HomeMy WebLinkAboutMIS98-0299 Propane - BLD Permit / Conditions - 6/12/1998 �q
MASON COUNTY -
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 GF L_ 1.... ANU C3tJr P' F: IF? M i i INS} TIONS CAl , -111)7
M i S96--0299 PARCEL :3202 1 560 1 009 PLAT ;S lIPLO D I V : BL.K : 1 LOT -
JOB ADDRESS : 120 E PANORAMA DR SHELTON
APPLICANT ! MAYNARD (2.06)244_.4104
OWNER t MAYNARD HOi MOUISI' (206)2,44-4104
LEGAL : SHOR1 CREST TFRRACE 3RA ADD DLK: 1 LOT: 9
PROJECT DESCRIPTION -
Propane Tank BY
PROJECT LOCATION - r
OFF HWY 3 'TAKE AGATE. RIGHT "TO AGATE STORE 'TAKE RIGHT TURN APPROX 4 IVII I `S TO PANARAMA DR EAST
TAKE A LEFT GO ABOUT HALF A BLOCK LOT 9 ON RIGHT BETWEEN TO MOBILE HOMFS, POWER POLE IN FRONT OF
PROP AND TEMP POWER
PROJECT NOTES :
i
TYPE AMOUNT BY DATE RECF I PT
MCFE $ 9 ,50 TO 06/ 12/98 47365
MCf E g 6 .50 TJ 06/ 1 2/9A 47365 ,
TOTAL : i Z;1 .00 OWNER 't7 AGENT DATE
NIS.,PROT, rev: 44101192 COMPLIANCE TO ATTACHED CONDITIONS IS
REOU I RED
n.
~ 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
P F R M I "T C, O N t-3 1 -T I O N
Case No . : MI S'98--0299 �
For . MAYNARD 14OLMOUIST
Page : 1
1 > PURSUANT 'TO 1994 UNIFORM BUILDING CODE , ALL 'SITE MOST [IF MARKED W 1 T 11 APPROVED Nt1MBFRS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BU I t D I NCB DEPARTMENT REQU i RF S 'THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN 'TABLE 3A OF THE 1994 UNIFORM BUII. DING CODE WIIt. BE ASSESSED IF
OWNER/CONTRACTOR ,FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X.
2 > 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 test i nr and t:he I engt h of test time . This report shall i t be a i fined by the person
conducting the toast OR the lines shall be under pressure for a minimum of 15 minutes at
10 Ibs and have accurate pre*:sure gauge on. .sito under test ref1eoting test requirements
at time of inspection .
'""" r
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. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) . ALL CONSTRUCTION 14UST MEET OR EXCEED ALL LOCAL CODES AND UBC
PEOUIREMEN
4 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED P - MASON COUNTY 111.111-DINEB
DEPARTMENT AND UNIFORM BUILDING CODE .x
5 ) If the tank size Is between 125 and 500 gallons you must follow these guidelines :
1 . Tank is to be 10 feet from any buldling, public way or property line .
2 . It the tank its exposed to probable vehicular damage, provide
protective bollards . .
3 . All weeds, grass , brush, trash and other cc',)wbustible mater 1 a I
shall be kept a minimum of 10 feet away from LP containers .
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date (o— $ $ b 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
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Permit No
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT t `
#1 Owner Phone#
Site Address
City�= \\nr' St W}1. Zip �u
Directions to Job Site i9 W 7_� /74 lei 6, t O AZ
Owner Mailing Address ::31�1 ck
City kDL- ,.!e I ad St LOP Zip Q k J(,
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. -&DjDn;�1 -S- (DI L)p�)
Legal Description Sl�ipr.e.'.ram -�:3 l lc.._- 1 " S
#4 Use of building o 41,.7Gz Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units 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
_Other _ Gas Outlets
Wood, Gas, Pellet Stove
Permit Basic Fee 17.25
TOTAL PLUMBING $ _
Permit Basic Fee "-fT:25"
TOTAL MECHANICAL
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.
7
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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 ALLWORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. V DEPARTMENT.
___11?
X OWNER X BY
DATE Z ` ') Z —`l DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA P8584 • 427-9670/1-800-562-5628
FOR OFFICIAL'USE
�ONLY: Accepted by: Date:
Receipt NO. E s"' Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY Approved Denied
Planning:
Building:
Fire Marshal: