HomeMy WebLinkAboutBLD2012-00143 Heatpump Final - BLD Permit / Conditions - 5/21/2012 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
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MECHANICAL PERMIT BLD2012-00143
OWNER: WILLIAM, OLSEN RECEIVED: 3/15/2012
CONTRACTOR: HOOD CANAL HEATING & COOLING (360) 275-4992 LICENSE: HOODCHCO05DB EXP: 3/ ISSUED: 3/15/2012
SITE ADDRESS: 4530 E STATE ROUTE 302 BELFAIR EXPIRES: 9/15/2012
PARCEL NUMBER: 122282100060
LEGAL DESCRIPTION: TR 6 OF GOVT LOT 1 & TAX 129J-1 & J-2 &TAX 712-J-1 & J-2 S 31/174
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DUCTLESS HEATPUMP
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 2 Rear: Ft. Slope: Ft.
Side 1: Ft.
Valuation:
Side 2: Ft.
` Mechanical Fixtures FEES
Type Oty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee Tvv 3/15/2012 $18.20 S120120000(
Mechanical Base Fee TW 3/15/2012 $28 50 S120120000(
Total $46.70
BLD2012-00143 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
BLD2012-00143
CONDITIONS FOR
BLD2012-00143
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) 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 rev cation.
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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 gou ty 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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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.
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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: < X DATE:
BLD2012-00143 Please refer to the following pages for conditions of this permit. Page 2 of 2
o CONCRETE Gas Pipine MANUFACTURED HOME
No Interior-Date By N
N Footings!Setbacks RxIenor-pate By Ribbons Z
o Date BY INSULATION Date 6y
w Foundation Walls SG t SLA13 INSULATION Set-up r
Date By hate By Date By r
FRAMING Floors FIRE DEPARTMENT 3
Date By Date By
Date By Walls
PLUMBING Date By DECKS
Date BY
Groundwork Vault TANKS
Date By
Date By bate By
Attic
O.W.V
Date By OTHER
Date By DRYWALL Type:
Da to By
Water Line Date By Typo:
Date By Int.Braoe Wail Date By W
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y MECHANICAL Date FINAL INSPECTION
m Fire Seperabon _ O
c« Date By Date Ely Date 5"-2-1 By
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O
° Pass or Request Inspect.
oType of I nsp. Fail Date Date Done BY Comments w
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PERMIT NO.& JD2 ) 2 r
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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 INFORMATIO CONTRACTOR INFORMATION
Owner ' 1 L 1 i R m T�ffl'e. 0 (Se t-A Company Name �o�Cc�v� , ��QV\0 '�a� n�
Mailing Address P• � CCU (o`F q Mailing Address
City A State Zip Code �� City r-1-fa i Stated Zip Code�5 Z k
Pho 32 e Other Ph.3w-(.(9-8q14 Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.#U L S C- ty PjE 5 4o D B g-8 - 4(, 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
Site Address(Please include street name, street number and city) X 4.5 3 a r + + l-F i i oi-A
Directions to site 9 S �-
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New 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:Electhc_LPG—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
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 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 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
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
70FTCONTINIJIATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld 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