HomeMy WebLinkAboutCOM2009-00052 Replace Tanks - COM Permit / Conditions - 5/7/2009 n
O o O
o n n T d m n m
rn ooi = < fD 'o co 0
1p N) v o cu c -4 r
oT �' � c CL m m D -0
N a C M 7 RL ,(ND, fG 0 0 :q CD 0 r
m o o m n � 0
T y c� Co F o Ch r- >
c m o CA 0 w n O X c v 0 N
� d o 0) _ gym -n+ z
CD
y ; D mom „ m o OmcnOm o Cl)
N O c O (p Z .Z.1 .. .. .. o O
co l< � �, a O c ° m N � � > g Z
N
O
Z D
� 3 to r �' moZrm 00Co0
J J v im' ' z co a n - ' 0) m m -n cp Z
0
oZr � A
c mN < opm >
m z = .. = a)
0 D `Q Z m
°c m O O
O TO O
a
SOm z 0)
?c -n m O � 0
o „ y - 3 On
W0
o o m x ic
o n n rn ic
0 � D C
o Z X r
IIII
a To
Go
w CO) Q m n C_
N y z 2
o �° ° o r
~ o 1z cn
z g mm Od0 M -1 Z /
CD cc , ; o O G)
m
a m 3 n cn = cn r
T D`CD n p' CD� co m o 0 mO
y m ' c (Ay CA m
2 N 3 3
ic
s 0 <
m
N v p) 3 Z
o v a x O C
) C n
! t� 0
Q° G Sp
0 O
9
0 3 O 8
0
o
fl1 N
-1 0 m o av
y r.
j m Cl) o
cc o m m
c < 0
y o �, .. .. � � m Noo.
-o
CDy CD m m m �
J J J m q q -4 (.
O r
O N oo CJ1 O
� � � /C/�) -40
(A) VI
N N N I V p N
0 0 0 v
-, O O v
O cO t0 CCA rn
N N
3
r
O M CA
(D
N
O
o oXO D 2 -- oX (A Xo cm •A a m cr
(n � C � 3 oa 5i m m o
mv= mgy
ro mro 0) C
0 ( CDo = A
(„O CL m m
nv 0) co
ODO aO Xmc
m CD ? � (A? (n
v v ZMOM a m -4o CD N
� m om L 0 hamvr N O CAor -v nQ oc m
cn Z m O `< , m N(0 5i m y
p E^ O O 0 n X
0 � C � f�D � 0 W N -i
S C
Ohm m N m = 0 0 m v) r D
� mcn d �' Q (n N o CD K CL
° z o
" Cm N -00CAm � � 0 0 0 n 3
0 00 to Co 0 5' v m ° 0 (D CD
0
m � Z v3icr � a rn
° m � 0
< -I (n CL m fD m o 2 `2 m d
mpg m C• c 0 o m -n 0
-00 0 � a N m a
� � -_I N 7 'O p O, 'J � 3 C
y00 Q. 4 � °. m 0) �' m m o y (fin
-� Z oho U) � a � ,� c nn 0
v $ 3COin mom a) O n
Zm � Q3 � � � �, ° 0 RZrn n
m N g 2
-nOm = vCL � � fl rn � �' 8 � (o
K * p m =r a � o � v cc cc
� N
I > O O 3 m O O . N m Z v -n 40 -1
� D -ZI C- ='UT 3 o mcm � �
r- > N °� 3N � ccD oa cv1)
cn0X � M � � � � � m � -n o
20 < m m m 0 n o a m
m m v � � n CD CD m >
� � m m Xo �. 3 m v u3, ° c gy m ,
PD
O CA m
cn � m � gy� 0 Q rtN o N3 m � T - N� n m Qr w3 T �• Tv, _ o 0m °m m c N D
O a d ? c C A A A
o — m
W o $ v o d 5 -, a �
m (n w Q ° (D -nc D
A > > (oc (n om 0 „
Mr o CO) (n' � �' n m
Om m n CD CD M N � a a a acn a H
n
mX �� o ° c 0 a a a a a a
vy N < : 3 D -
-I O a) p) d 0 N v
00 O m o O O D
0 � � N !9 Y! !f 3
m Z 0N r N N O •• p m p P P D :>
C(n ' 0 r coi ° ^' r r D > D >
►� �7 Z O ar-o v o
o_ _� o o. m
v D v v v v
r m 3 m cc
O m fD O a a n D a a
D D D D >
0
0 v v O
N
O
o ,. ° ° -- O XN "" fn a SAD
co XrJ (� o o o 3' v M0 � XO m O � X ° CO, > > < m 4 m mp m m ° to
O N N a) CD 3 N < fn 0 r m 30 N CD n. a O a m N n 0 O c
CT `�(m a `<< N P. lA — N r C 0 m m c w AA° +. 9 CA O O— . -0 ` fA cn �. cn .n'►
N n N •< p fl j —� D Z a 0 = j C > > 7 0 O ID CO) to
0 CD < 0) = N
CL X N Z� Z � `<� . lD N a m dC Q v O
CD m 0 0 cn CD cn^a ac ° o v v, m �c Fn C Jm o Dom. cn 0
_ �10 � fD CD o N m m N
fJQ CD cu
� � o o a � � � O � co a, 3v 3 n 3 my o
c mmm m �- CD CL
m m a o a° a
CD Nn S .. ano� ' > �cc co, 3 a 0 a a, 0 0 � CA to 0) ca — m
CA
m ° u -.
md� m�
cu
v ,gym v v, m v Z -o � am m CL CO— ca -D = (nn
- < a $ ate m0 cc m 5' m o m o CD
0 CD O N ° 7 p<) CL cn
m � Z X a s CD N a s CD rt 0 C7 n q c/► c � �
�i 3 �' mc CL °' o 0Dc :3 m v m ° o 2 m 3 W m m
o a2 .-. m " c CZ > a 0Cc CL umiaO O a) o 5. rt
0 0) X m v Cn r M. m � � cn 0) goo o o �co o
CD 0 s ° ° N mDr m m c ° ., "•� °. ° m O
m ° m o CY - ,gym m Qa o p m �,
N .• NC Ana m c '� 0 my o 0 � tan 3 = ° � m n �
-a o
° cnncg0 3 � � D ° � m °c o am 3 cci v am
a_ = O c p O< r << O O m a 7 te a °5. m m --
° m v m55 C) m 00mn r �. CD 0 o'z v3 � � � m m cmn Cl)
K ! � a90) v_> j mvo � m va, ° > W � w o
o N CDZ � o a _0 `�. � o a CLQ. U) N m w+ y o
-CC- � � o � 3 � cnD cn Cl) v c -ma0co = � m N mQ m m
0 aa)) 000 5- 0) -, N CL p) � (� �—j U) N (7
c 3 0;c0 N 3 m —1 3 U)) 3 v N m .N-• ; Q
Z03 - 0 Dm ai � � a =' � n) O n m m -
CD .+ -u m _ u► to
0
Co � csu .2a ° 0 a 33 Cl) :3:3 < 3m � �
a) > > v �' � � Oz m. c 3 fDCD a 3 � a, N m o c N
cu - •<
Oz � ;- m m
v � 0CL a X m c'a m cn 3 3 c m N o Q
CD
� m ~ � mRcD — 0ZZ m � mca 3 W o cn CD 0 � � 2) N 0
to
N 7 O0 n N = - 7 n —1 O (mD 0 CD O -' O -- v! �p - CD C �.
° mmv a ZyZ Q3m m CLOD mom m a a
m o y KN < CD< � 0CD Z D c n v sCD Pt � a � � tiCD
O o
d CL N v CD v (D m m O v � CO W ? U) a =`7 a N
a m v, v -„ 3 mao x O a a3 — m � m �' as m C o m
-v c N 0 m CL OTC � 3 -- n rr � a v o a
m � � '-' ° m Cm < a. CLo CO > > cfl � cD CD N CL cn
n)
n m � CD-. acn o mm N c cu � cr m cn m m cNi, 3 °C m
an m -' v�i v � Q cc3P `z 3D o � 3CD cc.
0m oovma - c a) 3 -" W mODD = m 3v 3z so
m _ a -ate w CD
S � 0 0 CL CL m O Q3 °cc Q � m r. $ cr
m j o �
o 3 CL m 0 -Cc o' m � CD 3 m o0
:3 0 � o � v, K CZ CD � ° � � 0 : vD vS
,-. a -4 o
S.
c � � � — � c7 N � < Ica � N O — 3.
a v c � a 3 ZD QC m �. am m ° � a) mc°
o ° m Z z m a3 v v - - 0 9' 0 - c
CL 30a 0 � � 0 � d � uN, � co -NaN av
o ° a ° c .. 3 n m m m m
o m y a _a cu 0 v 3 -a 9' o m °—' c 3 � ? T.
w y om ° � ca c � :3 0(D cam 0CD my 0 — `: 3
< o CD
wa c �mo < m m CL ca m
, : a mmm cr'
.< a
CL c
m
0
N O 0 y v O v0 � v 0) v v w
SO
`°i �`m O 6�'y.'j.'g�'��c'•; XD oX
onXo "oO y� X :�. cDv=a .D� X Q�o
-I
>-i 0
o � C 3 Cr a y m ` Nsu -Om ��' 3 = o = � z D (D - 3 NO CD a 7a• 'O y �L O
c oon vtce-0nCD �, CD O m Z
o mcnzo o - ° o 3 3 5 3
_ m n ooc y0(a a � °o C
m v C
o n cp D0 fu i CD m.Qa 0
CA
s3 8 M Co.. 8 C � 3 o 0CA � v. aSNca7 Er3 3 +a OD _f N Z -u�, n
W :3 N v C N -0 m0- 3 y �
a oomDo r ° o mf MU)3O mnioumCL
0 rt om y -0 a cn a :3 m co, Q �N Ua cD mm n N N
< CO) CD T
y 0) CA (D D oa mCDa o � D m
3 3 cn ys y a CD M
° y °
m 0 O CD � or CD 7 am O. a) a a O " CDaO< y aCD
0 3 Om cc v cn Qa a oo a O3 ;0� a ° s � o
aim o m ao ms < SQ ca I
CD cn
CL (a
ny n� � Co 3 Cm3 CD
amE m3 < c
� oD ? m :3 cNn
(n mc °- m ao
D
0 o o c ° cn
o 0 t =-0 Nv � Sn �c = cc ads cr < Q mm ° n �or � Oo o QO
cr
cn
rJ
8_ 0o y a�i O v CD 0 0 `� � °' v ' ° o w m
O N (0 m 0 0 o_,< y N
d m X� mo 0 3 �' � p °_' 30
o m' � v "' ° O n '
o N c CD fD n m X v n
it
om3 N
N O
s < CO). y - 7 cn
z D 0 0 U) D
0 aa c<
c (D cD 'O a n
y cn Q (D 3 (D .z CD O 0 0
go =r O 3 w CD cn< op CD, t CD z
O Cr 7 N =rj N U) N (D W '0 0
o< S (D 'n`� N N 0- O- p c co
m (D a) CD fD -0 :3A 3 y c C
mc$ y cn o Cl
cn c m m 03 r
CD CD CD
a � 3 Q � 3m o
01 m n �' < 3 o v co �' � Z
m �
`D v � n co cn 3 m fu m � 3 (n O
m c a •• lD fD • O a ,� m y -
n n o 0 N v cr v 0 W r:3 O CD o p m
c� O 0 CD CA
D CL) Q O 9c N p' N
CD p m 0 3 o c cn O -�
O o C y D o - 0 n O m f0n 7 Z CD
CD m o n' "a (n � 3 m e y
0 CD C)- o fD `G 0 m fD 7 3 = Z
y n cn
mfD r: 0 `G cn X �' N
O CD Q Q _
P a, °o v c0 0 D j fl � O. @ Q 0 2
A :30 3 m ° n =r mo m
cr � � m
Om CD mO CD
n M s
� a o
o is
o us'
MASON COUNTY PERMIT N
BUILDING P8584
o RMI ox 186,APP�LICrAT�ION
Shelton (360)427-9670- Belfair(360)275-4467- Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INF AT NCONTRACTOR INFO ATION
Owner S R /Ye' Company Name
Mailin Addre 341 Mailing Address
City State Zip Code 1021 City State Zip Code
Phone " 2 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic X
Connect to Water System Name of Water System
Well X,__Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No 2 W Fire District
Legal Description
Site Address(Pleas in=,OeV
ifname,street number and city) rt
Directions to site
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater Lake River/Creek _Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs ] 15%
Is this permit submittal the result of a Stoe Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB-N w Add Alt_ Repair_. Other ^ ,_ {MARY RESIDENCE SEASONAL
Use of Building__ � Describe Work e d' lt�l
No.of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION-Make 44 Model Year
Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BU11.DER 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.
