HomeMy WebLinkAboutBLD2012-00750 CANCELLED - BLD Permit / Conditions - 10/1/2012 /
k �
a
/ mx mor
H m
/ /\_ M 0 \
/ / c / coO \ \ \ /
o \ \ � 2 § / - mj
° 2 z 0 = ®
/ � \ / $ \ \ / / \ / \ >
= mHz J = �
\ \ / \ \ n 0
_
/ m $ % \ / / 7 ƒ o
ƒ f / / / � 00� / 0
ca $ 2_ » a -
/ \ / E �� 00
�� Z
f / / Mf p.
> � k � / � �
0 0Ge 7m
m = @ -u
$ � / $ ? k �
2 CD CD e m 0 \ 0
CD I 0 2 -n
} % 2 2 O . 9 0
CD 7 § m O
7 x
\ . / c ?
2 . C
# Z
( e o
_ lu
CD / mm m
__ 0 w m
2 k f
g G @ 2
\ _ / 0 2
m /
0 ) 9 / 9 / 2
_ m
U BCD
\ tn
$ 2 co
j ƒ / 9 /
CD
0 m
Co R g
� � \
2
\ C:)} } 2 ® % o
' \ ( 0 \
E CD CD
\ \ / 03
�/
r a -
. 2 \ q 2 \ m / \7
CD ) ) @ 9 9 C) %
& m t \ C-) /f
rl) \ \ CD / / / � CD \
o (Yl \ %
o ww
N
w O
r CC Q) o � s Ji
0 G Q C (D N
N Z (a N _
n
a X � w X o _ >< Xoo < 0
00 70 M00C Qa C 3 o 0
� C)
cis, G) ooFh'0 03 ° J 0
CD Z m � o � n �(o c=i o � ,
I vOi 0_ B CDC CD h � N O - (a
p X _
7 N S ' CDD o � - O N N (n
N
O a Q h Z3 CO 7 (n (n (D 0 O
O O G
0 p mo Q, ° � (D m 03 m m v
0oo =4 � C-) < (n �CD � ovN
0 m (n v < o v
a O N O (p (n N' (D
Q a - CD77
0 °° o (o 6' O -i, �G n (n O
CD 03 m
J N N - N cr 00 N Q - v N a_ cn o.. 7
= -� c�. Q 3. (a 3 w 3 m
7' 0 (O N• (D 'O (D O O 7 C
N nO O CD
w v j O (n (a �(n fl.po p a O CD
< ZT
(Q a (D O (D O-
=5
CL(D M N jC 0, z ? O fn a N nC
lDN (D -
Q
Cy cn 0 CD ( (D co
CD -0 -0 n CO Q < (n
(D 0
(D N p 7 O �. Q 0 fl' Q O �I
'•'• 0 0 Oh 3 `G C 7 0 CD O Q- S I N 0
O 00 j 0 in Q � .r (D (D 7
m � -a `�.3 ov � � -0 (D ° 0m Z m
o Gmm3 m � o 33 p0
a CD
j p (D ^ Q O (D p 0 a C "� CDZ
NO Q (D � � Q mw O NZ Nm
co' D m o � Q " (D (D Q
o m cOiOO � c. X rt (D n0 � � o � oN
m �.� oCD �n (D .. vv �' o� o� T y '�
CD 000 cn �' vrn cnn mco O o
rn 3 O =. O n
O O N N C `< O n O Dnj (p �
0 v < N O (D O 'a O O .� Cn
p 1 (D O co N 0 O (D 7 7 (D zr .+
CL O 0) -0 N v
N zr m N (n O D 0 CD
N Q 0 'a 0 ((DD G CD
n =CD C: (D O �
NN (nQ D) O to (n O- (D O
CD 0 (Q �, a Q; 't3 N Q
(D 0 0 7 0 O _+. 7 (D n CS
v O � ' O (a O O
j' N 0 CD 0 � ci v
In () Q '; Q — v 7
-p CCDp -. zr0 O (D (D Q
N a O O
n Q
(D n ui 3 (D tin (D cn O
.+ c m a C• � � O D) N � �
a: 6 ID (D O o. c M Q CD (On
O Q. (n C (n =
CD W CD
(D O O Q 0 0
- 7
p p a n (n (D 00 c 0 3 N
< QA1 � 3 0.. w n
3 (D p . (D• C � p O
0 o Q (� < n a O M0
° 3
° 0 � � X � a) � o D ��
v Q 6 CO O a n O O C (n (D
(Q - CD 7 C � .. 0 �
(D � 0Q � � 3 � D- � s �
N (a 3 �_, 3 " M (D O
0 N p (D W (D (n fl Al (D
N 0 .+ Q
C: 6 (D �• ((DD
m m G 3
(D 0 3 (D
m MANUFACTURED HOME 0
o
MECHANICAL O CONCRETE � C
Date Ribbons Z
CD -_4
Footings t Setbacks Gas Piping By N
o Inteno(Gate
By interior.Date By Date
o By Exterior-Date BY Set-up
Cn Fxtenor Date By
CD INgU'LATIQN Date
Point Load X isolated Footings B«;t SLAB 114SULATION
FIRE.DEPARTMENT D
Dante By Data By Date By
Foundation Walls Moors
Date By DECKS
Date By By
Wails By
