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HomeMy WebLinkAboutBLD2012-00820 Final Adding Shower - BLD Inspections - 10/29/2012 o CONCRETE MECHANICAL MANUFACTURED HOME Data By = ro Footings !Setbacks Goa Piping Ribbons o Interior Date By interior-Date By Data By Z Exterior Date By Exterior-Date set-up o Point Load I Isolated F O oMings INSULATION Date By Z BG/SLAB INSULATION Date By Data By FIRE DEPARTMENT y foundation Walls Floors Date By Date By Data By DECKS m FRAMING Wads Date By X Date By Date _ By PROPANE TANKS n PLUMBING vawt Date By m Dale By Z OTHER Groundwork Attic m IIo Type Dale By I Date By I) Data 0y O-W.v 'DRYWALL type Int.Brace Wall Date By W ti rDale BY Date By FINAL INSPECTION p wait"LineFire SeparationCD e BY Date BY Date ,Z - .�� ByT4 N W � g Pass or Request Inspect. c Type of Insp. Fail Date Da te Done By Comments co Awl 0 o F r N � O n O O. O N O u a m 3 m m CID 0 � ) d . ? £co / -1m ).� & 6 w � ± Co .. .. 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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 APPL C NT INFQ M TION r CONTRACTOR��IN� ��F""ORMATtO Own e r h £ Company Namq,dlLk '� + Mailing Address e a Mailing Address l v City State LL2&Zip Code City L State ip Cod PDh-�j�S-,�i Ot er Ph. honr Phor(eRC6- - Other Ph. _ Lien/Title Holder, ) Contractor Reg.d '61 Exp. L Lv. E mail address *' E Mail Address ! UU 0 Drivers Lic.# &JA DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION-�G�onn eptic Existing Septic Connect to Water System Name of WaterWell Water System Name of Wate m�� PARCEL INFORMATION-12 Digit Parcel No - Fire District Legal Description Site Address(Please include street name,street number and city) J Directions to site Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB- ew _Add Alt_ Repair Other P IMA 1Y ESI ENCE SEASONAL ❑ Use of Building L_ Describe Work c" No.of Bedroo _,L No.of Sa r oms uare Foot a e- 1 st or nd Floor 3rd Floor Basement Deck Covered Dec Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION- Mai Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price Replacement Unit? Yes/No Installer Name Certification No. 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 t 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 an grants employees of Mas County access to the above described property and structure for review and inspection. PROOF OF CO ATION OF YyORKA9BY NS OF A PROGRESS INSPEC71ON. x Date: /d_ /6 - 12 Owner/Owners Re resentativ ontraetor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 116 25 ZO i ?J DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing &Base Fee Planning Review Fee Mechanical&Base fee Other Wood/Gas/Pellet Stove Fee I State Fee Violation Fee Pre-Paid at Submittal Valuation$ 1 TOTAL FEES MASON COUNTY PERMIT No. IG�o��I �CxUly PLUMBING/MECHANICAL PERMIT APPLICATION 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 APPLI A T INFO MATION f CONTRACTOR INFORMATION Owner . Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFO RMA ION - Connect to New Septic Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No Fire District Legal Description Site Address(Please include street name, street number and city) 5 n Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other 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 woe of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Z Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/PelletStove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other A,7 Other Base Fee :) T i 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. XROO�ONTII�A ON OF CORK I B �OF A PROGRESS INSPECTION. p� I 1 Date: Owner/Owners Representative/Contractor (indicate which one) 15 I �v 6C FOR OFFICIAL USE BEYO FU POINT Accepted by tanning Pd Ck# Date ILAQ Bld Pd Receipt No. DEPARTMIRINTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental 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