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Home My WebLink AboutBLD2009-00913 Pellet Stove MFG Home Addition - BLD Permit / Conditions - 10/16/2009 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2009-00913 OWNER: LAWRENCE GODWIN RECEIVED: 10/16/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 10/16/2009 SITE ADDRESS: 62 SE ARABIAN RD SHELTON EXPIRES: 4/16/2010 PARCEL NUMBER: 319107500030 LEGAL DESCRIPTION: TR 3 OF SURVEY 7/99 TR 3 OF SP #1081 PROJECT DESCRIPTION: DIRECTIONS TO SITE: PELLET STOVE & FINAL ON BLD#122329 (MANUFACTURED HOME) BLOOMFELD TO ARABIAN RD TO ADDRESS AND BLD#13676 (ADDITION TO MH) General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: MH Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: ? Fire Dist.: 4 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g.. Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Oty. Type Oty. Type By Date Amount Receipt Pellet Stove 1 Mechanical Permit Fee TW 10/16/200 $73 00 S12009000 Mechanical Base Fee TW 10/16/200 $27.00 S120090o0 Total $100.00 l� ` BLD2009-00913 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2009-00913 CONDITIONS FOR BLD2009-00913 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 1-80 - - 9,92. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. Xrr. 2) O L t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Wa ington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in pe tion. 4) 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 f al inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Ma ordinances and building regulations. X 5) 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 p iod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit hol h evented action from being taken. No more than one extension may be granted. X 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 continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described pr nd structure fo evie d inspection. / OWNERORAGENT: �l L �� DATE: �C��G -/ BLD2009-00913 Please refer to the following pages for conditions of this permit. 2 of 2 KORM 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 On the web www.co.mason.wa.us APPLIC NT INFORMATION - CONTRACTOR INFORMATION Owner l�.Jf Company Name MalliDa Addres Mailing Address Cit Stated d Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.4 Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel N - Fire District Legal Description Site Address (Ple e include str�ut nam seec number�and city) Directions to sit �� J ✓ r—�fCl <:tl 21 arlE Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15% 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 Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPCi_ Natural Gas Heat Pump_ 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 Outlet Kithen Sinks Wood/Ga ellet O Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 1 OMVER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information proviqUd is accurate and gr nts employees of Mason County access to the above described property and structure for review and inspection. P F F CONT AT N WORK IS BY MEANS OF A PROGRESS INSPECTION. o Date: Owner/Own rs Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Ins ection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES o CONCRETE MECHANICAL MANUFACTURED HOME J o Gate B C) Footings !Setbacks (ems piping y Ribbons o Intenor Date By interior-Date By Date By Z Exterior Date By Exterior-Date B set-up r Point load J Isolated Footings INSULATION Date ay D Date By BG 1 SLAB INSULATION FIRE DEPARTMENT M Data By m Foundation Walls Floors Date By n Date By Data By DECKS M FRAMING wails Date By Date By Data By PROPANE TANKS PLUMBING vaun Date By Date By OTHER Groundwork Attic Date By Date By Type. Date By D.w.v DRYWALL Type- Date Brace Wall Date By Date By pate By FINAL INSPECTION 0 ni Water Line Fire Separation C Date By Date By Date 14,_—>-Z Z v By O co Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments m s v CD 8 a 0 0 a m O -ti,