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Home My WebLink AboutBLD2017-00307 Furnance, Heat Pump and Propanef - BLD Permit / Conditions - 6/28/2017 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 MECHANICAL PERMIT BLD2017-00307 OWNER: EMILE BOUCHER CONTRACTOR: HOOD CANAL HEATING &COOLING (360)275-4992 LICENSE: HOODCHCO27LJ EXP: 2/1 RECEIVED: 4/18/2017 ISSUED: 4/18/2017 SITE ADDRESS: 120 NE RIVERHILL LN BELFAIR EXPIRES: 10/18/2017 PARCEL NUMBER: 123215100017 LEGAL DESCRIPTION: RIVERHILL DIV#2 LOT: 17 PROJECT DESCRIPTION: DIRECTIONS TO SITE: FURNACE, HEATPUMP ELECTRIC, INSTALLING PROPANE LINE FOR FUTURE USE 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 Qty. Type By Date Amount Receipt Gas Outlets 1 Building Special inspection GMM 4/18/2017 $73.00 S120170000( Heat Pump 1 Mechanical Permit Fee GMM 4/18/2017 $42.70 S120170000C Furnace<100K 1 Mechanical Base Fee GMM 4/18/2017 $28.50 S120170000( Total $144.20 BLD2017-00307 Please refer to the following pages for conditions of this permit. Page 1 of 2 CASE NOTES FOR BLD2017-00307 CONDITIONS FOR t BLD2017-00307 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. C-7`- / ?2 ? Sigheure Date 10 L OWNER - REPRESENTATIVE - CONTRACTOR • Print Name (Circle one to indicate) BLD2017-00307 Please refer to the following pages for conditions of this permit. Page 2 of 2 MASON COUNTY ' COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health Physical and Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 98584 Shelton Phone: (360)427-9670 ext 352 •:• Fax (360)427-7798 PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: 2PI - OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ~' NAME: -\ " \\t/\ MAILING ADDRESS: VA\jky-Vv\\--= MAILING AD E,SS: 20 EL4C' ")-°I CITY: Ze VVo �f STATE: WW ZIP:q 2 CITY: QAVr STATE: ZIP.9SS 0 15t PHONE: PHONE: Z00 -Z� CELL: 2nd PHONE: EMAIL : \n Vo UU CO. EMAIL:Z\-K L&I REG# 1 1W�) C-(A Z1-l�� EXP.-/-�AJ/ PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): Zoning: LEGAL DESCRIPTION (Abbreviated: A SITE ADDRESS: \-Ln ka Ln CITY: 'i�) DIRECTIONS TO SITE ADDRESS: WAR 3 TD �, U!)i L Q f� ) V-0 � Y YV�(LY1�\� �2-n TYPE OF JOB/WORK: NEW ^ ADD ALT REPAIR OTHER USE OF BUILDING PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no lee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) Furnace I [E/G/LPG] Bathroom Sink(s) Heat Pump 1 [E/G/LPG] t�•2 0 Bath Tub(s) o Ductless H.P. [E/G/LPG] Shower(s) _ Spot Vent Fan Water Heater(s) [E/G/LPG] Propane Tank �� gal.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) l +vim Kitchen Sink(s) Heat Stove [E/G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL luL�, 2-0 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 INSPECTI ACTI THIS PERMIT APPLICATION OF 1110 DAYS WILL INVALIDATE THE APPLICATION. X g/I Signature of Ap licant Date X Y'OS�A Vl 1.1\(b Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) Vi5ii w,on-line: http://Www.co.r-nason.wa.us/community_,-dev/ Rev:3/08/201/