FRAMING Date gy PROPANE TANKS
Date B y bate By
Vault ..�
PLUMBING Date By OTHER
Groundwork Attie Type
Date
By Date By Crate BY
.w DRYWALL Type:
D-W.v Int.Brace Wall Date �� �
B
Owe By Date y
FINAL INSPECTION �7
N
m Fire 3913e tiOn
Water Lane By Mato Date
N
,
hate By Dale
`D Pass or Request Inspect. O
-� Date Done y
f Ins Comments
is
B
Type op. Fail Date Q
�
m
0
o
m
co
N
O
n
O
a
0
Cn
0
3
N
(D
N
(D
0
09/28/2012 16: 52 3604277466
�� 'VMPIC HEATING PAGE 01/01
FORM MUST BE COMPLETED IN INK `��� 0 PERMIT NOj� Id
PLEASE PRESS HARD MASON COUNTY
PLUMBING2ECHA oI CA ox 8PERMIT PPLICATIONM 6
Shelton (3§0)427-On 0 e$el{air 36OU75-on wa.Elm' (360) 482-5269
APPLtC T FORMATIO r) us
CONTRACTOR I RMATt0
Owner 1 ! Company Name
Mailin Addres r` Maili Address
City, - >Mate _Zip Code City - tat® 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 INFORMATION - Connect to New Septic. Existing Septi Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No. old• 5 - oZ Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwatey Lake River/Cre' Pond
Wetland Seasonal Runoff Stream Slopes or Bluff'
TYPE OF JOB - New Add Alt Repair Other U of Building
Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Gars e Closet
PLUMBING FIXTURES (Show Number of each) i MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Ele G.-- LPC-L_ Natural Gam_ Neat Pump_
Toilets Tvpe of Unit No.of Units Fees
Bathroom Sink Furnace
Math Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pelltttove
Dishwasher Kitchen ExhaustHood
Dryer Vent
Hosebibs
Other Other
Base Fee Base Fee
TOTAL PLUMBING - TOTAL MECHANICAL ----
C7�INER/gUiLDFR Acknowledges submission of inaccurate information may result in a stop rk order or permit revocation.k-knowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the c rWor.1 further declare that I am entitled to receive this
limit and to do the work as proposed in the application_t declare that I have obtained the pe ission from all the necessary parties.if permission is
required from any easement holder or any older party in interest regarding this
permission from them to apply for this permit and conduct the work proposed.The owner or nt on owners application or work proposed in the application,I have obtained
behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described arty and structure for review and inspection.
FFi00F F CO NUI#TION OF RK iS BY MEANS OF A pF10GRESS INBPECTl01�' -
Date:
owner/owners Representative/ On raOtOr (indEcat®which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# _Date Bld Pd Receipt Na.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ GroU T e Con r_
Plannin De artment
Environmental Health Department
FEES
Plumbing &Base Fee Site Ins a on
Mechanical &Base fee UFC Plan iew Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES