HomeMy WebLinkAboutBLD2012-00823 Final Heat Pump - BLD Inspections - 11/8/2012 00
Gas Piping m
o CONCRETE MANUFACTURED HOME
No - Interior-Date By
N Footings I Setbacks Exter"-Date By Ribbons r-
Date By
co Date By INSULATION
w Foundation Walls BG I SLAB INSULATION Set-up m
Data By Dale By
Date By m
FRAMING Floors FIRE DEPARTMENT
Date By Date By
Date 8y Walls
DECKS
PLUMBING Date By _ pate By
Groundwork Vault TANKS
Date By Date By
Data By Attic
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Date By OTHER
Date By DRYWALL Type:Date By
Water Line Date By Type;
v Date By Int. Brace Wall Date By W
N - ,MECHANICAL Date By FINAL INSPECTION °
m Fire Separation O
Date By Date By Date — N
O
Pass or Request Inspect. m
Type of Insp. Fail Date Date Done By Comments w
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O
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MASON COUNTY PERMIT N
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar•P.O. Box 186. Shelton,WA 98584
Shelton (360)427.g67)•Bel{air(360)275-4487•Elma(360) 4B2-5269
On the web t w.00.rnason.wa.Us
APPLICANT INFORMATJgN CONTRACTOR I ORMATION
Owner l -2L e ``t� Company Name 14J^AA "A^
Mailing Addr Maili Add s--����
CI State�b�Zip Code _ City St t �L_Zip Code
Phon Other Ph Phone O[ th,e�r�P � il
�
Lien/Title Holder Contractor Reg\#_ `�
E mail address E MallAd...I . nA\ Wit+
Drivers Lie.# 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 - - Fire District
Legal Description
Site Address(Please Include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream—slopes or Bluffs > 15°
TYPE OF J013- New_Add_Alt,Repair^Other Use of Building
Location of FixtureWnits- ist Floor 2nd Floor. Basement Gara a Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures EM Fuel Type:Electdc_LPG—Natural Gas—Heat Pump—
Tollets Type of Unit No.of Malts Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps I
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets t
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 submisslon 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 representatrve,or the cartracdor.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.R 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
parmi sign from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the Information
p a e tx:ettrete and grants employees of Mason County access to the above described property and structure for review and inspection.
P OOF FCONTINUATION + ORKIS MEANS OFA PROGRESS INSPECTIO
X Date:�ora51► �
Owner/Owners Represanlative/Contractor (indicate which ono)
FOR OFFICIAL USE BEY T IS POINT
Accepted Planning Pd Ck# Date Z 1 Bid Pd Recelpt No.-
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Oco Group a Constr.—
Plannin Department
Environmental Health Department
FEES
Plumbino&Base Fee Site Inspection
Mechanical &Base fee UFC Plan Review Foe
Wood/Gas/Pellet Stove Fee Other
tViolation Fee TOTAL FEES