HomeMy WebLinkAboutBLD2017-01136 Final Ductless Heat Pump - BLD Permit / Conditions - 11/17/2017 Gas Piping z
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11/16/2017 13:01 3604277466 OLYMPIC HEATING PAGE 01102
MASON COUNTY pERAAIT Nob
DE.PAKT MEi'T Cw C UKn'Y DEVEL )MENT
MaLAIMOG 4-PLANA W v jAMW AMUWM!
wow C0.MA3oN.WA.U9 (38u)427-9070 Sheftn exL352
NWSM Cotaroy Bldg.lit,426 V4W Cedar Sttwt (360)Z754467 Beftir asL 352
PO Box 270.Shelbon.WA 085a 4 (ltgb)AAQZ2M Mmm o54-352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER DMORMA71ON: CONTRACmINFQ$�t�
NAME: �GW\ rLSL.. o r' a RA.M& 1 -lo bo
MAIz,TNQ ADDRESS:. - MAMING ADDnSS: i i Siff o D
Cm fn STA.TE:�/`�ZIP: Cny:Sb,,d+ov\ STATE:
PHONE,15(adl±- 2 3h CELL-- PHOM%2(etQL4Z.(k —
ENtA�,• emu.. s .co
LBtI REG 4
PARCEL NUMB�E12(12 DIGIT NUMBER): � 1
LEGAL DES�IP X,,N(ARD 2E TF—D): .SE I~1 172 L� fi3-f3(/-5
SITE ADDFXSS-. CXTY" 'v' Zg/u
DIREcnoNS TO SITE ADDRESS: Arne ft:a
TYPE OF JOB
NEW ADD ,AZT REPAIR OTIER USE OF B=ING
LOCAmoN OF FIX --1�EL00iR 2 OFLOOR BASEMENT GARAGE OTEIER_
PLUMBING MTUIMS(SCOW NUMBER OF EAC I) WfEC E ANICAL UNM
-t' s ot'Fxi= No.a£'r�'gym F� Fuel TgKlodsic .PCB Names Gas H�sas Pump—
Ta exs Type OrfTidl No_ot?Uzri>s Fees
Bzft om S*mk 'Fu maccBath Tabs Htwpml3p
—
Showcrs Spot Vewl Fam
waserlleaserPmpme Tgmk —
CW3es Wasber Gas OU&M —
Kitc�lep Sinks Wood/GsslPeliet Stove
X Wnvashcr _ Kitchen Exb ast Hood —
Hosebibs _ Dryer Vent
Other Otbar
Base Fee Bass Fee
TOTAL p ULABI NG TOTAL MECHAIWAL
QV11tMER!BU DER admowledgea U&nmw of Maccutat mf Mgbon rW IIle%*ka a stop work order or permit n-
Aemwwletlg nod of such is by sVr►aWm babw.I dacWm that I am trA owner.awrf®rs legal true,of cedar-1 fuNser declare
that l am entitled to rewire this pwt*wA to,do the work as proposed.I have obtked pion from e A the necessary parties.�icWing
any easemot holder or parba of ash mst regarding ttda pf*m The Owner or w tl and agent nV resents#W the iar[orrrrabm pra'/ided Is
a=wadg and grants edrmley m of Umn County aoms to the above domtbed PgWtY and structure($)for genii+and inspection.This
pesmil appecatSonba=nm null&void if warm Of aatboftMd CM*UC ion is not non mwmd a thln l80 dt�%or If exrnstruction work is
sAWwidod for a period of 9 a30 PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACT m Y OF imis
F wffT TIONOF DAYS WILL WVAIID/�FI:THE APPUCA'I'iOkh.
X !�V
Signahne of Apprlcant c p Da9a
Print Nam (indkafa which one)
33T� A3,�aNmiffm 11mal Now laml
T3MDING DEPARTIZWT
PLANNING DEPARTMENT
ARE MARSH" -
11/16/2017 13: 01 3604277466 OLYMPIC HEATING u�PAGE 02102
03�77�201�1 06:5V 12A SO
M 390 427 7756 SAw 08 SIT Cm
Ky -. p�r��erSI,D2D��• Q���7l,P
McChanicd Permit CheCk&t
�(' G kfis4�me of Idler; ___ j
• Name Of awo=-
�
F�1 Tygc.
if pie,wbst is tho proposed siw OfUl k 5r. —"
• Whd rW off n�wU1 be iustailed?f�.a on --------------
e!c)
• if the vnit is a wood smve,Prolkle=MAD Tel
Ycaz LaabdNumber
wbz is ho oftt mutwc?Pch .� commmdd
o„+ sum c t°°r Am
shawlnS thclo�t.�n o,�'.M#t[s�mrd�!'��� �permr�
of stracba=(cjyda mo Sits BI& Rome 4ti�+es
.. Why ream:wm tip:moobeuical mft be ioca�ecl?
giT�1 tbzvnitb�lota#od i�.aba [[ � yes o .
on air be s�-ed to the m0cbeaieal [Desa Le va+�aft- �)
• ._ How will oombuski .....
�a#ba ont�itk? A`FPe 'o gip'imnz zL oil or wood feel.
will Lbe anicd Vnkbe ��—
Was this sft= a of OUD'up *P-?
VJ3iAt yeaz'was tau struotom�?�.—
Wbat type of coatrDls vffi bo iastalled?(L;Awww"a=.)
Yes No
WMthe proposed=&u iW' nit ba abtd-'O=?[c�id6 0
• ,Addidonal - -------- �
Date —�__-----
Sipat=of
TvDimi asombaLmm
Forced as famace S I&3Q
Psopaa�ta�ak "-00
Gas oud9rts 6,2t}add>ioaal emits aveu 5,SLR S eac3�
M=bm led base fog 28.50 or S 9.00 if bye fee was paid on as act buMing or sneabamcel P=cit
Frtmumb4 UU#.fmcpIaoay FdWt=w oz wood swvc S'f 3.00
$430 st&b feo WM Wt b-0 ooUecftd ca madmicIdP
Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352
2
Mason County
615 W Alder St 6
Shelton, WA 98584 I
i
MECHANICAL PERMIT BLD2017-01136
OWNER: MARIANNCE NORTON RECEIVED: 11/17/2017
CONTRACTOR: OLYMPIC HEATING AND COOLING 360-426-9945 LICENSE: OLYMPHC986BA EXP: 1/1/20 ISSUED: 12/7/2017
SITE ADDRESS: 51 E JENSEN RD SHELTON EXPIRES: 6/7/2018
PARCEL NUMBER: 321314100040
LEGAL DESCRIPTION: NE SE LYING ELY OF BROCKDALE RD TR 4 OF L.L.S. #03-04 - S 28/247
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DUCTLESS HEATPUMP BROCKDALE RD, RIGHT ON JENSEN RD TO SITE ADDRESS ON THE LEFT
SIDE
General Information Setback Information
Front: Ft. Shoreline: Ft.
Type of Use: SF Insp.Area:
Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 11
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Building Special inspection GMM 11/17/201 $73.00 S320170000(
Mechanical Permit Fee GMM 11/17/201- $18.20 S320170000(
Mechanical Base Fee GMM 11/17/201' $28.50 S320170000(
Total $119.70
BLD2017-01136 Please refer to the following pages for conditions of this permit. Page 1 of 4
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