HomeMy WebLinkAboutBLD2015-00771 Water Heater - BLD Permit / Conditions - 9/17/2015 Inspection Line (360)427-7262
P° `fir, MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 3f.?,
y Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2015-00771
OWNER: HEINZ HICKENTHIER RECEIVED: 9/10/2015
CONTRACTOR: PLUMBMASTER 1.360.813.2222 LICENSE: PLUMBL"865JN EXP: 2/26/2016 ISSUED: 9/17/2015
SITEADDRESS: 80 E CAMPUS DR BELFAIR EXPIRES: 3/17/2016
PARCELNUMBER: 122071400010
LEGAL DESCRIPTION: SE NE E OF R/W
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WATER HEATER REPLACEMENT FOLLOW ST RT 3 TO BELFAIR, TURN RIGHT ON NORTH MASON SCHOOL
RD, THEN R ON CAMPUS DR TO SITE ADDRESS ON THE RIGHT SIDE
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: FILM Fire Dist.: 2 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
Water Heaters 1 Building Special inspection GMM 9/14/2015 $ 73.00 S2 2 01 5 00 000001
Plumbing Permit Fee GMM 9/14/2015 $ 8.70 S22 0 1 500000 0 01
Plumbing Base Fee GMM 9/14/2015 $24.70 S220150000000i
Total $ 106.40
BLD2015-00771 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2015-00771 '
CONDITIONS FOR
BLD2015-00771
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
X 800-6�,7-}982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) 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 revV
n.
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3) 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
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4) All property lines shall be clearly identified at the time of foundation inspection. X
5) 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 Cpy,pty ordinances and building regulations.
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BLD2015-00771 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Ly 4 0 q - 17- 1�'
Signature l r Date
f—er'-CAUG,7 !p/ OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (circle one to indic
BLD2015-00771 Please refer to the following pages for conditions of this permit. Page 3 of 3
gpN COL.N C_.
MASON COUNTY PERMIT NO. L 1X)77,
DEPARTMENT OF COMMUNITY DEVELOPMENT
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. 352RE C E T VE D
PLUMBING & MECHANICAL PERMIT APPLICATION SEP 17 2015
OWNER INFORMATI • CONTRACTOR INFORMATION: 426 W. CEDAR S T.
NAME: ' � / NAME:-PJL4
MAILING DDRESS: FQ r, MAILING ADDRESS: G
CITY: Re STATE:LJG• IP: CITY: 5 eA b e ( STATE Wy, ZIP:
PHONE LL: PHONE: Q- 2 CELL:
EMAIL: 27s j" Z� EMAIL :T rr cr; l6I1'/
L&I REG# EXP.0/ 5�'/
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTI ABBREVIATED):
SITE ADDRESS: T6 CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB of c, !e �0,er eatrr
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— IST FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
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 Heatpump
Showers Spot Vent Fan
Water Heater //1 a Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Ff1�� Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER D wle es submissi i ccura ormation may result in a stop work order or permit revocation.
Acknowledgement of such is by s elow. 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 APPLICATION
�OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X f aus j 1- 4?
ignature of Applicant Date
X_9pf) f Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL