HomeMy WebLinkAboutMIS96-0743 Final Woodstove - MIS Permit / Conditions - 10/11/1996 MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
m I _11:Z;C"' F= i— t— U� C3 ki 3 L___' " m I "I FOR INSPECTIONS CALL 427--9670
MIS96-0743 PARCFL1223297500130 PLAI DIVi BLKi LOTt
JOB ADDRESS : NE P90 RANCH OR TAHUYA
APPLICANT - BOB JOHNSON 9.75-8643
OWNLR BOB jOHNSON 275-8643
LEGAL TI 11 0f &VIVEY 4115f
PROJECT nESCRIPTION :
WOODSTOVF
PROJECT LOCATIONr
TA"IJYA—HAVEN LAKE 111). PAST BRIDGE 112 MILE TO RANCH DP . UN PIGHT . HAI. FWAY DOWN IIILt THEN
RIGHT ,
PROJECT NOTES :
TYPE AMOONT BY DATE RECEIPT]
WDST $ 32 .00 CPH 10/0c_#/9A 0911
i IC
To "(*AL t 32 .00 OWNFR 011 461- NI
MISJOIT, revs #4101192
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 Final
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 Fdate
SPECTION
date by _�( bye,� date by
t Permit No. ( /
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 .427-9670
PLEASE PRINT
#1 Owner 7'c-.4'Z.-,S c:, Phone#
Site Address , ,z ��ti L f4
City A K St k,)x Zip
Directions to Job Si a y^�A ] v V
IkA
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. 2Z 32 g - 7,�7 - DDJ 3�
Legal Description
#4 Use of building Describe work ►.tom v v D STD1�e
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
_Showers _ Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Other
_Other Gas Outlets
Wood, Gas, Pellet Stove 32.00
Permit Basic Fee 16.25
TOTAL PLUMBING $ _
Permit Basic Fee 16.25
TOTAL MECHANICAL $
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any
time after work is commenced. Proof of continuation of work is by means of a progress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be locIted
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING;DEIPART ENT. DEPARTMENT.
X OWNER _ X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: b Accepted : Date: 't
p Y
Receipt No. :C'i i ___Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY pP
A roved Denied
I
Planning:
Building:
Fire Marshal: