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BLD2015-00838 Final Water Heater and Heat Pump - BLD Permit / Conditions - 12/18/2015
Inspection Line(360)427-7262 P6oN �a� �p MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III f 426 W. Cedar Shelton, WA 98584 7854 RESIDENTIAL BUILDING PERMIT BLD2015-00838 OWNER: DANIEL WEST CONTRACTOR: WASHINGTON ENERGY SERVICES LLC LICENSE: WASHIES851 NS EXP: 9/7/2017 RECEIVED: 9/25/2015 ISSUED: 9/25/2015 SITE ADDRESS: 261 NE CUTLASS WAY BELFAIR EXPIRES: 3/25/2016 PARCEL NUMBER: 123312290043 LEGAL DESCRIPTION: TR 4-C OF GOUT LOT 1 EX LOT: C OF SIP#2620#610715 PROJECT DESCRIPTION: DIRECTIONS TO SITE: WATER HEATER & HEATPUMP 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.: 2 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 Heat Pump 1 Mechanical Permit Fee JBN 9/25/2015 $ 18.20 S2201500000001 Mechanical Base Fee JBN 9/25/2015 $28.50 S2201500000001 Plumbing Permit Fee JBN 9/25/2015 $8.70 S2201500000001 Plumbing Base Fee JBN 9/25/2015 $24.70 S2201500000001 Final Inspection Fee JBN 9/25/2015 $73.00 S2201500000001 Total $153.10 BLD2015-00838 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2015-00838 CONDITIONS FOR BLD2015-00838 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. X /1_4 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 �d 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 revocation. X Gd 4) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(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, 360.586.1044/800.422.5623 www.orcaa.org X Ca- 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 County ordinances and building regulations. X 69 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 permit holder have prevented action from being taken. No more than one extension may be granted. X <::Z BLD2015-00838 Please refer to the following pages for conditions of this permit. Page 2 of 3 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 contractor. I further declare that I am entitled to receive this permit and to do the 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. //f/ / I ,ct/���5� �i"� T / Signature Date OWNER - ESENTATIVE - CONTRACTOR Print Name a ate) BLD2015-00838 Please refer to the following pages for conditions of this permit. Page 3 of 3 r co o CONCRETE MECHANICAL MANUFACTURED HOME m � Footings/Setbacks Date By Ribbons Cl) Gas Piping o Interior Date By Interior-Date By Date By00 p w Exteroor Date By Exterior-Date B get_ Z 00 Point toad I Isolated Footings INSULATION Date By nl Date By ©a I SLAB INSULATION By FIRE DEPARTMENT ___ r Foundation Wails Floors Date By Date By Data By DECKS FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING Vault Data By Date By OTHER Groundwork Attic .�,W.. Date By Date By Type. Date By D.W.V DRYWALL Type. -0 Date By Int Brace Wall Date By W m I Date By v FINAL INSPECTION p y Water Line Fire Separation N cD m Date By Date By Date I'Lrf f s- By 6G s Pass or Request Inspect. c Type of insp. Fail Date Date Done By Comments co °° v N O 7 Q. O 7 y O Ch fD (Q (D 0 ko 20 S • 00B Pn: 123 31 • Z Z_ 9oo 3 g t Toll Free: 800-398-HOME A$hington www.WashingtonEnergy.com Save Energy.Live Better. � Providing Quality Service Since 1957 100%Satisfaction Guarantee i PROPOSAL / CONTRACT OF SALE If Daniel West 8/13/;15 I Name: Date: _ Service Address: 261 NE Cutlass Way Home Phone: (360) 277-4884 Belfair WA 98528 (360) 328-0094 ' City: State: Zip: _ ..... _ Work Phone: _ i, Email Address: ❑ I wish to receive special offers.My email will not be shared. Billing Address: Home Energy Specialist: 2 30 Stefanl City: State: Zip: Town&Tax Code: l PSE Referral# Re-Write: Combo-Order. ❑ Rush: ❑ city Description Item Office Use Only s 1 New Fujitsu Ductless System complete and to code HVAC 9,522.00 2 12000 btu ductless units-master-living room lye Condenser set out rear-new line sets-remote Permit administration b f Company employees �d Return in one year for maintenance (1,237.86) Veterans Discount (414.20) Discount Purchaser acknowledges the receipt of a copy of this contract and that helshe is the owner AUTHORI O &IIGNATURF: at the premts the goods purchased under this contract WR be Installed. i /,,. Accepted and � Sign H re _ Gi ./ d — Date: l"J Approved by: 1 X ........................................................................................................................�{ PAYMENT INFORMATION MUST BE REMOVED BEFORE FILING:Visa fAC A1117X DISC Name on Ctird Card Nwnber CCV Expiration Billing Address(it diffiaprnt from service)! l i I sefit¢rtP�+�pue angel{o ivawt1edep e4i way}el4etteA¢osle¢c uofteuuoJul Iejeuag-it isenuea non p - Cooling - Solar Attic Fan 7,869.94 Ductless Heating - Tankless Whtr - Fireplace - Whtr Commercial - Generator - Whtr Residential - Heating 112.00 Permit a f(0 i ,RcECEIVED PERMIT NO. V 039 SEP 2 5 2015 MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 426 W. C E DA P S Shelton (360)427-967t0Baww(36 -4467•Elma(360)482-5269 nheb wOwe co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Washington Energy Services LLC Owner DANIEL WEST Company Name Mailing Address 261 NE CUTLASS WAY Mailing Address 3909 196th St SW City BELFAIR State WA Zip Code 98528 City Lynnwood State WA Zip Code 98036 Phone Other Ph. Phone 800-398-4663 Other Ph. Lien/Title Holder Contractor Reg. # WASHIES851ns Exp. 9/7/2017 E mail address E Mail Address 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, 12331-22-90043 Fire District Legal Description Site Address (Please include street name, street number and city) 261 NE CUTLASS WAY,Belfair Directions to site WA-3 NORTH.Turn left onto NE Old Belfair Hwy.Take the tst left onto NE State Route 300/WA-300. Turn right onto NE Larson Lake Rd. Turn left onto NE Larson Blvd. Turn Slight left onto NE Cutlass Way. 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:Electhc_LPG_Natural Gas_Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace , Bath Tubs Heatpumps 1 �✓� n, S�'I, # Showers Spot Vent Fan Water Heater 1 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 1 TOTAL MECHANICAL 1 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 accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONJINUATION WORK IS BY NS OF A PROGRESS INSPECTI N. X Date: Owner/ wners Representative_, Contractor (indicate which one) a I/ 5�3 V FOR OFFICIAL USE BEYOND THIS POINT Accepted b '.?A Planning Pd Ck# A$C,"1 Date `%-.)-5-1 � Bld Pd Receipt No. 52u''t 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