HomeMy WebLinkAboutBLD2011-00800 Mechanical - BLD Permit / Conditions - 10/11/2011 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
IP14 Shelton, WA 98584
MECHANICAL PERMIT BLD2011-00800
OWNER: DOROTHY, WACK RECEIVED: 9/29/2011
CONTRACTOR: OLYMPIC HEATING & COOLING 360-426-9945 LICENSE: OLYMPHC986BA EXP: 1/1/2012 ISSUED: 10/3/2011
SITE ADDRESS: 722 E PROMONTORY RD SHELTON EXPIRES: 4/3/2012
PARCEL NUMBER: 121195000187
LEGAL DESCRIPTION: HARTSTENE POINTE LOT: 187 S 26/103
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FURNACE ST RT 3, R ON PICKERING RD, CROSS BRIDGE TO THE ISLAND, L ON
NORTH ISLAND DR, FOLLOW TO THE POINT, THROUGH GATE L ON
PROMONTORY RD TO SITE ADDRESS
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 Mechanical Permit Fee GMM 9/29/2011 $18.30 S120110000C
Mechanical Base Fee GMM 9/29/2011 $28.50 S120110000(
Total $46.80
BLD2'')11-00800 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2011-00800
CONDITIONS FOR
BLD2011-00800
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. ere are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800- 7- . The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE
MINIMU PDARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of W !ngton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit rev c
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4) 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 Co dinances and building regulations.
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5) 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 p r od not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the
permit hold( prevented action from being taken. No more than one extension may be granted.
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6) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these strpt4es meet the setback conditions listed.
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BLD2f 11-00800 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of,Ma,s,on County access to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
BLD2 n11-00800 Please refer to the following pages for conditions of this permit. Page 3 of 3
o CONCRETE GesP ping MANUFACTURED HOME • �
Interior-Date By n
Footings/Setbacks Extergr-Date By
Ribbons
Date By 03 INSULATION Gate By
o Foundation Walls BGlSLAB INSULATION Set-up O
Da to By Date By Date By 0
FRAMING Floors FIRE DEPARTMENT
Date BY Comte By
Date By Walls
PLUMBING Date By DECKS
Date BY
Groundwork Vault TANKS
Date By Date By Date By
Attic
D.W.V
Date By OTHER
Date By DRYWALL Typo:
Date BY
Wafter Line Date By Type
Date By Int.Brace Wall Date By
W
U) MECHANICAL ° � FINAL INSPECTIONCD re Soperati o
m Date By Date By Date
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Pass or Request Inspect. C)
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CDType of Insp. Fail Date Date Done By Comments c
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CD
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09f29f2011 11: 28 366427746E OL`fMPIC HEATING PAGE 61f 1
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FORM MUST BE COMPLETED IN INK ) PERMIT NO. -
PI_rAS,t< PRESS HARD MASON COUNTY
PLUMBINGNECHANICAL PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton,WA 98584
Shelton (360) 427-o6 hew eb Ir(36www) 275-4467 9 Esma(360) 482-5269
APPLI T INFORMATION CONTRACTOR I ORMATION
Owner Company Nam
Mail' Addres Mailin_gg Address
Zip Code City
State Zip Code
CityG Other Ph.
Phone S����tat�e
her Ph. Phone _ l_ I
Contractor Reg. x
Lien/Title Holder E Mail Address
E mail address DOB
Drivers Lic.# DOB Drivers Lic.#
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit it
cel No. Fire District
Legal Description WAs
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building Closet
Location of Fixtures/Units - 1st Floor 2nd Floor Basement Garage,
PLUMBING FIXTURES (Show Number of each MECHANICAL UNITS
Fees e of Fixture No. of Fixtures Fees Fuel Type:Electric LPG— Natural Gas ._` Heat Pump—
Type of Unit No. of Units IF e
Toilets
Furnace
Bathroom Sink ---
Heatpumps
Bath Tubs
Spot Vent Fan
Showers
Water Heater - Propane Tank
Gas Outlets
Clothes Washer
C
Clothe Sinks Wood/Gas/PelletStove
Kithen Dishwasher. Kitchen Exhaust Hood
Dryer Vent
Hosebibs
Other
Other
_
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
O VV NER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
ers legal representative,or the contractor.i further declare that I am entitled to receive this
such is by signature below.I declare that I am the owner,own
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
e 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 grants employees of Mason County access to the above described property and structure for review and inspection.
PR F NTINUATION F ORK 1S BY MEANS OF A PROGRESS INSPECTIO . !�q ��
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Date:
Owner/Owners Representativ or (indicate which one)
FOR OFFICIAL USE BEYO IDTLII POINT
Accepted b Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTM NTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas /Pellet Stove Fee Other
Violation Fee TOTAL FEES