HomeMy WebLinkAboutBLD2009-00371 Final Water Heater - BLD Permit / Conditions - 5/21/2009 i
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From: 05/13/2009 11:38 #518 P.002/002
03/13/2009 08:33 FAX 360 427 7798 MASON CO PERMIT CTR IM002 ,
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v CONCRETE MECHANICAL MANUFACTURED HOME
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Date
0 Footings I Setbacks Go aPiping By Ribbons m
0 Interior Date By Interior-Date By Date By (V
v Exterior Dabs By Exterior-Date By Sat-up
Point Laad I Isolated Footings INSULATION Date By
BG 1 SLAB INSULATION _
Date By Data By FIRE DEPARTMENT
Foundation Wails Floors Date By
Date By Date By DECKS
FRAMING Waits Date By
Date By Date By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Date By Type.
Data By ...., _., Date By
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Int.Brace Wail Date By (A
Date By Date By FINAL INSPECTION p
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PERMIT NO. L��v`-'
MASON COUNTY 442279
PLUMBING/MECHANICAL PERMIT APPLICATION OCD
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 INFORMATION CONTRACTOR INFORMATION
OwnerGAMEZ ARTHUR Company Name FAST WATER HEATER COMPANY
Mailing Address 2151 BEAR CREEK DEWAT Mailing Address 12601 132ND AVE NE
CityBELFAIR State \NA—Zip Code 98528 CityKIRKLAND State Wi Zip Code 98034
Phoned ) 425-636-7054
360 275-4218 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.#FA1J- \N1i9ABR( Exp.1Ld/1 fl
E mail address E Mail Address carolrafastwaterheater com
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 123053400000 Fire District
Legal Description Remove/Replace Electric Water Heater LAUNDRY ROOM
Site Address(Please include street name, street number and city) 2151 BEAR CREEK D WATBELFAIR
Directions to site
is property within 200' of Saltwater Lake River.Creels _`--
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB-New Add Alt Repair Other Replace Use 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—LPG—Natural Gas_Heat Pump._
Toilets Type of Unit No, of Units Fees
Bathroom Sink Furnace
Bath Heat um s
Showers s Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
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 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 permit 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 inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X r1. nate------5/6/09 _.xAQxffl CtK�CRPMxx*g9Qe/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted b�Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group T e Constr.
Planning Department
`<nvironmental 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 �O
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