HomeMy WebLinkAboutBLD2012-00187 mechanical - BLD Permit / Conditions - 4/4/2012 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 BLD2012-00187
OWNER: TED, JACKSON RECEIVED: 4/4/2012
CONTRACTOR: FERRELLGAS L P 1.816.792.1600 LICENSE: FERRELP055LH EXP: 9/6/2012 ISSUED: 4/4/2012
SITE ADDRESS: 901 E SODERBERG RD ALLYN EXPIRES: 10/4/2012
PARCEL NUMBER: 122185000020
LEGAL DESCRIPTION: LAKELAND VILLAGE#12 PHASE II LOTS: 20 &21 - DPC#05-18
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
2 GAS OUTLETS FOR OUTDOOR PROPANE FIRE RING ST RT 3 TO ALLYN, L ON HOMESTEAD DR, R ON OLD RANCH RD, R ON
STERLING DR, R ON SODERBERG RD TO SITE AT THE END ON THE LEFT
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.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 2 Mechanical Permit Fee GMM 4/4/2012 $6.20 S120120000(
Mechanical Base Fee GMM 4/4/2012 $28.50 S120120000C
Total $34.70
BLD2012-00187 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2012-00187
CONDITIONS FOR
BLD2012-00187
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- 0-647,-0982. he person si nin !!EHE
is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) ALL FURNACE INSTALLATIONS SH 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 MINIMUM
STAB RDS S TH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
X
3) II 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
pe � anon.
X
4) 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
sh Sed u til the final inspection has been performed and approved by a Mason County building inspector.
X P42)
5) Owner/applicant must obtain a seperat ear L r th placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank.
6) The placement of small propane tari s are not normally su ject 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 su feature�ex.st n r nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
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 County or n and building regulations.
X
BLD2012-00187 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 have prevented ram being taken. No more than one extension may be granted.
� X
9) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet he setback conditions listed.
X
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 Coun ac ss to the Bove described property and structure for review and inspection.
OWNER OR AGENT: G DATE:
�O���
BLD2012-00187 Please refer to the following pages for conditions of this permit. Page 3 of 3
W
o CONCRETE Gas Piping MANUFACTURED HOME D
o Intetiot-Date By 0
N Footings I Setbacks Few-Date By Ribbons X
CDDa to
By INSULATION Date By Z
�4 Foundation Walls BG I SLAB INSULATION Set-up —i
Date av Date By Date By Ill
FRAMING Fig FIRE DEPARTMENT
Date By
Gate By Date BY
Wags
PLUMBING bate By DECKS
Date e�
Groundwork Vault
Ely Date By Date Date By
Attic
1-W'v Date By OTHER
Date By DRYWALL Type:
Date By
Water Line Date BY Type: ca
Date lay tint,Brad Wall Date Bu
MECHANICAL Date BY p
1
Firesepera an FINAL INSPECTION CD o
Date By Date By Date BY l j
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments co
v- z 2- ==�
v
0
Cn
0
CA
o
y
(D
3
_ P
4
V
(D
._1
0
M 7
1
, .anw,.maw►�+�•��•"�r�.1aw..�_ •.•...�•+.a..
� -�� s r tom_•-.
t �l IYI
..y
•y �t1 w"p4'���.-� 'r�� �X�" �� $' �" •.fit. '�
I
v
. n � ,Y4 ♦. _
t• "
r , �. I� � � t tih t ,�•
,
' (V4V
JF
�NO
Av IN
Nk
It
- f
. t �
./r
PERMIT NO 01A'(Y)1!5
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 _`�=L� (� i►/�? J �:�5 �. Company Name Zcc_AC
Mailing Address mil'` .. ).fie!�I Ty2l ! Mailing Address pIC% "ILL, 100,
City State Zip Code �S'�� City L +&-n y State nAr- Zip Code 6;4164' `/
Phone C'Ll Z 7 2- 4 !('_%Other Ph. ?,&0 S'vl -0 Phone I , , '3NHy Other Ph.
Lien/Title Holder )z;d1fdn Contractor Reg. # Exp.
Email address tU A A 6,4,�A✓6'e,A 9Lc 60A E Mail Address e ;;A
Drivers Lic.#. '76 L'A DOB "S j Vi 16, Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System X
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No, Fire District
Legal Description Ze,?fkZI
Site Address (Please include street name,street number and city) qoi 4, _5c'►� C/ZC� r�c3AL7
Directions to site . Aks;rX60,0 c>[LAKt RO 7'el
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 - 1 st 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_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
Clothes Washer Gas Outlets 'L
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other 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 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.
P CO INUATJON OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
/ r ner sprifative/Contractor (indicate which one)
FOR OFFICIAL USE BEYO THIS POINT
Accepted by�lanning Pd Ck# _Date y Z Bld 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