Loading...
HomeMy WebLinkAboutBLD2004-00514 Final Propane - BLD Permit / Conditions - 6/9/2004 \ / 7 . > § § � - e & } / \ f 2 \ � Kx � � \ \ / § { / + [ / M - o ° \ \ / \ 9k % \ / 2 2 ^ ± n _ $ \ o \ \ \ \ § \ / \ i } \ \ � R \ � \ } ^ % M � } c � 2 © 7 0 � 7 \ \ _ \ % / ° + > ® ^ o PO \ � n - > � 63 z f $ 2 § _ < \ � < \ Zo C ) \ \ ) \ w I - - - § - - - \ ` ¥ \ / I y g % \ ° - \ § - _ .. .. 9 § k \\ W N _ O O A 0o Xo D Xi mD X Xy F. � X (p ? D X0 s mE X - 00 ( N . dOO(O O D cd ° D O G OO m o o O pnm O o_ O < N C 0y Cn o XCD JQ , ° 0 3 cD O O CD m ^ m m wD D (D ° D ° o _ N m 0oci ° n° W (0d O m 3 oyo m�cm n o 0 y 3 3 ° O° w x o om mo (D a 0 0 CD IDm � � c o (D o 3 J — o �' c d o a J m 0 o- (O J (D OD (DW m (U N. a J � a 3 O 3 (D fn N C (O n CDN n m (n �. 00 J 'O O o OJ Ca (D c N 0 J N o (n m O N Ol a OJ m J p`< d O OID N J tyi( O o CD (^pD N 4l O0D Nc 3 nJ 0 0 0 N N m ° J Im O y a 0 o N^� 0,O m OJ O 3 (D O (D O N oN O (D NO3 N N m (D (D J (7 0 o m o ° 0 czn 3 I7 W �n naao ? f � -i a' 0 x m ° m 0 m m a (D a A Z A m o o 3o.� m (D � �' o- m � 3 � - c � � g aT ao 0o QCW a ° X O (O 'O CD 0 OJ (D J _. O y J y a y O J < O N E (p m (m D I N - o f m O `G O ° J K O �. - O �. pSj �' (D - - (D c J (D J -' N O O m J (D O J 0 in O J (D m j O (D 3 (D J D ° m O (D W N 0 ID m O S. o- D O D c y o m ° E.� 3 m � J _ nm m m m �< m o m a r — 0 m0 (0D0 °i3 0m (000 c N y N x 3 m m 3 ° c mm D o y �. 0 c n o n m _ o ° < N O J ° N N C O (D a Q'O J' O l a OJ a'°O m (D m 4 N J o o 0 o- v n N a o 0 0 C. (D J fU (O N J n •m< `G ° n. m O (D aw No- o 0 oO NmO N J O O O (D m 1 O Sm oZj c 3 0 03 .?. 3 (D N CD 0 (J mO ^ o3 y (D ^ N O ? o m e o o m o C) x 0 0 J 0 0- o m 3(D D) J O O n O J (O m c J N N y (D �. W '3p -I (D a o n O a 4i. in D- O m m DI (D N y J 3 `G J O m D N m (D �_ 3 D 0 c c m a 3 — c m o_ ? Jn 0 o s (D m < W O Ei F a Z 3 ii N Q 3 a O .Z1 00 o' O A o a £3 } O m 3 a O D m m g j O Q y A m O Z o m y o E a o o — m m 8 a N � C p a 0 n O O C O � F D C f O O 0 O O (� N 10 Na y N 7 (D N N � o m N O �O tOi N U O 0 N N f O 8 m1 3 m o d o m Q N E N a � = a8 � o 0 d 0 0 - � � o ti 0O N O o < d F [D EL a O d Q N Q C y N C � � O � � N O N Q N � C d O O O � 3 � N t� � � N N � O 3 m o N � O O D d 3 � N N � N8 � o „ � O � 3 0 n� ry m N � b o °i o is O N c r O o CONCRETE MECHANICAL MANUFACTURED HOME A Footings / Setbacks Date By Ribbons 6 0 Date By Gas Piping Date By A Foundation Walls Date By Set-up Date By INSULATION Date By BG / 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 6 y B y d Date By Date By a 0 v CA 0 0 to o C" 0 N ' O z 3_ v 0 FORM MUST BE COMPLETED IN INK i PLEASE PRESS HARD MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Shelton(360)427-9670/Beellf ir(360)§7x 186 5�67'Elme 360)482-6269 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner L 1 N L.L 1 i Contractor Name MailingAddress 1 70 NaaL Et CI EEK Mailing Address City L i i2 State r Zip Code �S`1 Jr City State_ Zip Code Phone(310 o ) ,1 - Tf�ther Ph.(� Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration / / SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System_Name of Sewer System 3,R O 000E- F[Directions FORMATION- 12 digit Tax Parcel NowwEF— / / Fire District ription SRN (; Tfi E CS Hhm r t•2r w) lR,11 S Tt2 -?'{ (� c_i - I of 5Y'++9� ss(Please Include street name,street number and city) / 70 AJ L D f✓2 E j< ' o site F(:6M H'lW'}YC��& 7 ATIt nF Y To t n loin) ofcit@ TFw �ON .t` ZP O ?LEEK A-NF. h-c co ,r* ! 70erty within 200'of the following: Body of Water(Name) Saltwater Lake River/Creek X Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 1 TYPE OF JOB Newer Add_Alt_Repair_ OtherUse of Building ) J Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet FBath BING FIXTURES (Show Number of each) MECHANJCAL UNITS Fuel Type: Electric of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump s Type of Unit No.of Units Fees oom Sink Furnace Tubs Heatpumps ers Spot Vent Fan Heater Propane Tank �— Clothes Washer Gas Outlets j j� (r? 3 Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Oth �— Base Fee Base Fee TOTAL PLUMBINGX 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-1 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 Date T —lc—of X Date FOR OFFICIAL USE BEYOND THIS POINT , Accepted by ' Date [ Submittal Amount Due)25 ��� Receipt N 0EPARTMEN'7AL APPROVED DENIED CONDITION CODES Building Department l) Occ Group Type Constr. Planning Department Other Other Ll —/5—(l PEESt 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