HomeMy WebLinkAboutCOM2011-00055 Final Replace Heat Pump and Furnace - COM Permit / Conditions - 7/13/2011 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
r Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2011-00055
OWNER: MASON COUNTY FIRE DIST#2 RECEIVED: 7/8/2011
CONTRACTOR: ADVANCED HEATING AND COOLING LICENSE: ADVANHC926MU EXP: 8/21/2011 ISSUED: 7/8/2011
SITE ADDRESS: 460 NE OLD BELFAIR HWY BELFAIR EXPIRES: 1/8/2012
PARCEL NUMBER:
LEGAL DESCRIPTIONS 5 OF NE NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE HEATPUMP AND FURN FROM HWY 3 HEAD NORTH ON OLD BELFAIR HWY TO FIRE STATION
General Information Construction &Occupancy Information
Type of Use: Insp.Area:
No. of Units: Type of Constr.:
No.of Bathrooms: Occ. Group:
Type Work: MEC 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?:
COM2011-00055 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
S"ype Qty. Type Qty. Type By Date Amount Receipt
c Furnace<100K 1 Mechanical Permit Fee Tw 7/sv7ni 1 R4R t;n gvmi inn
Heat Pump 1 Mechanical Base Fee Tw 7/R/?n11 o9A s;n gign11nn
Total $65.00
CASE NOTES FOR
COM201 1-00055
CONDITIONS FOR
COM2011-00055
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 6/� The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law.. X 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
2 .
X _
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 CHANGE OF USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 2�
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
non-cogpliant 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 the permit holder have prevented action from being taken. No more than one extension may be granted.
X
6) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE
WASHINGTON STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL
MEET,J IFFFNIMUM STANDARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
X
COM2011-00055 Page 2 of
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
Ume 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
r 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 Wis n County access to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE: 24LA
r
COM2011-00055 Page 3 of 4
z
t
C7 ^
O
o CONCRETE MECHANICAL MANUFACTURED HOME N
Footings t Setbacks GDaas Piping By Ribbons Z
o Interior Date By interior-Date By Date By n
con Exterior Date By Exterior-Date B Set-up C
INSULATION Z
Point Load/Isolated Footings Date By z
BG/SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls TI
Floors Date By X
Date By Data By DECKS m
FRAMING Walls Date By 0
Date By Data By N
PROPANE TANKS -I
PLUMBING vault Date By N
Date By OTHER
Groundwork Attic
Date By Date By Type.Date By
D.w.v DRYWALL Type- n
Inc Brace Wan 0
y Date By
Date 8 Date By FINAL INSPECTION 3
Water Line Fire Separation 7� By
Dade By Date By Date ,
O
Pass or Request Inspect. o
Type of Insp. Fail Date Date Done By Comments
0
0
.r,
M PERMIT N inn
MASON COUNTY
PLUMBING/MECHAN'ICAL PERMIT APPLICATION d�
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 alAsovV CoWYF►kC P T ►C- Company Name 41121114"vQt'D h1F�,4'1r- A
Mailing Address O 8" P 77 MailingAddress��/ -7 Qb SK'pYr id3
City State LAVA Zip Code 9eS.2 L City BMr-kT6"l State �Zip Code 983�0
Phone 360 -A75-671� Other Ph. Phone 36G-y/5-9?3S Other Ph.
Lien/Title Holder 1''t*tkA'"V 27Pk AfTy Contractor Reg. # DV �o Ic Exp.
E mail address E Mail Address ALP veldefOlvAvaC I Cvrrl
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 A I - Fire District
Legal Description _ dF PF Ng d 7-s V -!moo
Site Address (Please include street name, street number and city) 960 F kD A6" II*2 T&47AIi2 9 9 2
Directions to site Fe-1 Jldkw" 3 .SN 8E1fi4JA , A41> ^el'# ''✓ ^ &E//WM!, 7*0-
r E s 4 0'^1 s a1v 124C R441;i/T eky5s FA-'-1 raves F QaXD
Is property within 200' of Saltwater No Lake pa River/Creek A&�' Pond AD
Wetland No Seasonal Runoff A/o Stream A.?, Slopes or Bluffs > 15% /,� u
TYPE OF JOB - New Add Alt Repair Other Use of Building FLEE Sl, OV
Location of Fixtures/Units - 1st 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 I
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
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 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 information
provided is act to and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OFCOPI U TION OF 1HMEANS OF A PROGRESS INSPECT���//(
X A Date:
O er/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group T e 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