HomeMy WebLinkAboutBLD2024-00547 Mechanical - BLD Application - 5/1/2024 ,t MASON COUNTY COMMUNITY SERVICES Permit No: oZ0 005+7 .
PERMIT ASSISTANCE CENTER:
•BUILDING -PLANNING •FIRE MARSHAL
• ' RECEIVED
615 W.Alder St-Shelton,WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext 352• Fax.(360)427-7798 MAY 0 12024
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:_ NAME: OL >`' ,I^-,ei-/6
MAILING ADDRESS: /y(� y,O,�Sti�E tst�4�^ MAILING ADDRESS: p-) 8ax 72%32—
CITY: .T;.J STATE: t_/�4 ZIP: g554y CITY: /J{.i�•' STATE: _ZIP: S$
1st PHONE: 716—H57 J PHONE:-%� Y7Zo 36,10 CELL: 3 -10 qh /
2°d PHONE: EMAIL: Dc.Y.....Pie- PL•rJnn.6.a&1,.,4 .,
EMAIL:o ly�mT�lu L&I REG#O LY p1 f p�17 PUTT EXP. /$
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): ( " )1-0001 D Zoning. f �LD
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: RA-5 - CTTY:
DIRECTIONS TO S ADDRESS: *41n]y
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF F&F ESMNITS—Is'r FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL S
Type of Fixture No.of Fixtures Fees Fuel Type:Elenc 4atural Gas Ductless_
Toilets _ Type of Unit nits Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets _
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 permitlapplication 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALID THE APPLICATION.
x -ZmofY ZoZ 7e
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
BLDAW-0 101
Page 1 of 5 n4
a r•
NEW 3 BEDROOM ON-SITF WAST WAT R D SI GN G' a
LL
O# QAl I OUTS o
1)4"ASTM 3034 With Cleanout t t K N
2)Sound Placement Trash/Pump Tank W o
3)NuWater BNR-500 5� ZLL
4)Preferred Manifold Location C
See Pg2 for drainfield Layout v^
5)2'Sch40 Transport Line Qifino
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6)Waterline from proposed Well o u
7)Build site location 14.9x41.5' n
8)Driveway l.S"gravel 2
9)PUD transformer and proposed line N y ti
3 Down spouts on corners with concrete rai pads_ > • O
Stormwater to disperse into
natural vegltation. 1 " s to oe Cleared\ F+�er ,�� re used Jreinfeid
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Soil L�DQS _ \ / < r_ w v y c
TH1.0-4 Forest Duff // o w
4-29"Loamy Sand with Gravel /
Light Brown/Medium Sand C o
Roots
29-35"Compacted Loamy PwandE
Gray/Mottled g
35"Till/Wet
TH2&3:similar f
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