HomeMy WebLinkAboutBLD2007-02026 New Fixtures - BLD Permit / Conditions - 12/11/2007 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
PLUMBING PERMIT BLD2007-02026
OWNER: MICHA, BENNETT RECEIVED: 12/11/2007
CONTRACTOR: GEORGETOWN PLUMBING LICENSE: GEORGP*941 KP EXP: 5/17/2008 ISSUED: 12/11/2007
SITE ADDRESS: 2001 PATTERSON RD SHELTON EXPIRES: 6/11/2008
PARCEL NUMBER: 420134290061
LEGAL DESCRIPTION: LOT: 1 OF SP#2615 PTN E1/2 SE NW SE EX
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Adding new fixtures to sfr HWY 101 N, WALLACE KNEELAND EXIT, R ON OLYMPIC HWY NORTH, R
ON H, L ON PATTERSON
General Information Plumbing Fixtures FEES
T e of Use: Type Qty. Type By Date Amount Receipt
YP SF Insp.Area:
Type of Work: ALT Fire Dist.: 5 Dishwasher 1 Mechanical Fee r.nnnn 1,)il t ignn Vl5 75 qg,)nn7r
Mechanical Base Fee MARA 1,)i1>>7nn cgr,�n gg7nn7(
Kitchen Sink 1 rKARA 19/1 v9nn T.Ad 7n s7)nmr
Plumbing Fee
Lavatories 3 Showers 1 Plumbing Base Fee r.nnnn 17il 1 nnn nn q?gnn7r Water Closets (Toilets) 3 Total 5167.75
Water Heaters 1
Clothes Washer 1
BLD2007-02026 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
f. BLD2007-02026
CONDITIONS FOR
BLD2007-02026
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owneror the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and str ture for review and inspection.
OWNER OR AGENT: a 1 DATE:
BLD2007-02026 Please referto the following pages for conditions of this permit. 2 of 2
00 '
o CONCRETE MECHANICAL MANUFACTURED HOME ;M
CD
CD Footings /Setbacks Dale By Ribbons Z
Gas Piping fil
oN Intenor Date By interior-Date By Date By —•I
rn Exterior Date By Exterior-Date By
Set-up m
Point Load!isolated Footings INSULATION Date By 0
BG 1 SLAB INSULATION -- n
Date By Data py FIRE DEPARTMENT D
Foundation Walls Floors Da,f By
Date By Data By DECKS
F RAM I N G wails Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date; By
Dato By OTHER --
Groundwork Attic
Type- �l
Date By Date By D !
Date B.,
o.w.V
DRYWALL t rype.
Dase
1 ZCa
l fJ'1 eye-- Int.Brace Wall Date _— By - W
Date By FINAL INSPECTION 0
Water Line ��.� Fin Seperation N
Date `'Z f 3 0 7 By bJ174 Data By Dato BY o
CD
Pass or Request Inspect. CD
N
s Type of Insp. Fail Date Date Done By Comments — N
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1
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PERMIT NO.
baoa�o
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 INFORMATION CONTRACTOR INFORMATION
Owner. H 1 ( H A Company Name r�e6� TD t.� N PLV F1 RIIJL
Mailing Address-3 1 N E C2hY f-_ Mailing Address I O _ 1000L-1 C ALG O e
CityR LF A t ►_ State (A) +i; Zip Code n rJ2 City�bf- r T Qr J State WP Zip Code��
Phone 31A-2`��s%57 Other Ph._50- 20$- 57� Ph' ne3AA--y7 7-2625 Other Ph.
Lien/Title Holder F Contractor Reg.4 jA—i2(1 z 2 i LO Exp.
E mail address h E Mail Address f Ojj
Drivers Lic.# DOB Drivers Lic.# 6 I DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic_V 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) *7e)h 1 P NV-tC_e CKIN T_D. S+11`tT 1)0
Directions to site 4W3 101 Q WALLA(t k j-WIEtANU EktT f 01,3 MUMCk- 1-14 Q
N N P
Is property wit in 200'of Saltwater NQ Lake River/Creek tiJo and ti
Wetland L O Seasonal Runoff N r� Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt /-**' Repair_j�lOther Use of Building
Location of Fixtures/Units - 1st Floor y 2nd Floor y Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric-X- LPG— Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink - Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks I Wood/Gas/Pellet Stove
Dishwasher i Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other _e7— 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, 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 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 OF W S BY MEANS OF A PROGRESS INSPECTION.
X Date: 1ZZ�2 / ( 01
bwne /Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date I,,t'i 1-0`j—Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-TVpe 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