HomeMy WebLinkAboutBLD2012-00619 Mechanical - BLD Application - 8/21/2012 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
Irflo
MECHANICAL PERMIT BLD2012-00619
OWNER: TRACY, ARKIN RECEIVED: 8/21/2012
CONTRACTOR: AMERICOOL HEATING 360.273.3300 LICENSE: AMERIHA950PO EXP: 10/20/2013 ISSUED: 8/21/2012
SITE ADDRESS: 341 E LAKELAND DR ALLYN EXPIRES: 2/21/2013
PARCEL NUMBER: 122205300001
LEGAL DESCRIPTION: LAKELAND VILLAGE 4 TR. 1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
HEATPUMP AND FURNANCE LAKELAND VILLAGE
General Information Setback Information
Front: Ft. Shoreline: Ft.
Type of Use: SF Insp.Area:
Rear: Ft. Slope: Ft.
Type of Work: ACC Fire Dist.: 5
Side 1: Ft.
Valuation:
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee T1N 8/21/2012 $36.50 S220120000(
Furnace<100K 1 Mechanical Base Fee TW 8/21/2012 $28.50 S220120000(
Total $65.00
BLD2012-00619 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2012-00619
CONDITIONS FOR
BLD2012-00619
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-!A a 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/rt2 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
STANI;�S SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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
Ma 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
hold M_�
evented action from being taken. No more than one extension may be granted.
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6) Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code, Section 503. When a
space-conditioning system is altered by the installation or replacement of space conditioning equipment(including replacement of the air handler,
outdoor condensing unit of a split system air conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger), the duct system that is
connected to the new or replacement space-conditioning equipment shall be tested as specified in RS-33. The test results shall be provided to the
Ma (,;4ountV Building Department at the final inspection.
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BLD2012-00619 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 M County access to the above_desc d property and structure for rev'ew a d inspection.
OWNER OR AGENT: DATE:
BLD2012-00619 Please refer to the following pages for conditions of this permit. Page 3 of 3
o r CONCRETE GasPipi"� MANUFACTURED HOME
p Interor-Date By �
N Footings f Setbacks Ribbons
Fxter-Date By
r,n Z
rn Date INSULATION bate By
o Foundation Walls BG ISL.AB INSULATION Set-up
Da to By Date By Date By
FRAMING Floors FIRE DEPARTMENT
Da to By Date By
Date By Walls
PLUMBING Date By DECKS
_. Date BY
Groundwork Vault TANKS
Date By
Date By Date By
Attic
o.w.v
Date By OTHER
Date By DRYWALL Type-
Date By
WatorLine Data By Type:
Date By Int.Brace Wall Date By
r
MECHANICAL Date FINAL INSPECTION N
o Fire Seperation O
fD Date By Date By Data By ` N
m
o O
3 Pass or Request Inspect.
M Type of Insp. Fail Date Date Done By Comments
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' PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar•P.O. Box 186, Shelton, WA 98584
Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Ow �t='s "" - Company Name
Mailing Addre Mailing Address \1gac\ \K l.J,\c� � u�
City State -2 C- Zip Code `\ -s eN City:RX)0z 5�_State v-)� Zip Code
Ph Other Ph. Phone22W) 1)-3,IICQ Other—Ph.
Lien/Title Holder 6 Contractor Reg. # Kp.
E mail address E Mail Address�r'\ec'•c.001
Drivers Lic.# D04 A JILKn Drivers Lic.# . DOB
SEPTIC INFORMATION- Connect to N Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No - — Fire District
Legal Description \% - ` L S\& c,-\," -
Site Address(Please include street name,street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - Ne Add l Alt Repair Other Use of Building
Location of Fixtures/ its- 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_LPG_Natural Gas_Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps I
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 MECHA41CAL s�—
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. knowledgem
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am en eceive this
permit and to do the work as proposed in the application.1 declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party 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
provide urate and grants employees of Mason County access to the above described property and structure for review and inspection.
PRO F O A N WORK I Y MEANS OF A PROGRESS INSPECTION.
W Date:
Hers 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
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