HomeMy WebLinkAboutBLD2015-00950 mechanical - BLD Permit / Conditions - 11/6/2015 Ifispecuorl Ulle kJUU)4L/-/L0L
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 BLD2015-00950
OWNER: DAVID SUTTON RECEIVED: 11/6/2015
CONTRACTOR: HOOD CANAL HEATING & COOLING (360) 275-4992 LICENSE: HOODCHCO27LJ EXP: 2/1 ISSUED: 11/6/2015
SITE ADDRESS: 350E STERLING DR ALLYN EXPIRES: 5/6/2016
PARCEL NUMBER: 122185000064
LEGAL DESCRIPTION: LAKELAND VILLAGE#12 PHASE II LOT: 64
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
GAS OUTLET FOR COOKING STOVE ST RT 3, L ON HOMESTEAD DR, R ON OLD RANCH RD, R ON STERLING
DR TO SITE ADDRESS ON THE RIGHT SIDE
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.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Building Special inspection GMM 11/6/2015 $73.00 S120150000(
Mechanical Permit Fee GMM 11/6/2015 $6.20 S120150000(
Mechanical Base Fee GMM 11/6/2015 $28.50 S120150000(
Total $107.70
BLD2015-00950 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2015-00950
CONDITIONS FOR
BLD2015-00950
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Divisio a potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647- 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) 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 revocati�
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3) 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 ob 'nerl1written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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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 ins t 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 be ntil the fiNI 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 fi or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County o nces an ilding 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 preven m being taken. No more than one extension may be granted.
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BLD2015-00950 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 suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP %,C 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature Date
4�641 '0 J JTT�J OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2015-00950 Please refer to the following pages for conditions of this permit. Page 3 of 3
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o CONCRETE Gas Piping MANUFACTURED HOME c
o Interior-Date By �
T Footings I Setbacks ExierKx-Date By Ribbons
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Date By INSULATION Date By z
o Foundation Watts Set-up D
BG/SLAB INSULATION
Data By Date By Date By C
FRAMING Floors FIRE DEPARTMENT 0
Da to e!►
Date t3y
Date BY Wails
PLUMBING pate By DECKS
Dote By
Groundwork Vault ----
Date By TANKS
Date By Date By
_ Attic
0 W V Date By OTHER
Date By DRYWALL Typo.
Date By
Water Line Date By Typo:
-0 Date By Int.Brace watt Date By
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0 MECHANICAL Date FINAL INSPECTION
(D Fire Separation p
Date By Date By i"to /! BY CA
° Pass or Request Inspeta. c
Type of Insp. Fail Date Date Done By Comments CA
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MASON COUNTY PERMIT NO. 61&12-6I5'60g40
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING.PLANNING• FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. 111,426 West Cedar Street (360) 275-4467 Belfair ext.352
1854 -- Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER OR LNTION• CONTRACJEOR INFORMATION: £
NAME: 14} I G (l NAME: /
MAILING ADDRESS: O•BpX 103LIMAILING ADDRESS:
CITY: STATE:W_ZIP: 61 b2 CITY: STATE: ZIP:
PHONE: .26LaLL: PHONE: CELL:
EMAIL: EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBREvrATED):
SITE ADDRESS: E `J i n V r=7 CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 IT FLOOR 2�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 Ductless_
Toilets Tyne of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
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 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.
X II- to-ao15
Signature of Applicant Date
X Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL