HomeMy WebLinkAboutBLD2017-00416 Cancelled Replace Furnace and Heat Pump - BLD Permit / Conditions - 4/2/2020 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Irflo
Shelton, WA 98584
MECHANICAL PERMIT BLD2017-00416
OWNER: BILL SMITH
CONTRACTOR: BLACK HILLS INC 360-705-8590 LICENSE: BLACKH1066JL EXP: 7/19/2017 RECEIVED: 5/10/2017
SITE ADDRESS: 1210 E JENSEN RD SHELTON ISSUED: 5/10/2017EXPIRES: 11/10/2017
PARCEL NUMBER: 321322290041
LEGAL DESCRIPTION: TR 4A OF NW NW LOT: A OF SP#1768
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT FURNACE & HEAT PUMP BROCKDALE RD, R ON E JENSEN RD, R TO CONT ON E JENSEN RD, L TO
CONT ON TO SITE
General Information Setback Information
Type of Use: SF Insp. Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 5 Rear: Ft. Slope: Ft.Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Furnace<100K 1 Final Inspection Fee AMP 5/10/2017 $73.00 S320170000(
Heat Pump 1 Mechanical Permit Fee AMP 5/10/2017 $36.50 S320170000(
Mechanical Base Fee AMP 5/10/2017 $28.50 S320170000(
Total $138.00
BLD2017-00416 Please refer to the following pages for conditions of this permit. Page 1 of 3
M
r a0 cn Z w (v
N
O_
v _
o X � �. � Wn X 0 Q � X0 cnD XcnfnD Xp X on
O cn C p (D (D o
D � (D rZ m m 3 m ° DDr CD
n � a - o Z '� -n (D O
rn o m � Z o (D 3 Dmc 0) :3
(n OC � a o < � 3 Xzz D � � o
1
30 0C) (nn o 0mD ((DD
v o O - o Qo o v ZY Cn � C) 00 ( cfl
- � 0p 07o - o � C/) N
mZ v3v o � ca3 m <
3 m o a o c � 0 m y
v - - m (D < a mph cn (D -0 o"
ao (D (D _0 (n 3 O0D p
cn n D
° ((DD 3 v c ° _ o a) (n
su Z3 (D m p <n. a,.
o a) (D --I _0 (D 0 a n X � C7 Z o (Q 77,
(D
(D O a a) a) (D < 0 =., (n (n (a
00 0 (D a N ((DD m (n ((n <<
. Q0 � ° ° 3 3 �' � � (D- m � 3 c(DD
a) m p 07M c (D mmr N ° a
a 0 (n Z
u� Q (n 0 3 a � v Dpm (_n o
av c C) 0 (D _ 3 ° - z � mCD cr av fl
N 0 -0Q n ° Q (Da 00 � 0- o:� �
co v y = (D (D -0 zZ = v L7
— (D m (D 3 a mpm `� �
m � � � QO ((D 0 ((DD �u N � (D
_ < m o - < (n z = Z (n (n 00
m
° coi m o00 0 _v ao � m `n o N'
CD o. o o cD r �o ° a 0Ezc o (D
� � D (n - � � zm � a mm � C� C)
° Nn (n 3 ° � ° D 0 o a te °- co 0 Co >
o p Quo c� 5' rDT 33o 0z �- M
Z C ro 3. mzm o (D o N vz
< (D o � m o my nn � :E* 0 CD
0
= Dm Q - vm lD o a _ zD r f CrnCD 3 c °
N 9cy, CD
O � 3 o N N Z Cn < (n
° � o -n To ° �
0 p � v
Z3 m a r -a (o
CD o m ;o 0 nm a(n o( D
a � DF- 0O m o
� W 0 20� < (D CD
v D D
v o m
? (a C co (n = n D (D O (D �O
in (p Z (n O - o D Z n
(�D (on 0 ON (D (A -� a O (D O
3 -6 < (a m = (n
o co w � ' 0 --0 (n 70 m cQ °' CL
C o l�°D. O m 0 (D n
(D r 0 (n C) < o 0 C �. �. o o
000v as 0Z7 � � v
z v c0 m m c0 o n
Z3 D O om � D x � o ao
iD 0 m � o Y cQ Q -0 m o m a
(D 0 m = o (a CD r- 0 D c (n
c (n D 00 N m o D -1 c0 �
OO O (� n 3 (7 (D n = (D
ac00 -� -0o < (n = � OZ �. o � �n
N v O ° (D cn v
� ° Z �m m ° a = p ° o
C) o 0- n
cN D n < Dr cn Q 3 w
(n z (' 3 D c r m o �. v 0
o 0
o � 0 U) v (n m 0 (a :3
co ao v � �o5 = l< �°m o U
0(D o D�oN � _
N C: m z cn
< O° O CD
°' o
(D °
ws. 3 (B O- 6 (D p� (D
a a) m (n
Z_
cfl m 0 (D z w a
(D v
W
r -o o ur o * cn. 0 o0
zj
cc m 73 Q � o (fl �
o :3
w (n CD 77 w Z
nZi n c o 0 Er
m0 3 0 - -o
X >< D
X D
CD 5. w o n —
OmW < a " cnCDcn0- 5 - 3crao D 0) : � : C =ro
Du ' CD
oNQ
— � o
;.q. Q
m w w (Q
< co w (D Z (Dn � o <0 T3� m - � < o "
Om fD :3 3 � m QCD - -
T m w - ° = ° CD w =3 � -' Q 5, In
� CDo -Ovv (D moo v � 3
CflQ (D0 — Q � v w ° fl 73 mw
,. mcnmw (a CD M xw (D=
p ow : a cm N r40 < cn 0
cn o : w
Dw m � � N m � m w w <
� CD
m - - m CD C w � � m Q " w
� o' � 0 3 0s 3C° uo
O --a �• O
r Q � S5. 7 �• 0 (D � ppCD Q >3• N
r ° BCD 0 5 v m o3 5' w
D C) ° O 0' 3 -'N (n co -0 m
_rQ3 3 3 m 0' � can 7 c >_ �
pcanNQ — cn0 <n' � � o � w00
_ CD <
w CA m T :3 ((DD (Q CD CD cn Z O v (�D
� 0-� v w fl o Qo m �_ a
CD 0 ° CD CD 0 a °
m m0 m -0 0 c o m co m 3
CD
o � OCSQw m 3 (n 3� o Q
TTn (n � Zw w `<CD c
o n03cn
0wQ. :° < o
00 ?o' 7 °� 3Q
< we mw
� v0ow 3 (D Qo
OZc m • - `< X m <
— w 0
cc Z a Q c CCDD T'. x (wn� ((DD Cr
CD —
0 p Z3w0 (n3cn.(n vm
° w
oum ° (Do oCL 3 � cQ� � - o o m m o m 0
m - 0
c
� � � o o QQ,< 0 m
y m � N ° NN (n N' Q�
m nM 3Qv CD m o m o �.
rn m � U) , � � o = n:
- N D O 0 0 m w « -,
o m Z � M -o w 3 CD �cn
m' -Zi cn2o 3 0 0 � � �
O (n �. o n cS
< Z O = o 3 m w 3 crn NN. o m v < (n
p' 'p n = O- -°' c N co O
CD —0 O O 0 0 (� 0 CD > _0 N (a O O
Z ZZcD CD m O
3 cD (o O cr o ,< �
' N �°aEr ? Q aW0
oCD ° =3cn C 3 (D
o (Q a -« 3
n m m (D mw 0m
� Q � C� 3 0l< C° x
0 < � N m in' 3 m O m Z3a
7 w 7 CD o
CD
ID
0 — o 0. Q ° S ° � O 0
00 O O
O TOQOy ,-.. c m Q 3
W 2 C O n =3 =r O -�
� Q =r (n m 3
n N = O F. (D _ w m
cD .a
0 CD
CD
Gas Piping Cn
o CONCRETE MANUFACTURED HOME
ic
Footings I Setbacks Ribbons
Eidetiot-Date BY
C) Date By Oate BY
-N INSULATION00
(Y) Foundation Wells -G Set-up F
B I SLAB I NSU LATION r-
Date By Date By D a fm By
FRAMING Floors FIRE DEPARTMENT
Date ByDate BY Date BY
Walls DECKS
PLUMBING Date BY Date BY
Groundwork Vault TANKS
Date By Date By Date BY
Attic
D.W.V Date BY OTHER
Date BY DRYWALL Type.
