HomeMy WebLinkAboutBLD2016-00062 Final Ductless Heat Pump - BLD Permit / Conditions - 3/22/2016 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
of Mason County Bldg. 3 426 W. Cedar P.O. Box 279
lrf,, Shelton, WA 98584
MECHANICAL PERMIT BLD2016-00062
OWNER: TRAVIS CALDERWOOD RECEIVED: 1/27/2016
CONTRACTOR: ALPINE DUCTLESS LLC 1.360.529.7567 LICENSE: ALPINDL876JQ EXP: 4/18/2017 ISSUED: 2/2/2016
SITE ADDRESS: 131 E SLEAFORD RD SHELTON EXPIRES: 8/2/2016
PARCEL NUMBER: 321275400022
LEGAL DESCRIPTION: LAKE LIMERICK 5 TR 22
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DUCTLESS HEAT PUMP IN SFR WA ST RT 3 N, L ONTO E MASON LAKE RD, R ONTO E CLONAKILTY DR, L
ONTO E CLONAKILTY CT, R ONTO E SLEAFORD RD, SITE ON LEFT
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 5 Rear: Ft. Slope: Ft.
Side 1: Ft.
Valuation:
• Side 2: Ft.
' Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Final Inspection Fee JBN 1/27/2016 $73.00 S120160000(
Mechanical Permit Fee JBN 1/27/2016 $18.20 S120160000(
Mechanical Base Fee JBN 1/27/2016 $28.50 S120160000(
Total $119.70
BLD2016-00062 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
r BLD2016-00062
CONDITIONS FOR
BLD2016-00062
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 sus ended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
Ir
APPLICATIO F 1 DAYS WILL INVALIDATE THE APPLICATION.
2 C - �� �L7
S ure Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print me (Circle one to indicate)
BLD2016-00062 Please refer to the following pages for conditions of this permit. Page 2 of 2
Jan 26 16 01:26p Titus-Will 360-570-3363 p.4
INSTALLATION SALES AGREEMENT ALPINE
Alpine Ductless, LLC RECEIVE DUCTLESS
Post office Box 12361.01ympia,WA 98508-2361
PH:360-529-7567 www.alpineductless.com JAN 2 7 201E
WA LICtt ALFINDL876JQ
This agreement is a contract for construction work to be performed by Alpine Ductless, LLC (Alpine D4!,y
ss),
for -TyaLy S Cat. ��r,�o d (Customer Name) referred to as "OWNER", made this Z 2 of
Lela the year '�rto
Information:
1. Alpine Ductless is licensed with the Washington State Department of Labor and Industries
(#ALPINDL876JQ). Alpine Ductless is located in Olympia, WA,with a phone number of 360-529-7567
2. The OWNER'S address and phone number are:
Z % S E Yy(b, LZJ, 4 �3
3. The work site is located at: ( 31 - S � ��` !�� , Lj—`>3
Scope of work: 630 6) -7 4? f _d/ ? L Sb
Alpine Ductless shall perform the following work for the OWNER: Alpine Ductless shall perform the following
work for the OWNER_
LS 2
O a u
W I �I eyov r 4-o
Payment Terms: p f
The total value of the work is$ 2�1 7W , plus sales tax of$ 23 ' !�r a grand total of
Rebate of$ SOD , if applicable, to be paid to Alpine Ductless by PLta-3 OWNER shall pay Alpine
Ductless the net amount$ 2- , (V6 lqnd shall make a down payment of$ /"5'55with the balance of
.S
ue on completion of the installation and system start up.
List of Required Consumer Notices:
Washington Law requires Contractors like Alpine Ductless to give homeowners certain notices before and
during a construction project. The following is a required notice associated with the installation of your
ductless heat pump. It is important to read and understand this form. By initialing the item below,OWNER
acknowledges receipt of this notice.
1_ Information Notice to OWNER About Construction Liens (iritfathere)
Page z of 2
Jan 26 16 01:26p Titus-Will 360-570-3363 p.5
Terms and Conditions: ALPM
DUCTLESS
The following list shall be Included as terms and conditions of this contract:
1. Alpine Ductless,LLt(Alpine Ductless)shall provide the equipment and installation services described In the Scope of Work above. Alpine
Ductless may refer to the Ductless Heat Pump Proposal acknowledged by OWNER,which is attached hereto as Exhibit 1,and incorporated by
reference into this agreement.
2. OWNER shall abide by the Payment Terms described above. In the event that full payment is not paid within thirty(30)days after it Is due,the
amount not paid shalt accrue interest at 1.5%per month and Alpine Ductless may take any remedies available under the law to enforce its
rights hereunder.
3. The ductless heat pump(OH P)compressor is warranted for- :years;other system parts are warranted for l2 years. OWNER's sole
remedy for any claim for breach of any warranty,express or implied,with respect to the ductless heat pump system shall be with the
manufacturer(s)of the system and notAipine Ductless.
4. Gold Service Guarantee: For three years:from the date of installation,over and above the manufacturer's guarantee,If there's a mechanical
defect with your ductless heat pump Alpine Ductless will replace the unit,including the associated labor,free of charge. Beyond the three
year period,any labor necessary to install any portion of the DHP system that has been replaced under a manufacturer's warranty shall
require payment of an additional labor fee.
5. Alpine Ductless and Alpine Ductless'selected sub-contractors shall install the ductless heat pump in a workmanlike manner and in compliance
with local building codes. Notwithstanding anything in this agreement,Alpine Ductless makes no other representations or warranties of any
kind with respect to the goods and services and hereby disclaims any and all other warranties,express or implied,including the warranty of
merchantability of fitness for particular purpose.
6. Alpine Ductless shall not be responsible for claims arising out of equipment misuse or mistreatment of for damages to equipment,persons or
property caused or permitted by OWNER.or OWNER's agents,third parties,acts of GOD or other causes beyond Alpine Ductless'control.
OWNER shall hold Alpine Ductless completely harmless from,and shall indemnify Alpine Ductless for,all costs,damages,losses,and expenses,
including judgments and attorney's fees,resulting from claims arising from causes set forth in this paragraph.Notwithstanding anything in the
Agreement,Alpine Ductless shall have no liability,whether arising in contract,tort,or otherwise,for any loss of profit or use,or any indirect,
special,incidental or consequential damages.
7. Additional Terms and Conditions:
a. OWNER agrees to provide Alpine Ductless free and unobstructed access to the jobsite and locations where work is to be done-
b. Should OWNER prohibit or prevent Alpine Ductless from beginning or completing the installation,should there arise any condition
beyond Alpine Ductless control which prevents Alpine Ductless from completing the installation,or if OWNER fails to comply with its
obligations under this agreement,Alpine Ductless may cancel this agreement. in such event,Alpine Ductless shall provide written notice
to OWNER which shows the cost of the work completed and materials furnished through the date of cancelation. Alpine Ductless may
apply the deposit provided with this Agreementto the total cost and bill OWNER for any remaining balance,which shall be immediately
due and payable.
c. Alpine Ductless shall not be liable forthe identification,detection.abaterrent,storage,or removal of any existing condition of the jobsite
such as dry rotor hazardous substances such as asbestos or lead rzi?nt. !i such a condition is encountered in the course of Arne
Ductless'work,Alpine Ductless may discontinue work without pe;:ai::y .Ctii the hazardous materials are removed or hazard liability is
eliminated by an appropriate specialist certified bythe washingtcr=a=jtcr Department of Labor and Industries,
d. OWNER acknowledges that heating and cooling systems may transporr,gold or mold spores. OWNER agrees to indemnify and hold
Alpine Ductless harmless from any claim,liability,or damage resu h ing from the presence of mold,the transport of mold,or the transport
of mold spores from the heating and cooling system. Alpine Ductless shall have no responsibility for mold eradication or control.
e. Alpine Ductless shall not be responsible for OWNER's existing heating and cooling equipment or for equipment Installed or furnished by
OWNER.
7. There are no understandings or agreements between Alpine Ductless and OWNER other than those set forth in this agreement. No other
statement,representation or promise has been made to induce either party to eater into this agreement. This agreement may not be
modified or amended except by written agreement of the parties. Amendments to this agreement and/or changes to the installation may
have cost implications.
8. Alpine Ductless and the OWNER have rights set forth in this Agreement,as well as lien rights provided bylaw and the right to file a complaint
with the Washington State Department of Labor and Industries. This Agreement DOES NOT contain an arbitration and mediation clause.
ay placing signatures on this document in the space provided below, both parties have executed this entire
Agreement as of the day and year set forth below.
Agreement Signatures:
RECEIVED
l+ipine ct e L re entative at
0 ER
Date
Ja.i'26 16 01:27p Titus-Will 360-570-3363 p.6
1
Y
owe _
RECEIVED
<. JAN 2 7 2016
Jan 26 16 01:26p Titus-Will 360-570-3363 p.2
Jill
+w
A6 cor,A MASON COUNTY PERMIT NO.&206
- DEPARTMENT OF COMMUNITY DEVELOPMENT O���
BUILDING-PLANNING-FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
X` Mason County Bldg"111, 426 West Cedar Street (360)275-4467 Belfair ext_ 352
18SJ PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: 1 CONTRACTOR INFORMATION:
NAME: 1 ODa NA-ME: aI-p i nip-
MAILING ADDRESS: 131 MAILNG A D7DRES'S-M o% t to l
CITY:,Sh,e-I fM STATE:�—ZIP: 1795194 CITY: W v% ion STATE: VJ A ZIP: 41%50
PHONE:3(Po-?ql-0144 CELL: PHONE: 3(Pd-.52S:)5 fe10ELL:
EMAEL: t5C0.ld�eYWO od 2 �w i l OYrl EMAIL :_a tp ►1 edt�+o>Effi Ga le carlvmo. t zvvL
L&I REG Q,tT„'►'l I d $7l� i EXP" / _/A
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 3242!1=
LEGAL DESCRIPTION(.4BRREV1-ATFD): _S
SITE ADDRESS: l 31 E `41%e0,fVW 712icA_ CITY:_Sln`�(}�l
DIRECTIONS TO SITE ADDRESS: Old
F C 11m IAK;I�i V bC- A± "T"r hAJCIt X VSt'3 rkVX o�VV)L C z`ntt ah E- C I inn k i 1fi�
TYPE OF JOB
NEW ✓ ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNTTS— 1 sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Eiectric V.-"'LPG Natural Gas Ductless_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL P LUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may re It in a stop work order or revocation. I
Acknowledgement of such is by signature below. I declare that I am the owner,ow eis legal renreserrtafive, or con actor.I further la
I that I am entitled to receive this permit and to do the work as proposed. 1 have obtained permission from all the nec s,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
permitlapplication 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.
.441.41fi: �-t.'�t�-M� LLB 1-21D-I Lp
Signature of Applicant Date
t
X t1.kl y-f'S LLL Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
' FIRE MARSHAL