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BLD2011-00697 Heat Pump - BLD Permit / Conditions - 8/23/2011
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 too MECHANICAL PERMIT BLD2011-00697 OWNER: CAROLYN, PETERSON RECEIVED: 8/22/2011 CONTRACTOR: OLYMPIC HEATING & COOLING 360-426-9945 LICENSE: OLYMPHC986BA EXP.- 1/1/2012 ISSUED: 8/23/2011 SITE ADDRESS: 100 E MADRONA BEACH LN UNION EXPIRES: 2/23/2012 PARCEL NUMBER: 322325400015 LEGAL DESCRIPTION: MADRONA INC TR 15 &T.L. PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW HEATPUMP ST RT 106 TO MADRONA BEACH LN, 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.: 6 Rear: Ft. Slope: Ft.Side 1: Ft. Valuation: Side 2: Ft. Mechanical Fixtures FEES + Type Qty. Type By Date Amount Receipt Heat Pump 1 Mechanical Permit Fee GMM 8/22/2011 $18.20 S120110000( Mechanical Base Fee GMM 8/22/2011 $28.50 S120110000C Total $46.70 BLD2011-00697 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2011-00697 CONDITIONS FOR BLD2011-00697 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 X 800-6f17`098 . The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 2) 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 MINIMUf STAJVDARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE. X C [[�� 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 reXi . _ X 0 4) 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 X Mason C uu'nty, r finances and building regulations. 5) 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 hol*r veprevented action from being taken. No more than one extension may be granted. (o zz 6) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X X4__ BLD2011-00697 Please refer to the following pages for conditions of this permit. Page 2 of 3 This pen Pvit 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 above described property and structure for review and inspection. OWNER OR AGENT: DATE: 1 I BLD2011-00697 Please refer to the following pages for conditions of this permit. Page 3 of 3 00 - o CONCRETE Gas Piping MANUFACTURED HOME m o Interior-Date By - - -4 Footings/Setbacks Ribbons M Fxterror-Date By o Da to 0) BY INSULATION Date Y p j Foundation Walls 8G/SLAB INSULATIAN Set-up Z Date By Date By Date By D FRAMING Floors FIRE DEPARTMENT X Date By Date By O Date By WallPLUMBING Dates By DECKS Z DH to By Groundwork Vault TANKS Date By Date By attic Date By D.W.V Date By OTHER Date By DRYWALL Type: Date By Water Line Date By Type: W CD pateCD By Int.Brace Wall Date By r CA MECHANICAL Date BY INSPECTION CD Fire Seperation OCD Date By Date BY Date Z 9 Ely o � Pass or Request Inspect. CD Type of Insp. Fail Date Date Done By Comments -4 wit v CD in 0 0 3 a 0 y O _. -w N rD i I � e N (L] (D 0 08/22/2011 08: 07 3604277466 OLYMPIC HEATING PAGES 01/01 FORM MUST BE COMPLETED IN INK ^��� � PERMIT NO lid A011• MA l PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar- P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-O6 0- B ifthe web�w(3in60) 75 on67 - Elma (360) 482-5269 us APPLICANT INFORM A ON CONTRACTOR IN—FORMATION Owner ' ' ` Company Name ? Mailing Addres Mailing Address - City t ',n �—State�_Zip Code City, noQ �"`1 Sate r,—�- Zip Code Phone 30C)'1926-©-r')(+'! Other Ph. Phone �cCJ-4�'lln-� � Other Ph. Lien/Title Holder Contractor Reg. xp .1 I-act E mail address E Mail Address C1`1C9,9 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 Mnaiccn \a -C��G 7-k 15 y Site Address (Please include street name, street number and city) 1 -2) E KCICIL ONNG 3 �'� Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - Nevi Add Alt Repair Other Use of Building Location of Fixtures/Units - 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL, UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_— LPCL._ 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 0\/VNER/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 parry 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 CO TINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. Date: X--- Owner/Owners Represe tative (indicate which one) FOR OFFICIAL USE BEYO D THIS POINT Accepted b Planning Pd Ck# Date - Bld Pd Receipt No. DEPART NTAL REVIEW APPROVED DENIED NOTES Building D rtment 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