Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BLD2016-00196 Mechanical - BLD Permit / Conditions - 6/16/2016
Inspection Line(360)427-7262 4/iN5 "4T� MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County - 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2016-00196 OWNER: PHIL MUCNA RECEIVED: 3/16/2016 CONTRACTOR: BLACK HILLS INC 360-705-8590 LICENSE: BLACKH1006DA EXP: 7/19/2017 ISSUED: 3/16/2016 SITE ADDRESS: 631 E RAUSCHERT RD GRAPEVIEW EXPIRES: 9/16/2016 PARCEL NUMBER: 121185000010 LEGAL DESCRIPTION: MOUNTAIN SHORES TR 10 & 1/80 INT TR 41 PROJECT DESCRIPTION: DIRECTIONS TO SITE: FURNACE AND HEAT PUMP General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: PUB Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: MEC Fire Dist.: 3 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 Furnace<100K 1 Final Inspection Fee JBN 3/16/2016 $73.00 S2201600000001 Heat Pump 1 Mechanical Permit Fee JBN 3/16/2016 $36.50 S2201600000001 Mechanical Base Fee JBN 3/16/2016 $28.50 S2201600000001 Total $ 138.00 BLD2016-00196 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2016-00196 CONDITIONS FOR BLD2016-00196 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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-66477-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X = 2) 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. X 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 STANDARD SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE. X 4) 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. EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created. X 5) 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 Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit reYoTion. X 6) 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 operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X z/) BLD2016-00196 Please refer to the following pages for conditions of this permit. Page 2 of 3 7) 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 conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be mjade prior to requesting additional inspections. X :� 8) 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 Coun"oo finances and building regulations. X '_�)1 9) 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. X /�f 10) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure these structures meet the setback conditions listed. X 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 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 OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLIC ION OF 180 DAYS WILL INVALIDATE THE APPLICATION. I - 16 , l � Signature I Date Ca f) OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2016-00196 Please refer to the following pages for conditions of this permit. Page 3 of 3 Permit number BLD Mechanical Permit Checklist Q(�` • Name of owner:y Y 'l 1 � MU�� Name of Installer: V Qc�_ 4I`l S , I n G • Fuel Type? LPG Nat Gas Electric Other • If propane, what is the proposed size of tank(s)? • That f chical unit llbe sll ,forced air furnace, etc.) • If the unit is a wood stove, provide: Make Model RECEIVED Year Label Number MAR 1 12016 • What is the use of the structure? (Circle one) Residential Commercial 61 W. Alder Street (A permit application for a commercial mechanical permit will e issued upon satisfactory review by staff. Include a floor plan showing the location of unit(s)and layout of duct work with the permit application.) • Type of structure: (Circle one) ite Built Ho Manufactured Home Other • What room will the mechanical unit be located? • 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. direct vent, it inlets, etc.) • How will the cal unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel. (Indicate B-vent, direct vent -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 Applicant Date _�I --r 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 'lack Hills, Inc. � Heating and Air Conditioning l :` , : : 1003 85th Ave.SE Suite A,Olympia,WA 98501 (360)705-8590 www.blackhillsinc.com Customer Name ?"+<< /'h L) ,"1,; Date 3-,2-t to Work Order# Address �,3i E �,A�SLH1ci�T City Ewe V i 6 L-4 State iAJA zip !& 4r(o Home Ph. ( ) 7 S _ !1,?9a Work Ph. ,;ZS ) 5t,j - t.-31 I Email OUTSIDE YOUR HOME31a be10XC- A7 ?u"e INSIDE YOUR HOME;3lla �``��'`L A"t- flt1rlrkD1t�— O-Replace existing unit ❑ Add new unit > ®,Beplace existing unit ❑Add new unit El Air conditioner— ®-Heat pum �' ElGas furnace ElNat.gas ElL.P. ❑Oil ❑Packaged unit 14c-•4 6r4l✓ 54'r (man coil with supplemental electric heat KW ❑Unit support ❑ Protective gutter ❑Use existing disconnect ❑ New disconnect ❑New flue ❑ Use existing flue ❑Relocate ❑Relocate indoor unit from to ❑New circuit from existing electrical panel a-Easy access air filter 41, ❑New circuit from existing panel SYSTEM INSTALLATION INCLUDES ❑New wire from existing panel ✓ All labor ❑Rooms requiring additional air flow ✓ Performance Control Center ❑Add supply vent to ❑ Standard ❑ Electronic 2� Programmable ✓ All required permits ❑Add return vent to ✓ Removal and proper disposal of old equipment ❑Complete duct system ✓ .Check entire system for safety and efficiency s —© All fUc cA ►toe —�a�5 ✓ Check and reseal minor leaks in exposed ducts fZ�, a LTm ✓ One year scheduled service +1(2,5, yet.- roa) SPECIAL AIR TREATMENT PRODUCTS FOR IMPROVING THE QUALITY OF YOUR AIR ❑ MicroGuardian Air ScrubberO ❑ Quantum 2540 UV Sterilizer ❑ OxyPure°Air Enrichment System ❑ OxyQuantum®Combination System ❑ Micro PowerGuard Air Cleaner® ❑ ToraVaeSource Removal System WARRANTI ES (Under terms of warranty, routine scheduled service ust be performed on system) /ate/years on art n ab lo years on compressor years on heat exchanger GUARANTEES (All guarantees are explained on the reverse side of this agreement) 9.comfort [[No Lemons [AUtility Savings Q$500 No-Frustration ©4500 Installation&Property Protection XLMoney Back No Surprises:The investment quoted is what you pay. Customer Respect:Our technicians will not swear or use tobacco products while on your property.They will courteously answer any questions or concerns and leave your home as neat as they found it. Code Compliance:The installation will comply with all existing local codes. Drug Free:Your work will be performed by our professional, highly trained and drug-free associates. Satisfaction:We will guarantee that your system meets or exceeds your expectations for quality and reliability. i 5 Finance option* We hereby propose to complete work as specified above for the sum of: �'h,7� 7 —� Monthly investment Pa ment terms: Financed` 25% deposit. Balanced a upon installation Buyer hereby declares that buyer holds title to property in Company approval by Date 3- 01— i which merchandise is being installed and has legal author to order the work outlined above.The seller retains title Customer approval by —.2— J(,, to all materials and property listed herein until payments have been made in full.Accounts not paid within 30 days of Customer approval by Date invoice receipt are in default and subject to a late payment charge of 1-1/2%per month or 18%annually.Buyer agrees *Subject to approval by finance company.Certain restrictions apply to any reasonable attorney's and/or collection fees incurred 02001 to 2013 Clockwork Ito LLC.All Fights Reserved by seller to secure payment of this contract. MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY DEVELOPMENT j BUILDING•PLANNING,FIRE MARSHAL 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 REC�11/ ED PLUMBING & MECHANICAL PERMIT APPLICATION MAR 1 b2016 OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alder Street NAME: h i l Uc: e1 NAME: p)1 pK.IK t nL MAILING ADDRESS: tAlil 12a SGh ert MAILING ADDRESS: IWx ; gect P \,t 51r CITY:(-,Jg W1 AA) STATE: W A ZIP: q� CITY: 01 I A STATE: W& ZIP:cii q 5 e� PHONE:`3U'O- i42q^< CELL: PHONE:bU-0, CELL: EMAIL: EMAIL : 0tchte blgGK-In[I(S Y�G (0►'1'� L&I REG# ?)1-146K"l l7WQJ L EXP.fa/16 20t�- PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): 1 a 11<6 -LjU- 0 00 ID LEGAL DESCRIPTION(ABBREVIATED): SITE ADDRESS: P-C-AV " CITY: GlLq—Leeyl DIRECTIONS TO SITE ADDRESS:W P\-3 ; 2 o n E 9-v,i1 Yowl I°�V2/'�rl� -3� LL on N 1 ivo.t S,OwA- ;) , R oy' St wA-3, R on E 6!2t4&yi" Up 1201, Q. oy► E 12aav50herte0i TYPE OF JOB NEW ADD W ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric)0 LPG_ Natural Gas Ductless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace 1 Bath Tubs Heat Pump 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 00� TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information may result a sto order or permit Lrevocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal repres tative,or r. I fu re that I am entitled to receive this permit and to do the work as proposed. I have obtained permission fro a nec rties, 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 ull&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 1 0 ays. PROOF OF CONT TION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS P PL+ICfATION O A SWILL INV ATE THE APPLICATION. X Signature o pp scant Date X b 1a"Jw Owner/Owners Representative/Contractor ,firint Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL