HomeMy WebLinkAboutBLD27257 and 27256 Natural Gas Line - BLD Application - 12/14/1990 000(-Q3
Shorelines:
Setback: PIL.,bim:
Special Mechanics
Conditions: Interior:
FINAL:
Mobile
Smoke Detector:
Setback r Remarks:
Formation
Walls:
Framing:
Fireplace:
Wood Stove:
TypE NATURAL GAS LINES
Permit No. 27257
Owner M R _ No. Floors
Address T PH N A Tel— Sq Ftg
Contractor �Date�—
Address — n zip— D
Legal Description --
DilreCtion to 1P
Projec site
o ary
t
& RofT�j—
w ing Mec anica
Fireplace Deck Sewer___ —
Basementarage Love
ft — Other — rport
— — L
f
I
R
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /_7_—l4—cl
427-9670 DATE ISSUED
PERMIT NO.
STATE ZIP PHONE
CITY
NAME MAILADDRESS -5 a
OWNER /1 'Re In
DIRECTIONS �Q�
TO JOB SITE l Yi �LJ
�1 4
LEGAL R O 0 2 " A0�301 60 L
DESCR. ! //�C
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP
PHONE
CONTRACTOR
USE OF
BUILDING AJA F l4 14L CAS LAVES 10'F0 &D�-' f-op- T
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
FLOOR/SUSPENDED FURNACE 6 00
BASINS
BOILER/COMPRESSOR 6.00
BATH TUBS 6.00
SHOWERS REPAIR I ALTERATION
REFRIGERATION COMPRESSOR SYSTEM 6•00
WATER HEATERS
7.50
AUTO.WASHER _
AIR HANDLING UNITS
SINKS HEAT-PUMPS 6 00
FLOOR DRAINS JEACH GAS PIPING SYS.2.00 PER OUTLET Q
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS
WOOD STOVES S.00
WOOD FURNACE 5.00
CONNECT TO CITY SEWER _
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL
TOTAL
SPECIAL CONDITIONS: 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.
OWNERS FIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTR TOR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY T INANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK D E WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WIOTHOUTRK OFIRST OBTAINING APPROVAL FROM THENE WILL BE IN CONFORMANCE EBUIILDING DEPARTMENT.TH. NO CHANGES
BE MADE
W HOU FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER
DATE X BY DATE
FOR OFFICE USE ONLY
ILDINGGRO P PP VED ISSUANCE PERMIT VALIDATION
APPLICATION ACCEPTED BY PLANS CHECK BY B CASH CK MO
/C)33a 50 - 0-06LQ3
Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
oot ing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE NATURAL GAS LINES
Permit No. 27256 No. Floors Sq Ftg
Owner MORAN, STEPHEN A. Tel 275-5218 Date 12-14-90
Address 22691 Hwy 3 Belfair Zip
Contractor none
, Address 1p
Legal Description I lie I er Home & Garden Tr A & B of Tr 26
Direction to' roject. site Hwy inBe] air t o. of
grade school p between Bel air Rental & L & L Auto SOund
Plumbing Mechanical XX Sewer Wood Stove
Fireplace"— Deck image —port
Basement —`Loft Other
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
_OWO.O- BOX 186 SHELTON, WASHINGTON 98584
�J 427-9670 DATE ISSUED
PERMIT NO.
ME AILADDRESS CIY&STATE ZIP � PHONE
OWNER hen A_
'JS(�
DIRECTIONS rn �J`�-/�� j �4
TO JOB SITE
'66 17
LEGAL i a
DESCR. r
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF BUILDING 02
I t/ 1
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR I SUSPENDED FURNACE 6.00
BATH TUBS BOILER I COMPRESSOR 6.00
SHOWERS REPAIR I ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT•PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEEj
00 PERMIT BASIC FEE 10.00
TOTAL TOTAL (I nol
SPECIAL CONDITIONS: 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.
OWNER AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONT ACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY O DINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DO E WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHO T RST BTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER 14A DATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY l'n
GRO P PP VED FOR ISSUANCE PERMIT VALIDATION
(' ( r 1.I1Z N CASH CK MO
.ems.,