HomeMy WebLinkAboutBLD2016-00039 Final Replace Water Heaters - BLD Permit / Conditions - 4/5/2016 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
9� CO& Mason County Phone: (360)427-9670,ext. 352
615 W Alder St
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2016-00039
OWNER: ASHFORD HOUSE RECEIVED: 3/23/2016
CONTRACTOR: PIPE CONSTRUCTION LLC 1.206.679.0396 LICENSE: PIPECCL96204 EXP: 11/5/2018 ISSUED: 3/23/2016
SITEADDRESS: 24170 NE STATE ROUTE 3 BELFAIR EXPIRES: 9/23/2016
PARCEL NUMBER: 123283290070
LEGAL DESCRIPTION: LOT: D OF SIP#178 PTN TR 7 NW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACING 21 WATER HEATERS FOLLOW ST RT 3 TO BELFAIR TO SITE ADDRESS ON THE RIGHT SIDE
General Information Construction&Occupancy Information
Type of Use: SENIOR APARTME Insp. Area: No. of Units: Type of Constr.:
No. of Bathrooms: Occ. Group:
Type Work: PLM Fire Dist.: 2 No. of Stories: Exit Design. Load:
• Valuation:
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?:
COM2016-00039 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
Water Heaters 21 Special inspection r:MM A/?3l?(NR 1�73 nn C1')n1Fnn
Plumbing Permit Fee r:MM 1i91nnia A1R9 7n g1,)niann
Plumbing Base Fee rnnM si9Rnn1R 10a 7n R19n1Rnn
Total $280.40
CASE NOTES FOR
COM2016-00039
CONDITIONS FOR
COM2016-00039
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 1-80)0-W-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. /_ 4:::
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHAPIGE USE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
3) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency (ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have
been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orcaa.org
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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
no
,p.r,ompliant with Mason County ordinances and building regulations.
X`�
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 th rmit holder have prevented action from being taken. No more than one extension may be granted.
X
COM2016-00039 Page 2 of 4
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 DAYS WILL INVALIDATE THE APPLICATION.
3 2 3 /�
gnature Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2016-00039 Page 3 of 4
P�oN coUN�� MASON COUNTY COMMUNITY SERVICES Permit No:Payl 20I1?-
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•FIRE MARSHAL --
615 W. Alder St- Shelton, WA 98584 RC�EM
Phone Shelton: (360)427-9670 ext. 352 Fax:(360)427-7798
- Phone Belfair(360)275-4467 Phone Elma:(360)482-5269 t,e,�
1854 2 3 2016
PLUMBING & MECHANICAL PERMIT APPLICIOIJrCNr Str€at
OWNER INF ATI N: CONTRACTOR INFORMATION:
NAME: 5 ° pr OUS
MAILING ADDRESS: MAILING ADDRESS:Po. 9 x 9 Gy
CITY: STATE: ZIP: CITY: ,6Ci,& STATE:W/k ZIP:9psy
1"PHONE: E - O�L`t at PHONE:g19-`t'l3 ?Y73 CELL:',_6 75 -639J_
2nd PHONE: —a-I'1 I''M'Yl O n EMAIL : S tt,,,.`Q Ti '
EMAIL: L&I REG# EXP. /_L7
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): I a 3a8- 3 a- q r70'�U Zoning:
LEGAL DESCRIPTION(Abbrevialed):
SITE ADDRESS: 24 I"]D n nUe.- S uL CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater 2, 1 Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
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 YS WILL INVALIDATE THE APPLICATION.
x �-� Y-2-3
Signature of Ap Date
x Lia 1-6,0, Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 1BN