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WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by CD co � q PERMIT NO". $LD 0$70 MASON COUITY BUILDING PERMIT APPLICATION g f 3 t. J t � 426 W Cedar/P.O.Box 186,Sheltoho WA 98584 3D Shelton 360 427-9670 Belfair 360 275-1467 Elma 360 492-5269 Seattle 206 64-6968 ICANT INFORMATION CONTRACTOR INFORMATION �r P- aft O A Q I' G/ Contractor Name.S4 M i_ Ong Address G Mailing Address Ity State J&La Zip Code City State Zip Code ?' IlPhone(340 )7t7Z-26t3o Other Ph.( Ph.(_ Other Ph.0 Lien/Title Holdpr Contractor Reg. # Address Expiration PT TER�SY T INFORMAT N- onnect to New epti Existing epti Connect Sewer S st Nam of Se er System Wel Wate stem Na of a r Syste PARCEL INFORMATION-12 digit Tax Parcel No.3 Z.24 / / 4'Q !3 Fire District_ Legal Description Z_ C ZGG 1 ' Site Address(Please include street name, street number and city) Al A: IZO 11t _ /, X&--e 9,�T99L4Y , ` Directions to s'te ` ,�. Will timber b ut and sold in parcel preparation? (Yes/ o) AJC, Is your property within 200' of the following: Body of Water(Name) MIA- Saltwater` Lake ^— River/Creek Pond.^-- Wetland ' Seasonal Runoff Stream Slopes or 1 Bluffs.-- k. at G r TYPE OF JOB New Add_ Alt Repair Other I Use of Build'ng J=u e I S zags A G-F_ - Describe Work For v,,-,M-t-* 0 4 `C ri No. of Bedrooms No. of Bathrooms SQUARE FOO AGE-1st Floor-- 2nd Floor 3rd Floor Loft Basement _peck ^-- Garage Carport -- Other y a`n er sq. ft. MO ILE H E INFORMATI Make Model del Y ar Leng Width rial No. o. of B rooms No. f Bathr ms Type at P chase Pri $ Rep nt Unit ?(Ye N Installer ame ertification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that 1 am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date i FOR OFFICIAL USE BEYONb THIS POINT 1 Accepted by - Dat - '-1 Submittal Amount Due Receipt No. 1 :.;:.;:.;;:.;;;....:.............:.....:...........:..:..;:.;.........:.......:...;;:.;:;.;:.;::;::::.;:.;:.;::................... ;;: :::::::::...:....:....:......:...:.:..::...:...:........:..::.:;;;:.:;;;;;;;;;:.;;;:.;:.;:.:: : « «:«:: <: :><:>::<:::::>:» ::::.�::::.:.:<::<::.:�:Ef�,�EiTfw � »..RI�V�E ................................................ ..�E{�iti~�.::::::::::::::.::::.:::.:::::::::::::::::::��#�............................................... ............. Building Department I I-?- , ,r_ . r• <,,;, Occ Group -i "Type ConstQ l� Planning Department Environmental Health Department Public Works Department Fire Marshal 4 » .* Valuation $ .. ................................................................... Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Public Works Review Fee Mechanical &Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES FORM�MUST BE COMPLETED IN INK q PAEASJ PRESS HARD PERMIT NO.: BLD MASON COUN . l BUILDING PER A (CATION 426 Wt Cedar/P.O.Box 186,JW*bn,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 82-6269 Seattle 206 464-6968 PPLIGANT INFORMATION CONTRACTOR INFORMATION Owner I - A t) C 19 R-5 Ly Contractor Name ZA ik-t Mai' ddress P.6 G 1-1 Mailing Address City 7B 0 I t State WA Zip Code t't City State Zip Code ' Phone G ),272 -24600ther Ph.( I Ph.( ) Other Ph.( Lien/Title Holder Contractor Reg.# Address Expiration SEPTt TER SY T INFORMAT N onnect to New eptic Existing eptl Connect ewer S*stetn Nam of Se er System We[ Wate stem a of W r Syste ---' PARCEL INFORMATION-12 digit Tax Parcel No.3 7,07 / ,a`a / 00113 Fire District Legal Description 61- 1 2` C. N JJL 13 Z.GC � Site Address(Please include street name, street number and city) ,¢E/97 7CV// 64 ,5'//0�� �� TAtA-4Y#, Directions to s'te " i , r u /, r: r� r f � tVN Will timber b&cut and sold in parcel preparation? (Yes/No) AZGAR Is your property within 200' of the following: Body of Water(Name) /l Saltwater Lake "`� River/Creek Pond ^-�- Wetland `"" Seasonunoff ,_ Stream Slopes or Bluffs.