HomeMy WebLinkAboutBLD2009-00985 Heatpump - BLD Permit / Conditions - 11/12/2009 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 BLD2009-00985
OWNER: LYNN, CORBETT RECEIVED: 11/12/2009
CONTRACTOR: G & G HEATING LICENSE: GGHEA**002DA EXP: 322010 ISSUED: 11/12/2009
SITE ADDRESS: 340 E WOODLAND DR SHELTON EXPIRES: 5/12/2010
PARCEL NUMBER: 420125300003
LEGAL DESCRIPTION: WOODLAND MANOR#2 LOT: 3
PROJECT DESCRIPTION: DIRECTIO TO SITE:
HEATPUMP SH L O S RIN D T ODLAND DRIVE TO ADDRESS
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Wo C Fire Dist.: Rear: Ft. Slope: Ft.
11 Side 1: Ft.
Val on:
Side 2: Ft.
echanical Fixture FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee GMM 11/12/200 $18.20 S120090000
Mechanical Base Fee GMM 11/12/200 $28.50 S120o9o000
Total $46.70
BLD2009-00985 Please refer to the following pages for conditions of this permit. 1 of 2
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CASE NOTES FOR
BLD2009-00985
CONDITIONS FOR
BLD2009-00985
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. Thereje
otential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-09 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 r ponsible 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 Washin Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocati
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4) All property lines shall be clearly identified at the time of foundation inspection. X
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5) All building pshall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to requesyaf�iji spection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Cnances and building regulations.
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6) All permits a Aire 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 e d not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder 5��
ented 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 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 in e i .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 a t re for review and inspection.
OWN ER ORAGENT: - DATE: "l�2
BLD2009-00985 Please refer to the following pages for conditions of this permit. 2 of 2
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CONCRETE MANUFACTURED HOME
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o Interior-Date By X
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Footings I Setbacks Ribbons tu
1P F-xie(*r-Date
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(P Foundation Walls. BG I SLAB INSULATION Set-up
Date By pate By Date By
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FRAMING Floors FIRE DEPARTMENT z
Date Date By Date BY
Mills DECKS
PLUMBING MA te By Date BY
Groundwork Vault TANKS
Date BY Date BY
Date By Attic
E).W.V Date By OTHER
Date By DRYWALL Type.
Date BY
Water Line Date BY Type: ca
Date By I nt.Braga Wall Dam By
�resepe�aucrt
MECHANICAL FINAL INSPECTION
By Date By
0 Pass or Request Inspect.
5 Type of I nsp. Fail Date Date Done By Comments y co
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FORM MUST BE COMPLETED IN INK PERMIT NO. �
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION i
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 INFORM IO CONTRACTOR IN R �1T19
Owner U 'T Company Name `_&
Mailing, d es 4) ' W�� Mailing Address 6 Z k 1 a6
City 4- _ �tate_�Zip Code 9, City f j� tate Z Zip Code ��
Phone_�/�U l 1 Other Ph. �0 VUy Phone 6 Other P
r Contractor Reg 1 .
E Mail Address oL
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
Site Address (Ple pe includ street name. straeet numb d city)
Directions to site S
Is property within 200'of Saltwater Lake River/Creek and
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:Electrig,6— LPQ-L_ 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
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OVVNER/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
provide s accurat nd grants employees of Mason County access to the above described property and structure for review and inspection.
PR .0F CONT UATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X _ >�' Date: l�`! =C)
wner/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