HomeMy WebLinkAboutMIS96-0658 Propane - MIS Permit / Conditions - 9/27/1996 MASON COUNTY
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Mason CountyBldg. III 426 W. Cedar g
P.O. Box 186 Shelton, Washington 98584
M I S C: E i_— 1.._A N E CU U�S P E Fib M I T FOR INSPECTIONS CALL 427-9670
MI£96-0658 PARCEL t 322334460000 PLAT t DIVI 131-K. : L()T t
JOB ADDPFSS : F. 7550 STATE ROUTE 106 UNION
APPLICANT : ST . ANDREWS HOUSE
OWNER : ST . ANDREWitS HOUSE
LEGAL : 1112 1112 FI/2 1.0T i I I IFIC-2 11 603—C 2
PROJECT DESCR I PT 1 ON t
PROPANE TANK
PROJECT LOCATIONt
.25 MILE EAST OF ALDERBROOK
PROJECT NOTES :
TYPE AMOUNT BY DATE FiECE I P'r
MCFE $ 6 .50 TW 09/27/96 43117
MCFF 6 .50 TW 09/27/96 43117 j
MOBS 16 .25 TW 09/27/96 43117
WDST t 32 .00 TW 09/27/96 43117 .
TOTAL. t 61 .25 '�----:- OWNER 0
74_ A CNT ..—.___.__._ _ ..... DATE
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MIS PINT, rlvr 141/1112 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date —f — b Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
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 f� —� by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM 1 T C0ND I T 1 C>N :
Case No . e MI S96•-0656
For : ST . ANDREWS HOUSE
Paget. 1
1 ) PURSUANT TO 19g1 UNIFORM BUILDING CODE , SECTION 305 (C) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING rHE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITF. INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL. BE
ASSESSED IF OWNER/CQNTtACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
. ((
1NSPEC-TION l
- 2 ) rite owner shall have available on site fof Inapeotion by Mason County, a report
indicAting the nave\and linettse number of the installer , the amount of pressure at the
t line of test / ng and 'I the length of test t 1w- . This report sha I I bey signed by the person
concduvt i ng a tesl,t .�
00X
t
3 ) ALL CON6TRUCTION MUST MEET k)R EXCFED ALL LOCAL. CODES AND UBC
r
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
III
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ) If the tank size Iv t)etween and 500 gal Ions you Inuit to low these gliIdoI Ines
1 . Tank is to be 10 feat from any buidling, public way or property line ,
2 . 1f the tank Is exposed to probable vehicular damagi< , provide
proteotive bollards
3 . A1-+, weieds , 7rass` brut;h, trash arid other combust l bie material
sha l I heyt a m I n.i of 10 feet away from LP conta l n+ors .
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5) CONSTnUCT I ON PROC# �S TO BE P I FLD CORRECTEiT3 , R���� 1 D P.� i IASO r COUNTY BUILDING
�� * .
DEPARTMENT AND UNIFORM BUILDING CAFE
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
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Permit No. NAG S76
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner ,( ,�/Q/IFLu j UC�S C� V/1 < hone# ��' Z3 Z
Site Address
City St Zip 1
Directions to Job Site
CN
Owner Mailing Address sr7%1 v�
City St ip \
Lienf Title Holder
Address �'Ir�C, h / Z /Z C:
City -5.(7N 77c c"- St 4; i`t- Zip
#2 Contractor Name rf=F 14 6 C_ 6,4 S Contractor Reg. #
Address Expiration date
City Ho o S 0A i St Zip Phone S
#3 Parcel No. J/'0GYJ
Legal Description
#4 Use of building Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers G r �� t Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer SEP 7 Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains �+ No. Boilers/Compressors
_Laundry Basins 'E.A SERVICEF HP
_Dishwasher No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Other
Other _ Gas Ou
_ Wood, as ellet Stove 32.00
Permit Basic Fee 16.25
TOTAL PLUMBING $ _
Permit Basic Fee 16.25
TOTAL MECHANICAL $��2_5
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.
r
NOTE: If this permit application includes the placement of a fuel tank, 'neat 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.
Jt c�c
6 N/yid Lv�ic��ty-ram yL,�,��
13v s;/rAlJ
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Z o /=X o rf'! h/e7v S C'
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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
AWARE OFTHE MASON COUNTY ORDINANCE REQUIREMENTS 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
SHALLBE MAgV WITHOUTFIRSTOBT INGAPPROVALFROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE B U I L PW5ptPART NT. , DEPARTMENT.
X OWNE X BY
DATE DATE
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:
Receipt No. Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY
Approved Denied
Planning:
Building: t�f e A_j E i ti a
Fire Marshal: