HomeMy WebLinkAboutCOM2015-00166 Repair Water Heater - COM Permit / Conditions - 12/7/2015 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
cot,,yP Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
1R?4
COMMERCIAL BUILDING PERMIT COM2015-00166
OWNER: CAMP SAINTALBINS RECEIVED: 12/7/2015
CONTRACTOR: FAST WATER HEATER COMPANY 425.636.7054 LICENSE: FASTWWH948BC EXP: 1/4/2016 ISSUED: 12/7/2015
SITE ADDRESS: 251 E LAKE DEVEREAUX RD ALLYN EXPIRES: 6/7/2016
PARCEL NUMBER: 122085260000
LEGAL DESCRIPTION: LAKEWOOD PLAT J PLAT J WEST OF STATE RT 3 EX LOTS: 1-4, 9-12, 36-43 ALL IN BLK 1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPAIR GAS TANKLESS WATER HEATER WA ST RT 3 N TO ALLYN, LEFT ONTO E LAKE DEVEREAUX RD, SITE ON
LEFT
General Information Construction & Occupancy Information
Type of Use: CAMPING Insp. Area:
No. of Units: Type of Constr.:
Type of Work: PLM Fire Dist.: 5 No. of Bathrooms: Occ. Group:
Valuation: No. of Stories: Exit Design. Load:
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?:
COM2015-00166 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty Type Qly Type By Date Amount Receipt
Water Heaters 1 Plumbing Permit Fee IRN 19i7t9ms Qa 7n �99ntsnn t
Plumbing Base Fee IRN 19/7/9n15 £94 70 R99n15nn
Final Inspection Fee IRN 19 7/9n1F ?7�nn ,7,)nt 5nn
Total $106.40
CASE NOTES FOR
COM 2015-00166
CONDITIONS FOR
COM2015-00166
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 1-800-647-0982 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 I 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 CONSTRUCTION MUST MEET OR EXCEEDALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION ANY CHANGEPLE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x_�
4) 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, 360,586.10441800.422.5623
www.orcaa org
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-complja with th Mason County ordinances and building regulations.
6) 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, ho dyr have prevented action from being taken No more than one extension may be granted.
COM2015-00166 Page 2 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 4ructure(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
PE ZPPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
i a� l;- /-� - /S
Signature, Date
t/'�Y1a OWNER - REPRESENTATIVE - CONTRACTOR
Print Name 4Circle one to indicate)
COM2015-00166 Page 3 of 4
MASON COUNTY PERMIT NO. M26),5 -00i*
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING v PLANNING v 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 �u
�sw PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:.CAw �SA 1 NT abJt'i S NAME: fA ST in1 ff T H F—ATFAz
MAILING ADDRESS: PEV -- X MAILING ADDRESS: l 17 15 N G129EK PA S —I IOU
CITY: STATE: \AIA ZIP: aT L K CITY: pj��1 I STATE:h/a ZIP: I 1
PHONE: T CELL: PHONE:`i a t5 to CELL: —
EMAIL: EMAIL :r=,V=1�1-1
L&I REG#��IST ww.1�°lye f'�(', �XP. I. /�
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): T
_
LEGAL DESCRIPTION(ABBREVIATED): —
SITE ADDRESS: CITY: AI.Lq/y- (� �UI�t.0
DIRECTIONS TO SITE ADDRESS: V\l
TYPE OF JOB
NEW ADD ALT PAIR X OTHER USE OF BUILDING C{�YVI(,
LOCATION OF FIXTURES/UNITS— 1 sT FL R 2"D FLOOR BASEMENT GARAGE OTHER i r 06ty
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+ P?SS r Propane Tank
IA
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee —
TOTAL PLUMBING I GAP TOTAL MECHANICAL -Able-.�--1 G
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.
JX
OJAI RECEIVED 1 '� _ _ 5-
Signature of App AN DEC 0 7 2015 Date
X TV �-E 4 U 4,2 W.g r E nA R ST Owner/Owners Representative/Contractor
Print Name (indicate which one)
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL