HomeMy WebLinkAboutCOM2018-00018 Final Heat Pumps - COM Permit / Conditions - 6/8/2018 ........................................
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CONCRETE MECHANICAL MANUFACTURED HOME
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BG I SLAB INSULATION z
Date By Data By FIRE DEPARTMENT --I
Foundation iAWI, Floors Date By
Date BY Data By DECKS
F ING watts Date By
Date BY Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic Type-,
Date By Data By Date By
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Int Brace Wall Date y 0
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FINAL INSPECTI HIP
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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
C .31' Mason County Phone: (360)427-9670, ext. 352
615 W Alder St
Shelton, WA 98584
1 ' COMMERCIAL BUILDING PERMIT
COM2018-00018
OWNER: STUDERUS DENTISTRY RECEIVED: 2/1/2018
CONTRACTOR: LICENSE: EXP: ISSUED: 2/1/2018
SITE ADDRESS: 23240 NE STATE ROUTE 3 BELFAIR EXPIRES: 8/1/2018
PARCEL NUMBER: 123325000021
LEGAL DESCRIPTION: SAM B. THELER'S HOME &GAR TRS TR 1 OF TR 9& 11
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
2 DUCTLESS HEAT PUMPS SURGICAL ROOM AND 1 EXAM FOLLOW ST RT 3 TO BELFAIR LOCATED ON THE RIGHT SIDE
ROOM
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General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: DENTIST OFFICE Insp.Area: No.of Bathrooms: Occ. Group:
Type of Work: MEC Fire Dist.: 2
Valuation: No.of Stories: Exit Design. Load:
Building Height:
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Pre-Manufactured Unit Information Square Footage Information
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Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces: j
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
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Please refer to the following pages for conditions of this permit.
COM2018-00018 Page 1 of 4
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,v-IJ MASON COUNTY COMMUNITY SERVICES Permit No: 60ry)2018 - 6W I
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
- www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
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PLUMBING & MECHANICAL PERMIT APPLICATION
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OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Aem er,,4 a NAME: L
MAILING ADDRESS: ;Z37-L40 tic S4tJc 3 MAILING AD RESS j121 a rm,'{ rLL.D
CITY: STATE: LO A ZIP: q SSaK CITYS luercla-le- STATE: 10,4_ZIP:C M313
1st PHONE: _3kD-S 5 1 - 7&g,5 PHONE: 34®-&59-9 oo 3 CELL:
2n,PHONE: EMAIL : ���tc,e J2 M��J (1�-. eg M
EMAIL:��" i 3g1ti;2t �Ar� i. cower L&I REG#CC M A�Ce�A 5M ej44C_EXP. /L2/ZotB
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): oP t-!> D 0 a D Zr I Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 1 `A CITY: tea%2
DIRECTIONS TO SITE ADDRESS: 0k, r4r, t44., 94e- 31z ,A c
L
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—IST FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS /
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless V
Toilets Type of Unit No.of Units 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE T ICATION.
X Ap//6*1
nature of Own r Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 AN