HomeMy WebLinkAboutBLD2014-00014 Remodel - BLD Permit / Conditions - 1/7/2014 _ Inspection Line (3bu)4Z/-/ZbZ
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 279
Shelton, WA 98584
to
MECHANICAL PERMIT BLD2014-00014
OWNER: ROBERT WOOD RECEIVED: 1/7/2014
CONTRACTOR: E I KRISTYN & SON CONST. INC. 432-3147--490-4401 LICENSE: EIKRIKS950QD EXP: 11/ ISSUED: 1/7/2014
SITE ADDRESS: 17991 ESTATE ROUTE 3 ALLYN EXPIRES: 7/7/2014
PARCEL NUMBER: 122203490151
LEGAL DESCRIPTION: LOT: 1 OF SP#2456 SEE SP#517
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGING LOCATION OF TOILET&VANITY& NEW SPOT FAN FOLLOW ST RT 3 TO SITE ADDRESS ON THE LEFT SIDE
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: PLM Fire Dist.: 5 Rear: Ft. Slope: Ft.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Exhaust Hood 1 Mechanical Permit Fee GMM 1/7/2014 $13.20 S120140000(
Mechanical Base Fee GMM 1/7/2014 $28.50 S120140000C
Plumbing Permit Fee GMM 1/7/2014 $17.40 S120140000(
Plumbing Base Fee GMM 1/7/2014 $24.70 S120140000(
Building Special inspection GMM 1/7/2014 $73.00 S120140000(
Total $166.80
BLD2014-00014 Please refer to the following pages for conditions of this permit. Page 1 of 3
- CASE NOTES FOR
BLD2014-00014
CONDITIONS FOR
BLD2014-00014
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 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 MINIMUM
STANDARDS SET FIRTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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4) 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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5) 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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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 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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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
holder have prevented action, from being taken. No more than one extension may be granted.
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BLD2014-00014 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature Date
-� to OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to i dicate)
BLD2014-00014 Please refer to the following pages for conditions of this permit. Page 3 of 3
o CONCRETE Gas
Pipi"s MANUFACTURED HOME
No Interior-Date By O
Footings/Setbacks E detm-Date By Ribbons
o 'Date � INSULATION Date By 0
l� Foundation Walls BG!SLAB INSULATION Set-up
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Date By Date By Date By m
FRAMING
Floors a FIRE DEPARTMENT
!� Date � ��It By L�;
Date � - �. � �� BY L " Walls Date gY
PLUMBING Date By i DECKS
Date By
Groundwork Vault TANKS
Date BY
Date By ` Date By
Attic
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Date - By OTHER
Date i12`1 ? Ely DRYWALL Type:
De to By
Wafter Line Date BY Type:
v Date By int.Brace Wail Date By W
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MECHANIC L Date FINAL INSPECTION �
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Request To Revise An Approved Plan
Permit Number: BLD 0 / - 61)0 Name
Parcel Number - - Phone Number daytime
Project Address Mailing Address
Please provide a complete, detailed description of the proposed revisions to the approved plans:
r—r,q.m,e-- 1607 ctpt L X -- an
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No
Are the approved site plans included? ❑ Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
❑ Yes ❑ No
Additional Information: r�ii'Y1
Applicant's signature Date:
Office Use Only Received by:
Date Sent A signed To Approved By Date
❑ B Original Valuation: $
—/ — Additional Valuation: $
❑ P.
Sq. Ft. x$ $
Sq. Ft. x $ $
❑ E.H. Total New Valuation $
Additional Fees:
❑ P.W. Additional Planning Dept. $
Additional Plan Review $
Additional Conditions/Comments: Additional Building Permit
Additional Plumbing $
Additional Mechanical $
Additional E.H. Dept. $
Other $
Total Amount Due: $ O�
Amount To Be Paid Up-Front$
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MASON COUNTY PERMIT NO.ZW2.61" ' l
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: T- t,b o NAME: ,l at-5 -%/ ! ewsf- TM�•
MAILING ADDRESS: (7 2` I h 3 MAILING ADDRESS: /U/ RLzW-u2c/J GT Sf.
CITY: 41/Yk) STATE: -1 ZIP: CITY: sHir-fz c/ STATE: 4cI4. ZIP: 9't"SZ'I
PHONE: CELL: PHONE:3eoO.432-3110 CELL:960- Y fV- yy01
EMAIL: EMAIL : 6,2-- 13,4i4f y g�aW54-"-Ct-s1
L&I REG#4q A?TrS 95U 0 0 EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBREv1ATED):
SITE ADDRESS: ( }¢u---' _T CITY: Au c-t
DIRECTIONS TO SITE ADDRESS: c-T Av7
TYPE OF JOB /
NEW ADD ALT 1/ REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-1 IT 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 e*xa---
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(-
qUILDER 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
permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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Signature of Applicant Date
X ( i k:::> ta4. Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL