HomeMy WebLinkAboutMIS98-0693 Propane, Outlet, Heat Stove - MIS Permit / Conditions - 12/16/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
t_ L. ^ N f: C3 U:S; F" F_ F4 M i ? FOR I N` PE CI IONS CALL 42 7--96-f0
MIS98-0693 PARCEL ,4200f?,7890042 PLAT' : DlV : BL.K : LOTa
JOB ADDRESS : 1040 MY DAYTON TRAILS DR S111EL.TON
APPLICANT : 1"RED ARBUCKLE' 360--432--9662.
OWNf R : F-RFD APSUCK14 360- 432. 9862
LEGAL i TO 4-9 OF Sd1Y 151151 TO 4 OF SP 112115
PROJECT DESOPIPTLON :
PROPANE TANK, OUTLET, MAT STOVE
PROJECT l_OCAT 1 ON r
101 , LEFT ON DAY-ION AIRPOR] RD, PAST t".011IUC'TIONS C:ENTF•R, ..3 MILLS, RIGIIT 1N)O DAYTON TRAILS UP
SNORT N 1 L L_ , TAKE FIRST LEFT WHICH IS DAYTON TRAILS DRIVE, ALL. THE WAY TO END OF ROAD HOUSE IS
BL OF
PROJECT NOTES :
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TYPE AMOUNT BY DATE: RECEIPT
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MCT=E $ 5 . 50 TW 1 2/ 1 6/98 49085
MC.FE $ 5 .50 TIN 1 >116/98 49085
MCFE $ 9 _1: o TW 12/ 16/98 49086
MCBS $ 22 .00 TW 12/ 16/98 49085
TOTAL : 84 .550
118-PANT, rev: 14111192 COMPI,. IANGE 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 Fbors 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
WALLBOARD NAILING
D.W.V. d
date by ate by
Water Line FINAL INSPECTION
date by date , qc� by date by
36 ti o 36 A,r
917 ; P/.#w e
���ca 4&5 Foe 40.64' F—' - C�C- �c7�G Fi KUNS tin
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PU- V1M I 'T' C:: 0N0 1 -T 1 C-) N :a
Case No . : Mt S98--069:3
For : FREO ARBUCKLE
Page : 1
1 f PURSUANT TO 1994 UNIFORM BUILDING CODE , AL I_. SIIF MUS-! BE MARKED W I TI-I APPROVED NUMB FPS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE j
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BU 1 I I)I NG DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSP1 CT I ON FEE . BASED
ON RATES IN T ARI E 3A OF THE 1994 UN f FORM BUILDING C'ODF WILL BE. ASSF S SED IF
OWNER/CONTRACTOR FAtt.S TO POST ADDRE`S ON SITE PRIOR TO REQUESTING INSPECTIONS .
2 Y The owner sha I I have available on s i 1:c� for inspection bV Msa,,;orr County, a report
indicating the name and license number of the Installer , the amount of pressure at the
time of teat i nq and the 1 enctth of test t f me . This report sha I l be signed by the r:er,-or►
conducting the test OR the lines shall be under pressure for a minimum of 15 minutes at
10 1 bs and have aoaijrate pressure gatige on site under tf st ref i ec t i nq test requirements
at time of inspection .
I
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 date by
FRAMING Wallss by FIRE DEPT.
date
by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
RE0011REMENTS
14 ) It the tank �: i z e i � between 121" nild 500 (ja l I orl � Voil must f o l low these qu i de l Ines.
1 . Tank is to be 10 feet from any buldling, public way or property line .
2 . If the tank is exposed to probable vehicular damage. , provide
protective bollards .
3 . AI I weeds. , grass , brush , trawh and other combust It►Ie matey iral
shall
be liept a minimum of 10 feet away from LP containers .
X___i� _:.__.__.._____.._._ .-
6 ) CONSTRUCTION PROCESS TO BF FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DF'PARTMFNT AND UN I FORM Fill I l D I NG C01)F .x f•�
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
dais 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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
FORM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT 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 INFORMATIO
Owner FR E b AR R+_i Contractor Name a
Mailing Address ic,�>'v L� �s i DAY raly TR Hlcs DR Mailin Address
City S1IE 4 To N State g Zip Code tT 522 City e State 6611. Zip Code q �
Phone 9_32�ther Ph.( Ph. Other Ph. P c c
Lien/Title Holder_Spu nC &tN E ir1 n,�_+„,,.. Contractor Reg. # T,L Z
Address r� c yA{tti_2.;; Expirations_/ /
7 5-5 S- a+-N.,,K7 A-i 0,1 1-
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. `Zg t7(D �1_190 y Z Fire District
Legal Description TR -/-R 4�' St u i 1;/is v TRy of %P 4` �2 D i s
Site Address(Please include street name, street number and city) &yn cv r)iqy iZ/l; ;R 141E s Nei L.9 . 5;olFe&AJ
Directions to site F..1 s/ti/A,-, -w nw 101 e Tt rw na•rro, i R,RPc Rr RD. 7-R-
. 3 •�+�c5 — Rr ,nto N+oiV TRAILS shc:.-f NrLL ltir L. E'+ �nu,. Ia TRAILC G) ALL TNF
wAy To c N�� c�TT���6,
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank I
Laundry Wsher Gas Outlets —LL
Sinks Woo as ellet Stove
Dishwasher Dlrecf _ent?
Other Other
Other Other
Base Fee 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.
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 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 a al.
Date +E�'
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENT-AE 1EVIEW :APPROVED DENIED �lfttlyllldiU`Cfl[t�5s
Building Department or
Occ Group Type Constr.
Planning Department
Other
Other
FEES::. ... .:
..........
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES