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HomeMy WebLinkAboutBLD2016-01054 Cancelled - BLD Application - 10/20/2016 MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY DEVELOPMENT �I 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. �� Shelton,WA 98584 (360)482-5269 Elma ext. RECEIPLUMBING & MECHANICAL PERMIT APPLICATION OCTaQ 2016 OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alde t NAME: kv ,kv, L(.SU✓1 NAME:_ - C -_. MAILING ADDRESS: PO MAILING ADDRESS: -,S AfE T t CITY: 13elFu,'t/ STATE:�r /-ZIP: 4S11 CITY: l�aK,su„{,� STATE: Ltr.f-- ZIP: Cql PHONE: ,6C1-�CELL:36p-gcli PHONE: CELL: 0"- - 7 EMAIL: n p t�nut ,tom,bI 5ct�;�,ccr►+t EMAIL : dalt k e , L&I REG# P. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): b LEGAL DESCRIPTION(ABBREIIMIED): T P\I U f-P Aw✓ _ SITE ADDRESS: TY: 6.e t G;✓ DIRECTIONS TO SITE ADDRESS: TYPE. OF JOB NEW ADD AI_'1' REPAIR OTHER F BUILDING — too LOCATION OF FIXTURES/`UNITS-- Is-"FLOOR Z DFLO ASEMENT GA OTHER PLUMBING FIXTURES(SHOW NUMBER Q CH) ANICAL UNITS Type of Fixture No.of Fixtures c F ype:ElectricLPG t al Gas Ductless - - - Toilets T e of Unit No.of it Fees Bathroom Sink mace Bath Tubs eat Pump Showers Spot Ve Water Heater A Prop Clothes Washer A III, Gas O Kitchen Sinks Wood/ Pellet Stove Dishwasher Kitchen aust Hood Hose bibs Dryer Vent Other oar ane Other 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 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 nterest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employ f Mason County access to the above described property and structure(s)for review and inspection.This permit/application becom II 8 void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period o 0 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATIO F 180 DAYS WILL INVALIDATE THE APPLICATION. x Si at of Applicant Date X d vt lagt� Owner/Owners Representative/Contractor Print Name (indicate which one) DEPAR , ENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL � L OVER-THE-COUNTER BUILDING PERMIT CHECKLIST FOR RESIDENTIAL SOLAR PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED Contractors can apply for an Over-The-Counter(OTC)permit where the PV system meets the requirements listed in this Checklist.All project plans and supporting documentation must be provided on site for the inspector. --------TO BE COMPLETED BY APPLICANT------- © Project Information Property Owner Name: Project Address: I Parcel# a l 14t3, City: State. ZIP:p Day Phone: Contractor Name Piro - SJ-t�.�.. _ Contractor License#: R 0ST N Contractor day phone: 03-S3�-777z Describe project: conventional framed built dwelling or garage, I Pole structure,steel building,etc. �� j�v vG4,4(e_ - Note: Manufactured/mobile homes_require C&/Approval S 22 41 'i PV system description (include manufacturer _5-o(QvU/vtr1d _W -�G Mrd,4tr and model#of PV modules and A rS'ArhS yC 5c c)) i h�Gtry i h v�✓k✓ inverters): ©Determine if your project qualifies for expedited permitting: Yes No 1. PV system is designed and proposed for a detached one-or two-family dwelling or townhouse not more than three stories above grade or detached accessory structure that ❑ is code compliant to setbacks and height,or code allows expansion of nonconformity for solar modules. [IRC 101.2] 2. Modules on pitched roofs do not exceed the highest point of the roof unless approved by ❑ the local jurisdiction. 3. Rooftop is made from lightweight material such as a single layer of composition shingles, ❑ metal roofing,lightweight masonry,or cedar shingles. 4. The installation shall comply with the manufacturer's instructions. [IRC M2302.21 !$ ❑ 5. The installation shall meet the requirements of NFPA 70 National Electric Code,and all required electrical permit(s)must be obtained from the Authority Having Jurisdiction to ❑ administer the electrical code. [IRC M2302.2] 6. The installation shall meet the requirements of the International Fire Code as amended by WA State. (IRC M2302.2) 7. The PV system is designed for the wind speed of the local area,and will be installed per ❑ the manufacturer's specifications. [IRC M2302.2.1(1)J 8. The ground snow load does not exceed 70 pounds per square foot. [IRC M2302.2.1(2)] ❑ 9. Total dead load of modules,supports, mountings,raceways and all other appurtenances C weigh no more than four pounds per square foot. (IRC M2302.2.1(3)) 1 Enter total dead load of system(Ibs/ft):Click here to enter text. 10. To address uplift, modules are mounted no higher than 18"above the surface of the CV ❑ roofing to which they are affixed. [IRC M2302.2.1(4)] 11. Supports for solar modules are installed to spread the dead load across as many roof- framing members as needed to ensure that no point load exceeds fifty(50) pounds. ❑ [IRC M2302.2.1(5)] 12. The photovoltaic modules and supporting structure shall be constructed of noncombustible materials or fire-retardant treated wood equivalent to that required for ❑ the roof construction. [IRC M2302.2.1] 13. Roof and wall penetrations shall be flashed and sealed to prevent entry of water, ❑ rodents,and insects. [IRC M2302.2.2] 14. PV modules are listed and labeled with a fire classification in accordance with UL 1703. ❑ [IRC M2302.2.31 Comments: Click hereto enter text. v:ee✓i �f If you answered yes to all of the above questions,the project qualifies for the over-the- counter permitting process. Q Submit this Checklist,Site Plan, and other required permit application forms to: (insert contact info for jurisdiction having authority) NO As the property owner or authorized representative of the above listed property, 1 attest that all information in this checklist is accurate to the best of my knowledge. Applicant Signature: Date: _._ I Wl Yf Applicant Name(Please Print). ,js l ✓f �/ --------TO BE COMPLETED BY MASON COUNTY STAFF------ Qualifiesfor OTC Building Permit? yes ❑No Permit Application p: Stafflnitials / Date: 'O- W����� 10 2