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Home My WebLink AboutMIS95-0980 Propane - MIS Permit / Conditions - 12/19/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M ! SCtL_ !,_ ANFtJU PERM I -r IOR INSPECTIONS CALL 427 -9670 ( M1995- 0980 PARCEL s32232520`020 PLAT sLINPLO 2 f31 V : BLK s 2 LOT : JOB ADDRESSs E 20 PORT TOWNSEND ST UNION APPLICANT : .DIM DONAI DSON 426-5092. OWNER : JIM DONALDSON 426- 5092 LEGAL : 11101-GAMS 4AP80! A UCLA ADD BIKs 2 101 21. 23 PROJECT DESCRIPTION : PERMIT 125 GALLON PROPANE TANK NULL & VOID BYI EXPIRATION DATE PROJECT LOCATIONS MC RFAVY HD TO 51H LEFT AT 2 RLOCKS ON THE LEFT ACROSS FROM PARK PROJECT NOTES : TY^ATi^SSP'zry�;`�A.1CR?S"F^..R^'^^'^'S:Y4'.•=S-".'.'X9T'.'S.'9d58:si'_.2.t.�YCY..R'9x TYPE AMOUNT BY DATE RECEIPT MCFE $ 12 .00 KS 12/ 19/95 40947 MCBS $ 15 .00 KS 12/ 19/95 40947 � Zoe TOTAL : 27 <00 OWNER OR AGENT / DA 9 f S _F111, rev, #4111192 COMPLIANCE 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 Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by Attic OTHER Groundwork 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 I N- Mason County Bldg. 111 426 W. Cedar 1 P.O. Box 186 Shelton, Washington 98584 PE Fl M I 'T C. C:)N L) 1 -11- 1 C3N ,—:, Case No - , 1.4IS95-0980 For : JIM D0NAt_DSON Page : i 11, PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL si -rES MUST HAVF APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLF AND LFGIFLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING I)EPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPFCTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL, BE ASSESSED IF OWNER/CONTRACTOR FAIL-0 TO POST ADDRESS ON SITE PRIOR TO REGUESTING INSPFCTIONS . X The owner shall have available on site for- ln:a,peotlon by Mason County , a report Indicating the nanisa and license number of the Installer , tho amount of pressure at the This report shall be signed by the person time of tort ing and the length of test time . conduct 1no the test , X . 3 If the tatik size Is between 1.25 and 500 gallons you must follow these guldellnest 1 . Tank Is to be 10 feet from any buldling, public way or property fine . 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 FRAMING by date by date by 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 MASON COUNTY �\ Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 l 2 . If the tank is exposed to probable vehicular damage , provide protective hotlards . 3 . All weeds , *crass , brush , trash and ccther combustible material sha i i be kept a minimum of to feet away from L.P containers . x 4 CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUN LY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x 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 FRAMING by date by date by 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 h,'41461 l Per I .7 MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner�� /YI e.s ,�>,kt ' Phone# Site Address el Qv City Obi r7 ri St Wd Zip 98Z_5'92 Directions to Job Site ea Ve y 7� �� S :ry/""q 04 2 Cyr,,z e / � � S` ��rT77ju>�se riA, Oy1 Cot^her, Owner Mailing Address )D POr WO eti 5I City Q y) t D St W n Zip e'5 Q- Lien/Title Holder ii P� DP ,kne,Y(e a- Ao U S, "9 Address City St Zip #2 Contractor Name e h r c- 6:aS Contractor Reg. # Address )O7� 4 C 17 — / d Expiration date City St Zip Phone #3 Parcel No. 0 ab3-6 Legal Description #4 Use of buildin SF-fz Describe work l S U40 #5 Type of Job: New Add Alt Re r I Z� Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. unk Fees Showers Furn BTU _Hot Water Htr _ Heatpumps _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. Other (_')00 _Other Gas Outlets 00 , elle !25%. � Permit Basic Fee 15.00 T4 U(,I(� ( o 00 TOTAL PLUMBING $ Permit Basic Fee 15.00 0o TOTAL MECHANICAL $— �n No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced 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. 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 Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. y 1 cJA-h S� . 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 AWAREOFTHE MASON COUNTYORDINANCE 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 SHALLBE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDI =PARTMENT. DEPARTMENT. X OWNERp 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 b Date: I, p y Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: