HomeMy WebLinkAboutBLD2007-01413 Mechannical - BLD Permit / Conditions - 8/24/2007 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
( Shelton,WA 98584
iR
RESIDENTIAL BUILDING PERMIT BLD2007-01413
OWNER: CAROL RAGUS RECEIVED: 8/6/2007
CONTRACTOR: LICENSE: EXP: ISSUED: 8/6/2007
SITE ADDRESS: 109 E LIBERTY RD SHELTON EXPIRES: 2/6/2008
PARCEL NUMBER: 121195000005
LEGAL DESCRIPTION: HARTSTENE POINTE LOT: 5
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Propane tank, 5 outlets and Stove. Harstene Pointe
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
r Type of Use: SF Insp.Area: No.of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: MEC Fire Dist.: 5 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. IComp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Gas Outlets 5 Mechanical Fee KKK 8/6/2007 $120.00 S22007000
Propane Tank 1 Mechanical Base Fee KKK 8/6/2007 $25.30 S22007000
Propane Stove 1
Total $145.30
BLD2007-01413 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2007-01413
CONDITIONS FOR
BLD2007-01413
1) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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2) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5'from any building opening (foundation vents,windows, doors etc). Setback to the public
way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be
the greater of 5-ft or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective
bollards must be installed.
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3) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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4) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be used until the final inspection has been performed and approved by a Mason County building inspector.
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5) Owner/applicant must obtain a seperate permit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X
6) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think such features exist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. 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 request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances and building regulations.
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BLD2007-01413 Please refer to the following pages for conditions of this permit. 2 of 3
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
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevented action from being taken. No more than one extension may be granted.
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• This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
BLD2007-01413 Please referto the following pages for conditions of this permit. 3 of 3
o CONCRETE MECHANICAL MANUFACTURED HOME
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o Footings !Setbacks Date By Ribbons C
Gas Piping
Interior Date By Interior-Date By Date By N
Exterior Date By Exterior-Date 2 •07 B A n
w Point Load l Isolated Footings INSULATION Date By X
BG I SLAB INSULATION 0
Date By Data By FIRE DEPARTMENT r—
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date B Date By Type:
y Date By
D.w.v DRYWALL Type:
Date By
Int Brace Wall Date By W Die By FINAL INSPECTION
Water Line Fire Separation N
Date By Date By Date '02 —U7 By Matt cc.)
Pass or Request Inspect. sYt lo�lu�c c
0 Type of Insp. Fail Date Date Done By Com eats
a fi ii r\o�l �o•-� I b� z ee a 'ram�- A10
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Permit number BLD
Mechanical Permit Checklist
• Name of owner: fX/4e Cl Name of Installer: �e
0 —7744
• Fuel Type? LPG_ Nat Gas Electric Other
• If propane,what is the proposed size of tank(s)?
• What type of mechanical unit will be installed?(i.e.freestanding stove,forced air furnace, etc.)
• If the unit i§a wood stove, provide: Make Model
Year Label Number �--�
• What is the use of the structure? (Circle one) Residential Commercial
(A permit application for a commercial mechanical perms a upon 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? Lr
• Will the unit be located in a basement?(circle one) Yes (N:o�)
• 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 structure constructed? Was this structure part of a PUD upgrade? `A-ej
• 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 O
Typical mechanical fees:
Forced air furnace $ 16.25
Heat pump 16.20
Propane tank 54.50
Gas Outlets 5.50 additional outlets over 5, $1.10 each
Mechanical base fee 25.30 or$ 8.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace,pellet stove or wood stove $60.00
$4.50 state fee will not be collected on mechanical permits
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. J -)7
PLEASE PRESS HARD
PLUMBING/MECHANICAL PERMIT APPLICATION I
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670- Belfair(360) 275-4467- Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT PFORMATION CONTRACTOR I RMATION
Owner A17 L ee "g LC Company Name 1
MailiW Address -j-) Th �_ Mailinp,Qddress
City u St to 1 Zip Code City YV - ►t'-?state Zip Code
Phone r ther Ph.,�L���� ��71� i Phone-��4 'a Y 9,694/ Oth r Ate)---0 ' 3
Lien/Title Holder 0, Contractor Reg. # L ,/fE'C X 0V1 Vip
E mail address C iez&8 _C AJ i� m5 C.lt�/�d�t1'
E Mail Address /�1t�z7e/LgA& r , 4'
Drivers Lic.#R/g�r&JC'_ �31tt DOB / E,Y Drivers Lic.#dtr 60A�� -DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Di it Parcel No. Ta / S Fire District
Legal Description P ✓ ��s"
04
Site Address (Pleas include street n e, street number and city)
Directions to site « L - A-Z--`'
Is property within 200'o Saltwater Lake�411 River/Creek -19 /f —Pond -�
Wetland- !�Seasonal Runoff. Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other ✓ Use of Building
Location of Fixtures/Units - 1 st Floors_ 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric— LPG-'Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank f 1
Clothes Washer Gas Outlets. r
Kithen Sinks WoPelletStove Leo 100
Dishwasher Kitch-eTrMaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee 12cle3
TOTAL PLUMBING TOTAL MECHANICA
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknow
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information
provided is accurate and rants employees f Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTI ON OF W R BY S OF A PROGRESS INSPECTION.
X G 4� Date:
Own �/Owners Representative/Contra (indicate which one)
FOR OFFICIAL USE BEYOND THIS OINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—TVpe Constr.
Planning Department
Environmental Health Department
FEES
Plumbinq & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/ Pellet Stove Fee Other
Violation Fee TOTAL FEES