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�� �i• MASON COUNTY PERMIT NO.C1 C r
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
rs5� PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: r` �4'%�%�.J �/��/ S! NAME:W�t.�� '.vv,ICMe
MAILING ADDRESS: 2/� MAILING ADDRESS: /SFr�`',Ps,P,
CITY:,� ,ic,?� STATE: z e_1XZIP: CI I Y:1J4dt4 jq0 STATE: /� ZIP: r'-'
PHONE: CELL:,1F6 €' _s-_7L ? PHONE
EMAIL: <L�5'y'Tc%y���..t/LS1 EMAIL
L&I REG#Ar 9aiA,0PEXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBRE VIA TED):
SITE ADDRESS:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR V OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— I"FLOOR 2ND FLOOR BASEMENT GARAGE_OTHER
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 Tubs Heatpump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood 1 3.2(~
Hosebibs Dryer Vent
Other Other J 1 yaPxc fi T
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 contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended for nod of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT LI TION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Si nature of Applicant Date
x ar Owner/Owners Regresentativelftontractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAI.
NEW CASTLE MECHANICAL LLC Page 1 of 3
Iionlo r pan d Coloaet Search L&i - � ':.,,: �.'
Safety&Health Claims&Insurance Workplace Rights Trades& Licensing
Washington State Department of
kj Labor & Industries
NEW CASTLE MECHANICAL LLC
Owner or ti adosperson 9823 160TH ST E Suite A
f'RM ipals PUYALLUP,WA 98375
253-503-7390
GIVENS,JAMES DONALD PIERCE County
JR,PARTNER/MEMBER
GIVENS,TAMERA S,PARTNER/MEMBER
(End:09/09/2014)
Doing buSilleSS as
NEW CASTLE MECHANICAL LLC
V!VA UBi No Business type
602 858 734 Limited Liability Company
Governing persons
JAMES
DONALD
GIVENS JR
TAMERA SUE GIVENS;
License
Verity the contractor's active registration/license/certification(depending on trade)and any past violations.
Construction Contractor Active.
............................... ......... .......
Meets current requirements.
Heating/Vent/Air-Conditioning and Refrig
(HVAC/R)
�JGOB SC;no.
NEWCACM9240D
Ltfective.-.-..expiration
09/04/2008-10/07/2018
Bond
WESTERN SURETY CO $6,000.00
Bond account no.
24801593
eceivod by t.i ! Effective date
09/03/2010 09/03/2010
Expiration date
Until Canceled
Insurance
Colony Ins Co $1,000,000.00
Floiic;y no,
GL-4185067
Received by L&i Effective date
06/10/2016 06/10/2016
Expiration date
06/10/2017
Insurance history
Help us improve
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602858734&LIC=NEWCACM924OD&SAW= 1/30/2017
NEW CASTLE MECHANICAL LLC Page 2 of 3
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts
may be recorded by other agencies.
License Violations
o no
EMABQ03990 Satisfied
issue date, RCW,'VVAC
01/15/2013 19.28.271 RCW
Vi')ia 3n city Violation amount
TACOMA $250.00
Type;of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work.(GARY
MCLEAN)
Intrac;tioo no.
EMABQ03988 Satisfied
Issue date: RCWIWAC
01/15/2013 19.28.041 RCW
Vloiafion city Violation amount
TACOMA $500.00
IVpe of violatic',)n
ELECTRICAL CITATION
i::)escription
Offering to perform,submitting a bid for,
advertising,installing or maintaining cables,
conductors or equipment that convey or
utilize electrical current without having a valid
electrical contractor license.
Infraction no.
EMABQ03989 Satisfied
Issue date RCWAVAC
01/15/2013 19.28.101 RCW
Viofat.ion city Violation amount
TACOMA $250.00
i ys:)e of violatm)
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6),effective after 12/30/2008 see WAC 296-
46B-901.
Workers' comp
Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums.
L&I Account ID Account is current.
884,166-01
Domg busmess as
NEW CASTLE MECHANICAL LLC
I sl.imwed wxkefs reported
Quarter 3 of Year 2016"11 to 20 Workers" Help us improve
https://secure.Ini.wa.gov/verify/Detail.aspx?UB1=602858734&LIC=NEWCACM924OD&SAW= 1/30/2017
NEW CASTLE MECHANICAL LLC Page 3 of 3
{_&l account representative
T1/DESTINY ADAMS(360)902-4873-Email:ADAF235@lni.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
xast r i,,to.�st<.'U OW Ot t aaar&!nd,,st,e:, use of this s,te is siibiect[o the laws of this state ol tiVasrun aon.
Help us improve
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602858734&LIC=NEWCACM924OD&SAW= 1/30/2017
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