HomeMy WebLinkAboutBLD2015-00017 Mechanical - BLD Permit / Conditions - 1/12/2015 �• inspection Line t bu/4u-i�b�
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
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MECHANICAL PERMIT BLD2015-00017
OWNER: GEORGE BJORGEN RECEIVED: 1/12/2015
CONTRACTOR: BRENNAN HEATING &A/C 1,206,248.7900 LICENSE: BRENNHA962DU EXP: 12/29/2015 ISSUED: 1/12/2015
SITE ADDRESS: 181 E VILLAGE VIEW DR ALLYN EXPIRES: 7/12/2015
PARCEL NUMBER: 122205000095
LEGAL DESCRIPTION: LAKELAND VILLAGE 1 TR 95
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FURNACE REPLACEMENT ST RT 3, L ON LAKELAND DR FOLLOW TO VILLAGE VIEW DR TO SITE
ADDRESS
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.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Building Special inspection GMM 1/12/2015 $73.00 S120150000C
Mechanical Base Fee GMM 1/12/2015 $28.50 S120150000(
Mechanical Permit Fee GMM 1/12/2015 $18.20 S120150000(
Total $119.70
BLD2015-00017 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2015-00017
CONDITIONS FOR
BLD2015-00017
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) 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 FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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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 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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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 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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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 prevented action from being taken. No more than one extension may be granted.
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BLD2015-00017 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.
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Signature Date
III (� (��l �'C y�' OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2015-00017 Please refer to the following pages for conditions of this permit. Page 3 of 3
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BY Date DECKS
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MASON COUNTY PERMIT NO. Ij ,;k615-�t,-7
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING d,PLANNING a FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. Ili,426 West Cedar Street (360)275-4467 Belfair ext.352
PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352
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PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: {orA .c, NAME: .Ln
MAILING ADDRESSi I IP V11Ja A_ V1 t LU Or MAILING AD RESS: O L.
CITY:0'.114 r-% STATE:W a- ZIP: d CITY: STATE: ZIP:
PHONE:'31o0• a-4-5• PHONE:Q ao 1
EMAIL: EMAIL :*ka%rY1%4L4i')\_94Ly1%nQLny -r&_�1Y\9 , C-ninn
L&I RE #brtv%n ag4I1-0I EXP.)9 /')c1
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): n, SO • Ql70Q S
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS: � C-, Vk d,W 1D�- CITY: W q n
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING S1F R
LOCATION OF FIXTURES/UNITS— 1ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne 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 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
PE APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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Signature of Applicant Date
X Owner/Owners Representative ontractor
Print Name (indicate which one)
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BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL