HomeMy WebLinkAboutMIS97-0683 Propane and Gas Insert - BLD Permit / Conditions - 10/9/1997 Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670 )y`
PLEASE PRINT
#1 Owner CA "L A . CLA1e-N- Phone# 3 60- 2-7S- q 8 6 Z
Site Address- 16. IS-0 0 TA H t yq ,9(-Act-xm j rN K-a i a
City -FA #4(-YA St (.OA Zi 8 S-8 8
Directions to Job Site Fk-aAm� /twy .3 o a Tu2.N o r 1-/-4.1+ky q 491,4-40, T444V Leer--r
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Owner Mailing Address 5 A M.6 AS S 1T-L, A b bK esr
City St Zip
Lien/Title Holder N 0 0 t
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address O. Qon 23 Expiration date
City 4 e- f St LtIA Zip 9 R 3 z z Phone X oo S'6 Z- z-Z0 7
#3 Parcel No. Z 23 3 o - So _ 0 0 ySS'
Legal Description -- TiC/SS 0A qA#660 44,-,c e-o"6 w "V 1,ed-
#4 Use of building - /eEJ".6 ewCZ Describe work
#5 Type of Job: New_ Add Alt Repair
Plumbing Fixtures ($3.35 each) Eqa Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
—Bath Basins Heatpump, Other
—Bath Tubs No. Units Fees
_ Showers_ Fum BTU
_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 ( 15
Wood, Gas, Pellet Stove 33•0
Perm asic Fee 16.75 ?,04a u T,V- 715
T AL PLUMBING $ _
Permit Basic Fee 16.75
TOTAL MECHANICAL $ '3
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 arogress 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.
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OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRAC—
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND]AM AWARE OF THE
AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALLWORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRSTOBT INING APPROVAL WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING EPARTMENT. DEPARTMENT.
X'OWNER X BY
DATE �O -- �!'— 9 7 DATE
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Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584-• 427-9670/1-800-562-5628
i
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Building Permit # MASON COUNTY
BUILDING III 426 W. CEDAR
li SHELTON, WASHINGTON 98584
(360) 427-967000RRECTION NOTICE
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Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
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You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
Make corrections, items will be checked on next inspection
❑ OKto
Department
Date 1452-/`io',-77 Inspector�cr��y
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Page No. 1 CASE HISTORY FOR CASE NO.: MIS97-0683
CAROL CLARK
...............
10/10/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MISA010 Application received 10/09/97 / / 10/09/97 DONE LLH 10/09/97 LLH
MISA050 Approved For Issuance / / / / 10/09/97 DONE LLH 10/09/97 LLH
MISA500 (F) Issue permit / / / / 10/09/97 DONE LLH 10/09/97 LLH
MISB008 Clerical Review & Approval 10/09/97 / / / / DONE LLH 10/09/97 LLH
MISB135 RLC Checklist Review / / / / / / Q(sK 10/09/97 LLH
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Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: MIS97-0683
CAROL CLARK
10/10/97
1) POST ADDRESS -- PURSUANT TO 1991 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 THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES
THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON
RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO
POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
2) Gas Pipe Pressure Test -- The owner shall have available on site for inspection by Mason County, a
report indicating the name and license number of the installer, the amount of pressure at the time
of testing and the length of test time. This report shall be signed by the person conducting the
test.
X
3) ALL CONSTRUCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS
X
4) Propane Tank -- If the tank size is between 125 and 500 gallons you must follow these guidelines:
1. Tank is to be 10 feet from any buidling, public way or property line.
2. If the tank is exposed to probable vehicular damage, provide
protective bollards.
3. All weeds, grass, brush, trash and other combustible material
shall be kept a minimum of 10 feet away from LP containers.
X
5) MECHANICAL PERMIT -- ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE
1994 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 1994 WSEC AND 1994 UNIFORM MECHANICAL
CODE. X
6) Field Correct -- CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x