HomeMy WebLinkAboutBLD2016-00020 Final Propane - BLD Permit / Conditions - 1/15/2016 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 279
IP10 Shelton, WA 98584
MECHANICAL PERMIT BLD2016-00020
OWNER: MICHAEL BACA RECEIVED: 1/11/2016
CONTRACTOR: LICENSE: EXP: ISSUED: 1/11/2016
SITE ADDRESS: 111 NE EAGLE VIEW DR TAHUYA EXPIRES: 7/11/2016
PARCEL NUMBER: 223307500070
LEGAL DESCRIPTION: TR 7 OF SURVEY 1/180
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW PROPANE LINE COMING FROM EXISTING TANK TO NEW ST RT 3 TO BELFAIR, L ON ST RT 300, R ON BELFAIR TAHUYA RD, R ON
GARAGE BEARCREEK DEWATTO RD, L ON FARFORD, THEN LEFT ON EAGLE VIEW
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General Information Setback Information
Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft.
Type of Work: MEC Fire Dist.: 2 Rear: Ft. Slope: Ft.
Valuation: Side 1: Ft.
Side 2: Ft.
Mechanical Fixtures FEES
Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Building Special inspection GMM 1/11/2016 $73.00 S120160000C
Mechanical Permit Fee GMM 1/11/2016 $6.20 S120160000C
Mqf,hanical Base Fee GMM 1/11/2016 $28.50 S120160000C
Total $107.70
BLD2016-00020 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2016-00020
CONDITIONS FOR
BLD2016-00020
1) Contractor re tion laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. Th a potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0 82. 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) ALL FURNAC NSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENE Y ODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE MINIMUM
STANDARD S FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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3) All construction ust meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Was in t . Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revo do
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4) 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
operator has T
d written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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5) Fuel piping sha inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of in spec on h test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system
shall not be u ed nt the final inspection has been performed and approved by a Mason County building inspector.
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6) All building permit all have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a fina in ction or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County o di es and building regulations.
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BLD2016-00020 Please refer to the following pages for conditions of this permit. Page 2 of 3
7) All permitrent
80 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action forn t exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder ha d action from being taken. No more than one extension may be granted.
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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
P MIT APP CATIO OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
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BLD2016-00020 Please refer to the following pages for conditions of this permit. Page 3 of 3
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o CONCRETE Gas piping MANUFACTURED HOME y
No Interior-Date By n
Footings 1 Setbacks Interior
_Date By Ribbons D
o Date By INSULATION Date By
o Foundation Walls BG IS LAB INSULATION set-up =
Data By Date -- By Date By >
FRAMING Floors FIRE DEPARTMENT r
Date BY Da to By
Date BY wails
PLUMBING Date BY DECKS
Date By
Groundwork Vault TANKS
Date By
Date By Date By
Attic
D.W.V Date By OTHER
Date By DRYWALL Typo.
—~ Date By
Water Line Date BY Type:
Date By Int.Brace Wail Date By W
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°1 MECHANICAL Date By �INA INSPECTION
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MASON COUNTY PERMIT NO. f
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
VVWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg (L/S wi, ,+9C�A 5Z. (360)275-4467 Belfair ext.352
18544100SIMW*Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME ( G'l�� ( NAME:
MAIL G ADI'RESS: •b. 178 MAILING ADDRESS:
CITY: tr STATE: ZIP:?B<a 9 CITY: STATE: ZIP:
PHONE: -A2 S- PHONE: CELL:
EMAIL: -Ir 1nu ualo� o `� (. Co rr EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABB VIAT D):
SITE ADDRESS: III n V1 EW CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 IT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
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
Bath Tubs Heatpump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen 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 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
PER APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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Signature o Applicant Date
X Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL