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Home My WebLink AboutCOM2012-00012 Final Replace Furnace - COM Permit / Conditions - 3/26/2012 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 t toMason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 o COMMERCIAL BUILDING PERMIT COM2012-00012 OWNER: PAUL MOLDON RECEIVED: 2/13/2012 CONTRACTOR: PENINSULA HEATING &COOLING 1.877.535.4884 LICENSE: EXP: ISSUED: 2/13/2012 SITE ADDRESS: 23730 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 8/13/2012 PARCEL NUMBER: 123294400010 LEGAL DESCRIPTION: TR 1 OF SE SE S 1/124 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Replace existing furnace ST RT 3 TO BELFAIR, TO SITE ADDRESS ON THE RIGHT SIDE (LOG CABIN PLAZA) CASPERS PIZZA General Information Construction&Occupancy Information No. of Units: Type of Constr.: " Type of Use: PIZZA Insp.Area: No. of Bathrooms: Occ. Group: Type Work: MEC Fire Dist.: 2 No. of Stories: Exit Design. Load: Val al 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?: COM2012-00012 Please refer to the following pages for conditions of this permit. Page 1 Of 3 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Furnace<100K 1 Mechanical Permit Fee moos 9/114/12n19 mA An ,;1gnlgnn Mechanical Base Fee MAU 9/11/7n19 t9A rn C19n1gnn t Total $46.80 CASE NOTES FOR COM2012-00012 CONDITIONS FOR COM2012-00012 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 1-800-647-098Z The UrG% this condition is either the homeowner, agent for the owner or a registered contractor according to 1 WA state law. X �%%/ 2) All permits expf6 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 perr6ld vented action from being taken. No more than one extension may be granted. X / 3) Aff-bu Ilding 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-c-qm with -ordinances and building regulations. This �mit 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 tot The above described property and structure for review and inspection. / Z OWNER OR AGENT: C DATE: . j COM2012-00012 Page 2 of 3 0 K CONCRETE MECHANICAL MANUFACTURED HOME OO N Date By p ry Footings /Wbacks Gas Piping Ribbons O o Interior Date By Interior-Date By Date By Z NExterot Date By Exterior-Date_ B Set-UP Point Load I Isolated Footings INSULATION Gate By C BG I SLAB INSULATION r— Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING 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. n InL Brace Wall Date By 0 Date By E Date By FINAL INSPECTION c Water Line Fire Sepe ration Date By Date By Data3 Bhi y C Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments Wi,,v r,b y s1Tr- i (_ �0 Tom¢/ _ ��' ��U �� Zvi�-13�O�✓ S-/T'� ,v 0 W 0 W MASON COUNTY PERMIT NO. L1'/1_ PLUMBING/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 CONTRACTOR INFORMATION, Owner PAUL MOL-1)0-) Company Name Mailing Address -1^1 2 Y N 14` Iy 0&71.1 S • Mailing Address 7", City RMOWLmtS GlT State_Zip Code I Y11 u City; State Zip Code %J 5' �( Phone 1Ao-1 I o Other Ph.Zot. `6'`11 �Y x 1 Phone s r Other Ph. / Lien/Title Holder PAWL t4ut.00JJ Contractor Reg.# � "' �.i Exp. Email address SAST2VPJk tv Ltvl;• COM E Mail Address,L 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 Z — gg - p O v I Fire District Legal Description I Site Address(Please include street name,street number and city) 2.1'l1 o 31'41T Ig uy '3 1' dcztl-A)ti ► A Directions to site S oj f,1v`1 /�„in 4•t 13�t- ea t,t�1lC�f Is property within 200'of Saltwater Lake ►4 River/Creek *"' Pond Wetland htzl Seasonal Runoff No Stream .0 Slopes or Bluffs > 15% w TYPE OF JOB-New Add Alt Repair Other,%' ./,..-c 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_LPG_Natural Gas_Heat Pump_ Toilets Type of Unit No.of Units fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank 1Y Clothes Washer Gas Outlets V OJ Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL Ja)j() 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 perm 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,1 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 information provided is accurate and grants employees of Mason County access to the above described property and stricture for review and inspection. PROOF OF CO F WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Z' k Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYT IS POINT Accepted b . Planning Pd Ck# Date Bld 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 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with Lfrl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name PENINSULA HEATING/COOLING UBI No. 603027798 LLP Phone 8775354884 Status Active Address 4451 Dyes Inlet Rd Nw License No. PENINHL9061-8 Suite/Apt. License Type Construction Contractor City Bremerton Effective 6/28/2010 Date State WA Expiration 6/28/2012 Date Zip 98310 Suspend Date County Kitsap Specialty 1 Heating/Vent/Air-Conditioning And Refrig (Hvac/R) Business Type Limited Liability Partnership Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date RUPPERT, JAMES DELL JR Partner/Member 06/28/2010 RUPPERT,MARLENEJOYCE Partner/Member 06/28/2010 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 American Contractors 100129798 06/21/2010 Until Cancelled $6,000.00 06/28/2010 Indem CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 2 Navigators Ins 46-10145463 06/21/2011 06/21/2012 $500,000.00 06/21/2011 Co 1 NAVIGATORS 46-10118743 06/21/2010 06/21/2011 $500,000.00 06/28/2010 INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 2/13/2012