HomeMy WebLinkAboutBLD2005-01944 Propane, Gas Stove, Outlets - BLD Permit / Conditions - 11/10/2005 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton,WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2005-01944
OWNER: DAN DAVIS RECEIVED: 11/10/2005
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA*98400 EXP: 7/24/2006 ISSUED: 11/10/2005
SITE ADDRESS: 401 WEST G ST SHELTON EXPIRES: 5/10/2006
PARCEL NUMBER(420134500320
LEGAL DESCRIPTION: D SHELTONS DON LAND CLAIM #37 TR 32
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK, GAS STOVE, OUTLETS LAST HOUSE JUST BEFORE CALLAHAN PARK ON LEFT SIDE.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: PUB Insp.Area: No.of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: MEC Fire Dist.: 11 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft.
Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures FEES
Mechanical Fixtures
Type Qty. T e e By Date Amount Receipt
Gas Outlets 1 Mechanical Fee KS 11/10/200 $73.60 S12005
Propane Tank 1 Mechanical Base Fee KS 11/10/200 $23.50 S12005
Propane Stove 1 Total $97.10
BLD2005-01944 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2005-01944
CONDITIONS FOR
BLD2005-01944
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-Q�8 he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
Xr from Pid ' accordance with the international codes.
3) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or an weeds, grass, brush, trash or an other similar combustible materials. Propane
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tanks less than 125 gallons must also be located a minimum of 5'from any building opening (foundation vents, windows, doors etc), property line or
easement.. L a proppne tank is exposed to probable vehicular damage, protective bollards must be installed.
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4) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks
between 125 and 500 gallons must be located a minimum of 10'from any building, property line, public way, possible source of ignition (electrical outlets,
electrical fixtures, compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. If a propane tank is exposed to
probablehi r damage, protective bollards must be installed.
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5) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the ' to I n requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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6) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be us t }I a final inspection has been performed and approved by a Mason County building inspector.
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7) Owner/applicant must obtain a seperate per for,tf placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X �d
BLD2005-01944 Please referto the following pages for conditions of this permit. 2 of 3
8) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think such featur� ist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X 7
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9) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Cou y ord nces and building regulations.
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This permit becomes null and void if work orconstruction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property an structure for review aid inspection. /
OWN ER OR AGENT: 6�� DATE:
BLD2005-01944 Please referto the following pages for conditions of this permit. 3 of 3
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o CONCRETE MECHANICAL MANUFACTURED HOME
con Footings 1 Setbacks Date Sy Ribbons
O Date By Gas Flping Date By
m
� Foundation Walls Gate By Set vp
Date By INSULATION Date By
BG I slab Insulation Floors FINAL I NSPECTION
Date By Date By Date By
FRAMING Walls FIRE DEPARTMENT
Date By Gate By Date By
PLUMBING Attic OTHER
Date By
Groundwork
Date By WALLBOARD NAILING
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D.W.Y
Date By
CD
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Water Line FINAL.I f4SPECTION
� Date By loate � 1 Ic'S l�17
Date By
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o Type of insp. Pass/Fail Retquest Date Inspect. Date Done By Comments
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PERMIT f�
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
On the web www.co.mason.wa.us
APPLICANT FORMATIf� CONTRACTOR IN ORMATIO
Owner �y ✓ �f Company Namel`�v 1t7���cs nc2 , Z'nL
Mailing ddres _ , Mailino Address 2-5°S 04 N�ti N• Z2.°
City State 14Sti Zip Code City 5hQ-ttQY\'�State' W°� Zip Code 8 5 84
Phone 34, !%2'2 4"Z Other Ph. ZG 2&'' Phone 36Q - 4z•1 - 12-°2 Other Ph.
Lien/Title Holder Contractor Reg. €Qu�\\-Zp'z9R3N� Exp. 08 tl 2007
E mail address E Mail Address
Drivers Lic.#,aV DOB Drivers Lic. DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No 14 2a o Z47 Fire District
Legal Description
Site Address(Please include street name, street number and city) D Cs
Directions to site- JIlel Y'0,4- ip"o 4/
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
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
Tyne of Fixture No. of Fixtures Fees Fuel Type:Electric _LPG—Natural Gas_Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas O ets
Kithen Sinks VVo Gasr ellet Stove
Dishwasher Kitchen haust Hood TTT�
Hosebbs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER 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 NTINUATIO OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
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ner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by—a by-aA Planning Pd CO= Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Or-c Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing&Base Fee Si,e Inspection
Mechanical& Base fee UFC Plan Review Fee
Wood/Gas/Pellet
V Stove Fee Other
dation Fee TOTAL FEES