HomeMy WebLinkAboutBLD2012-00749 Heat Pump - BLD Permit / Conditions - 10/3/2012 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
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MECHANICAL PERMIT BLD2012-00749
OWNER: RICK, PARKER RECEIVED: 9/28/2012
CONTRACTOR: BRENNAN HEATING &A/C 1.206.248.7900 LICENSE: BRENNHA962DU EXP: 12/29/2012 ISSUED: 10/3/2012
SITE ADDRESS: 9181 ESTATE ROUTE 106 UNION EXPIRES: 4/3/2013
PARCEL NUMBER: 322353100000
LEGAL DESCRIPTION: E 50' N OF HYAND T.L. OF LOT 3
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
HEATPUMP
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: Rear: Ft. Slope: Ft.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee TW 9/28/2012 $18.20 S120120000C
Mechanical Base Fee TW 9/28/2012 $28.50 S120120000C
Total $46.70
BLD2012-00749 Please refer to the following pages for conditions of this permit. Page 1 of 2
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CASE NOTES FOR
BLD2012-00749
CONDITIONS FOR
BLD2012-00749
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
1-800-647-019§2. 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 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) 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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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
holder have prevented 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 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 the above described property and structure for review and inspection.
OWNER OR AGENT: DATE: /D ' 20/3--
BLD2012-00749 Please refer to the following pages for conditions of this permit. Page 2 of 2
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MASON COUNTY PERMIT NO. ZI— 2— 0--
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton it 427-9670•t3elf air 360)275-4467+Elma (360)482-5269
n the we co.mason.wa.us
APPL I�Addres
T1NF R ION CONTRACTOR f ORMATION
Ownor Company Name
Mailin Maili Adclr s
Clty� St�() 'r
ip Code City Stat �o Zip Code �
Phone Ph Phone the P . -
Lien/Title Holder Contractor Reg # 1
E mail address
E Mail Addres
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic-- Existing Septin. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Is property within 2-00'of Saltwater—. _ Lake River/Creek Pond
Wetland Seasonal Runoff Stream—Slopes or Sluffs > 15%
TYPE OF JOB - New Add Altl Repair Cther Use of Suilding
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 Fixturel Fees Fuel Type:Electric_t_PG____Natural Gas_heat pump,_
Toilets Tv�e_ofi Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps -
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Klthen Sinks Wood/Gas/PelletStove _
Dishwasher Kitchen Exhaust Hood
HosebEbs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDEn 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.1 further declare than 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
perrni ion from them to apply for this permit and conduct the work proposed. The owner o-agent on owners behalf,represents that the Information
p de Is accurate and grants a ployees of Mason County access to the above describedroperty no structure for review and Inspection,
P OOF F C0NTINUATIQN ORK I5 MEANS OF A PROGRESS INSPECTI 1
X Date: J
Owner/Owners Representative!Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
c Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
.Violation Fee TOTAL FEES