PROOF OF CO A Ri OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X fi Date: � i�
Owner/OwneterRepresentative t Contractor indicate which one'
FOR OFFICIAL USE BEYOND THIS POINT Accepted by:.- Dat
DEPARTMENTAL REVIEW AP P D DENIED NOTES
Building Department '
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planninq Review Fee
Mechanical& Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee a Pre-Paid at Submittal
Valuation$ TOTAL FEES
C
MASON COUNTY PERMIT N
BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670- Belfair(360)275-4467- Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT IN F R AT ON CONTRACTOR 1 O A ON
Owner eZe Company Name
Mailin Add res SRI Mailing Address
City A /-State Wd Zip Code City State Zip Code
Phone-,42 215 -Other Ph. I Phone Other Ph.
Lien/Title Holder I Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.#_____— DOB
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic X
Connect to Water System —Name of Water System
Well ,X Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description 2
Site Address(Please inelu st eet name,street number and city) ;o it
Directions to site
Will timber be cut and sold in parcel preparation?Yes N
Is property within 200'of Saltwater Lake River/Creek _Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs } 15%
Is this permit submittal the result of a StoE Work Notice,Correction Notice or other enforcement action?YesMo
TYPE OF JOB-N w Add Ait_eK Repair_ a Other_,_ IMARYRESIDENCE EASONAL
Use of Building-�� Describe WorkAlk
No.of Bedrooms � ' No.of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION -Make Model Year
Length Width Serial No. No.of Bedrooms No.of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OVVNER/BLIDER 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.
PROOF OF CO A OF WORT{IS BY MEANS OF A PROGRESS INSPECTION.
X. : "`2r�' - l Y7 Date:_ 71
Owner/Owne a resentative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by:_ Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal S-2Z>
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES
i
i
MASON COUNTY PERMIT NCC�aff) � \
BUILDING PERMIT APPLICATION t 1
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670•Belfair(360)275-4467• Elma (360)482-5269
On the web www.co.mason.wa.us J
APPLICANT IN F R ATfloN CONTRACTOR INFOIJMATJON
Owner lY`C Company Name_D !1` ►ytt�e�
Maiiin���re7 �K1 Mailing AddressCitytZipCodeCity State Zip Code
PhoneOther Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC!WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic
Connect to Water System —Name of Water System
Well--.X---Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description 2
Site Address(Please inclu stfname,street number and city) ? r
Directions to site t�f et
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB-N w�___Add Alt u Repair___ Other IMARY RESIDENCEMEASSONAL rl
Use of Building Describe Work e — ,
No. of Bedrooms /1 ' No.of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION -Make �� Model Year
Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Admo ledgement 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.
PROOF OF CONTlWA7jON OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X. � 'f- - � d 77t- Date.
Owner/Owne resentative t Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by:_ Date --
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Departme
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical& Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES