HomeMy WebLinkAboutBLD2010-00985 Mechanical - BLD Permit / Conditions - 10/25/2010 ? 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 BLD2010-00985
OWNER: WILLIAM, NELSON RECEIVED: 10/25/2010
CONTRACTOR: LICENSE: EXP: ISSUED: 10/25/2010
SITE ADDRESS: 681 E SODERBERG RD ALLYN EXPIRES: 4/25/2011
PARCEL NUMBER: 122185000029
LEGAL DESCRIPTION: LAKELAND VILLAGE#12 PHASE II LOT: 29
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GAS LINE FOR WHOLE HOUSE BACK UP GENERATOR
General Information Setback Information
Front: Ft. Shoreline: Ft.
Type of Use: SF Insp.Area:
Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 5
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Oty. Type By Date Amount Receipt
Gas Outlets 2 Mechanical Permit Fee GMM 10/25/201 $6.20 S120100000
Mechanical Base Fee GMM 10/25/201 $28.50 S120100000
Total $34.70
BLD2010-00985 Please refer to the following pages for conditions of this permit. 1 of 2
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. CASE NOTES FOR
BLD20 1 0-00 9 85
CONDITIONS FOR
BLD2010-00985
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.
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2) Owner/Agent 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.
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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
shall not pe used until the final inspection has been performed and approved by a Mason County building inspector.
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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-compliant with
Mason County ordinances and building regulations.
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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
holder have 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 and structure for w and inspection.
OWNER OR AGENT: `� DATE: d G
BLD2010-00985 Please refer to the following pages for conditions of this permit. 2 of 2
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o CONCRETE Gas Piping MANUFACTURED HOME
o Interior-Date By r
I? Footings I Setbacks y LAjL Ribbons Cl)
Extercx-Date J g
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C) Date By INSULATI Date By ?Z
CD
Ln Foundation walls BG ISLAB INSULATION Set-up C
Date By Date By Date By
FRAMING Floors FIRE DEPARTMENT D
Date By Date By
Date By wells
PLUMBING Date By DECKS
Date By
Groundwork Vault TANKS
Date BY Date By
Date By Attic
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Date By OTHER
Date By DRYWALL Type.
Date By
Water Line Date By Type:
Date By Int. Bra Wall Date By �
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MECHANICAL Date BY FINAL INSPECTION o
Fire Seperatian O_
Date By Date By Date 6 J / /CJ By&a L. O
s Pass or Request Inspect. m
Type of Insp. Fail Date Date Done By Comments ao
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MASON COUNTY PERMIT NO.
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 Company Name LA 7U1)Vj-7 R
Mailinci Address Mailing Address
City StateZip Code City Mate Zip Code
Phoneme r{1 7:7�i JIJ±2==[ether Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg..9 Exp.
E mail address E Mail Address
Drivers Lic.# DOB 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. Fire District
Legal Description yvmn
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 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_ LPC_ 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 Z ac)
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee �1T�
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TOTAL PLUMBING TOTAL MECHANICAL
01NNER/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 O CONTINUATIQN OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
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Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date 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