HomeMy WebLinkAboutBLD2016-00385 Heatpump - BLD Permit / Conditions - 5/13/2026 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2016-00385
OWNER: BRIAN FERGUSON RECEIVED: 5/2/2016
CONTRACTOR: ALPINE DUCTLESS LLC 1.360.529.7567 LICENSE: ALPINDL876JQ EXP: 4/18/2017 ISSUED: 5/13/2016
SITE ADDRESS: 729 E PROMONTORY RD SHELTON EXPIRES: 11/13/2016
PARCEL NUMBER: 121195100031
LEGAL DESCRIPTION: HARTSTENE POINTE#1 TR 31
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DUCTLESS HP FROM E HARSTINE BRIDGE RD, TURN NORTH ON E NORTH ISLAND DR
AND CONTINUE NORTH UNTIL YOU TURN NW ON E PROMONTORY RD
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
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. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Heat Pump 1 Final Inspection Fee JBN 5/2/2016 $73.00 S2201600000001
Mechanical Permit Fee JBN 5/2/2016 $ 18.20 S220160000000(
Mechanical Base Fee JBN 5/2/2016 $28.50 S2201600000001
Total $ 119.70
BLD2016-00385 Please refer to the following pages for conditions of this permit. Page 1 of 4
CASE NOTES FOR
BLD2016-00385
CONDITIONS FOR
BLD2016-00385
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are p tential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-8 -6 - 982. 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) Own nt 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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3) 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 MINIMUM
STA DS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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4) To perform an inspection the Mason County Building Inspector will need to access the interior of the structure. An electrical permit completed and
approved by Washington State Labor& Industries must be available on-site during the inspection.
The Mason County Building Inspector will inspect the following..
Verify that the system is installed in accordance with manufacturer specifications;
The inspector will check to make sure that the exterior unit is permanently installed and supported,
the exterior unit complies with required setbacks to property lines,
fuel tanks are located at least 10-ft from the system, a source of ignition,
all exterior penetrations are properly sealed,
condensate lines are installed and are properly supported, including proper material, slope, and that the condensate line terminates to a proper location
outside of the foundation,
copper refrigerant lines are insulated with '/"thick continuous closed-cell foam insulation or better,
indoor its are located at least 3-ft from smoke and carbon monoxide alarms,
and at ifications made to the structure, to install the unit, does not affect existing structural members.
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BLD2016-00385 Please refer to the following pages for conditions of this permit. Page 2 of 4
5) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXIST LLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repai or d itions requiring a permit occur, or when one or more sleeping rooms are added or created.
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6) All con uc'on must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State f hington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
per it r v cation.
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7) 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 nd removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
operat h ob ined written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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8) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The co truction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with t i t rnational codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspe r a I be made prior to requesting additional inspections.
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9) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to req es inal inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Maso C ty ordinances and building regulations.
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10) All per a pire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action or a eriod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holde h e vented action from being taken. No more than one extension may be granted.
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11) By de fi propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these tr ct s meet the setback conditions listed.
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BLD2016-00385 Please refer to the following pages for conditions of this permit. Page 3 of 4
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 struct e(s)for review an I spection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construc - work is suspen ed for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P R PLICATION 0 1 0 DAYS WILL INVALIDATE THE APPLICATION.
Sig u I Date
OWNER - REPRESENTATIVE - CONTRACTOR
Pfl m (Circle one to indicate)
BLD2016-00385 Please refer to the following pages for conditions of this permit. Page 4 of 4
�,la..y 02 16 12:55p Titus-Will 360-570-3363 p.9
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INSTALLATION SALES AGREEMENT ALPINE
DUCTL ES
AYli L-Ductless, LLC
act Qf fice Box 12361•Olympia,WA 98508-2361
360-529-7567 www.alpfneductless.com
-�UC#ALPINDL876JQ
agreement is a contract for construction work to be performed by Alpine Ductless, LLC(Alpine Ductless),for:
Brian Ferguson (Customer Name)referred to as"OWNER"
made this date(MM/DD/YYYY): 4/22/2016
'Ifformation:
Alpine Ductless is licensed with the Washington State Department of Labor and Industries(#ALPINaDL876JQ). Alpine
'Iuctless is located in Olympia,WA,with a phone number of 360-529-7567
The OWNER'S address and phone number are:
' 4(-E Promontory RD
..� Shelton WA 98584 503-536-5168
^ "n Work site is located at:
E Promontory RD Shelton WA 98584
: 4100e of Work
_:_;Alpine Ductless shall supply and install the following products for the OWNER:
Fujitsu AOU15RLS3(Wall Mount)
.:>.Y.; Homeowner to provide all electrical.
