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A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Verify Workers' Comp Premium Status Check for Dept. of Revenue Account Name ALL SEASONS INC UBI No. 601811007 Phone No. (253) 879-9144 Status ACTIVE Address 4851 s washington License No. ALLSEI*03055 st License Type 1 CONSTRUCTION Suite/Apt. CONTRACTOR City TACOMA Effective Date 8/25/1997 State WA Expiration Date 12/17/2009 Zip 98409 Suspend Date County PIERCE Previous License EASYDC*044DO Business Type CORPORATION Next License EASYDICO23CQ Parent Associated Company License Specialty 1 i HTG/VENT/AIR CONDITIONING Specialty 2 J UNUSED o Business Owner Information e Hide All Name Role Effective Date Expiration Date AMBUR, KEN AGENT 08/25/1997 BRADSHAW, DAVID PRESIDENT 08/25/1997 https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ALLSEI*03055 12/4/2008 Permit number BLD Mechanical Permit Checklist ► Name of owner: bd'PeO "ame of Installer: B`1 Seaaon S I Y ► Fuel Type? LPG Nat Gas Electric Other ► If propane, what is the proposed size of tank(s)? ► What!T of mechaical unit will be installed?(i.e.freestanding stove,forced airfurnace,etc.) ► What is the use of the structure? (Circle one) Residential Commercial (A permit application fora commercial mechanical p sued upon satisfactory review by staff. Include a floor plan showing the location of unit(s)and layout of duct work with the permit application) Type of structure: (Circle one Site Built Home Manufactured Home Other ► What room will the mechanical unit be located? � ,0Q G ► Will the unit be located in a basement?(circle one) Yes No ► How will combustion air be supplied to the mechanical unit? (Describe, i.e.direct vent,air inlets, etc.) ► How will the the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel. (Indicate B-vent,direct vent,L vent,etc.) ► What year was the structure constructed? Was this structure part of a PUD upgrade? ► What type of controls will be installed? (i.e. thermostat, etc.)nw, ► Will the proposed mechanical unit be a heat source?(circle one) Yes No ► Additional information: Typical mechanical fees: RECEIVED Forced air furnace $ 14.80 DEC ® 4 2008 Heat pump 10.65 dELFAIk Propane tank 10.65 O!=FIC Gas Outlets 10.65 additional outlets over 5, $1.00 each Mechanical base fee 23.50 or$ 7.25 if base fee was paid on an active building or mechanical permit Freestanding unit, fireplace, pellet stove or wood stove $42.00 $4.50 state fee will not be collected on mechanical permits QL FORM MUST BE COMPLETED IN INFO 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 APPLI A INF R ATION CONTRACTOR I F ATION Owner Company Name v)c' Maili g,Qddres I t 0 Mailin Address in City 1L'V Yl tat Zip Code City ► IA toe Zip ode LAS Phone -� Other Ph. Phone '`j 4 Other Ph. Lien/Title Holder Contractor Reg. SO QW Ex . _ 0 E mail address E Mail Address e 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 District Legal Description Site Address (Pleape include reet na street nu ber arld city I OJT iy) cmis tosia VMV Old n 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 u se of Building Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPC-L-- Natural Gas_ Heat Pump_ Toilets Type of Unit No.,of ees_ Bathroom Sink Furnace �_ �!_!� Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other 1 Base Fee Base Fee _ L TOTAL PLUMBING TOTAL MECHANICAL 0V1NER/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 permd and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review.and jnWeetion. PR OF C IN TIW WORK IS Y MEANS OF A PROGRESS INSPECTION. I t\ X Date: l l Owner/Owners R presentative/Contractor (indicate which one) / FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr.- Planning Constr.- Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES