HomeMy WebLinkAboutCOM2010-00057 Cancelled HP and Furnace - COM Permit / Conditions - 6/24/2010 Aft
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
loop too Shelton,WA 98584 - '
COMMERCIAL MECHANICAL PERMIT COM2010-00057
OWNER: SUK YUN RECEIVED: 6/24/2010
CONTRACTOR: BLACK HILLS INC 360-705-8590 LICENSE: BLACKH1006DA EXP: 3/3/2012 ISSUED:
SITE ADDRESS: 5891 E STATE ROUTE 3 SHELTON EXPIRES:
PARCEL NUMBER: 321363800061
LEGAL DESCRIPTION: TR 6-A OF J.O. ECLER'S D.L.C. M.C. DECREE AF#1810901 S 31/177
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
HEAT PUMPS AND FUNANCES in
General Information o str ct n cc ancy Information
Type of Use: R Insp.Area: No. o U its: a of Constr.:
Type of Work: MEC Fire Dist.: No. Bathr ms: Occ. Group:
Valuation: .of S 'es: Occ. Load:
B ding eig
Pre-Manufacture Unit Info ation I Square Footage Information
It
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Info
Shoreline>3<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?:
COM2010-00057 Please refer to the following pages for conditions of this permit. 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Furnace<100K 2 Mechanical Permit Fee TW F;i?anntn -t7'4 nn Ctgnlnnn
Heat Pump 2 Mechanical Base Fee TVV ai?dnnin -t9R Fn -,i,)ninnn
Total $101.50
CASE NOTES FOR
COM2010-00057
CONDITIONS FOR
COM2010-00057
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
t Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-f�4_7-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X�j--
. 2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.26�=
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3) 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 O USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x, r-
4) All property lines shall be clearly identified at the time of foundation inspection. X�Wi= .
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
nor,>� liant with Mason County ordinances and building regulations.
X �(f-
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 t it holder have prevented action from being taken. No more than one extension may be granted.
X e erm
This permit becomes null and void if work or struction 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 continuati of wor Is a progr s insp tion 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 i ectir.Thfi owner he ag t on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property structure f review nd ins tion.
I
OWNER OR AGENT: DATE:
COM2010-00057 lease refer to the following pages for conditions of this permit. 2 of 3
K CONCRETE MECHANICAL MANUFACTURED HOME C
Footings!Setbacks Date E'y Ribbons Z
o Gas Piping y
o Interior Date By interior-Date E y pate By C
0 Exterar Date By Exterior-Date EX
Set-up
4 Point Load I Isolated Footings INSULATION Date By
Date By BG I SLAB INSULATION
Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data BV PROPANE TANKS
PLUMBING vault Date By
Date B� OTHER
Groundwork Attic
Date B,, Type.
Date B y Date By
DRYWALL
M D.W.V type- 0
y Int.Brace Wall pate By
0afe By Date 13? ic
FINAL INSPECTION N
o Water Line Fire Seperation O
o Date By Date By Date By O
M Pass or Request Inspect. c
o Type of Insp. Fail Date Date Done By Comments CA
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Jun 24 2010 4 : 14PM Black Hills , Inc. 7058584 page 1
r -
PERMIT NO.-K C �cVIV —
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION Qws�
426 W. Cedar•P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-Q_67 -Belf it (360)275-4467• Elma (360) 482-5269
n t ewe www.co.mason.wa.us
i APPLICANT INFORMATION CONTRACTOR �ORA(IATI N
1 Owner Company Namecd�'
Mailing Address Mail'n Address
City`5129 jAri State Zip Code 61227 Ci Cc_ State VXPr Zip Code Sa
Phone a �tn�I Other Ph Phone a7 .205'�lD Other Ph.
Lien/Title Holder Contractor Reg. # 5 1 2 � xp.� 12
E mail address E Mail Address
I Drivers Lic.# DOB Drivers Lic.# DOB
I SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
r
,Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address(Please include street name; street number and city)
Directions to site
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream—Slopes or Bluffs > 15%
FEOF JOB- New Add Alt Repair Other Use of Building
TYPE
of FixturesJUnits - 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Tvpe 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 2
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks WoocVGas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANI L
OVVNER/BULDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Ackncw of
such is try 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 Mat the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
P OOF OF CONTINUATION OF WORK BY MEANS OF A PROGRESS INSPECTIO .
X a�L6,®L�lk Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEY N T POINT
Accepted by Planning Pd Ck# Date Z ` Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
cc Group T n tr.
.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