HomeMy WebLinkAboutCOM2009-00029 Final Replace Heat Source - COM Permit / Conditions - 4/19/2010 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
� Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2009-00029
OWNER: BELFAIR COMMUNITY BAPTIST CHURCH RECEIVED: 3/26/2009
CONTRACTOR: LICENSE: EXP: ISSUED: 3/30/2009
SITE ADDRESS: 23300 NE STATE ROUTE 3 BELFAIR EXPIRES: 9/30/2009
PARCEL NUMBER: 123325000016
LEGAL DESCRIPTION: SAM B. THELER'S HOME &GAR TRS TR 7-A DOR#4656-001
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACING CURRENT HEAT SOURCE WITH TWO NEW
HEAT PUMPS AND FURNANCES
General Information Construction&Occupancy Information
Type of Use: Insp.Area: No. of Units: Type of Constr.:
of Bathrooms: Occ. Group:
Type of Work: MEC Fire Dist.: 2 No.No.of Stories: Occ. Load:
Valuation: $ $ 500.00 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?:
COM2009-00029 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
_Type Qty. Type Qty. Type By Date Amount Receipt
Furnace>100K 2 Plan Check Fee QRr. A/77/7nnQ a1nA 71 S7gnngnn
Heat Pump 2 Building State Fee QRr. 1n7nnna U Sn cggnnonn
Building Permit Fee QRr. 'tn7ignna It1A7 95 q?gnnann
Total $280.46
CASE NOTES FOR
COM2009-00029
CONDITIONS FOR
COM2009-00029
1) Owner/Agent is responsibleto post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
28 X
2) 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 US $_QCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x �_
3) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air
Quality Cody IAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason Coynt�yy Building Inspector shall be made prior to requesting additional inspections.
X
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,, Mason County ordinances and building regulations.
X ��
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 per t der have prevented action from being taken. No more than one extension may be granted.
X_�
COM2009-00029 2 of 4
7) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will YM
d and collected by the Mason County
-Building Department prior to any further inspections being performed or approvals granted. X
8) 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
9) PROVIDE COMBUSTION A O MANUFACTURE SPECS, BTU'S, 2006 IMC CODES.
X
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 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 owneror the agent on the owners behalf, represents that the information provided is accurate and grants em to ees of Mason County acces
s to
the above described property and structure for review and inspection.
OWNER OR AGENT: DATE: ' 30 -
COM2009-00029 3 of 4
PERMIT N .�����J.�Lj( ��
MASON COUNTY ,
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
i vw,t a�y,�rr,% ef'7/2c n h`ooD Cs .i, ,-,,, ,•
Owner ? C Company Name
Mailing Address ' Mailing Address
City " State Zip Code 552 City ^E,-'F'4' - State — Zip Code
Phone 6 % Other Ph. Phone 31,o Other Ph.
Lien/Title Holder Contractor Reg.#k�—. z'G Exp. -
E mail address E Mail Address qA
Drivers Lic.# DOB Drivers Lic.# o r ,r: DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city) i� o %r
Directions to site
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 - 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— LPCz_ 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
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood �v
Hosebibs Dryer Vent S
Other Other f j)
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OVVNER/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 parry 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 CONTINUATION OF WORK IS BY MEANS OF A PROG9ESS INSPECTION.
�, _� ar #,,Vf� !MrAC_ r it
X Date: Z Gr-- 47
Owner/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—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbinq & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES