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HomeMy WebLinkAboutBLD2000-01572 Cancelled Propane - BLD Permit / Conditions - 12/28/2000 i FORM MUST BE COMPLETED IN INK PERMIT NO.:pj_ PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton(360)427-9670 Belfair(360)275-"67 Elma 360 482-5269 Seattle 206 464-6968 APPLICPMIT INFORMATION CONTRACTOR INFORMATION Owner VaNllfU a Contractor Name Q Mailin Addre s Y` Mailing p�ddres City GL tat Zip Cod City CAI C._. State Zip Code Phone Other Ph.(�(G� ) - Ph. Other Ph.L_ Lien/Title Holder Contractor Rey. # L LLL- Address Expiration Dv2/ I /DI SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATIO -12 digit Tax Parcel Np._ 'Z( / / )COFire District S Description I 2— Legal /V Site Address(Pleasip include s reet name, street number city) v Directions to site 0 0 • Z Jon — • ► — Li m rre•-i Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 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) MECHA_WAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG v/ Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank D Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other 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-1 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 appr I. 1 �Tfi�lr$tObDtaining approval.)( D to / Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. #?�!ROFF.1wt�.::::::.DENi�d::::::..:.:......................................fi�3 Building Departme /� Occ Grout) T e Corystr. 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 L.TOTAL FEES LICENSE DETAIL INFORMATION Form Page 1 of 1 STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia,WA 98504-4000 THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION Current Filter: None Registration#or License AMERIPL055LL Name AMERIGAS PROPANE L P Address 4240 ROCKLIN RD STE 6 Address City ROCKLI N State CA Zip 95677 Phone Number 9166304270 Effective Date 6/13/95 Expiration Date 7/1/01 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity PARTNERSHIP Specialty Code GENERAL Other Specialties UBI Number 601619800 * * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * * *VIEW CONTRACTOR BOND/SAVINGS INFORMATION * * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * * * VIEW CONTRACTOR INSURANCE INFORMATION New inquiry by CITY,NAME,PRINCIPAL OWNER NAME,NUMBER,UBI NUMBER or return to the L&I Construction.Compliance Home Page http://www.Ini.wa.gov/contractors/TF2Forrn.asp?License=AMERIPLO55LL 12/27/00 G b� n � ' 4 F�FY f , IA Cis r'� � /oL - GO G�/Z�sV Vic--vJ Ln./ w' p O o 0 m D n G) -% °, m D CYS � � o m X C—) N W 3 D Co mn O r o X � 0 r- > mm G) - Coo ° O 0mco0m � � T � c z � cnXX ( o O m ( m � c M " G) D =3 n� om co ` Q doom z oo CYI � � m 0 w C Z z o H X z � O `° _ m ° CD — m CD 3 CD C7 0) y n CD — 0 z c n � � s n w — m Z x -4 ° m y Oicz o D �° Z z - o �, A ;UAz n M m z Z 70 m a z d : -� o o -I aL m O C � .�► ao -n ftl x VV „ 0- ao m Cm `y'L mm � G�,© N N to z zee, < Kc3 m o d H zr = — D 0 8 G) m � Div m 00 W O 1 N r -' O GM = CD v v �r1 � m W 0 COco co N N N IWO m O C N N i 1 v (A �i �wi l C , 111 C) O o � m �� X < � X � XXcm ...X? c mCD D m > > > CA M nuc = CDo m10 -4 6 � N 3cni � °' cnCCD a-`n � -aCD w CD w CD 3 5.mo ,O-. cn CD CD CD O m N CD m y, y m o cn % m - N m �-' nN =rcr o co CD CD CD 0 oCD _, 0 o - n� 0 .. 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WALLBOARD NAILING date by date by Water Line FINAL INSPECTION e by I date by Jdate by r= l e t✓6--1 L�_ !L V Q I i I Building Permit # MASON COUNTY • BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 7'70 rxCR-A J ► CJ I-n This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Jjre_s._3 ems Listed below must be corrected togain code compliance �. ?QS+ - a m T d r i U e_ idk=Y z etc..r- k f b k You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ This is not a complete inspection Department Date d Inspector L DO NOT REMOVE THIS TAG