HomeMy WebLinkAboutCOM2013-00003 Final Replace Heat Pump - COM Permit / Conditions - 1/23/2013 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
COMMERCIAL BUILDING PERMIT COM2013-00003
OWNER: DENNIS BILOW RECEIVED: 1/11/2013
CONTRACTOR: LICENSE: EXP: ISSUED: 1/11/2013
SITE ADDRESS: 140 NE STATE ROUTE 300 BELFAIR EXPIRES: 7/11/2013
PARCEL NUMBER: 123294190101
LEGAL DESCRIPTION: TR 10-A OF NE SE LOT: 1 OF SP#2502
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE HEATPUMP OFF OF HWY 3
General Information Construction&Occupancy Information
Type of Use: Insp.Area:
No. of Units: Type of Constr.:
No of Bathrooms: Occ. Group:
Type Work: M .EC Fire Dist.: 2 No.of Stories: Exit Design. Load:
Valal 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
t` 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?:
COM2013-00003 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
Heat Pump 1 Mechanical Permit Fee Tw 1i11nn1A ,t1Ft gn g99n1inn
Mechanical Base Fee TAI 1/11/9nvi _,oR rn g99n1'tnn
Total $46.70
CASE NOTES FOR
COM2013-00003
CONDITIONS FOR
COM2013-00003
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 1-800-647Ab
The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X �
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.
X��'l
3) ALL-CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENT8,AND-OCCUPANCY
ISZIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE ,F PSE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
4) Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code, Section 503. When a
space-conditioning system is altered by the installation or replacement of space conditioning equipment(including replacement of the air handler,
outdoor condensing unit of a split system air conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger), the duct system that
is connected to the new or replacement space-conditioning equipment shall be tested as specified in RS-33. The test results shall be provided to
the Mason C Building Department at the final inspection.
X , 2!
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-complian, i Mason County ordinances and building regulations.
X
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 per have prevented action from being taken. No more than one extension may be granted.
X
COM2013-00003 Page 2 of 4
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: rL 3. DATE:
c
COM2013-00003 Page 3 of 4
0 a)
N CONCRETE MECHANICAL MANUFACTURED HOME r
o Date By O
w Footings/Setbacks Gas Piping Ribbons
o Interior Date By Interior-Date By Date By 0
o Exterw Date By Exterior-Date B Set m
+� Z
Point Load J Isolated Footings INSULATION Date By Z
BG BLAB INSULATION N
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
F RAM I NG Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date By Type
Date By Date By
D.w.v DRYWALL Type 0
Int.Brace Wall 0
Date By Date B Date By 3
y FINAL INSPECTION CD
N
Water Line Fire Separation
Date By Dale By Date �� By� W
O
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments w
A
O
A
MASON COUNTY PERMIT NO( 0M?,Q lc: )—
PLUMBING/MECHANICAL PERMIT APPLICATION cx�3
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 CONTRACTOR INFORMATION
h MATT ii�lTIAI6&CWU�IIti WC
Owner I-0 TT Now Company Name
Mailing Address -140 K STktf Pa Mailing Address
City BLLFAIR State WA Zip Code q�52y City State Zip Code AUS
Phone 40-41oI-08gi Othpr Ph Phone � "275'�z Other Ph.
Lien/Title Holder L09F1TA 01LbVV Contractor Reg. # HWDCNC 01-11 1 Exp. 12/I�i
E mail address E Mail Address 1 21HIFk1 CAOLICM
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 No i232oi-41-gUlOt Fire District
Legal Description TR 10-A Of Nt SE LOL: i bF SP#Nb ,
Site Address(Please include street name,street number and pity) 140 NE SIM ROULL -V., PUFAUL
Directions to site Off Of 1t16RIA1 75
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-1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric X,LPG—Natural Gas_Heat Pump
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps�'ocJ A
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 MECHANIC
OWNER/BUILDER AduxWedges submission of inaccurate information may result in a stop work order or permit revocation.Adcnowl
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 infomiation
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTI�I UAi10N O IS BY MEANS OF A PROGRESS INSPECTION.
X ) ,...._.-- Date: /
Owner/Owners Representativ Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Manning Pd Ck# Date Bid 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