- TYPE OF JOB New Add__;Alt Repair Other Use of Buildi g / .f Describe Work 4 r� f c r Vf M-t4164 l c r No. of Bedrooms No. of Bathrooms SQUARE AGE-1st Floor— 2nd Floor 3rd Floor Loft ~` Basement "" peck -~ Garage Carport Othere f sq..ft. ` MO ILE H E INFORMATI Make odel M el Ye r LengtV / Width S rial No. o. of Be ooms No. Bathro ms Type at Pu hase Pri $ Repl nt Unit ?(YesInstallme rtification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CON$TRUCTIO AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FORA P RIOD F 1 0 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGREINS ION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and PPect!on of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval X a Date 4X Date FOR OFFICIAL USE BEYONb THIS POINT Accepted bye_ Date�' ' E "Submittal Amount Due r,' E. IReceipt No. a�V :<:>s»`< .......................................1f?1 i 3 ::..:::::::::::::::::.::::.::.:....:::::.::..::.:.:.......................... ..... ...................... ... ............................................... ....................................................................................................................................................... Building Department Occ Group Type Constr. Al 1 Planning Department t� Environmental Health Department Public Works Department Fire Marshal r Valuation$ ....................................................:....::..:.::::.:::::.::::.:::::::::::.::::.::.:::.::::::::::::::::.::::::..::::::::.::.::..:.:.::::::::::::::::::::::::::::::::::::. ..X:..::.....:.:..........:..:z:..............::::::::.:,: ::..:.::.::.::.::::::::::.:::::::,:::::::::::::::::::::::::::::::::.:::.::::::::::.:::::.: :: :.::.::.;:::;:.::: Plan : ::::::::::::: .. ......................... ...............................................uilding Permit Fee Site Inspection Review Fee UFC Plan Review Fee Plumbing &Base Fee Public Works Review Fee Mechanical &Base Fee Other i Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES ` FqRW MIUST BE COMPLETED INJNK 0 PLr=ASAPfESS HARD PERMIT NO.: BLD 7 D MASON COUNTY BUILDING PERMIT APPLICATION g�3 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275- 467 Elma 360 82-5269 Seattle 206 64.6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner I j f .f (.` 6 d S'- ``' Contractor Name " F=. i S. Mailing Address 6'. i + - Mailing Address City #It I ` ; State Zip Code ` ? City State Zip Code PhoneU 7,� - 7 t,(60ther Ph.( Ph.( Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration SEPTICIWARTER SY$tEM INFORMATI N- nnect to New ptic Existing pti Connect t ewer System=Name.of SeAr System ti WellZ Water stem Xam of Water System.., _s PARCEL" INFORMATION-12 digit Tax Parcel No. :I o ,7 / -To / (d o ct /s Fire District ' Legal Description . r 4 r f°` F # ,rI C > ,,A2 / X' 4 7 A)' t Z,t C'.h+' Site Address(Please include street name, street number and city) & ;5" 2 c f5 l� t�/lr Directions to sideC IL ; r ,.r r., r. 4 Will timber be cut and sold in parcel preparation? (Yes/No) Al(- Is your property within 200' of the following: Body of Water(Name) AV /A Saltwater Lake '""' River/Creek Pond '"" Wetland ` '"—Seasonal Runoff Stream Slopes or Bluffs r TYPE OF JOB New Add ,Alt Repair Other Use of Building C + ,< Zo"Ai rl 6f , k Describe Work C P { No. of Bedrooms No. of Bathrooms SQUARE FOO AGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck -- Garage - Carport Other 6 11 ( r. ., r x f, sq. ft. MOBILE HQI`A INFORMATI ake odel Model Yea Length _� Width__S ial No. ' 4 NtS. of Bed oms No. o aBathroofris Type of.Heat ti: Pu hase Prig'$ �` �.s' Replacement Unit ?