HomeMy WebLinkAboutCOM2004-00012 Final HVAC - COM Permit / Conditions - 2/24/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Ins pectlon Line(360)427-7262
Phone: (360)427-9570,exi.352
Mason County Bldg, 3 426 W.Cedar P.O. Box 186 _
r Shelton,WA 913584
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OWNER. GWEST COMMUNICATIONS RECEIVED: 1129/2004 0
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CONTRACTOR: JOHNSEN MECHANICAL LICENSE:JOHANM1173PK EXP:2/1I2005 ISSUED: 211012004 M
ID SITE ADDRESS: 23650 NE STATE ROUTE 3 BELFAIR EXPIRES: 8110/2004
PARCEL NUMBER: 123294300200 �„
LEGAL DESCRIPTION: TR 20 OF SW SE(OPER PROP)
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PROJECT DESCRIPTION: DIRECTIONS TO SITE:
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General Information Construction &Occupancy information
Type of Use: COMMUNICATION Insp.Area: No.of Units. Type of Constr.: Z
Type of Work: MEC Fire Dist.: 2 No.of Bathrooms: Om-Group;
No.of Stories: Occ.Load:
Valuation: $ 10,500.00 Building Height o
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Pre-Manufactured Unit Informatlon Square Footage Information
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Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.- Basement: Parking Spaces:
Setback Information Shoreline&Planning Information
Front: Ft. Shoreline: FL
Rear: Ft. Slope: Ft. Water Body: Shoreline De4
Side 1: Ft. SEPA?: Comp.Plan Desig.: Z
Side 2: Ft. o
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinider System?: Access Road?: Fire Exfingulshers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: c
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COM2004-00012 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
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Y"Pe oty, Type aty, Type By Dale Amou►a Receipt ry
Furnace<1 OQK 1 Building stale Fee MRr, ?r2nfwi& xa vi c,>,mann T
Heat Pump 1 Building Permit Fea MRr �r7i�nnc S�gK7K C7?rYndrHl
Plan Check Fee Isar, 9/717ruis S17Rg1 CyNlr}dM
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Mechanical Fea M54r, 9nj7" YIARn c*?annaen � II
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CASE NOTES FOR
COM2004.00012
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CONDITIONS FOR
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1) Contractor registration laws are governed under RCW 18,27 and enforced by the VGA State Dept of Labor and Industries,Contractor Compliance
Division. There are potential risks and monetary liabifilies to the homeowner for using an unregistered contractor. Further'Wcrmation can be
ottained at 1-800-64 982, T erson sl ing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA 6tate law. X—' �
2) All approved plans are required to be cn-site for inspection purposes. If inspection is called for and plans are not on s.He,Approval WILL NOT be
granted, In addition, a reinspection fee, based on the current fee schedule, minimum one-hour wit! e charg and cdl d by the Mason County M
Building Department prior to any fur'.l'.er inspections being performed or approvals granted. X
3) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES TRUST HAVE APPROVED NUMBERS OR ADDRESSIIS PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY- MASON COUNTY �
BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FORANY SITE INSPECTIONS. A REINSPECTION
FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OW R/CONT CTOR F S TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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4) Changes to approval build ng plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Al Quality
Code V AQ) Uni ►t Building/ umbing/Mechanical Codes and/or Mason County Regulations shati be approved prior io construction.
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5) CONSTRUCTION PRO ESi TO FIELD C
J&RECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM o
BUILDING CODE-x 00
6) All building permits shall have a final inspect' n performed and approved by the Mason County BiAltEng 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 Wson County as being
non-co pliant wit! ason Cou ordinances and building regulations.
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COM2004-00012 2 of 4
This perm I becOM89 MI I and vold[f wort a rconstrucUon authorized Is cot comman cod wtth 1 SO days,cw it construoUcfi or w(xk iS SLISPended for a pehcdoflBU days at any time aftermrk is C.
commenced. Evidence of oontinuation of vxrk is a progress Inspecfionwlthln the 180 day period. Final inspedion nnzsi be approved before bulding can be acoupw.
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DATE:
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COM2004-00012 0 of 4
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RZ CONCRETE MECHANICAL MANUFACTURED HOME
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o Footings / Setbacks Date B y Ribbons
o Dat.e By Gas Piping Date By
o Foundation Walls Date B v Set-up
^' Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date B y
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date Z Y, --Y B y �/r
D ate B y Date By
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FORM MUST BE COMPLETED IN INK 1GffT NO.:2 Cowl
PLEASE PRESS HARD MASON COUNTY 2—
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 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Q.c,—LtQJ LkyAN►ut..n+ka Contractor Name Mechani c�i l
Mailing Address 16 00 7 tl CLuc.. Mailing Address I I G F
City Sege, State L1 Zip Code City 0 11; by i I le- State WA Zip Code 9$i�7�.
Phone) Other Ph.( Ph.((( Z5 }4Si- bio Other Ph.(42-' AR6-6g 33
Lien/Title Holder Contractor Reg. # SOHANM( 173 Pk
Address Expirations/ 1 / 0 5
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
M 'all PARCEL INFORMATION-1 t x r I l �p2.00 Fire District
Legal Description ;to DFSI✓SE b 8,r
Site Address(Please include t name, street number and city) ;Z 36,50 NE H V1, Y P f CLI r
Directions to site innl 2 fi 2204
Is your property within 200' of h ° �) Saltwater
Lake River/Creek`_' ' Ma Seasonal Runoff Stream Slopes or
Bluffs
PE OF JOB New Add Alt Repair Other Use of Building
TYPE _X_ p 9
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other lid A dk�� Z r Sew
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date
X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
Building Department
Occ GroupType Constr. AID
Planning Department
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Other
Other
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Permit Fee 95, a 5 Site Inspection
Plan Review Fee , a� G 1 UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other 452
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES (� ce(0