HomeMy WebLinkAboutBLD2014-00165 heat pump - BLD Permit / Conditions - 2/20/2014 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 279
Irflo Shelton, WA 98584
MECHANICAL PERMIT BLD2014-00165
OWNER: COLLEEN USIBELLI RECEIVED: 2/20/2014
CONTRACTOR: PRICE JONES LLC 360.377.6119 LICENSE: EXP: ISSUED: 2/20/2014
SITE ADDRESS: 367 E POINTES DR EAST SHELTON EXPIRES: 8/20/2014
PARCEL NUMBER: 121195300129
LEGAL DESCRIPTION: HARTSTENE POINTE#4 LOT: 129
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DUCTLESS HEAT PUMP ST RT 3, R ON PICKERING RD, CROSS BRIDGE TO THE ISLAND, L ON
NORTH ISLAND DR FOLLOW TO THE POINTE
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.
y Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee GMM 2/20/2014 $18.20 S120140000(
Mechanical Base Fee GMM 2/20/2014 $28.50 S120140000(
Building Special inspection GMM 2/20/2014 $73.00 S120140000(
Total $119.70
BLD2014-00165 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2014-00165
CONDITIONS FOR
BLD2014-00165
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. T re are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1- 7-0982. 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) To perform an inspection the Mason County Building Inspector will need to access the interior of the structure. An electrical permit completed and
approved by Washington State Labor& Industries must be available on-site during the inspection.
The Mason County Building Inspector will inspect the following:
Verify that the system is installed in accordance with manufacturer specifications;
The inspector will check to make sure that the exterior unit is permanently installed and supported,
the exterior unit complies with required setbacks to property lines,
fuel tanks are located at least 10-ft from the system, a source of ignition,
all exterior penetrations are properly sealed,
condensate lines are installed and are properly supported, including proper material, slope, and that the condensate line terminates to a proper location
outside of the foundation,
copper refrigerant lines are insulated with %" thick continuous closed-cell foam insulation or better,
indoor unils are located at least 3-ft from smoke and carbon monoxide alarms,
modifications made to the structure, to install the unit, does not affect existing structural members.
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3) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
r airs, additions requiring a permit occur, or when one or more sleeping rooms are added or created.
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BLD2014-00165 Please refer to the following pages for conditions of this permit. Page 2 of 3
4) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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5) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State ashington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
p 't revocation.
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6) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to rggpesra final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Ma County ordinances and building regulations.
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7) 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
ho ave prevented action from being taken. No more than one extension may be granted.
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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 of interest regarding this project. The
' owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended fo nod of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATIO 0 DAY WILL INVALIDATE THE APPLICATION.
Signature Date
/")G -7 OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2014-00165 Please refer to the following pages for conditions of this permit. Page 3 of 3
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walls DECKS
PLUMBING Date By De to By
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MASON COUNTY PERMIT NO. - I(py
DEPARTMENT OF COMMUNITY DEVELOPMENT
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.352
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Usibelli, Colleen NAME: Price Jones. LLC
MAILING ADDRESS: 367 E. Points Drive E. MAILING ADDRESS: 26262 Leyman Ln Ne
CITY: Shelton STATE: Wa ZIP: CITY: Kingston STATE: We ZIP: 98346
PHONE: 206-772-5315 CELL: PHONE: 360-377-6119 CELL:
EMAIL:colleen@diversifiedmedicalbuilding.com EMAIL : PriceJonesLLC@gmail.COm
L&I REG# PJSHOHE914KL EXP. 5 / 13/ 15
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpump —�
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen 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 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 of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
permit/application becomes null&void if work or truction is not commenced within 180 days or if construction work is
suspended for a period of 180 days.PROOF CONTINUAT N OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT APPLI ATI 1 INVALIDAT PLICATION.
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Signature of Applicant Date
X Detrick Jones Owner/Owners Representative/Contractor
Print Name (indicate which one)
IDEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Permit number BLD
Mechanical Permit Checklist
• Name of owner: Name of Installer:
• Fuel Type? LPG Nat Gas Electric Other
• If propane,what is the proposed size of tank(s)?
• What type of mechanical unit will be installed?(i.e.freestanding stove,forced air furnace, etc)
• If the unit is a wood stove,provide: Make Model
Year Label Number
• What is the use of the structure? (Circ/V one) •Residential Commercial
(A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff. Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application)
• Type of structure: (Circle one) Site Built Home Manufactured Home Other
• What room will the mechanical unit be located?
• Will the unit be located in a basement?(circle one) Yes No
• How will combustion air be supplied to the mechanical unit? (Describe, i.e.direct vent,air inlets, etc.)
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas,oil or wood fuel.
(Indicate B-vent,direct vent,L-vent,etc)
• What year was the structure constructed? Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e. thermostat,etc)
• Will the proposed mechanical unit be a heat source?(circle one) Yes No
• Additional information:
Signature of Applicant Date
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
Propane tank 73..00
Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5)
Mechanical base fee 28.50 or$ 9.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace,pellet stove or wood stove$73.00
$4.50 state fee will not be collected on mechanical permits