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BLD2009-00882 Mechanical - BLD Permit / Conditions - 10/7/2009
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 Shelton,WA 98584 �� MECHANICAL PERMIT BLD2009-00882 OWNER: FRANK& Ml fo,KENNY RECEIVED: 10/7/2009 CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIAC916DE EXP: 3/5/2011 ISSUED: 10/7/2009 SITE ADDRESS: 21580 E STATE ROUTE 3 BELFAIR EXPIRES: 4/7/2010 PARCEL NUMBER: 122064190070 LEGAL DESCRIPTION: TR 7 OF NE SE TR B OF SP#76 PROJECT DESCRIPTION: DIRECTIONS TO SITE: PROPANE STOVE, TANK AND OUTLETS SR 3 N TO ADDRESS General Information Setback Information Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft. Type of Work: MEC Fire Dist.: 2 Rear: Ft. Slope: Ft. Side 1: Ft. Valuation: Side 2: Ft. Mechanical Fixtures FEES Type Qty. Type By Date Amount Receipt Gas Outlets 1 Mechanical Permit Fee KS 10/7/2009 $152.20 S120090000 Propane Tank 1 Mechanical Base Fee KS 10/7/2009 $28.50 S120090000 Propane Stove 1 Total $180.70 BLD2009-00882 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2009-00882 CONDITIONS FOR BLD2009-00882 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 1-800-67j Q9�2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X — f(�� 2) Owner yAgleq responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14 28. 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 MINI 1 TANDARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE. 4) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion air fr q ide in accordance with the international codes. 5) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled on site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc). Setback to the public way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 5-ft or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be installed. X 6) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be install X 2ww�Z/_ 40 BLD2009-00882 Please referto the following pages for conditions of this permit. 2 of 3 7) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the 4ns requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. 8) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used yrftil the final inspection has been performed and approved by a Mason County building inspector. X 9) Owner/applicant must obtain a seperate perfni fgythe placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X ��K 10) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think s=hftyr s exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X / � 11) 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� rnances and building regulations. X 12) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these (structur/ess meet the setback conditions listed. X `fi G 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 Mason County access to the above described prppe and structure f review and inspection. OWN ER OR AGENT: IV' 7C DATE. BLD2009-00882 Please referto the following pages for conditions of this permit. 3 of 3 co o CONCRETE Gas Piping MANUFACTURED HOME M o Interior-Date /O-23� By "( _ _ Z C) Footings I Setbacks Ribbons z Exterior-Date ey Date By co INSULATION Date gy T 00 Foundation Watts BG I SLAB INSULATION Set-up D Date By Date By Z Date By � FRAMING Floors FIRE DEPARTMENT Date By pate BY Date By PLUMBING Date ic ts By DECKS X Date to BY Groundwork Vault TANKS Date BY Date By Date By Attic Q.W.V Date By OTHER Date By DRYWALL TYPO- Da to By Water Line Date BY Type: 03 Date By Int.Gracie Wall Date By MECHANICAL Date ByFINAL INSPECTION Fire Separation ` O m Date By Date By Date I©—Z_� By O a Pass or Request Inspect. C0 Type of Insp. Fail Date Date Done By Comments N CD CD N O 8 a o' o _— in' CD m Q -h J MASON COUNTY PERMIT NO. — U Ufj - PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269 On the web www.-.o.mason.wa.us APPLICANT INFOR ATION m CONTRACTOR INFORMATION Owner �6`YI e-V2 r?`- , 6 e,i Y e>7 Company Name Ctw > i i"✓ Mailing Addre ry ep/L Mailin Ad ressZ,SO 7 t V *( tP N. Ji-2Za City U 0-5tate_��'Zip Code a' Citys�e State - A Zip Code- Phone%&o 7/0 7013 Other Ph. Phone3610-A2.1 - lzoZ_ Other Ph. Lien/Title Holder Contractor Reg_ # oap C.TAcc)I&a�xp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION- Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. % G Y/ 70 Fire District Legal Description Site Address(Please include street name, street number and city 2/ Sf3 D S 3 /3G/C�g 985A8 Directions to site -S IZ 3 � f-0 E a-1 5`7,0 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 Location of Fixtures/Units- 1st 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/PelletStove 9 .c2_ Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING I TOTAL MECHANICAL 01 OWNER/BUILDER Acknowledges submission of inaccurate irdorrnation 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 party 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. PR UATIQN OF RK 1 MEANS OF A PROGRESS INSPECTION. /J X Date: C/ Pr Owner/ Hers Representative/ ntracto (indicat hich one) FOR OF AL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department c Group—Type Constr. Plan ing 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