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Home My WebLink AboutBLD2016-00944 Cancelled HP and Furnace - BLD Permit / Conditions - 4/8/2020 Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Irflo Shelton, WA 98584 MECHANICAL PERMIT BLD2016-00944 OWNER: SANDY STROHCHEIN RECEIVED: 9/22/2016 CONTRACTOR: BLACK HILLS INC 360-705-8590 LICENSE: BLACKH1006DA EXP: 7/19/2017 ISSUED: 9/22/2016 SITE ADDRESS: 31 E KATHRYN CT SHELTON EXPIRES: 3/22/2017 PARCEL NUMBER: 321344290034 LEGAL DESCRIPTION: LOT: D OF SP#2438 PROJECT DESCRIPTION: DIRECTIONS TO SITE: HEATPUMP AND FURNACE E PINE ST, L ON E MASON LAKE RD, R ON E CATFISH LAKE RD, L ON E CATFISH LAKE LANE, L ON E CARRIE ANN LANE R ON KATHRYN CT 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. Valuation: Side 1: Ft. Side 2: Ft. Mechanical Fixtures FEES Type Qty. Type By Date Amount Receipt Furnace<100K 1 Building Special inspection AMP 9/22/2016 $73.00 S220160000( Heat Pump 1 Mechanical Permit Fee AMP 9/22/2016 $36.50 S220160000( Mechanical Base Fee AMP 9/22/2016 $28.50 S220160000( Total $138.00 BLD2016-00944 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD2016-00944 CONDITIONS FOR BLD2016-00944 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 X 800-647;!T. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 2) Owner IAont is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X� 3) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON STATE ENER Y CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE MINIMUM STANDA IET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE. X 4) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling. EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs, or a ions requiring a permit occur, or when one or more sleeping rooms are added or created. X 5) 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 Was ton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit rev ati n. X 6) 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 o perat7;7 ained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X BLD2016-00944 Please refer to the following pages for conditions of this permit. Page 2 of 3 7) 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 County Building InspectoLshall be made prior to requesting additional inspections. X 8) 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 ordinances and building regulations. X .!r 9) 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 ha revented action from being taken. No more than one extension may be granted. X 10) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X '7:17 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 APJPLI7ON OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signat r 11 Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2016-00944 Please refer to the following pages for conditions of this permit. Page 3 of 3 Black Hills, Inc. Agreemel. L ! Heating and Air Conditioning 1003 85th Ave.SE Suite A,Olympia,WA 98501 (360)705-8590 www.blackhilisinc.com Customer Name n�r ohcha Date9--7- G Work Order# Address f'3 1 C V�rSA� �✓ Q c� City is�\ei �� State zip 7 Home Ph. Work Ph. �_ ) Email OUTSIDE YOUR HOME replace IDE YOUR HOME MReplace existing unit ❑Add new unit existing unit ❑Add new unit ❑Air conditioner Heat pump 2' ❑Gas furnace ❑ Nat.gas ❑L.P. ❑Oil ❑Packaged unit ❑ UFan coil with supplemental electric heat KW ❑Unit support ❑ Protective gutter ❑ Yq Use existing disconnect ❑ New disconnect ❑New flue ❑ Use existing flue ❑Relocate ❑Relocate indoor unit from to ❑New circuit from existing electrical panel ❑Easy access air filter 952:1 ❑ ❑New circuit from existing panel -0-76-1�`'r"�� SYSTEM INSTALLATION INCLUDES El New wire from existing panel — It)0 `f All labor ❑Rooms requiring additional air flows Performance Control Center ❑Add supply vent to /G .99' ❑ Standard ❑ Electronic[b,Programmable ❑Add return vent to All required permits C PAewf Removal and proper disposal of old equipment ❑Complete du t%em . - Check entire system for safety and efficiency ❑ C'e— Check and reseal minor leaks in exposed ducts ./ One year scheduled service SPECIAL AIR TREATMENT PRODUCTS FOR IMPROVING THE QUALITY OF YOUR 1.e s- ❑ MicroGuardian Air Scrubber® ❑ Quantum 2540 UV Sterilizer ❑ OxyPure®Air Enrichment System0t� 0 ElOxyQuantum°Combination System ❑ Micro PowerGuard Air Cleaner ❑ ToraVac°Source Remova _yster� Ee WARRANTIES (Under terms of warranty, routine scheduled service must be performed on system) ears o pa and labor years on compressor years on heat exchanger GUARANTEES (All guarantees are explained on the reverse side of this agreement) PE�Comfort ®No Lemons ❑Utility Savings X$500 No-Frustration [X$500 Installation[A-Property Protection&Money Back No Surprises:The investment quoted is what you pay. Customer Respect:Our technicians will not swear or use tobacco products while on your property.They will courteously answer any questions or concerns and leave your home as neat as they found it. Code Compliance:The installation will comply with all existing local codes. Drug Free:Your work will be performed by our professional,highly trained and drug free associates. Satisfaction:We will guarantee that your system meets or exceeds your expectations for quality and rel' / // Q Q Finance option' We hereb ropose to complete wor specified above for the sum of: f(/< Y [ 7 Monthly investment p terms: 7Financed" 25%d osi . ala a du pon installation Buyer hereby declares that buyer holds title to property in �/Z�l 4 which merchandise is being installed and has legal author Company approval Date G to order the work outlined above.The seller retains title Customer approval b 5 �¢ /(o to all materials and property listed herein until payments have been made in full.Accounts not paid within 30 days of Customer approval by Date invoice receipt are in default and subject to a late payment charge of 1-1/2%per month or 18%annually.Buyer agrees 'Subject to approval by finance company.Certain restrictions apply to any reasonable attorney's and/or collection fees incurred 02001 to 2013 Clockwork IR LLC.All Rights Reserved by seller to secure payment of this contract. ; -- (3)d2o 110 ' y� WL- ' %11. MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY 6EVELsOPMENT 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 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME. NAME: I I MAIL G ADD SS: n MAILING ADDRESS100, P�-" CITY: . _STATE: ZIP:qWib CITY: 1 l STATE- V ZIP: PHONE: IS' 3 $ ELL: PHONE:, b-7C�-`55 V_CELL: EMAIL: EMAIL : Q ! 1 L&I REG# L EXP.�7 /J cl/_L�7- PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): �j21 oo LEGAL DESCRIPTION(ABBREVIATED): SITE ADDRESS: /�)1 u- K CITY: Q,1 DIRECTIONS TO SITE ADDRESS: i nQ St,, 1., Drl W" baKQ " I '2 OY) SV1 LA 0 S h Gl co we l L U Yl TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— lsT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL TS Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace 30 Bath Tubs Heatpump Showers Spot Vent Fan Water Heater Q Propane Tank Clothes Wash r� �CeB� Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent 6 crt� 3 ov Other Other Base Fee Base Fee 2 8 `S O TOTAL PLUMBING TOTAL MECHANICAL 138.00 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 PONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PER APPLICATION 80 DAYS WILL I ALI ATE THE APPLICATION. X Signature V (A` ant Date ,v ,p X knL� V A Owner/Owners Representative/Contractor Tint Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL