HomeMy WebLinkAboutBLD2011-00074 Mechanical - BLD Permit / Conditions - 2/1/2011 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
IF Shelton,WA 98584
P14
MECHANICAL PERMIT BLD2011-00074
OWNER: CARL, ERICKSON RECEIVED: 1/31/2011
CONTRACTOR: OLYMPIC HEATING & COOLING 360-426-9945 LICENSE: OLYMPHC986BA EXP: 1/1201 ISSUED: 2/1/2011
SITE ADDRESS: 651 E OLD RANCH RD ALLYN EXPIRES: 8/1/2011
PARCEL NUMBER: 122175000015
LEGAL DESCRIPTION: LAKELAND VILLAGE 11 LOT: 15
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Furnace & Heatpump STATE ROUTE 3, L ON HOMESTEAD DR, L ON OLD RANCH RD TO SITE
ADDRESS ON THE RIGHT
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 5 Rear: Ft. Slope: Ft.
Side 1: Ft.
Valuation:
- I Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Furnace<100K 1 Mechanical Permit Fee GMM 1/31/2011 $36.50 S120110000
Heat Pump 1 Mechanical Base Fee GMM 1/31/2011 $28.50 S120110000
Total $65.00
BLD2011-00074 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2011-00074
CONDITIONS FOR
BLD20 1 1-00 0 74
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
1-80� - 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) L 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
MINIM ANDARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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3) I onstruction 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
permi v tion.
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4) Al 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
Masonenordinances and building regulations.
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5) All ermits 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
hold v .prevented action from being taken. No more than one extension may be granted.
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6) definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
t ese stru tures meet the setback conditions listed.
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BLD2011-00074 Please referto the following pages for conditions of this permit. 2 of 3
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 anytime 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 properk and structure for review and inspection.
OWN ER OR AGENT: DATE:
BLD2011-00074 Please referto the following pages for conditions of this permit. 3 of 3
Gas Piping M
o CONCRETE MANUFACTURED HOME X
r1j Ititeror-Date By -------
C) 0
Footings/Setbacks Ribbons
F.xtc-rxx-Date By x
C) U)
C) Dato By Date By INSULATION 0
4 --
-N Foundation Walls BG I SLAB INSULATION Set-up
Dale By Date By Date By 0
FRAMING Floors FIRE DEPARTMENT
Date By Date BY
Da to By Mile
PLUMBING Date By DECKS
Vault Data By
Groundwork TANKS
Date By Date BY Date BY
Attic OTHER
D.W.V Date By
Date DRYWALL Type.
BY Da to By
Water Line Date By Type
Date By Int.Brace Wall Date By
-0 MECHANICAL Date By
FINAL INSPECTION
Fire Seperation
Dale By Date By Date
Pass or Request Inspect.0
5 Type of I nsp. Fail Date Date Done By Comments -4
(D
R
8
0
E,
En
CD
CD
01r''' Si'' 011 11: n 3GF14'2 14G6 OLYMPIC HEATING PAGE 61/02, I�a"] V '_ I PERMIT NO.
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY
PLUMBINGNECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, 98584
Shelton (360) 427-906r70 eBelf ir060o275-4467 - Esma(360) 482-5269 '
APPLIC NT INFORMATION b ww CONTRACTOR INFORMATION
Company Name
Owner 3 ��it 1�1�rnc��� Q'' -
Mailin Address �f l'7� ' �� Mailing Address
11.1.,i�� State Zip Codeq � City^-�� Mate �- ►-- Zip Code -
y Phone L4 Other Ph.
City- - -
Phon _ Other Ph. �LYtAll tC�t�lL�
Contractor Re �-Exp.�+
Lien/Title Holder g T
E Mail Address•�=�'-=��� �"� n,���
E mail address DOB
Drivers Lic.# DOB Drivers Lic.#
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
r Fire District
PARCEL INFORMATION - 12 Digit Parcel No.
Legal Description - IVI R.
Site Address (Please include street name, street number and city)
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 Alt Repair Other Use of Building
Location of Fixturesknits - 1 st Floor 2nd Floo
r Basement tGarage—Closet -
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type.Electric___ LPCL_ Natural Gas—_ Heat Fees
Toilets Pump—
TypeType of Unit No. of Units
Bathroom Sink Furnace
Heatpumps 1
Bath Tubs Spot Vent Fan _•.-----
Showers Propane Tank
Water Heater Gas Outlets �—
Clothes Washer Wood/Gas/Pellet Stove
Kithen Sinks Kitchen Exhaust Hood
Dishwasher Dryer Vent
Hosebibs -- Other
Other Base Fee
Base Fee TOTAL MECHANICAL
TOTAL PLUMBING
)-_ ._-_ .
CUMIER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement o
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 partieI have s.
if permission
erm Hied is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,
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 CONTINUAT W RK IS BY MEANS OF A PROGRESS INSPECTION.
ON.
Date:_, 1
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Owner/Owners Representative/Cc actor (indicate which one)
FOR OFFICIAL USE BEYOI D T IS POINTld Pd Receipt No.
Accepted by. lanning Pd Ck# Date 1II III
lDEPARTM NTAL REVIEW APPROVED DENIED NOTES
Building Department
occ Grcup—Type Constr—
+Planninq Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood /Gas/ Pellet Stove Fee Other
Violation Fee TOTAL FEES