HomeMy WebLinkAboutBLD2018-01178 Plumbing, Mechanical - BLD Application - 10/26/2018 oobyap MASON COUNTY COMMUNITY SERVICES Permit
PERMITASSTSTANCE CENTER:
•BUILDING.PLANNING.FIRE MARSHAL RECEIVED
615 W. Alder St-Shelton, WA 98584
Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7798
- Phone tBelfair.-(360)275-4467 Phone Elma.(360)462-5269 OCT 2 6 2018
8.54
PLUMBING & MECHANICAL PERMIT APPLICATI0415 W- Alder Str(Wt
OWNF,R INFORMATION: CONTRACTOR INFORMATION:
NAME:Craig&Debra Drown NAME: Americooi Heating and Air Conditioning
MAILING ADDRESS:22U SE Bloomfield Rd, MASSING ADDRESS: PO Box 880
CITY:Shelton STATE:wA ZIP:98584 CITY: Rochester STATE: WA ZIP: 98579
18t PHONE:360-789.1731 PHONE: 360-273-3300 CELL:
2"PHONE: EMAIL :jeannie@americoolusa.com
EMAIL: L&I REG# AMERIHA950PO EXP. 10 /20/2019
PARCEL FN�0R)1A'TX0N:
PARCEL NUMBER(12 Digit Number):31922-13-00060 Zoning:
LEGAL DESCRIPTION(Abbreviated):W 1 OD'OF E BD'Or GOVT LOT 2 S OF R1W
SITE ADDRESS:2230 SE Bloomfleld Rd. CITY:Shelton
DIRECTIONS TO SITE ADDRESS:Follow US-101 N to SE Old Olympic HWV in Kamilche
Drive to St Bloomfield
TYPE OF-JOB
NEW x ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-IsT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductlessx
Toilets Tie of Unit NQ of Units er
Bathroom Sink 'Iaumace
Bath Tubs Heat Pump 1
Showers Spot Vent fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen.Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Rose bibs Dryer Vent
Other Solar Panel
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 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
permit/application 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 OF WORK IS BY MEANS OF INSPECTION-INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X QL,e±-� e-4.a� 1 0124/20 1 8
$igffiturg of Applicant Date
X jeannie Dragt Owner/Owners Representative ontractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-lute: http,//wwwco.mason,wa.us/community-dev/ Rev:1/27/2016 JBN