
TYPE AMOUNT BY DATE , RECEIPT
MCFE $ 37 .75 KS 08/04199 51113
MCBS $ 22 .00 KS 08104/99 51113
ITOTAL : 59 ,75 OWmrR OR AGENT'--- DIA T El
VIS F917, rev; 04111192 COMPLIANCE TO ATTACHED CONDITIONS IS
_REQUIRED Z S-3
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CONCRETE MECHANICAL MOBILE HOME I
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date 8,-' '/� 7 Set UP
date by INSULATION date by
BG/SLAB Insulation Roors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by I
lo PLUMBING OTHER
Groundwork Attic
d date by
ate
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date &% 7 g j by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM 1 "T C. 0 N D 1 T 1 C:titVS
Casa No . s MI S99-0463
Fors MERLE BLANKENSHIP
Page : i
t PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKED WITH 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 REINSPECTION FEE , BASED
ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE: WILL BE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
i
2 UMC Cbapd.er 7 . In buildings of unusually tight construction, fuel burning appliances
I shall obtain combustion air from outside (excluding cooking appliances and clothes
dryers ) .
3 ) Ins�allation of heating equipment In single family residences shall meet the
requirement of they 1991 WSEC . The furnace to be Installed sha I I not exceed 150% of the
heating design load or prescriptive requirements of Chapter 9 . Furnace efficiency
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
sha i t be . 78 AFUE or higher . Ducts shaa i i be taped, ;aesa 1 ed and mechanically fastened
w i tty a m i ra i aau;m of 3 fasteners per joint . Duets sha l f be insulated to R--8 ,,
jJlr 1 '�
J
4� CONSTRUCTION PROCESS 'CD BE FIELD CORRECTED AS REAU,,4,Ri=0, PEp MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE ,x_
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PERMIT NO.:
MASON COUNTY
j 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 6h LO Contractor Name .+ya!4 4 ,t, moo.
Mailing Address, t Mailing Address ✓ .
City State u1n Zip Code 1Fr,7z1 City State, rig Zip Code
Phone( �taq -7/D Other Ph.( Ph.( "en ) Other Ph.(._J1,oD )
Lien/Title Holder Contractor Reg. #
Address ,,jkjb , d-*9 /llX Expiration / ,UDO
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. /3 / -iKA- / 00/O Fire District
Legal Description GlJ � 0 4 /1 y Iki
Site Address(Please include street naryfe, street number and city) 4D E f o <r
Directions to site "JAke Aar-- Jd. A, -lain lerl on oss r kd.
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1 st 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 ' " f'urra�f Gas Heatpump
Toilets Type of nit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets 55�
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other I?,
Base Fee Base Fee
TOTAL PLUMBING I 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:
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 changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
)( Date X Date 8 9
r FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Datw --[f Submittal Amount Due / _Receipt No. f/�
OEPART,fVIEN1 #i1vViEYlf RP Iti]tit p ... ClENIE#3. CONDITION GURES ....:,
Building Department
Occ Group Type Constr.
Planning Department
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