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HomeMy WebLinkAboutBLD2013-00002 - BLD Permit / Conditions - 1/2/2013 W r m � C � o O z L. 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CD edma f ° -0 a' E -0 0 8a' � ~ 7 \ 23 § e ¥ / \ 3 § % # \ 0 % \ g \ > / a § = = 2 a e \ cam \ / ® � a / � � / /2 \ \ n \ \ 0 � �Ll CD \ a0 ] ) /f \ 0 5o = n sumo 3 # = Jq cn m2O — / . a ® . z m & = - n ] PZT e w - cn 0 CD CD CD0 } \ @ \k\ / \ k s p e z § , ] A / \ \ / ƒ f /\ \ Lc a CD E \ 2 & z2f # § § \ \ /\ 01/02/2013 08: 56 3604277466 OLYMPIC HEATING PAGE 01/01 FORM MUST BE COMPLETED IN INK i'l 10 pl'RMIT NC�,��, ��,�?"�..JVJ�J.�, PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar+P.O.Box 186, Shelton,WA 98584 Shelton (360) 427-9670•Belfair(360)275 4467+Elma (360)482-5269 On the web www.co.mason.wa.us APPLICANT INFQFtMATION CONTRACTOR INFORMATIO , Owner al. Company Name Mailing Addres f-K AcreMailin Address Cit,, �t�fiL_Statej¢j_Zip Code City tate \.)A Zip Code PhoneZL�Q-4 Ifr;rz--99 Other Ph_ Phone o- ,- Other Ph. Lien/Title Holder Contractor Reg.4DUC PIAC_q2UR6 Exp. E mail address E Mail AddressC)QUBP-M-,LN.CQfiA Drivers Lic.# 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 JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units- 1 st Floor 2nd Floor ___ Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS "'Type of Fixture No. of Fixtures Fees Fuel Type:Electrir.- _ LPG Natural Gas_,._ Heat Pump_ Toilets of Unit No.of Units Fees Bathroom Sink Furnace __ ) Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/PelietStove 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 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,I 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 Inforrnation provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. �PROQF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. ;X Date, Owner/Owners hepresentative/Contractor (Indicate which one) FOR OFFICIAL USE BEYONDTHIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Grou!p�Type Constr.- Plannin Department Environmental Health Department FEES Plumbin & Base Fee Site Ins ection Mechanical& Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES ao ' o CONCRETE Gas Piping MANUFACTURED HOME o hiteri)r-Cate By _ G, 'Footings P Setbacks Ribbons Exter -Date ey —i o t tc a INSULATION Data X N Foundation Wails �J SLAB tIVSIlLATMQtJ Set-up - Date By Date By Date By D FRAMING Floors FIRE DEPARTMENT oho Date By Date; By Date ��` Wails PLUMBING Date By DECKS a. to t3y Groundwork Vault TANKS Date By Date By A ttic Cate By D.w.V Date By OTHER Date By DRYWALL Type: Da to BY Water Line gate BY Type: Date By Int.BraceWal-i Date By W ' r Date MECHANICAL Fire Seperatica B FOAL 1NPG� 1 o Date By bate BY bate By w 0 s Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments �o 0 0 .. v N O n O 7 Q O 7 N O _... S (D FW CD 0