HomeMy WebLinkAboutBLD2012-00842 Final Woodstove - BLD Permit / Conditions - 12/14/2012 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 279
4 Shelton, WA 98584
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MECHANICAL PERMIT BLD2012-00842
OWNER: TIMOTHY LINCOLN RECEIVED: 11/5/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 11/5/2012
SITE ADDRESS: 1341 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 5/5/2013
PARCEL NUMBER: 223305000253
LEGAL DESCRIPTION: HAVEN LAKE TR. 253
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PERMIT MAILED IN FOR WOOD STOVE ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON BELFAIR
TAHUYA RD, R ON TAHUYA BLACKSMITH RD TO SITE ADDRESS ON THE
LEFT SIDE
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 8 Rear: Ft. Slope: Ft.Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Base Fee GMM 11/5/2012 $28.50 S120120000C
Mechanical Permit Fee GMM 11/5/2012 $73.00 S120120000C
Total $101.50
BLD2012-00842 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
BLD2012-00842
CONDITIONS FOR
BLD2012-00842
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
1-80q 6 -0�82. 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) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE MINIMUM
STA IDARSET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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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 Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permi rev 'On.
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4) All building perrAts 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 rdinances and building regulations.
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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 period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder a pr ented action from being taken. No more than one extension may be granted.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or worts 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 son County acc s to the abo"escribed p perry and structure for reviewand inspection.
OWNER OR AGENT: �.� �--`� DATE:
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BLD2012-00842 Please refer to the following pages for conditions of this permit. Page 2 of 2
o CONCRETE Gas Piping MANUFACTURED HOME
No Interior-Date By Z
0
N Footings I Setbacks Fxtem-Date By Ribbons O
0 Date By INSULATION Date By Z
N Foundation Walls BG I SLAB INSULATION Setup
Date By Dale By Dale By O
FRAMING Floors FIRE DEPARTMENT =
Date By Date By
Date By Walls DECKS
PLUMBING Date By s pale By
Groundwork Vault TANKS
Date BY Date By
Date By Attic
D.W.V
Date By OTHER
Date By DRYWALL Typo:Date By
Water Line Date BY Type:
Date By Int.Brace Wall Date By r-
MECHANICAL Date4 FINAL INSPECTION
m Fire Separation
i
Date By Date By Date 2- Z BY Al
Pass or Request Inspect. 00
Type of Insp. Fail Date Date Done By Comments N
i;
N
O
O
O
a
0
0
O
N
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PERMIT NO.F�C
MASON COUNTY
0� .. LUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
�Q Shelton (360)427-?670•Belfair(360)275-4467•Elma(360)482-5269
n the web www.co.mason.wa.us
LICANT INFORMATION CONTRACTOR INFORMATION
Owner c ormpany Name
Mailing Addres 544- uaa - Cling Address
City tate�Zip C rg li'`e 3 City State Zip Code
P h o n e> AL—'jr,- Other Ph.3 D0/ 5's L Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# B Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic. Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMAT ON- 12 Digit Parcel No Fire District ?-
Legal Description tja LILe:
Site Address(Please include street name,street number and city)
Directions to site
Is p erty within 200'of Saltwater Lake River/Creek and
Wetland Seasonal Runoff Stream Slopes or Bluffs J 15%
TYPE OF JOB - New Add-*-Alt Repair Other Use of Building • e '
Location of Fixtures/Units- 1 st Floor 4 2nd Floor Basement Gara a Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric—LPG_Natural Gas Heat Pump_ 'fir
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Proi3ane Tank
Clothes Washer gn
lets
Kithen Sinks as/Pellet StoveDishwasher Exhaust Hood
Hosebibs Dryer Vent
Other Other ^1
Base Fee Base Fee (S
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/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 thisF
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 parry in interest regarding this application or the work proposed in the application,1 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
provided is accurate WA grants employees of Mason County access to the above described property and structure for review and inspection.
PR F CO ATION OF OR IS BY MEANS OF A PROGRESS INSPECTION.
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X A Date: 4:�
O f/Owner epresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted lanning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES ^}
Building Department fi
Occ Group—Type Constr.
Planning Department
Environmental Health Department 5
FEES
Plumbing& Base Fee Site Inspection
Mechanical& Base fee UFC Plan Review Fee '
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
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