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Home My WebLink AboutMIS98-0043 Propane - COM Permit / Conditions - 2/5/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 .43 C E l._ t_ A N E fJ 1J 4S P E 1-A M I T FOR I MSPECT I ONS CALL 427--0670 MIS638 -0043 PAHCFL PLAT (+ ! V c BLK - I OT : JOB ADDRESSs . . . . . . . . . . . . . . . APPLICANT : 2Et 1901 PERMIT OWNER : �`PFNCER LAKE tiROCE RY 42.8-1901 rIUL.L (UI PY E�XP�RATION LEGAL : T9 33 OF GOYT tOT I T1 2 OF St Ii55 SFF SVIVFT $142 F 11/1 PICHFFIM6 10 E Z 1�� BY 1 DATE PROJECT DESCRIPTION : COMMFR i CAL. PROPANE TANK PROJECT LOCATION : PROJECT NOTES : TYPE AMOUNT BY MATE RECEIPT L43.�f0.'.1aT�•••••..•• .•••:L�.-�YSS-�•••••Y x13TA:^'wi1�a^SRi*aU�.>'^'�:.'lJvLffM1.'T MCFE $ 7 .00 N,..1P 02/05/98 46384 MCFE $ 7 .00 NJP 02/05/98 46384 MCBS $ 17 .25 NJP 02/05/98 46384 1 TOTAL i 31 .25 OWNF A ENT' DATE VIS -Poll, rev i 14111192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P' F RPA 1 'T- C, C3NL7 I TT I C3Nf3 Case No . z MIS98-0043 For' a SPENCER i_AKE GROCERY pager 1 1 ) 1 . Provide proteotive tooI1ards Installed to Mason County standards . 2 . Provide a 20 BC rated portable fire extinguisher located within 75 feet of the point of transfer . X. 2) Approved per dimensions and setbacks on submitted site--r? IHn x 3 ) The owner shall have available on site for 1nspeotion by Mason County, a report indloating the name and license number of the Installer , the amount of pressure at the time of testing and they length of test time . This report shall be signed by the person conduotinq the test . x 4 ) ALL CONSTRUCTION MUTT MEE'r OR EXCEED ALL LOCAL CODES AND 0SC CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 RFQU I REMFNTS. 5) If the tank sIze 19 between 125 and 500 gaIIuns you a►ust ToIIow these quidelir.es 1 . Tank is to be 10 feet from any buidling, public way or property line .. 2 . if the tank is exposed to probable vehicular damaSle, provide proteotive bollards . 3 . All wr.eds , grass , brush, trash and other combust IbIH matorial sl►al I be kept a minimum of 10 feet away from LP containers . X 6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED S REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING C.ODE .x CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Permit No.m:p59 00g3 MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner J 17Fn/Qa2 4jQAF- OAWLX45� Phone Jar Site Address a?ay City s5A$1_70✓ St AaA Zip Directions to Job Site Owner Mailing Address =51AKa City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name.So&V/2QAA17Fe.vPaNE Contractor Reg. #SdB P4OJI0,0,4 Address aD&39 olcl 419y 99 S. k! Expiration date City CFsl MLj'q St 40-� Zip S'8'�3/ Phone goo- #3 Parcel No. -)a 1 5a. - q �(Q�3C� -aV',3-7477 Legal Description r"e- 3� ��,f 6L-, f I #4 Use f building Describe work uy #5 Type of Job: New Ad Alt Repair Plumbing Fixtures ($3.45 each Fee Mechanical Fixtures 7.00 U U D No._Toilets CIRCLE FUEL TYPE: Ga ctric, _Bath Basins Heatpump, Other JAN ;<'819% _Bath Tubs No. Units Fees _Showers _ Furn BTPERMIT ASSIMEE CENTER _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Other _Other Gas Outlets _ Wo d, as, Pellet Stove 34.00 Permit Basic Fee 17.25 TOTAL PLUMBING $ It Permit Basic Fee 17.25 TOTAL MECHANICAL $ No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be*located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. c'zf �TTAC' 44& ,7'� OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWAREOFTHE MASON COUNTYORDINANCEREQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. n X OWNER X BY� �� 4z— f" DATE DATE /ae-9f Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: �^- Z i Receipt No. Referred o DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: I ! A COMPLETNG T}VS FORM,REWRN TO: ns au ct i o n s ,-OXICS CLEANUP PROGRAM DEPARTMENT OF ECOLOGY Please Read Carefully P.O. BOX 47'6ba Check the appropriate box for tank closure, tank installation, or both. OLYMPUA,WA Se504-7s55 Site and Owner Information Fill in the site and owner information. Please include the Ecology site number for tank closures; also, be sure to provide telephone numbers so that any problems can be resolved quickly. Confirmation of receipt of this form and the temporary permit will be returned to the owner. Tank Installation Company List the installation company, if known. Upon receiving your completed form, Ecology will validate it and return it to the owner. This validated form is your temporary permit and will allow you to receive product. A new notification form must be submitted to the Department of Licensing within 30 days of installation in order to receive a Master Business License with the appropriate tank permit endorsement(s). Tank Permanent Closure Company List the closure company, if known. Upon receiving a completed 30 day closure form, Ecology will stamp the date received on the form and return a copy to the owner. Contact your local fire marshall and planning department prior to tank closure to find out if any additional permits are required by county or other local jurisdictions. Compliance with the State Environmental Policy Act (SEPA)Rules, Chapter 197-11 WAC, may be necessary. Closure may proceed 30 days after the date stamped on the form. A site assessment is required at the time of closure. Contamination found or suspected at the site must be reported to the appropriate Ecology regional office within 24 hours. If the contamination is confirmed, a site characterization report must be submitted to the regional office within 90 days; if contamination is not confirmed, a site assessment report must be submitted to the above address within 30 days. Please note: Individuals performing services MUST be certified by the International Fire Code Institute (IFCI), or other nationally recognized association by which they demonstrate appropriate knowledge pertaining to USTs or have passed another qualifying exam approved by the Department. Tank Information List tanks to be installed or closed. Please report tank ID number(s) for tanks to be closed and assign new tank ID number(s) to tanks being installed. Do not use existing numbers from closed tanks. The following tanks are exempt from notification requirements: Farm or residential tanks, 1,100 gallons or less,used to store motor fuel for personal or farm use only. The fuel must not be for resale or used for business purposes. Tanks used for storing heating oil that is used on the premises where the tank is located. Tanks with a capacity of 110 gallons or less. Equipment or machinery tanks such as hydraulic lifts or electrical equipment tanks. Emergency overflow tanks, catch basins, or sumps. For more information, call toll free in the state of Washington 1-800-826-7716 (Message).