HomeMy WebLinkAboutMIS99-0141 Propane, Outlets - MIS Permit / Conditions - 3/29/1999 Q .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
/ P.O. Box 186 Shelton, Washington 98584
M I t4 C; E_. L L A N E C3 LJ�S; P E_ R M 1 "7— FOR I NSPF CT I ONS CALL 427 96.10
M 1799--014 1 PARCEL :4201 222001 1 0 PLAT : D I V : BI—K c LOT :
JOB ADDRESS : 1500 E SHELTON SPRINGS RD SHELTON
APPLICANT . JOHN FLYNN
OWNER -. JOHN FI.YNN
LEGAL : TA 11 Ni If Ni
PROJECT DESCRIPTION :
PROPANE TANK, OUTLETS, GAS INSERTS
PROJECT LOCATION :
2 OLKS FROM SR 10 1 ON SHELTON SPRINGS RD NORTH SIDE WHITE HOUSE:
PROJECT NOTES :
TYPE AMOUNT BY DATE RFCF i PT
MIDST $ 42 .00 'TW 03/29199 49797
MCFE $ 5 .50 TW 03/29/ 99 49797 .�
MCFE $ 9 .50 TW 03/29199 49797 —
MCSS $ 22 .00 TW 03/29/99 49797 _ OW;,.�_v__�(�
TOTAL : '79 .Rik) /' NER OR AGFN� DATE
NIS_?PIT, rove 0411114? COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
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CONCRETE MECHANICAL MOBILE HOME
Focitings-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 date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date f;_ y' by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS99--0141
For : IOHN FLYNN
Page : 1
11 ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL_ CODES AND UBC
REQUIREMENTS
X
2 ? If the tank size is between 125 and 500 gallons you must follow these guidelines ,
1 . Tank is to tie 10 feet from any buidling, public; way or property line .
2 . If the tank Is exposed to probabie 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
_i
3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING C0DE . x __ .
C!)NCRETE MECHANICAL MOBILE HOME
Foc4ings-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 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 COMPL4 RX
N U T
D
PLEASE PRESS HARD _ PERMIT NO.:
* 2 Q 1"9 MASON COUNTY
' PLUMBING/MECHANICAL PERMIT APPLICATION
• PZ-'iiT ' SCISTAN@EW 4;ED•Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 7o&2 Contractor Name !,rr. -FYI i [
Mailing Address Mailing Address '5n�a -
Jy-}ny�
City State� Zip Code City State Zip Code
Phone(.;740 5 Other Ph.C-V,o 2?9/i0:1Z Other Ph.
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. 4?n/ /2,Z / ?- i/0 Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site T31-(s 'S g 10 G
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 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 1 l a0 6lgl 160
Laundry Wsher Gas Outlets _
Sinks Wood/Gas/Pellet Stove—I
Dishwasher Direct Vent?
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 190 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 approval.
�— Dates `� X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
. ..fitARTM1otI Rf1E7liF :::;'::::':::::> RPPRtE
...............
Building Department
Occ Group(L-3 Type Constr. S rJ
Planning Department
Other
Other
:.:; < __................._............................. . ............: - :-..:..:....-.... -
::... _._...
: :: ;>: :: »
_........
Permit Fee Site .
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
lion Fee TOTAL FEES
ON
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