HomeMy WebLinkAboutBLD2017-01163 Final Propane - BLD Permit / Conditions - 1/5/2018 o ONCRETE Gas Piping MANUFACTURED HOME
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Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352
Mason County
615 W Alder St
�✓� Shelton, WA 98584 l
MECHANICAL PERMIT BLD2017-01163
OWNER: JACK MITCHELL RECEIVED: 11/28/2017
CONTRACTOR: LICENSE: EXP: ISSUED: 11/28/2017
SITE ADDRESS: 340 E WILLOW BLUE LN SHELTON EXPIRES: 5/28/2018
PARCEL NUMBER: 321367500020
LEGAL DESCRIPTION: TR 2 OF SURVEY 2/49 S 34/116
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
120 GALLON PROPANE TANK& HEAT STOVE HWY 3 N, L ON LAVENDER LANE, R ON WILLOW BLUE LANE, FOLLOW TO
DEAD END SIGN, DRIVEWAY WILL BE ON THE RIGHT
General Information Setback Information
Front: Ft. Shoreline: Ft. x
Type of Use: SF Insp.Area: Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 5 Side 1: Ft.
Valuation: Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Final Inspection Fee AMP 11/28/201 $73.00 S320170000(
f
Propane Tank 1 Mechanical Permit Fee AMP 11/28/201 $152.20 S320170000(
Fireplace 1 Mechanical Base Fee AMP 11/28/201' $28.50 S320170000(
I
Total $253.70 ;4
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BLD2017-01163 Please refer to the following pages for conditions of this permit. Page 1 of 4
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MASON COUNTY PERMIT No.
DEPARTMENT OF COMMUNITY DEVELOPMENT
flUrWING*PLANNING*FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton
Mason County Bldg.111,426 West Cedar Street (360)275-4467 Beffair e
)d RtCEIVED
PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.
PLUMBING & MECHANICAL PERMIT APPLICATION NOV 2 8 2017
OWNER INFORMATION: CONTRACTOR WFORMAU0.15 W.Alder Street
NAME: NAME: 011,2;+AL ed!4-<*V-e-
MAILING-ADDRESS: POgox Z=2� g MAILING AIJDRESS:
CITY:S 'D A)—STATE:- LtM ZIP: CITY: STATE: ZIP:
PHONE: a /4,gg :aU3,7, CELL:4-S--9`---77Z-W)q PHONE: CELL.
EMAIL: arc
. rk w,4 w ck --L, EMAIL:
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NumBER): 3,Z 1,3 4"-7,!r- a6V,7-0
LEGAL DESCRIPTION(ABBREn4TED): -rR 1-,;k E]tStxg-J'C (
SITE ADDRESS: 34-0 Z-1-1i11,0a> >tie --"OAJ CITY: 157h
DIRECTIONS TO SITE ADDRESS: Al,W
3
Uh do Lr2 61 y--e- 2�J , af V=- , 024 t4k7t
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-IsT FLOOR 21 DFLOOR 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 TMe of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpump
Showers Spot Vent Fan
Propane Tank 6
Water Heater
Clothes Washer Gas Outlets
O
Kitchen Sinks Wood46& ellet Stove
Dishwasher KitcheWT�xhdusdlood
Hosebibs Dryer Vent
Other Other
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 a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
2[07
Signature of Aoplicant o Date
x Owner/Owners Rearesentativel-Contracto
Prifii Name (indicate which one)
offillow Wift Kom r"
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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