HomeMy WebLinkAboutBLD2011-00631 Ductless HP - BLD Permit / Conditions - 7/28/2011 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
1�
MECHANICAL PERMIT BLD2011-00631
OWNER: KEN, BENDER RECEIVED: 7/28/2011
CONTRACTOR: KOPENSKI 1.360.550.3783 LICENSE: KOPEN**922PZ EXP: 10/11/2011 ISSUED: 7/28/2011
SITE ADDRESS: 120 NE COLLINS LAKE DR TAHUYA EXPIRES: 1/28/2012
PARCEL NUMBER: 223315300036
LEGAL DESCRIPTION: COLLINS LAKE#4 TRS 36-37 EX S 40' TR 36 & N 45'TR 37 DPC#05-31 REV 1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New Ductless Heatpump ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON BELFAIR
TAHUYA RD, R ON COLLINS LAKE DR TO SITE ADDRESS ON THE RIGHT
SIDE
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
Heat Pump 1 Mechanical Permit Fee GMM 7/28/2011 $18.20 S120110000(
Mechanical Base Fee GMM 7/28/2011 $28.50 S120110000(
Total $46.70
BLD2011-00631 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2011-00631
CONDITIONS FOR
BLD2011-00631
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
1-800,-64 0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X � ;
2) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE
MINIMUM STANDARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
X_/ ,_al
3) 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 Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
X
4) 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
Maso County ordinances and building regulations.
X /�, ,6) ,
5) 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 have prevented action from being taken. No more than one extension may be granted.
X f�0
6) 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 ,/
BLD2011-00631 Please refer to the following pages for conditions of this permit. Page 2 of 3
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 inspection.The owner 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 and structure for review and inspection.
OWNER OR AGENT: .tom IL- r1,ti��� DATE: 7 —� ��'�Z0�l
BLD2011-00631 Please refer to the following pages for conditions of this permit. Page 3 of 3
MASbN COUNTY PERMIT NO. I0!JdI
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
f Shelton (360) 427-9670• Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us -
APPLICANT INFORM TION CONTRACTOR INFO ATION
Owner / - t Company Name
Mailing Address�a,0_ w,�. Cty 14,_p_5 1 cc kc 70,, ✓e Mailing Address
City r' M
a ate , Zip Code LK5IV Sr Ci c
Phone� -0-2 7S9 i ct �' tate Zip Code
Other Ph. Phone Other Ph.
49P4Titla,l_,�_r Contractor Reg.A Ex .
F& mail mess p
E Mail Address
nPiVeFs-Lis # Drivers Lic.# DOB
SEPTIC INFORMATION -Name of Sewer System Connect to New Septic Existing Septic Connect to Sewer System
PARCEL INFORMATION- 12 Digit Parcel No. 'i3 - 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%
TYPE OF JOB - New 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 UII
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 Heatpumps 2 +12�;
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 �r
TOTAL PLUMBING TOTAL MECHANICAL
CNIINER/BULDER 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 is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
P F OF CO�NTINTION OF W K�ISB �EANOF A PROGRESS INSPECTION.
X Date: 7`21Owners Representativendicate which one)
� FOR OFFICIAL USE BEYO D THIS PINT
Accepted by`" Planning Pd Ck# Date ` '( Bid Pd Receipt No.
FBI
RTM NTAL REVIEW APPROVED DENIED NOTES
Department
u T e Constr.
g Department
Environmental Health Department
FEES
Plumbinq & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
L
ood/Gas/Pellet Stove Fee Other
lation Fee TOTAL FEES