HomeMy WebLinkAboutCOM2011-00076 Replace Boilers - COM Permit / Conditions - 8/25/2011 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2011-00076
OWNER: NORTH MASON SCHOOLD DISTRICT RECEIVED: 8/25/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 8/25/2011
SITE ADDRESS: 200 E CAMPUS DR (HIGH SCHOOL) BELFAIR EXPIRES: 2/25/2012
PARCEL NUMBER: 122082360000
LEGAL DESCRIPTION: SW NW E OF R/W"SEE SURVEY 9/14
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACING 2 BOILERS IN THE SAME LOCATION WITHIN ST RT 3 TOWARD BELFAIR, R ON NORTH MASON SCHOOL RD, R ON
THE EXISTING MECHANICAL ROOM CAMPUS DR TO THE SITE ADDRESS AT THE END, LOCATED IN
MECHANICAL ROOM OF HIGH SCHOOL
General Information Construction&Occupancy Information
• Type of Use: HIGH SCHOOL Insp.Area: No. of Units: Type of Constr.:No. of Bathrooms: Occ. Group:
Type Work: MEC Fire Dist.: 2 No. of Stories: Exit Design. Load:
Val
uation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2011-00076 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Boiler 2 Mechanical Permit Fee sanFnni 1 .o An nn g1,?n11nn
Mechanical Base Fee rnnnn R/9r,19n11 T9A 5n C19n11nn
Plan Check Fee rUKA anr,i?n11 aWA nn g19n11nn
Total $331.50
CASE NOTES FOR
COM2011-00076
CONDITIONS FOR
COM2011-00076
1) Contractor registratelverned under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-6erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) All building permi al inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to reques or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliantordinances and building regulations.
X
3) All permits xpire Oda s fter permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit ho a prevented action from being taken. No more than one extension may be granted.
X
4) The room in boilers are being passed maybe considered existing non-conforming. This is a replacement of exisiting boilers.
5) At final contractor will need to provide Wa. St L& I sign off for all pressure vessels for county inspector to verify.
6) Any ch n co struction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
constr cti AI gineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
remov prov I ill not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
colle ed a son County Building Department prior to any further inspections being performed or approvals granted.
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COM2011-00076 Page 2 of 4
This permit becomes null and v id if work or o str ion authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
:ime after work is comme d Evid ce of o tin a ion of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of contin at f w is b a f a progress inspection.The owner or the agent on he owners behalf, represents that the information provided is accurate
a and grants employees of C ty ac e t bove described property and structure for revie and ins ection.
OWNER OR AGENT: DATE:
COM2011-00076 Page 3 of 4
IZ
N
CONCRETE MECHANICAL MANUFACTURED HOME 0
Date
Footings!Setbacks Gas Piping R16hons =
o 0 Interior Date By Interior-Date By Date By
4 Exterior Date By Exterior-Date _ By
Set-Up
Point Load!Isolated Footings INSULATION Date By Z
Date By Date SLAB INSULATION By FIRE DEPARTMENT n
Foundation Walls Floors Date By 2
Date BY Data _ By DECKS 0
FRAMING Walls Date By v
Date By Data By PROPANE TANKS
PLUMBING vault Gate BY N
Date By �
OTHER
Groundwork Attic
Date By Type 0
Date By Date By
o.w.W
DRYWALL Type_ O
Int Brace Wall Date BY
Date 8y y 9
B
Date FINAL INSPECTION p
Water Line Fire Seperation
Date By Date By Date -7-L/"1 By O
O
Pass or Request Inspect. c
Type of Insp. Fail Date Date Dane By Comments
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C A Gc^EA9 41,1 /c C.731 76�
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"ng � MASON COUNTY PERMIT NO -0012D
PLUM13ING/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 n !� CONTRACTOR INF FIT ION
Owner 00--,hao L Company Name
Mailing Address Mail% Addr d
City State Zip Code City <2AU State WA Zip Code V312-
Phone Other Ph. Phone 3LOZ H05-07a3 Other Ph.
Lien/Title Holder Contractor Reg. #S LLI Ca63 Exp. �`O
E mail address E Mail Address M 4r C b CCi5. 1l;Jov�l�z� �.^�.tc
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 6 = Fire District
Legal Description `
Site Address(Please include street name,street number and city)ftD60 U rl
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB -New Add Alt_X Repair Other Use of Building
Location of Fixtures/Units- 1st Floor 2nd Floor Basement X Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas v 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/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other (GCS
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 fro the ;to ap fof this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided i urat d g is mployees of Mason County access to the above described prop a structure for review and inspection.
PROOF A WORK IS BY MEANS OF A PROGRESS INSPECTION.
XLip Date:
O n r/Owners Representativ /Contractor (indicate which one)
FOR OFFICIAL USE BEY O OINT
Accepted by: Planning Pd Ck# Date %tBld Pd Receipt No.
DEPARTME TAL 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