HomeMy WebLinkAboutMIS96-0709 Propane and Outlets - MIS Permit / Conditions - 9/27/1996 � ail
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M i E;CF: l _ i . ANE (Z)U-`: PERM 1 T F'OR INSPECTIONS CALL 427-9670
MI S96-07O9 PARCEL :420087890073 PLAT e D I V : BI. K : LOT :
JOB ADDRESS : W 50 81_LIEGRASS CT SHELTON
APPLICANT : AL BUMGARDNER 427-1752
OWNER: AL BUMCARDNER 427--1752
LEGAL. : F 331.31'Of TA T S01V 15115f T1 I OF SP Mtf
PROJECT DES;'RIPTION :
PROPANE TANK, AND OUTLETS
PROJECT LOCATION :
101 NORTH TO DAYTON AIRPORT RD TO DAYTON TRAILS ELFT TO MEADOWS PL RIGHT TO BLUEGRASS CT .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
I-ACFE $ 6 .50 CPH 09/27/96 43115
MCFE s 6 .50 CPH 09/27/96 43115 r7
MCFE .r. 6 . 50 CPH 09127196 43115
MCFE $ 6 .50 CPIs 09/27/96 43115
TOTAL : 26 ,00 OWNER R AGENT DATE
1IS PNOT, rev, 11181;12 COIMfPI. I ANCE TO ATTACHED CONDITIONS IS
REOUiRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date O — ' C b ' 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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MASON COUNTY
Mason County Bldg, III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
PE_ RM 1 T CC)NE) I T I C7NS
Case No . ; M I S96-0709
For , AL BUMGARDNER
Pager 1
1 ) PURSUAN1" TO 190. 1 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 , ALL SITES MUST
HAr'F APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LCGIBLE 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 TFIF 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X_
2 ) The owner shall have avall .ab) a on site for Inspeotion by Mason County, a report
Indicating the name and Itcense number of the instaliAr , the amount of pressure at the
time of testing and the length of tesL time . This report shall be signed by the person
condu tang the test .
X %
3 ) ALL CONSTRUCTION MUGT MEET OR EXCEED ALL LOCAL CODES AND UBC
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
I` Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION i
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ) If the tank si n is between 125) and b00 c1Ai tons you mu .t follow these quideI irlesI
1 . Tank is to be 10 feet from any buidtiny, public watt or property line .
2 . It the tank Is exposed to probable vehicular damage, provide
protective bollards .
3 . All weeds , grass , brush , trasia and other combustible material
sha i I b•_� kept a minimum of 10 feet away from LP containers .
X
5 > Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Coda , the Uniform Building Code and/or Mason County Regulations must be apprc}ved by
Mason County prior to oonstructlonX__;��1_
6 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS. PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
X
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
J
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION &IM
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner �-1 . �m Phone#
Site Address G✓,g-v /3/&eF Ya.SS C/
City _S'4 e 1Ta„i ly•s St Gt/ Y Zip 9 F�s eq
Directions to Job Site
Owner Mailing Address /.✓i�,o ��v6vo�4 1{
City S 4 Sty Z/ ; Zip 9 s-:5-j-!>
Lien/Title Holder
Address
City St Zip
#2 Contractor Name ntractor Reg. #
Address xpiration date
City St Zip Phone
#3 Parcel No. !AZ) 2:
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,
v Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
i Showers Furn BTU
i Hot Water Htr _ Heatpumps
i 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. O�ther—�WO°,`��
_Other oZ Gas s Outlets �y
_ Wood, Gas, Pellet Stove 32.00
Permit Basic Fee 16.25 4Xl
TOTAL PLUMBING $ yakU-e
Permit Basic Fee
TOTAL MECHANICAL $
No Basic Fee for Wood, Gas, Pellet ov
NOTICE: This permit becomes null and void if work or construction authorized is not nced
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.
I
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 System,,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
i
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
SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER 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:
- j
Receipt No. Referred To
- - - - - - - -. - - ------ --
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY
Approved Denied
Planning:
Building:
Fire Marshal: