HomeMy WebLinkAboutCOM2016-00116 Final - COM Permit / Conditions - 5/12/2017 1
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K CONCRETE MECHANICAL MANUFACTURED HOME ic
Date By
rn Footings I Setbacks Ribbons m
Gas Piping
0 Inter`or Date, By interior-Date By Date By
Exterior Date By Exterior-Date Bv
0) Set-up
Point Load I Isolated Footings INSULA11ON 'Date By 2
Date By BG I SLAB INSULATION FIRE DEPARTMENT <
Date By m
Foundation Walls Floors Date By cf)j
ba
te By ic
Date BY DECKS m
ORANING6" Wails Date By z
D ate By
Date By PROPANE TANKS Cn
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Date By Date By Type-
Dole By
DRYWALL TYPW 0
D.W.V Int Brace Wall Date By 0
Date By ic
By
FINAL INSPECTION
Water Line Fire Sepe ration
Date By Date y
Date By B Q
C)
Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments
55 (,0- t s=70-1-1
..................................
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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
^ co Mason County Phone: (360)427-9670, ext. 352
615 W Alder St
Shelton, WA 98584
ixu
COMMERCIAL BUILDING PERMIT COM2016-00116
OWNER: DM BELFAIR INVESTMENTS RECEIVED: 9/7/2016
CONTRACTOR: AIR MANAGEMENT SOLUTIONS 360.470.3993 LICENSE: AIRMAMS954Q2 EXP: 4/11/2018 ISSUED: 9/7/2016
SITE ADDRESS: 23552 NE STATE ROUTE 3 BELFAIR EXPIRES: 3/7/2017
PARCEL NUMBER: 123294390173
LEGAL DESCRIPTION: TR 17-B OF SW SE LOT: 3 OF SP#1852
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FURNANCE WITH AIR HANDLER- REPLACEMENT
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: COMMERCIAL Insp.Area: No. of Bathrooms: Occ. Group:
Type Work: MEC Fire Dist.: 2 No. of Stories: Exit Design. Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
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?:
COM2016-00116 Please refer to the following pages for conditions of this permit.
Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Furnace<100K 1 Final Inspection Fee IRN Q/7/9r1R -�71 nn g99niann
Heat Pump 1 Mechanical Permit Fee IRN Q/70n1R -Zia Fn ggqn1Rnn
Mechanical Base Fee 'IRN Q17/7n9ft s.?R Fn q,?gmRnn
Total $138.00
CASE NOTES FOR
COM2016-00116
CONDITIONS FOR
COM2016-00116
1) Contractor registration laws a e governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are poten al Is s and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0 82 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) Owner/Ag t is es onsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
3) Existing goof Pqc shall be insulated to a minimum of R-38 if: The roof is un-insulated or existing insulation is removed to the level of the sheathing,
OR All i sul i n In the roof/ceiling was previously installed exterior to the sheathing or non-existent.
X
4) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTER TI CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE F L �R OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
5) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation)of any structure unless all asbestos containing materials have
been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or; for has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orc org
X `
COM2016-00116 Page 2 of 4
6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformanc with t international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason Cou ty B it ing Inspector shall be made prior to requesting additional inspections.
X
7) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to re ue t al final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-comp) nt Mason County ordinances and building regulations.
X
8) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for ac 'on f r period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the per it ho have prevented action from being taken. No more than one extension may be granted.
X
9) By definition,
X propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to
ensure th se �tures meet the setback conditions listed.
� ,
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 d inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
constructi wor - suspe ded for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT PPLIC ION 180 DAYS WILL INVALIDATE THE APPLICATION. (1
Signa re Date
P 7t/t 5 '� Zt.� L l/ OWNER REPRESENTATIVE -)CONTRACTOR
Print Name (Circle one to indicates
COM2016-00116 Page 3 of 4
Permit number BLD W amJ
Mechanical Permit Checklist Ck OQ
• Name of owner:'DM—b6 I y- I{1V Name of Installer: Al Y M0-y1 p MW+- 53i Q-h 0 Vk5
• Fuel Type? LPG Nat Gas Electric x Other
• If propane,what is the proposed size of tank(s)?
• h tt type ofYgghanical unit will be.installed? (i.e.freUn
ndin stove,forced airfirrnace, etc.)
h �4I r s un' ✓
• If the unit is a wood stove,provide: Make Model
Year Label Number
• What is the use of the stricture? (Circle one) Residential Commercial
(A permit application for a commercial mechanical permit will be issued upon sa► Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application.)
• Type of structure: (Circle one) Site Built Home Manufactured Home Other
KtCEWED
• What room will the mechanical unit be located?
• Will the unit be located in a basement?(circle one) Yes No 615 W. Alder Street
• How will combustion air be supplied to the mechanical unit? (Describe, i.e.direct vent,air inlets, etc.)
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent,direct vent,L-vent,etc.)
• What year was the stricture constructed? Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e.thermostat, etc.)
• Will the proposed mechanical unit be a heat source?(circle one) Yes No
• Additional information:
Signature of Applicant Date - f b
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
Propane tank 73..00
Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5)
Mechanical base fee 28.50 or$ 9.00 if base fee was paid on an active buildinb or mechanical permit
Freestanding unit,fireplace,pellet stove or wood stove $73.00
Final Inspection fee 73.00
�PSOK coL� MASON COUNTY COMMUNITY SERVICES Permit No: OOm 201&- 0011�o
PERMIT ASSISTANCE CENTER:
y J •BUILDING•PLANNING•FIRE MARSHAL RECEIVED
615 W.Alder St-Shelton, WA 98584
Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7798
r 1-451 Phone Belfair:(360)275-4467 Phone Elma:(360)482-5269 SEP U / 2W
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR 1NFORNIAI'ION:
NAME: k Y Ve NAME: A I r IAa_V�6 0+1 O l'kS
MAILING A DRESS: C7 1 MAIL G ADDRESS: l�>2 til
CITY:ek 000✓ STATE:ZIP:W6-55S CITY: -1 pv\STATE: ZIP:
1"PHON : PHONE: 3b(>41CJ-6S06 CELL:
2"d PHONE: EMAIL : O I Cg (a-) AtyYIS— AC . V)1° -
EMAIL: L&I REG 4 A l FZMAMsq 5Z Q OEXP. I I
PARCEL INFORMATION:
ArV-% !5q!" QZ Z4 -11 ,20100
PARCEL NUMBER (12 Digit Number): 232 o y �5 O 1 zoninb:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: Z355� CITY:�
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 IT 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 Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sint: Furnace t
Bath Tubs Heat Pump t
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/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 I
mployee of Mason County access to the above described property and structure(s)for review and inspection.This
permiUappli omes n &void if work or authorized construction is not commenced within 180 days or if construction work is
suspende ord of 18 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT PPLN OF 110 DAYS WILL INVALIDATE THE APPLICATION.
X ( � �' l �
ign t e Applicant Date
x Owner/Owners Representative/Contractor
Print Name (Circle one)
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 JBN