HomeMy WebLinkAboutBLD2010-00832 - BLD Permit / Conditions - 9/14/2010 \_ x /
2 m
1p \ q %
\ q / 2
ƒ 29 \ \ \ / AW
/ ° / / / \ 2
\ / 0 / / \ \ / \ \ \ cn
/ ƒ \ / \ o / / / / / 0 0
\ \ $ ; E
\ ° plj M r- >
E f � q % C) E = O
\ C 0 2 / mG) \ � C
x CO \ � Z ®
Q 3 - = C) /
, 2 \ { / \ 2 c
\ CD / � /
§ 2 > I
g $ C-)
IQ
-
m/ / * �
m z 5 0
a o ? 0
/ x �
(D C) 0 C
/ \ 2 Z
2 6 �
\ X r, m
\ m
r T <
\ / X
\ @ Cl) 0
\ ° ° p
= g
\ \ \ cn CD \ / / m / z
me » .. z 2
7 » g I
] 2 \ C
m $ \
Q
>
-Ti e s e \
0 0 = \ q
) ) 9
/ 0
] C)
( � 0
» em /
\ \ 2 ) }
(\ ƒ _ k// m j
bo jCo -0ƒ a & Co /
_ 7
\_ � �� � \ \ \ \ �
/ NJ
22 m -n 999 + �
ID, 0o w2
� CDg / 2 / � g
� \�8 \_ / \ Co
CDCD � \ \
W 0 5 : ° v ?
° ° 3
3
N v 3a
o m o y.
o x << 0
o 0 3 8 6 X � o D_ xR3 X � cnD XO X ' 00
p
N z C m 3 JN 3 Q m C 7 n
� co Z Z
N z O
-0 -9 N 3
a o = m o � mn co (D CD
m (0 - D �J m (DcQ
� (D 0 T 3 (D � Z � �. o ff.
Av cn < Q . " C 0 z ' v
� 0 (n N N D n (D
m
a = a � cn N 0 lD O.
- m now pp > o
- CD
0 (D - Q = CAmr (n v
v
° o � 0 � o < � � m � -DI o � v
30 ° Q - m m n � mO 0 cn
o m
0 N ° � o �, Ong _0 c� y(Q
<. A� O = O O
ma Qa N - _ � D2 cfl
0 0 2
o cn = (Q (D = Z _
(n o GDr m 3CD
Q � n � � � Zmr 0) 0 ° Q
(n - � a ° � O � o O
c (n (D
((D co (n. ° o o :3 Q = (� :3D N� 0 m v m cD
v m mm Q-
0 � ��
m 0 Q v 0 a-D C: O (D °
N � mZ
s = - o Q <n
co �. 0 07 no cQ o o m Q m
CD 8 Qm my Z - � (n3 ((Dno0
3 o Q- cn _0 = Z (n m
0 I (D m v ° v
mmo = Z
(D 3 Q- CD :3
D � K Q O0
D°- °- -0 m mn O
w C v -n 3 CD °° z
3 r U�)
o ZD CD m
_0 =r Dm
CD _ _ Z o ° N
(D n 0 0 : n
On O
0 ch 0 Q' E :3_ Dm D Q zQ
cr rn
o Va v m r �fm � 0 3 co -n NO
- ° o Cn Cn Q c (D ;o
\ 3 = a O m
8 C (Da - o nm o
A 8 -a o cQ = � -mj - ° � D
D _0 m Cn
:3 0 w > = CD :E
0 (D n (n p (D (Q (D
(D am o C) -0
0 (n E (i ODZ Q o CD o
CD o o � � m fail = (p' w n r
Q
N. < N. _. m v
v a ° CDC o mC) �' �_ o 0
(D N �. C 3 0 C -
p7 ID v cn m 0 (D n 0-
CD 0 m � � �' Z 00 Q_ 0
v Q v 3 n
O
o Q o O � 0 m v M n Q
.- Nm O O
(n npm Z Fn
n cnQ_ mO
� z3 m o
o n0
° :3(n (D = 7
03sv
CD -0 0 0 3 � _ ° 9- °
0 Q 7' v r m = (M O 0
(Q x - n
v � � O m � O -' (� 0(n O � mD = ° vo
0 w v � Cn � � 3
0 0 3 3 o mZ v :3N = = m "O —I 3 0 (D n
a CD (D
0 � m D o 0 N � �.
En En s 0 0 oo Q
cn0 � � � ° v
o
09/13/2010 15: 28 3604277466 OLYMPIC HEATING PAGE 01/01
' MASON COUNTY PERMIT NO,
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar+ P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-�670 • Beifair (360) 275-4467 o Elma (360) 482-5269
n the web www.co.mason.wa.us
APPLICANT QRMATION CONTRACTOR INFORMATION
,
Owner Company Name
Mailin Addres Mailin Address 1
City ` tate Zip Code City pl___State W— Zip Code Gl .W
Phoneu�.� � � a Other Ph. Phone Other Ph,
Lien/Title Holder Contractor Reg. QJL Exp. I "QQ10
E mail address E Mail Address nbL&, CXDnA
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 1. igit 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 StreamSlopes or Bluffs ? 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1st Floor. 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electricr_ LPGL_ Natural Gas Heat Pump_
Toilets Type of Unit No. of Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets _
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 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, l 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.
PROOf OF CONTINUATION qFW9RK IS BY MEANS OF A PROGRESS INSPECTI N.
X t� Date:
G'
Owner/Owners Represent ive/ n rector (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# __Date Bid Pd Receipt No.,.,_
DEPARTMENTAL 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
o CONCRETE Gas Wiping �MANUFAC TURED HC>ME C
o
hLerior-Date By Z
o Footings 1 Setbacks Fjter -DaI0 ay Ribbons Z
o Date BY Data By Z
00
INSULATION
N Foundation Wa Its 861 SLAB INSUL.ATION Set-up 0
Date By
[?a to By Da to By >
FRAMING Floors FIRE DEPARTMENT r
Da to a+'
D Date BY
�t� By w�ii� DECKSPLUMBING pate By
erase BY
Groundwork Vault TANKS
Date By Date By
Date By Attic
r�:ay.v
Date By OTHER
Date BY DRYWALL Type:
Date BY
Waterl-ine Date Bl} Types:
Crate By Int.Brace wall Date By �
Date By 0
MECHANICAL FINAL INSPECTION
N
Fire$eperaticxt
Date By
Date BY Date BY O
m O
Pass or Request Inspect. Co
Type of insp. Fail Date Date Dane By CommentsLA
�
o � �
0
8
o.
o'
_
m
0
5
E'
m
O