HomeMy WebLinkAboutBLD2009-00166 Mechanical - BLD Permit / Conditions - 3/12/2009 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360kt27-7262
^+ Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT
OWNER: CLIFF KING
BLD2009-00166
CONTRACTOR: LICENSE: EXP: RECEIVED: 3/12/2009
SITE ADDRESS: 140 E NAHUM LN BELFAIR ISSUED: 3/12/2009
PARCEL NUMBER: 122164390013 EXPIRES: 9/12/2009
LEGAL DESCRIPTION: TR 1-D OF GOUT LOT 4 E OF R/W- S 17/222 PCL 1 BLA"#95-92 REV 1 #619535
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK, HEAT STOVE, OUTLETS
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: MEC 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. Shoreline Desi Side 1: Ft. 9•:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type
Qty. Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Mechanical Permit Fee TW 3/12/2009 $153.44 B12009000
Propane Tank 1 Mechanical Base Fee TW 3/12/2009 $28.50 1312009000
Propane Stove 1 ---------
Total $181.94
BLD2009-00166 Please referto the following pages for conditions of this permit. 1 of 3
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CASE NOTES FOR
BLD2009-00166
CONDITIONS FOR
BLD2009-00166
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
X800-'644�982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) Owner/A�e t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) 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 revocation.
4) 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.
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5) 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 until the final inspection has been performed and approved by a Mason County building inspector.
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6) 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 such features exist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X_1 h ,
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BLD2009-00166 Please referto the following pages for conditions of this permit. 2 of 3
7) 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 Coun y ordinances and building regulations.
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8) 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
holder ha vg prevented action from being taken. No more than one extension may be granted.
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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 property an structure for review and inspection.
OWNER OR AGENT: ,/ DATE:
BLD2009-00166 Please referto the following pages for conditions of this permit. 3 of 3
o CONCRETE Gas Piping MANUFACTURED HOME I—^
No Interior-Date By Z,
C) Ribbons 0
Footings!Setbacks Faderbr_Date By
o Date By Date By
INSULATION
rn Foundation Walls BG!SLAB INSULATION Set-up
Date By Date By Date By
FRAMING Floors FIRE DEPARTMENT
Date By Date By
Date By walls DECKS
PLUMBING Date By Dote By v
Groundwork Vault TANKS
Date By
Date By
Date By Attic
D.W.v
Date By OTHER y �
Type:
Date By DRYWALL Date By
Waterline Date aY Type:
Date By Int.Brace Wall Date By
MECHANICAL Date
Fireseperaticn ayFINAL INSPECTION o
Date By Date By Date - By W
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a Pass or Request Inspect.
5 Type of Insp. Fail Date Date Done By Comments
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PERMIT NO.�I�I
MASON COUNTY
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.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner C L Iff 4- 1, C1I-A K/Nlr Company Name
Mailing Address 0, ft x /0 ya Mailing Address
City. 11/V State b✓A•Zip Code 9 X5a Y City State Zip Code
Phone 360—,2 7-5 /G 1 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address K,'/vGs 1)S« an /Msly, com E Mail Address
Drivers Lic.# DOB A�5 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 t :3 0C, - Fire District
Legal Description
Site Address(Please include street name, street number and city) Lit , t3i 1Lce��
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 X Alt_,_Repair Other Use of Building
Location of Fixtures/Units- 1 st Floors 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric—LPG X_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 f T—
Clothes Washer Gas Outlets / �d
Kithen Sinks Wood/Gas/Pellet Stove /
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee `6
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 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.
PROOF OF ONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X • j Date: 3`'L C? C/
wn /Owners Representative rContractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid 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