(Yes/No Installer Name 'Y Y. _. -` `Cel ification No. )^ NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and "inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington-and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X . , Date " X Date FOR OFFICIAL USE BEYONIJ THIS POINT Accepted by Date :; 'Submittal Amount Due / Receipt No. :::::::::::::.:::.:::::::::::::::::::......................................................... Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fir# Marshal x.. Valuation $ ..*::::.;:.;:.;:.;:.;:.;::.::.; .. ........................................ Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing &Base Fee Public Works Review Fee Mechanical & Base Fee Other ' Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES , s' >C PERMIT NO.: MASON COUNTY PLUM BING/MECHAN`ICAL PEMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA_98584 , Shelton,360 427-9670 Belfair 360 275-4467 Elma 360 482-5269-Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INF,Q,RMATION Owner A D C�. A R C `f Contractor Namem Mailing Address O Mailing Address 'City U 7A - State A. Zip Code qS City State Zip Code Phone( '0 Other Ph.( ) Ph Other Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration SEP INFOR A ON Connect t eptic Existing Se` Connect to S ystem_=. `�Name of Sewer ystem PARCFL INFORMATION-12 digit Tax Parcel No. -T CJ, / o / O C Ct U Fire District Legal bescription L- C is *e 4t Xu 3 '�1f T " ZOGN TA / 's •# Site Address(Please include street name, street n6` ber and`cit A f Acr� Di r ions to site 2 ` -t_ r'o M 7e, c, r- o uT''a(, a jobs < M� S art° t20f R Is your,property within 200' of the following: Body of Water(Name) Saltwater k Lake River/Creek--- Pond .----Wetland Seasonatikuh6ff Stream Slopes or Bluffs i TYPE OF JOB Newy Add � Alt Repair'"" Other Use of Building Location of Fixtures its 1st Floor 2nd Floor"'' Basement Garage Closet PLUMBING FIXTURES(Show Number of each), MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fee LPG Natural Gas HeatpurrIp Toilets ape of Unit No. of Units Fees ` Bath Basins Furnace Bath Tubs Heatptamps k Showers Vent Fans Water Heater Propane Tank Laundry Wsher Gas Outlets G' Sinks Wood/Gas/Pellet Stove` Dishwasher Direct Vent? Other­x--­'� —OF P e therew e f p"/¢Wk-I Q%eSel i Other�R FuX-L LXiVf- JAher -�7.X. Base ee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. r PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and rs"'fits employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of th roirgan&e contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued s�t all worn I be done in requirements regulating the work for which this permit is issued and all work conformance thwitthh. No changes shall be a e without irst o taining shall be done in conformance therewith. No changes shall be made without approval. first obtaining, proval. Date L7 g X Date i FOR OFFICIAL USE BEYOND THIS POINT " Accepted by Date Submittal Amount Due Receipt No. i ' .............:::::::..::::;:::::::::::::::.:::::::::::::::.::. ..:........ .:....:..:.........::::::......::::::::::::::::::::::::......::::. I # fMiNa`A..#illiEyfl AiRfV ......t)" .;::: :>'.':>::>:::::::>:.;:.;:<.::_>::.:.::::::::.4..:::. . .Ig[!I'liO#: ------------ Budding Department Occ Group Type Constr. Planning Department Other Other F:> Permit Fee ` Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mecharncal&Base Fee Other Wood/Gas/Pellet Stove Fee Pre Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK �}1-� ^ PLEASE PRESS HARD w� MASON COUNTY PROJECT SITE INFORMATION Case No. Name VAJ PARCEL NUMBER Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg , S, E, W in relation to the site&n Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography 7 Well Location (including adjacent) Drainage Plan Names of Streets Easements —1ttl;y, Names of Fronting Streets Septic System i RAW SITE PLAN BELOW Include ad'acen o erties if on shorelinb or within 100 feet adjacent property line. adjacent property line->� - y y�,,l : i Fadjacent property line ;� 1 1 \ I I ! ZS� � I I 001 I 0' sie- -61- / \ I I 1 I �I I adjacent property line-> I ' E-adjacent property line SAMPLE SITE PLAN adja t property lined 3io' _ f-adjacent property line 0 36' raEsaRvE 3�1 gFASo u AL I a L _WI L__,� J. M CR,eE1G � i t• fi rlonnr � .Graseu HOu3Q I j PROPostD saQtic --�I I 1 � R I VACANT I c ArtwaE I So I P0.oPolCD � �k �\ T A&R=u-LTLLRAL So'� f I I I IE----so* I \� I I I I I � L--eLL I ' I � /00 1 Jh-- ' I I L-Aff- i I ! R I adjacent property lined ; �. �; Fadjacent ro~ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtst�nct to .ti..crL�r� I iS'1'ar+Gt tG Slops. to¢ dls+anima. to a I Signature Date FORM MUST BE COMPLEIEU IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name �� PARCEL NUMBER Date OR SHOW THE FOLLOWING ON SITE PLAN Show Direction by IndicationO, S, E, W in relation to the site gi n Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography =� Well Location (including adjacent) Drainage Plan Names of Streets Easements -7�ya Names of Fronting Streets Septic System RAW SITE PLAN BELOW Include ad'acen o erties if on shorelinb or within 100 feet adjacent property line. adjacent property line4 � •"� 7(Vq I E-adjacent property line Od 1 1 1 001 1 � I 0.7 I I I s=nP- 1. I I � I 7 adjacent property line-) ' ' <-adjacent property line SAMPLE SITE PLAN adjacent property lined 1 a 3io' 30 rRuryv& I E-adjacent property line �I I17 SEALC w!AL 1• �- CREEK HOMt i .(s4atw I j Prao PauD sa I 1 %v c.ANT I T C AMACcs I PaoPmea So" Y \ A6#CLGLLLTLLAAL T I I 1 80,_2) 1 1 � I I � I ' /oo' I ' I i r r" •cLL I I 1 I I i /00' i I R 1 I adjacent property lined ; I c Fad'acent property line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) j SAMPLE TOPOGRAPHY PROFILE dls+a.,c.. to ` ruttta.e'e dt�'tsr+LL t0 Slops. 't'n¢ � dis+a�cm fie a Signature Date W + MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-%70 Ext.273 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION ISSUE: A 2000 gallon outside aboveground tank used for the storage of heating oil to supply an oil furnace. REGULATORY DOCUMENT: The installation and operation of outside aboveground tanks, larger than 660 gallons capacity, to supply oil burning equipment is regulated by Chapter 2- 6 of the 1992 Edition of NFPA 31---STANDARD FOR THE INSTALLATION OF OIL BURNING EQUIPMENT. KEY POINTS FROM NFPA 31, CHAPTER 2-6 1. A tank having a capacity of more than 660 gallons shall meet the construction provision of UL Standard 142 or API Standard 650. (NFPA 31 Chapter 2-6.1) 2. A tank having a capacity of more than 660 gallons shall be 50 feet from a property line and 25 feet from a building of importance (residence). [NFPA 31-Table 2-6.3 (b)] 3. Control of spillage from aboveground tanks shall be in accordance with NFPA 31-Chapter 2-6.5.2 Remote Impounding or Chapter 2-6-5.3 Impounding Around Tanks by Diking. NOTE: Both Chapter 2-6.5.2 and Chapter 2-6.5.3 require an impounding area sufficient to contain the capacity of the tank. 4. Atmospheric aboveground tanks shall be adequately vented. (NFPA 31- Chapter 2-6.6) 5. Atmospheric aboveground tanks shall include provisions for relieving excessive internal pressure caused by exposure fires. (NFPA 31-Chapter 2- 6.7) 6. A permit is required for the installation and use of an aboveground storage tank and a final inspection is required. 7207 TZ-0 '7 — 0 — (9oq 3 Z MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-%70 Ext.273 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION May 21, 1999 TO: Brad Carey FROM: Dave Salzer RE: Aboveground Storage Tank for Home Heating Oil Attached is information regarding the regulatory scope that I interpret as applying to your 2000 gallon, aboveground home heating oil tank. 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