HomeMy WebLinkAboutBLD2009-00986 Heat Pump - BLD Permit / Conditions - 10/31/2008 f Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
P14
MECHANICAL PERMIT BLD2009-00986
OWNER: ADAM, BLAKE RECEIVED: 11/12/2009
CONTRACTOR: G & G HEATING LICENSE: GGHEA**002DA EXP: 3/2/2010 ISSUED: 11/12/2009
SITE ADDRESS: 310 E WOODLAND DR SHELTON EXPIRES: 5/12/2010
PARCEL NUMBER: 420125100039
LEGAL DESCRIPTION: WOODLAND MANOR TR 39
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
HEATPUMP SHELTON SPRING RD TO WOODLAND DRIVE TO ADDRESS
General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft.
Type of Work: MEC Fire Dist.: 11
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Heat Pump 1 Mechanical Permit Fee GMM 11/12/200 $18.20 S120090000
Mechanical Base Fee GMM 11/12/200 $28.50 S120090000
Total $46.70
BLD2009-00986 Please refer to the following pages for conditions of this permit. 1 of 2
r CASE NOTES FOR
BLD2009-00986
CONDITIONS FOR
BLD2009-00986
1) Contractor regis rat, laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. Ther r p tential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-09 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) Owner/ nt i sponsible to post the assigned address and/or purchase and post private r signs in accordance with Mason County Title 14.28.
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3) All property lines shall be clearly identified at the time of foundation inspection. X
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4) All building p mit hall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
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equest f' al "n ection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Co O ances and building regulations.
5) All permits Axe 1days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action forad exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have d action from being taken. No more than one extension may be granted.
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6) All construction mus eet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Was " gt Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit rev ' n.
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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 i pection.The ow or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property d tir ure for rev and inspection.
OWNER OR AGENT: _ d DATE:
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BLD2009-00986 Please referto the following pages for conditions of this permit. 2 Of 2
FORM MUST BE COMPLETED IN INK PERMIT NC71
PLEASE PRESS HARD 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
APPLICAf4T INFORMATI7. CONTRACTOR IN OR TI
Owner Company Name
Mailin A dr s La �� Mailing Address Q
City - L- AZ State Zip Code Fly City 1State 1-4 3 44 — Zip Code
Phone 6UL Other Ph.406- A46 Phone 0 f Other Ph.
Lien/Title Holder Contractor Reg #44a&A*C i xp. //_&__z
E mail address E Mail Address A & E�2f AE Z0 f"'_%_
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. Fire District
Legal Description
Site Address (Please include street naMp, street number an c ty)
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 X 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 UV
JTS
Type of Fixture No. of Fixtures Fees Fuel Type:ElectricC LPC— 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
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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 4 accurate grants employees of Mason County access to the above described property and structure for review and inspection.
PROO CONTI ATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Xall2AC4104— Date: ll" IV--o7.
O ner/Owners kepresentative/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
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES