HomeMy WebLinkAboutMIS98-0414 Propane, Gas Stove - MIS Permit / Conditions - 8/7/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 t=a O F L_ t.- A N F n U '13 F" 1 1-4 M 1 "1 FOR INSPECTIONS CALL. 427-9670
MIS98--0414 PARCEL a322.325202016 PLAT :11NPLV DIV : BL_K : 2 LOT :
-JOB ADDRESS : 221 E ST" ST UNION
APPLICANT : LORNA
OWNER LORNA OCKWOOD
LEGAL- : 91101-GRAYS HARBOR i QGRR ADD BI_I(t 2 1.0T 16--19
PROJECT DFSCR I PT 1 ON ;
PROPANE TANK, OUTLETS, GAS HEAT STOVE
PROJECT LOCATION :
101 N 3 . 5 MILES NORTH OF SHFL.TON RIGHT ONTO BROCKDALE RD, SHY TO LEFT" AND CONTiNUC ON BROCKDALE
TO MCCREAVY RD 5 MILES TO 5TH ST LEFT ONTO 5TH SITE ON P&GHi .
PROJECT NOTES :
TYPE. AMOUNT BY DATE. RECEIPT
MCFE 9 .50 N,IP 00/07/98 47952
MCFF f� 11 00 NJP 08/07/98 47952
MCBS $ 22 .00 NJP 08/07.198 47952 j
WDST $ 42 .00 NJP 08/07/98 47952
TOTAL : 84 .50 NF
_..__. ` �OWR OR
NIS _PRMT, rev! 041@119'? COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
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CONCRETE MECHANICAL MOBILE HOME
Y
Footings-Setback date b Ribbons
I
date by Gas P' ing date b
Foundation Walls
date ` 9 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 ':�-z-3_ S' by date by
.moo A,IC T ZV07 L/4C7- s,C-T
-pLw ,c. 7$�Sr4C-t� 3o v �_ /f'o-c 30 -
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
i' E_. fT M I `T- C., C 7 N IF I I I c_ N `__
Case No . : MIS98 -0414
Fora LORNA LOCKWOOD
Page : 1
1 ? PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL. SITE MUST BE MARKED W i ?FI APPROVED NUMBER"
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMFNT REOUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABLE :3A OF THE 1994 UNIFORM BUILDING CODE WILL. HE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
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? > The owner shall have available on site for inspection by Mason County, a report
indicating the name and license number of the Installer , ; the amount of pressure at the
time of testing and the length of test time , This report shall be signed by the perf;on
conducting the test OR the lines shall be under pressure for a minimum of 15 minutes at
10 Ibs and have accurate pressure gauge can site under test refIooting test requirements
at time of inspection .
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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
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 ANC) UBC;
REOUIREMFNTS
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4 ) If the 'tank size I .,,, betwoert 12ri and 500 gallons you must follow these Ou i de 1 i nes ;
1 . Tank is to be 10 feet from any bul.dling, public way or, property line .
2 . If the tank is exposed to probab I e' veh i cu i ar damage, provide
prat*?ct i ve bollards .
3 . All woods , grass , brush , trash and other combustible material
sha i I be kept a minimum of 10 feet away from I_P containers .
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5 ) CONSTRUCTION PROCESS TO BE F I FL.D CORRECTED AS gl�OU I RFD PER MASON COUNTY BU I LD I N+.,
DEPARTMENT AND UNIFORM BUILDING CODE .x` _7 "��_�.
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 by date by
FRAMING Walls FIRE DEPT.
date by date date by
PLUMBING Attic by OTHER
Groundwork
date by date by
D W WALLBOARD NAILING
date date by
Water Line by FINAL INSPECTION
date by date by date by
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NO.:
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 INFORMATION /�
Owner � A_ �C,rWD - Contractor Name I - _� � _v �C S
Mailing Address E o,-)-I St�- S Mailin Address
City (7 1 State f/A Zip Code -, city S State'/ Zip Code '1
Phone - 7 9- then Ph. 60 - q I Ph.( 1 y ) 77-S3 Other Ph.(
Lien/Title Holder I_nv Pa- UCKu/D&It- Contractor Reg. # YI.P Y rT ; kf-/ 4-0 KC
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit T x Parcel No.. /- / L Fire District U
Legal Description 1/ ` 1
Site Address(Please include street nam stree number an city) ( S_ � i r
Direction to site 1 /� K� 2 1 P Ffi G Vl�l i',I'CP�d Vv/ nf0 l 1 S ulr1
�p�L-
Is your property within 200' of the following: Body of Water(Name) 1\ Saltwater v
Lake F'4 0 River/Creek Ll Pond Wetland l Jy Seasonal Runoff_L Stream�Slopes or
Bluffs t�r,
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor k 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
Laundry Wsher Gas is
Sinks Woo / as ellet Stove 1
Dishwasher Direc ent? —I,-
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-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 16) a lm n Date } tt,:?. X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENT iRiwV[�VY: RF�RrOVEO D7wR11Ef} GORIDi#[C2N e.t)FJES'?:::;::;.:.....
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
........ P£ES
.................... _....
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