The URL can be used to link to this page

Home My WebLink AboutBLD2004-00934 Cancelled Propane - BLD Permit / Conditions - 12/15/2004mAN . . . . o b . CD k 2 � (D 2 coco -% 7 9 m . ƒ c G � / > E # 2 22 2 nggqq _ � Q) m « mm mm � nz » a k Z -0 co Kk � � _ ] Q 0mmw 7 � $ CO) m � A � � � � � n o > � ra0 / § Z 7 0 CA) R E $ ca0 k � mc » E � � / 2zq � PZ zUm t � � Q � 0 M km . a § cmC "a CD k m -U0 co / � $ . $ % CA) .. 2 % f2 . C 0 E g w � 0 ® D / XO m C 7 m m / 2 g Z 7 » 0 r- A � m 0 z V ® z \ 77 c CO) - @ m A m .f I q _ $ « � / O z O AJ � q m m a7 $a :kk / 6\ 0g ° XC : - | k� :� ■ cnv v g 7E o cn � 22 CD C� (D � 2AA � // rAM CA v ) C) O^ ` C) Xo D X D X � X3 D X � m coCD o a W m — a � CO) 5 X— CD ;j � C) �• -, -w 1 C c' O O 'O CCD 'v c ° cn v C m O <' O 0 3 nm n o �' o• �-o n m M Cr CD - o C) c < to o .O•. j m m ' ° m � to = m CD m C co a ca . O o c) (p ° CD o m CD 'O Cc 7 (D t0 O Jr O N Q -N ' O (D =h'a C (D 0 fn CD c ca 3 j v (D �.�. `� O (n 0 S N O O 7 O O S n O S t<D O l CD O m 3 a O p m ` m =DrD m Co cQ O i O- �' f% O tS . (n O C W Q m (D �_. N m y. O _. o m O O m p = O O 3 O Co C n c S fl O m S _ (D :3 c o Q Q CD S .. CD Q mCl)0 X m fOD — — � CD 'O � '� In _�cc cn m CD (D p0 j. BCD � � W CD CD cCD op � jC yCD O O O > 7 �, Q , o O m O m m CD Q myQ 3ccn v QO mlA .gym _ C. � to = m O to O' O to m (D flj 0. cr O O m 'CL O CD p -1 p_ m fD to 7 m <° CD O 0S _mO lQ � C S ] (Q ( CD (D �nm cavm ' ay 3• 0 ° o a --CO Nam c c ° ° CD .-. 9. O 3 � W 0 OQ � v : moo y ° 0 3a Wy �' ma 0mc O o < O O C m rn O CD O ZMm °' -0CD ° 6. S Sm m Qm Q Oro y, g yo mm � vQ o:� � 3 .-. cc ? o CD 0 curio m3 me v 0 om =i Cain O C cr CD p' c- o m O :3 CD prS CLCDD aQCD (D =: Q i m :3 � m m ° m 3S m rnC, 7 A S ao o ° m 30. o-y5' c 13 m. a- Gov o .O --o CD m `G m m jmN°(�Sm � m = A (D cn n CD ° < vO D 0 XcD a Q om 'a , C 3 3m = ° 0 m r Z " D O m0 aEP o OL C� o ° � ogy - m ° �m y � a ` (D CDa 3 n co � Q m (n (D =+ 0 7 a C` OL < O m (a (n p < N eC7� = 3 w °- oCloco 0 m D 0 W ,Q m � � :3M � p ' p 0) to - Nm m ° i O Ep o0( O - 0 Ca > o yn� to 3 QOa s W= c lC ( C.+ 7� CN o = n (D O CD N Q m * DCD D (D ( ( (D "CD O c CO pS. , O a O a� m cn N CD O• a O — CD CD 7 N' .�-. vi 7 n 0' O to �, CL p CD rj 0 Q CD Cc :3 o CAC) N Qo CQ o Cr a ym -* n� � _ -„ F. c s W '0 cx a ° 0)3cD mo om 3 0 co CD 0— ° °. 7 CD — :3CD - m to Q cn ' t° O :3 Q-n CD turn O p N m =r M (SD M C fCii t7co C 0 0 — Sn -0 m C m s = `< CD O Q n y Q 7 "O cn CD tiCD cD D O y O m 'O (D N Q -„ (D n 3" a �• w m o y v D m CD l CD o 0 N Om � (-* v � 3 � °�� 3 _ 3 CD � o y Cl. Mm a °0 m' a n) co m o hc O Q CD • o 000-0 v . O < m In o Q ? to m X O ? N D W S CD .0 -� m O y -. Ca to m fo O N' CD S y N m 3 O m ca O m a w 0 tD fC cn -► O CD N m E m m 3 D :: � v �. 3 �, �. c X 3m � CD ' O � (D CAD to N Q » b . ` \ / K ° k 0) co q 10 7 � 22 co o °°2K A f f§ % cr o m 7 /\ \� = � n � �\ 0 = 72 // ƒcA \ n7q � $ q ° Z CD 0 / f \ �kcu -Er \ / 7 � �� » ƒg/ \ a • E� _f CD � 2f8 / . k /2 � 3 \ k/� a / $_ cc � C-0 � g -nk � cu � ƒ \ 0 . ' & 8 2 ƒ3 . � . g 0 _ 0 . . g o Elf : / ic § \k Ems mEE � E « ?flu / 6 3 � � J E0 8 ( 70Q. . h\ K ( w ! . 0 7ƒ a) CA) � 27 /o3 J \ t / ) a 2 f ! . � � � } W r CONCRETE o MECHANICAL MANUFACTURED HOME ` ? Footings f Setbacks Date By Ribbons Date By Gas PipinCA) g Date By Foundation Walls Date B y Set-up Date By INSULATION Date By B G / 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 By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By Date By Yo k 1 0 Q C0 G 1 8 w d a O s O N O � W 1 V r 0 se _ FORM MUST BE COMPLETED IN INK �j7�o�j PLEASE PRESS HARD PERMIT NOt-")— --�i ' i MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 Shelton(360►427-967a0 Beellf ioj360j17N67'Elma(J60j482-5269 [Add PLICANT INFORMATION CONTRACTOR INFORMATION nerzeA�{��e L �;/�ifi d j�,f/ Contractor Name iling Address.00 vk ,� y/J��,�y„i State wA Zip Code Z C{Ihng Address one(�6�a )� ` Other Ph. � y S �'p Code n/Title Holder c c�;,,,,��y ,� �7, `r`�'3 Ph.�—) Other Ph ress Contractor Reg. # Expiration SEPTIC INFORMATION-Connect to Ne�rSe.Dt' g p Connect to Sewer System Name of Sewer System l _Existin Septic PARCEL INFORMATION- 12 digit Tax Parcel No./,zZ / / Legal Description $ —,C /4 7-Aviv a� <!'iVcr / ��O QOQ Fire District S Slits Address(Please Include street name,street number and city) Directions to site /S' ��yQ �� I��y '� iq� %rfi w� /'�'ic« �t'O��iC/ /%/'��JIs your property within 200'of the following: Body of Water Name Lake River/CreekPond—(Name) �� Saltwater Wetland Seasonal Runoff Slopes or BluffsStream [=L%ocation B New Add Alt Repair Other Use of Building xtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) [Dryer ANICAL UNITS Fuel T Type of Fixture No.o Type: Electric Toilets Fees Natural Gas Heatpump Bathroom Sink f nit No.of Una es Bath Tubs e Showers mps Water Heater ent Fan Clothes Washer e Tank Kitchen Sinks utlets — CFO, Dishwasher Gas/Pellet Stove Hosebibs Exhaust Hood Other ent Base Fee TOTAL PLUMBING Base Fee 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-I 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--��/�C�7/ Date t� D y X 11111 Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. # ::: :::.:.:Buildin D rtm ..:::.::;:::<:::>:;en EL# f�tth Occ Grou D Type Constr. Planning Department Other Other Per ::::.:::.::::...:.;;;:.;::.;:.:.:.:.;;;:.;;:<.;;:.:::::a:.:>::>::;::.;;:::<::::::>:::<:::>:«::<:»:::::::<:::::>s::::»::>::::>::>:><;:;;:><::::»::»>::::>::> Fee :.:.:.;.;.;.:.:.:.:.;::>:<:::::::>:::«>:::::;::>::::::::>::::>::: Site Inspection i 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 ( ) FORM MUST BE COMPLETED IN INK /�,` PLEASE PRESS HARD PERMIT NO.: /- '[_[ J MASON COUNTY PLUMBING/MECHANICAL PERWWMIT APPLICATION Shelton(360)427C9670 gel Of iox36010S 446�'Elma(860j482-52ti9 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner�,44/V,rl_'-L C �/�may, L jl?��f/ Contractor Name Mailing Addressz -, Mailing Address City.O�<.s� State e vA Zip Code L City zS Zip Code Phonetm_d )2_r7d? 6Other Ph 3,13 Ph.( Other Ph.(_� Lienrritle Holder_c Contractor Reg.# Address Expiration SEPTIC INFORMATION-Connect to New�Sept*Existing Septic Connect to Sewer System Name of Sewer System //lL// PARCEL INFORMATION- 12 digit Tax Parcel No.42 Fire District S Legal Description S '.� �47'lAGN� Site Address(Please include street name,street number and city) /!05� S%Q yAV ? j r,��.,j: 7? ,y �-4 Directions to site /S' /vjc..« Is your property within 200'of the following:Body of Water(Name) /t�� Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs /�! • �'' � �"� ®U Ate' �Ud /cd C� Tif?!'„ < . TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Tyne of Fixture No.of Fixtures Fees LPG � Natural Gas Heatpump Toilets Ty a of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs lHeatpumps Showers Spot Vent Fan Water Heater Propane Tank /po0 S/14-1 Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee 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-I 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. Date 4 y / X � Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due- Receipt No. �u�f:::..:::.: VEiI!.......k�ENlli�:.:.;::;::;:::»>:»><:»>:::>:::<::>::>:><>::>;::>:»:::::>::>�:pAtl •.ff :CbCIE�:»:::<::::<::::>:::::::::::::::::>:::::::::<:::::::»::>�::::>::::>::>: Building Department Occ Group Type Constr. Planning Department Other Other 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