Da to BY
Water Line Date By Type:
_U Date 8 Int.Brace Wall
y Date By
0
cn MECHANICAL Date By
CD FINAL INSPECTION
Fire Seperation
(D
i5l Date By Date RY Date BY -4
CD
Pass or Request Inspect. Q
(D Type of I nsp. Fail Date Date Done By Comments
0
CD
CA
O
=3
CA
0
E;
Ch
'a
CD
3
to
(D
0
MASON COUNTY COMMUNITY SERVICES ����� _ ���
PERMIT ASSISTANCE CENTER: Permit No:
T)p '" r •BUILDING •PLANNING •FIRE MARSHAL `
f
� 615 W.Alder St-Shelton, WA 98584
f www.co.mason.wams RECEIVED
tr Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 MAY 10 2017
PLUMBING & MECHANICAL PERMIT APPLICATIOR
OWNER IN O TION: CONTRACTOR INFORMATION:
NAME: t k NAME: V4aL <"ync,--, m(,
MAILING ADDRESS: W MAILING ADDRESS: IDDAhC1ti{
CITY:!�+VTX/ STATE:V/k ZIP:01RI CITY: ( STATE: K ZIP:br
10
Is`PHONE: ?!I p ' aD "�l'1(p PHONE: l2 VS L:
2°d PHONE: EMAIL :Q, n ,S1
EMAIL: L&I REG# EXP.]`/ L /_
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 2)32 2 2 q Zoning:
LEGAL DESCRIPTION(Abbreviated):feA2161ce eadha
SITE ADDRESS: 2 Q 'Y DY1 CITY: e, Y)
DIRECTIONS TO SITE ADDRESS: C womaLel Ola'1a L
o `� 40 one L +d S o n
TYPE OF JOB:
NEW ADD ALT REPAIR OTHEIX USE OF BUILDING
LOCATION OF FIXTURES/UNITS— I ST FLOOR 2ND FLOOR BASEMENT GARAGE—OTHER—
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL
ITS —
Type of Fixture No.of Fixtures Fees Fuel Type:Electri LPG Natural Gas Ductless
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace 1
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
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 THE LIGATION.
X o C�[ k1C) �i Signature"wrier 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/
Permit number BLD
Mechanical Permit Checklist
• Name of owner: IE2 W �m 1 1 r 1 Name of Installer:
• Fuel Type? LPG AZI �1-7 Electric Other
• If propane,what is the proposed size of tank(s)?
• T
type of mec apical unit will be installed? (i.e.freestanding stove,forced air furnace, etc.)
Y dam W -r - 1tai- fv)-n lo
• If the unit is a wood stove, provide: Make Model
Year Label Number
• What is the use of the structure? (Circle one) esidentia Commercial
(A permit application for a commercial mechanical permit w be issue pop satisfactory review by staff. Include a floor plan
showing the location of units)and layout of duct work with the permit application.)
• Type of structure: (Circle one) Site Built Home Manufactured Home Other
• What room will the mechanical unit be located? �Y
• Will the unit be located in a basement? (circle one) Yes No
• How will combustion air be supplied to the mechanical unit? (Describe, i.e. kirectvAt, air-inlets, etc.)
• How will the me ical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent, irect ve t,L-vent,etc.)
• What year was the structure 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 Applican Date � '2Z1
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 building or mechanical permit
Freestanding unit, fireplace,pellet stove or wood stove $73.00
Final Inspection fee 73.00