~went Terms
total value of the work is: $ 3,682.00 Electrical discount of$600.
_._ !7111-;sales tax of: $ 312.97
zi-a.geand total of: $ 3,994.97
'.•:ess rebate,if applicable,of: $ (800.00) To be paid to Alpine Ductless by: PUD3
OWNER shall pay the net amoun $ 3,194.97 Check redit/Financing:
:Down payment: $ 1,597.49 Deposit check number or financing contact(if applicable):
Due upon completion of install: $ 1,597.48 GpJt.V-4
'�-�•of Required Consumer Notices
Coll -VVJtoi4"" IlbZ
'Vashington Law requires Contractors like Alpine Ductless to give homeowners certain notices before and during a
''construction project. The following is a required notice associated with the installation of your ductless heat pump.
't is important to read and understand this form. By initialing the item below,OWNER acknowledges receipt of this
otice.
,formation Notice to OWNER About Construction liens
(initial Here)
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021612:55p Titus-Will 360-570-3363 p.10
,==nns and Conditions aL01W
: iaUowing list shall be included as terms and conditions of this contract:
r-y refer to The Ductless Heat Pump Proposal acknowledged by OWNER,which is attached hereto as£xhibit 1,and incorporated by reference into
agreement.
l `tER shall abide by the Payment Terms described above. In the event that full payment is not paid within thirty(30)days after it is due,the
,unt not paid shall accrue interest at 1.5%per month and Alpine Ductless may take any remedies available under the law to enforce its rights
r,u-der.
3uctless heat pump(DHP)compressor is warranted for_12_years`other system parts are warranted for_12_years. OWNER's sole remedy for
"i:um for breach of any warranty,express or implied,with respect to the ductless heat pump system shall be with the manufacturer(s)of the
"'mand not Alpine Ductless.
Service Guarantee: For three years from the date of installatlon,over and above the manufacturer's guarantee,if there's a mechanical defect
v'o'�r ductless heat pump Alpine Ductless will replace the unit,including the associated labor,free of charge. Beyond the three year period,any
necessary to install any portion of the DHP system that has been replaced under a manufacturers warranty shall require payment of an
nna!labor fee.
" ne Ductless and Alpine Ductless'selected sub-contractors shall install the ductless heat pump in a workmanlike manner and in compliance with
1 al building codes. Notwithstanding anything in this agreement,Alpine Ductless makes no other representations or warranties of any kind with
e ;:Qct to the goods and services and hereby disclaims any and all other warranties,express or implied,including the warranty of merchantability of
T,:�ss for particular purpose_
.' '..ne Ductless shall not be responsible for claims arising out of equipment misuse or mistreatment of for damages to equipment,persons or
'r'herty caused or permitted by OWNER or OWNER's agents,third parties,acts of GOD or other causes beyond Alpine Ductless'control. OWNER
wr 4`hold Alpine Ductless completely harmless from,and shall indemnify Alpine Ductless for,all costs,damages,losses,and expenses,including
ments and attorney's fees,resulting from claims arising from causes set forth in this paragraph.Notwithstanding anything in the Agreement,
ine Ductless shall have no liability,whether arising in contract,tort,or otherwise,for any loss of profit or use,or any indirect,special,incidental
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nsequential damages.
'_`tonal Terms and Conditions:
? INER agrees to provide Alpine Ductless free and unobstructed access to the jobsite and locations where work is to be done_
hould OWNER prohibit or prevent Alpine Ductless from beginning or completing the installation,should there arise any condition beyond
'r.lnine Ductless control which prevents Alpine Ductless from completing the installation,or if OWNER fails to comply with its obligations under
his ;reement,Alpine Ductless may cancel this agreement. In such event,Alpine Ductless shall provide written notice to OWNER which shows
cost of the work completed and materials furnished through the date of cancelation. Alpine Ductless may apply the deposit provided with
ti!5 ',?reement to the total cost and bill OWNER for any remaining balance,which shall be immediately due and payable.
I;,ne Ductless shall not be liable for the identification,detection,abatement,storage,or removal of any existing condition of the jobsite such
aK,rot or hazardous substances such as asbestos or lead paint. If such a condition is encountered in the course of Alpine Ductless'work.
;:pine Ductless may discontinue work without penalty until the hazardous materials are removed or hazard liability is eliminated by an
appropriate specialist certified by the Washington State Department of Labor and Industries.
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3. OWN;ER acknowledges that heating and cooling systems may transport mold or mold spores. OWNER agrees to indemnify and hold Alpine
Ductless harmless from any claim,liability,or damage resulting from the presence of mold,the transport of mold,or the transport of mold
spores from the heating and cooling system. Alpine Ductless shall have no responsibility for mold eradication or control.
Alpine Ductless shall not be responsible for existing heating and cooling equipment or for equipment installed or furnished by OWNER.
.s;. a are no understandings or agreements between Alpine Ductless and OWNER other than those set forth in this agreement. No other
:ement,representation or promise has been made to induce either party to enter into this agreement. This agreement may not be modified or
r, =nded except by written agreement of the parties. Amendments to this agreement and/or changes to the installation may have cost
q Ductless and the OWNER have rights set forth in this Agreement,as well as lien rights provided by law and the right to file a complaint with
,Washington State Department of Labor and Industries. This Agreement DOES NOT contain an arbitration and mediation clause.
lacing signatures on this document in the space provided below, both parties have executed this entire Agreement
f.the day and year set forth below.
--etarent Signatures:
ne Ductless, LLC Represen tive Date
': NER Date
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May 02 16 12:51 p Titus-Will 360-570-3363 p.1
Alr) ine Ductless LLC,
atpineductoffice@)grnail.com
253-381-72-35
Date c5-2- to
To: V !fir
Fax # ,--3'UrL, ea:,7 �
From: '
Total number of pages (including cover sheet)
C-'.ommentsa
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02 ti6 12:53p Titus-Will 360-570-3363 p.7
MASON COUNTY PERMIT NO. '� 0036
r DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING a FIRE MARSHAL
y WWW.CO.MASON.WA_US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 � �` ,�
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352 V D
PLUMBING & MECHANICAL PERMIT APPLICATION
MAY 0 Z 2016
OWNER INFORMATION: CONTRACTOR INFORMATION: 15
der St 9t
NAME: Brian =JU 50n NAME: 1�i f1P_�J�a�.�-I��S (.{.-
M. __A LING ADDRESS:` -7 1? (d MAILING A DRESS:�Btt%1z,,-)Le L
r STY: fj�1tP��pyE STATE:���ZIP: CITY: j STATE: W Qr zip: gg�p
i _PHONE: - �3[p-�I o�ELL: PHONE:3pD1 zi Zc7 7 15(p l CELL: 7_S'.- 3$J-'7735
i• 4
I EMAIL: f ID EMAIL
L&I REG#lat XP.
'PARCEL INFORMATION:
i, PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTI0N(4B8REVI,4T6D):
SITE ADDRESS:77-29 E t� CITY: � p.i�6Y1
DIRECTIONS TO SITE ADDRESS: rid
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—l-FLOOR_/�2`N°FLOOR BASEMENT GARAGE OTHER
''LUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS � C,{�Q/� i�•P
Type of Fixture No.of Fixtures Fees Fuel Type:Electric_LPG Natural Gas Ductless_
'toilets Type of Unit No.of Units Fees
Rsthroom Sink Furnace
9ath'Tubs Heat Pump —�
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
ritchen Sinks Wood/Gas%Pellet Stowe
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMB NG _ TOTAL MECHANI L
1 OWNER I BUILDER acknowledges submission of inaccurate information may result in a stop work order or perm revocatio
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or c ontr further d
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
I any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
;,cr_urate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
r,ermit/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 OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
1AERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
i ,
i � �gnalure of Applicant Date
Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTATENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
t_FIRE MARSHAL