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Home My WebLink AboutMIS99-0573 - BLD Permit / Conditions - 9/9/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar (`��\ P.O. Box 186 Shelton, Washington 98584 M 1 .3CI L- L. ^ NL= C1U PERM I Z FOR INSPF CTICN S L- 421---96r0 MIS99-0573 PARCEL :32OO651OOO21 PLATe0APL0 DIV : BLK : LOT : 21 JOB ADDRESS : 2.1 E CYPRESS PL. SHEL.TON APPLICANT : RANDI COLEMAN 360--426-5260 OWNER : RAND I COLEMAN 360--426—5260 LEGAL : OAK PARK 3 ILK; I.OT: ?I PROJECT DESCRIPTION : NATURAL GAS PIPING, GAS STOVE PROJECT LOCATION : BROCKDALE RD, OAK PARK THIRD ROAD ON LEFT, FIRST HOUSE ON LEFT r PROJECT NOTES TYPE AMOUNT BY BATE RECEIPT MCFE $ 5 .50 KS O9/09/99 51531 MOBS, $ 22 .00 KS 09/09/99 51531 WDST $ 42 .00 KS 09/09/99 51631 TOTAL : 69 .50 OWNER OR AG NT '15AT01 MIS PRY], revs 114 11112 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping — %- date b Foundation Walls date /,"— t1 `- F b 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 by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date/2_ Z . F bY�� date by I �-sa f/��f�-- �,�•Q-0.4 /��Gt/E.Q��i95�O01�i��lJ MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P17 FIM I T 00N0 1 T 1 0N,1c3 Case No . : M I S99-0573 For , RANDI COLEMAN Page : 1 1 ) PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL SITE MUST LSE 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 REOUIRES 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 O J�C flz-, 31C FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X(` 2) UMC Chapter T . In buildings of unusually tight construction , fuel burning appliances ,shall obtain combustion air from outside ( excluding cooking appliances and clothes dry'�1s l r . 3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECT(D'; IRED PEP MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x —. . 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 Finai date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by a f� FORM MUST BE COMPLETED IN INK PERMIT NOI 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 INFQRM CYt CONTRACTOR INF 13MATION Owner Contractor Name - Mailing(PAddress Z\ eT1 Mailing Address City +` DV1 State L ,- Zip Code fK`�, City State Zip Code Phone( C ) 1532L-004her Ph.0 Ph.(_ Other Ph.( Lien/TitleWder -.-:(A Contractor Reg. # Address `Lck- 1 Ca P "'A W f Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description Site Address(Plea a include street name, street number and city) 2 Y'I vl Directions to site [ 105t VVOtt &i I IP 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 1st Floor 1, 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas '( Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank _ Laundry Wsher Gas �C�ut� as Sinks Woo Gags/ eeet ove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Feea TOTAL PLUMBING 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-1 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. X ateq m X Date FOR OF IC L USE BEYOND THIS POINT Accepted by Da Aubmittal Amount Due v Receipt No6 DE'PARr.ME 11'>�'REVIEW . <. ... .APPt20VED pEIVIEt} .. GQf1IClt3IO)U:Ct)D>~5 Building Department Occ Group Type Constr. Planning Department 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 r11�r�1 7� JJli4 q ) , -xi„oo1 �ti � 1 �►hZ fir ' —4•1- APO )j n U )1 J j x