HomeMy WebLinkAboutBLD2008-01286 Final Pellet Stove - BLD Permit / Conditions - 10/17/2008 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 186
Shelton, WA 98584
MECHANICAL PERMIT BLD2008-01286
OWNER: JACI, KIMMEL RECEIVED: 10/16/2008
CONTRACTOR: LICENSE: EXP: ISSUED: 10/16/2008
SITE ADDRESS: 20 NE NORTH SHORE PL TAHUYA EXPIRES: 4/16/2009
PARCEL NUMBER: 223315000057
LEGAL DESCRIPTION: COLLINS LAKE#1 TR 57
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PELLETT STOVE BELFAIR TAHUYA RIGHT ON COLLINS LAKE DR FOLLOW RD TO THE
RIGHT UNTIL NORTH SHORE PL TAKE RIGHT HOUSE ON THE FIRST
RIGHT HOUSE"FROTHY" GREEN
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.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Pellet Stove 1 Mechanical Fee TW 10/16/200 $68.00 B120080000
Mechanical Base Fee TW 10/16/200 $26.60 B120080000
Total $94.60
BLD2008-01286 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2008-01286
CONDITIONS FOR
BLD2008-01286
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
X 80�7-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Owner/Age t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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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
permit revoca .on.
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4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
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5) 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 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 Count rdinances and building regulations.
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6) 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 ha r nted action from being taken. No more than one extension may be granted.
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BLD2008-01286 Please referto the following pages for conditions of this permit. 2 of 3
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 property and structure for revie d inspection.
OWN ER OR AGEN T,i
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o CONCRETE Gas PipingMANUFACTURED HOME
p Interbr-Date By
C) Footings I Setbacks Ribbons
ExierKx-Oate By m
o Date BY INSULATION Date By !—
rn Foundation Walls BG/SLAB INSULATION Set-up D
Date By Date By Date By 0
FRAMING Floors FIRE DEPARTMENT
Da to By Date By
Date By Walls
PLUMBING Date By DECKS
Date By
Groundwork Vault TANKS
[)ale By
Date By Date By
Attic
D.W.V Date By OTHER
Date By DRYWALL Type:
Da to By
Water Line Date BY Type:
Dale By Int. Brace Wall pate By
v By
MECHANICAL °ate FINAL INSPECTION
Fire Seperation O
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a Pass or Request Inspect.
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FORM MUST BE COMPLETED IN INK PERMIT N
PLEASE PRESS HARD MASON COUNTY r
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
APPLICANT INF-
ORMATION CONTRACTOR INFORMATION
Owner Company Name f
r �- Mailing Mailin Address9 Address
State Zip Code
City tate��Zip Code City p
Phone 5-0- 7.S- $&l ther 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 No Fire trict
Legal Description r" _ + '� C
Site Address (Please include street name, street number and city) ' ✓! he
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15%
TYPE OF JOB - New_Z Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1 st Floor—j� 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric— LPG 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 Out
Kithen Sinks Wood/ s/PelletSt e--T —
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICA
OVNVER/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 obed
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represerdDhat M infolMation
provided is accurate and grants employees of Mason County access to the above described property and structure for review WA inslvior&
PROD OF CONTIN TION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. 7 C
X Date: -�l/- D
owner/ Hers Representative/Contractor (indicate which one) 0 r 1.
FOR OFFICIAL USE BEYOND THIS POINT � 45 "'°
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
Plumbina & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES