HomeMy WebLinkAboutBLD2016-00160 Water Heater - BLD Permit / Conditions - 3/3/2016 Inspection Line(360)427-7262
.. e�N cop MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone:(360)427-9670, ext.352
Mason County Bldg. 8 -
615 West Alder Street
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT
BLD2016-00160
OWNER: DEBORAH SMALLEY
CONTRACTOR: LICENSE: EXP: � �T RECEIVED: 3/3/2016
SITE ADDRESS: 24-1-E Tom;'^ ^^ ''""T^-"—,� '�'r`�"v 21 L E �J"I"XjJ I t/l�]/ �� 1� ( 2 ISSUED: /3/2016
� , EXPIRES: 9/3/2016
PARCEL NUMBER:
LEGAL DESCRIPTION: LAKELAND VILLAGE#12 PHASE II LOT: 50 (CONDOMINIUM SITE-7 1/2 UNITS ALLOWED PER ACRE)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New hot water heater VY16 V e,!�i 4-D WA ST RT 3 N, L HOMESTEAD DR, R E OLD RANCH RD, R STERLING DR,
SITE ON LEFT
I a�, lS -sl - b6oi�
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No.of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: MEC Fire Dist.: 5 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Heaters 1 Final Inspection Fee JBN 3/3/2016 $73.00 S2201600000001
Plumbing Permit Fee JBN 3/3/2016 $8.70 S2201600000001
Plumbing Base Fee JBN 3/3/2016 $24.70 S2201600000001
Total $106.40
BLD2016-00160 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2016-00160
CONDITIONS FOR
BLD2016-00160
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 0982-.,The person signing this condition is either the homeowner,agent for the owner or a registered contractor according to WA state law.
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2) Owner A responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit: tori.
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4) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean AirAgency(ORCAA).
It is unlawful for any person to cause or allow the demolition(or major renovation)of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished.Work shall not commence on an asbestos project or demolition project unless the owner or
operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.10441800.422.5623 www.orcaa.org
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-compliant with
Mason ty Ordinances and building regulations.
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6) Ail 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
ho er'h vqz prevented action from being taken. No more than one extension may be granted,
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BLD2016-00160 Please refer to the following pages for conditions of this permit Page 2 of 3 y
OWNER/BUILDER acknowledges.submission of inaccurate information may result in a stop'work order or permit revocation.Acknowledgement of such is by "
signature befow I declare that]am the,owner,owners,legal represeritative, or contractor.I further declare tt of 1 am entitled to receive=this permit-and to, do the
work as proposed I have obtained:permissionfrom atithe necessary•.parties including any.'easemenf holder of parties of interest-regar`din -,this ro ect The
owner of authorized agent rePreseats,fhat the in#orrnation provided is-accuraterand. rants em to,eesof Mason Coup access to theabove,descrifed
,. 9 ,,p ,.Y tY property
>and stru`cture(5)far review and inspection This permrtlappllcation becomes null&void if wort<�or authorized construeti-' Is.not commenced within 18t)da s or`if
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construction +4rk is suspended:for a ppenod of lqq days,PR_OF QF 9PNTINUATION OF WORK.1S BY MEANS 4F'INSPECTION.INACTIVITY OE THIS:=
PERMIT APPLICAT ON.OF 180 DAYS WILL INVALIDATE THE APPLICATION.
,Sig , u7T Date
1�-liL"t-V-I l:X_'/l1�' I� OWNER - REPRESENTATIVE CONTRACTOR
Print Name (circle one to Indic_,
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BLO2016-00160 Please refer to the following pages for conditions of this permit Page 3 of 3 `
MASON COUNTY PERMIT NO. C 00
DEPARTMENT DEVELOPMENT
BUILDING PLANNING•FIRE
_ MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 (�
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 J
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME: fA ST In1 -Fr; / . N e-ATFAZ
MAILING ADDRESS: II pl AILING ADDRESS: l I�15 N C4CO&K Pau-�-I S r I U
CITY: r1 STATE:�i ZIP: �J�2L/ CITY: [3 �{ I STATE:1.1/� ZIP: 1 I
PHONE: 33'1 CELL: — PHONE:`-f' CELL: —
EMAIL: EMAIL : Srwa-I er-lno_aIP��•Gnav�
L&I REG#_fASTwW11%Z '�(', F-XP. 1 /L/ I LP
PARCEL INFORMATION: _
PARCEL NUMBER(12 DIGIT NUMBER): �- J -- j
LEGAL DESCRIPTION(ABBREVIATED):.6 D A
SITE ADDRESS: 1' D I CITY: l.✓r 17
DJRECTIONS TO SITE ADDRES • 'U W `
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TYPE OF JOB
NEW ADD ALT PAIR X OTHER USE OF BUILDING
LOCATION OF FIXTURESIUNITS-I sr FL OR 2ND FLOOR BASEMENT GARAGE—OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel ype:Electric LPG Natural Gas H t Pump_
Toilets T e o nit No.of Units ees
Bathroom Sink Furnace
Bath Tubs Heatpump
Showers Spot Vent Fan
Water Heater Propane Tank - �/
Clothes Washer Gas Outlets I V LJ
—
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood8
Hosebibs Dryer Vent
Other Other A a-
Base Fee Base Fee —
TOTAL PLUMBING TOTAL MECHANICAL Q
OWNER/BUILDER acknowledges submi sion of inacc to i rmation may result in a stop work order or permit revocation.
Acknowledgement of such is by signature low. I d - re at I am the owner,owners legal representative,or contractor. I further declare
that I am entitled to receive this permit and to o e 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.
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Signature of App ant Date
X Owner/Owners Representative/Contractor
Print Name
(indicate which one)
EPARTMENTAL IZEVIE_. A E:FR®3TE 96UME � 1,Fb , :.''GS/NOTXES/_C-0SD U0N.S
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL