HomeMy WebLinkAboutBLD2014-00047 Final Woodstove - BLD Permit / Conditions - 6/30/2014 inspection Line(sbu)4zi-tztDz
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
MECHANICAL PERMIT BLD2014-00047
OWNER: PAUL SHINNERS RECEIVED: 1/16/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 1/16/2014
SITE ADDRESS: 150 NE PANTHER LAKE RD BREMERTON EXPIRES: 7/16/2014
PARCEL NUMBER: 123065001018
LEGAL DESCRIPTION: PANTHER LAKE TRACTS BLK: A TR 18
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
INSTALL A WOODSTOVE IN THE GREAT ROOM
General Information Setback Information
Type of Use: PUB Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: Rear: Ft. Slope: Ft.
Side 1: Ft.
Valuation: Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Woodstove 1 Mechanical Permit Fee GMM 1/16/2014 $73.00 S120140000(
Total $73.00
BLD2014-00047 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2014-00047
CONDITIONS FOR
BLD2014-00047
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) Owned gent 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
per rr> Evocation.
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4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
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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
Mas 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
hold�r have prevented action from being taken. No more than one extension may be granted.
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BLD2014-00047 Please refer to the following pages for conditions of this permit. Page 2 of 3
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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 AP ATI - F 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature Date
S OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2014-00047 Please refer to the following pages for conditions of this permit. Page 3 of 3
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o CONCRETE Gas Piping MANUFACTURED HOME _
No Intern r-Date By Z
C) Footings/Setbacks Ribbons
Exterx�r-Date By Z
o Date By INSULATION asto By X
� Foundation Walls BG/SLAB INSULATION Set-up n
Oa to By Date By
Date By D
FRAMING Floors FIRE DEPARTMENT r
Da to By Da to By
Date By Walls
PLUMBING Date By DECKS
Date By
Groundwork Vault TANKS
Date By Date By
Date By qtt c
D.W.V Date By OTHER
Date By DRYWALL Type:
Date By
Water Line Date BY Type:
v Date By InL Brace Wall Date By W
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MECHANICAL Date FINAL INSPECTION °
m Fire Seperatian O
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Date By Date By Date 50 /L-Y ByJZJC� p
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- Pass or Request Inspect. c
C Type of Insp. Fail Date Date Done By Comments
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o CONCRETE Gas Piping MANUFACTURED HOME CA
2
o Interior-Date BY Z
Footings I Setback* Ribbons
E- Aergr-Date By Z
o Deca BY INSULATION Date ey N
A Foundation Walls BG/SLAB INSULATION Setup
Data By Date By Date By D
FRAMING F1°O FIRE DEPARTMENT c
r
Date BY Date By
Date BY Walls �
DECKS
PLUMBING Date BY
Date By _
Groundwork Vault TANKS
Date By Date By
Date By Attic
D_w.v Date By OTHER
Date Ely DRYWALL Type.
Do to By
Water Line Data By Type:
v Date By Int.Brace Wall Date By
CD
N MECHANICAL Date BY INSPECTION
m Fire Seperaticn O
m Date By Date By Date By
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Pass or Request Inspect. c
oType of Insp. Fail Date Date Done By Comments y
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Permit number BLD B L R 1`I '
Mechanical Permit Checklist
• Name of owner: Name of Installer: T fl
• Fuel Type? LPG Nat Gas Electric Other yJ0VJ S_ M�
• If propane, what is the proposed size of tank(s)?
• What type of mechanical unit will be installed?(i.e.freestanding stove,forced air furnace, etc.)
• If the unit is a wood stove, provide: Make Model
Year Label Number
• What is the use of the structure? (Circle one) a' �oon
Commercial
(A permit application for a commercial mechanical perms satisfactory review by staff. Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application.)
• Type of structure: (Circle one) Site Built o Manufactured Home Other
• What room will the mechanical unit be located? e"t
• Will the unit be located in a basement? (circle one) Yes
• How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.)
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent, direct vent, L-vent,etc.) (-o 0 c
• What year was the structure constructed? 2 013 Was this structure part of a PUD upgrade? /l 0
• What type of controls will be installed? (i.e. thermostat, etc.)
• Will the proposed mechanical unit be a heat source?(circle one) es No
• Additional information:
Signature of Applicant Date 1 !(P !
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
Propane tank 73.00
Gas Outlets 6.20 additional outlets over 5, $1.15 each
Mechanical base fee 28.50 or $ 9.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace, pellet stove or wood stove $73.00
$4.50 state fee will not be collected on mechanical permits
sL.D1- 0 14
MASON COUNTY PERMIT NO. 1
_ DEPARTMENT OF COMMUNITY DEVELOPMENT
L BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Y Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
!a_4 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: ,.,( NAME:
MAILING ADDRESS: 11 c NC cc &�,,( MAILING ADDRESS:
CITY: r32 Kc_r- y► STATE: V1 ZIP: 1931 CITY: STATE: ZIP:
PHONE: CELL: Aet-'I-7 PHONE: CELL:
EMAIL: pc�„�l S�'+•n-1�fs o� kit Mk�1. C or►.%_ EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 1 Z3o4PS'cy t c lB
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS: ISD A!t A,D-,r 1-kLe- CITY:
DIRECTIONS TO SITE ADDRESS: cv. Awq 3 to .3z1 ,r . o rTh 'v. olet Bei-c",r
Qe..r Crete k Oc.� A i e f F wi i&,r- kce k- De„-AV &J to P�,.n N V- I �l
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OFF TURES/UNITS—1 IT FLOOR 2ND FLOOR BASEMENT GARAGE_OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electiic LPG Natural Gas Heat Pump_
Toilets Tyne 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
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature of Applicant Date
X Pw_t S k `•X^C-r S Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL