HomeMy WebLinkAboutCOM2012-00070 Boiler - COM Permit / Conditions - 6/12/2012 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
IrfMason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
Shelton, WA 98584
lo COMMERCIAL BUILDING PERMIT COM2012-00070
OWNER: NORTH MASON SCHOOL DISTRICT#403 RECEIVED: 6/12/2012
CONTRACTOR: SULLIVAN HEATING & COOLING 1.360.405.0723 LICENSE: SULLIHCOOODA EXP: 12/27/2012 ISSUED: 6/12/2012
SITE ADDRESS: 91 E NORTH MASON SCHOOL RD BELFAIR EXPIRES: 12/12/2012
PARCEL NUMBER: 122071160010
LEGAL DESCRIPTION: TRACT 1 OF NE NE, E OF HY
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE BOILER ST RT 3 TO BELFAIR, R ON NORTH MASON SCHOOL RD TO SITE
ADDRESS ON THE LEFT SIDE
General Information Construction &Occupancy Information
No. of Units: Type of Constr.:
Type of Use: BUS BARN Insp.Area: No. of Bathrooms: Occ. Group:
Type Work: MEC Fire Dist.: 2 No. of Stories: Exit Design. Load:
Val
uation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline& Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2012-00070 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Boller 1 Mechanical Permit Fee (-,NANA sngnni? PnA Fn gi9n19nn
Mechanical Base Fee (-,KARA wi?/9niq o9R rn _q19ni*)nn
Total $62.00
CASE NOTES FOR
COM2012-00070
CONDITIONS FOR
COM2012-00070
1) Contractor registration laws eZgoverned under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are poter
and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE UIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF CCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
3) All building permits s have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a f/ I ' spection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant with o unty ordinances and building regulations.
X
4) All permits expire 18 ay after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a iod 'of exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit holden p evented action from being taken. No more than one extension may be granted.
X I
5) The demolition an 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 emoved from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or op for h s o tained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
w w w .0rcaa. r
X
COM2012-00070 Page 2 of 4
This permit becomes null andIWI
str ction 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 commencedcop". ation of work is a progress inspection within the 180 day p riod. Final inspection must be approved before building can be
occupied. Proof of continuatioora f a progress inspection.The owner or the agent the wners behalf, represents that the information provided is accurate
and grants employees of Masto above described property and structure for revi w an inspection.
OWNER OR AGENT: DATE:
COM2012-00070 Page 3 of 4
n
O �.
CONCRETE MECHANICAL MANUFACTURED HOME O
ry Footings 1 Setbacks GasDate Piping By Ribbons _
o Interior Date By interior•Date By Date By
oExterior Date By Exterior-Date By Set_�p >
Point Load l Isolated Footings INSULATION Date By Z
BG 1 SLAB INSULATION
Date By Data By FIRE DEPARTMENT n
Foundation Walls Floors Date By =
Date By Data By O
DECKS
FRAMING wails Date By r
Date By Data By PROPANE TANKS
PLUMBING vault Date By Cl)
Date By OTHER
Groundwork Attic Type: 0
Date By Date By Date By
o.w.v DRYWALL Type: n
int Brace wall Date By O
Date By Date By 3
FINAL INSPECTION O
Water Line Fire Seperation
Date By Date By Date By N
O
Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments O
0
.A
0
Ir
MASON COUNTY PERMIT NZ010 12. -
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar•P.O. Box 186, Shelton, WA 98584
64L
Iton ( 60)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICA T FO (TI N CONTRACTOR INFOR ATION '
Owner ; n Company Name ✓�r> P ' �{ f�°t�i�e
Maili Ad s Mailin d e -� -
City I State�_Zip Code City ' Oti t to Zip Code
Phone(!. Other Phone r nthnrPh.
Ir
Lien/Title Holder Contractor Reg. # �' xp.
E mail address E Mail Address �✓w>' (w^�
Drivers Lic.# DOB Drivers Lic.#. c` 60VDOB Ac , "7
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFOR ATION- 12 Di it Parcel 6 — 0®I o Fire District /
Legal Description
Site Address(Please include street name,street number and cit ) u 'i ui•R
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 r jl&e Use of Building '
Location of Fixtures/Units- 1 st Floor 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
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other` f
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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 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 parry 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 grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF C F WORK IS BY MEANS OF PROGRESS INSPECTION.
X a-r l��r v.4 Date:
Owner TOWAVRepresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL 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