HomeMy WebLinkAboutBLD95-0677 SFR Propane - BLD Permit / Conditions - 7/10/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E! IJ 1 L_ D I P4 0 P E f-1 f0 1 T FOR�t NSPE IONS CAL I_ 427-9670
tETWEEk,_5p* AND 6am 427-7262.
BLD95--0677 PARCEL 1 3223 46 1 00005 PLAT :OLPLO vv D I V i BLK : 1.01' :
JOB ADDRESS c !: 20 MT . E'LL 1NOR CT UN II ON �Y
OWNER : JAMES CONNER 641--8709 �
CONTRACTORS MACHPFRSON CONSTRUCTION 391- 3333
LEGAL : OLYMPIC VISTA TR 5 >i VAC $T& ADJ VAC OLYMPIC VISTA 11 aD IT ELL�T �J
R
CLASS OF WORK . , :NEW EDR 2 .13A T H : L TYPE AMOI �$t T E E IPT TYPE AMOUNT BY RATE RECEIPT
(Y P E OF U S F . . . < :S F TOR I S . . . . . . . : 1
OCCUP . GROUP . . 0 LDG . EIGHT . . : 0 .Oft Ric ! .00 ILS:�011 5 39580, STfE ! 4.5fv KS 0711119S 39581E
TYPE OF CONST . . 17 F REPI_A FS . . . . : 0 PRMT ! 4460 KS 01110 Pik ! 54.00 KS 0711019S 39580
bCGUP . LOAD . . . . : 0 WOOUSTO S . . . . : 1 PICK ! 222:00S 07PT019. 3 80�'� OCR ! 61.80 KS 01f t0195 39580
DWELL UNITS . 0 PAA,K I NG PACES : 0 P.ADN 1 8.00 S, 070 1 58 SHIP ! 50.00 KS 07110195 39581
i NSPFCT 1 ON AREA : :S ISHO%%E1I NE: . . . . :N MOST 1 25.00 KS �71101 19 8 TOTAL c 912.50 VAtULAT10N: 98288
SF1'BACKS _____ _____F.__-_ TOIS . . .I. . . . . . . . 2_ FUEL TYPES-------c�-� T�Ot�RS/COMP---- MOBILE HOME--
FRONT . .. .N a .0ft BA-t..H �11t1IN . . . . . s 2 GAS/ / ! : �`� 0-3 HP . ; 0
REAR . . . .S 10 .0ft BATH TU$5 . . . . . . . . 1 }i -15 HP . s fl MODEL :
SIDE ( 1 ) .E 5 .0ft SHOWERS . . . . . . . . . . : 1 FURN - 100K BTU : O 15-30 HP . , 0 -MAKE- -... ..-
S1DE (2 ) .W 5 .Oft WATER HEATERS . . . . : 1 FURN >-100K RTU : 0 30-50 HP . s 0
SHRLINE . A .Oft CLOTHES WASHF'RS . . s 1 FURN - FLOOR . . . c 1 50+- IIP . c 0 YEAR•-----
AREA KITCHEN SINKS . . . . : 2 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS — _ : 0 VENT SYSTEMS . . . : 0 E VAP COOLERS : 0 I ENGTH : 0
BUILDING . . . : 17149f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : r HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : i DOMES . INCIN :O _SERIAL #-• ---
DECKS . . . . . . 471st DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS- -- COMML . INCIN :O
GAR!CARP :G 764st GARB DISPOSALS . . . : 1 <- 10000 c:fim . . 0 RELOC/RFPAlks 91
AT/DT . :A URINALS . . . . . . . . . . : 0 ? 10000 cfm . : 0 OTHER UNITS . : 0
MISC PL.M FIXTURES : 0 GAS OUTLETS . : 0
i��X'�31� _...'.i.��J'e1.�f:fT:",..�r-F^...`.-=F.?.iS®C�-�:9"�T�'Rta'::SE"�5.2`3T� :,.. ..-...y-...���._2..:•1-'�1.��:`C. ^:.�3'S=".?S.
PROJECT AESC11PttON:1ESeDENCF NIiN PROPANF TANK
PROJECT 1.00110048011 HNY 105, GO SOUTH ON OIYNPIC VISTA DRIVE 112 EAS1 OF AI61•0100K. INN, 114 MILE UP H:IL ON CORNFR Of OLYMPIC VISTA 11010 AND 11. EIINOR
4T.
THIS PfRMi1 BECONfS poll AND VOID if NORK OR CONSTRUCTION AUIHORITED IS NOT COMMENCED NIIHIN 180 DAYS, 01 IF CONSTRUCTION OR DORK IS SUSPENDED IOR A PERIOD
OF 186 DAYS AT ANY TIME AFT ORK IS COMMENCEQ. EVIDENCE Of CONTINUATION OF 1019 IS A PROfiRESS INSPECTION 1111111 THE 180 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED liFFORE BUILDING C; OCC PIED.
0111111 U R AGENT: .. N DA T f c_
RI O PANT, revs 0313118t' COMPLIANCE TO ATTACHF.O,COND11 T IONS 11 S RFOUIRED
CONFRETE MECHANICAL J MOBILE HOME
Footings-S tback date 6---L ' by' Ribbons
date <"by A V 'OK- Gas Piping date b
Foundation ails date r I Set Up
date Rx_ INSULATION date by
BG/SLAB Insulation Floors Final
date by date J /7^ > by date by
FRAMING ` ter; ` W [is p5 c w FIRE DEPT.
date �J' �y J d7te b date by
PLUMBING Attic ii OTHER
Groundwork �✓`�
date b date by y►Q,,�(5� W a
D.W.V. WALLBOIARD NAILING n "
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I
CONCRETE MECHANICAL MOBILE HOME "
Footings-Setback date by Ribbons
date by Gas Piping date by
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
RO, Box 186 Shelton, Washington 98584
6) No Occupancy . This structure Is limited to M-1 use onkv—Any other use will he in
violation of the Uniform Building Code and Mason Coun*y F1!9 tlons
unless a "Change of Use" permit is approved . X� _ , _ _
7 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
Fire Mars Ek l .
X._
6 ) ALL CONST CTION MUST MEET OR EXCEED ALL LOCAL. CODES AND UBC,
REQU I liEM NTS
9) Proposed `sfruot�ureor portions thereof with an projection over 30" in height from grade
line, must maintain a 5 ' separation tance between adjacent structures and that
-furthest projection . X
10) Changes to approved building pearls that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
"Code, the Uniform Building Code and/or Mason County Regu l t lyr _must
be approved by Mayon County prior to constructionX�
1 1 ) ALL C�t3NSTIUJCT I ON MUST MEED OR EXCEED LOCAL. CODES . IF ANY QUESTIONS, PLEASE
GALL _,TH;IK, OFFICF BEFORE CONSTRUCTION .
X
12 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUP"-_P-ER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x ��------��""
13) If the tank size Is between 125 and 500 gallons you roust follow these guidelines :
I . Tank Is to be 10 feet from any buldiingg, public way or property line .
2 , if the tank is exposed to probable vehioular damage , provide
protective bollards .
3 . All weeds , grass , brush, trash and other combustible material
sha 1 1 kept �Y'm i n imtrm of 10 feet away from LP containers .
x
1-4 ) 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 or pressure at the
time o "'testinn and the length of test time . This report shall be signed by the person
conducing th test
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 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
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION �A51
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT Y cT'
#1 Own t, a Phone# 0H l - Q9'7
ddress Zc5 mr 'EttJ�v jnV. Fire District#
City UNkCN St G'A zip 59�
Directions to Job Site Ftzc6"1 t woWo< 10(o F �—t� vV. c2 L.Yw•PIC- U"Ir'
EAST of INN�L .,n H,11 0A CQ(ZKtP- aF
al.`f w•Qte u.cnra Qywiee AND f°iT buwof- G1"
Owner Mailing Address ggN7 IyNr^ AA--
City gelw2U oe- St QJIN. Zip q 150NO
Lien/Title Holder NoNEr '
Address
Clty St Zip
#2 Contractor Name MAaP►�5c+4 cc-K AZ TION A tG51bN Contractor Reg#MAC PHc D Ib1 QK
Address zi 1O L(y S F Z gt"" -,T. Expiration Date_ i o / I E5 / If
City 15svdzgp.H St O4 Zip 1`6047 Phone# 7-O6 391 - 3333
#3 If septic is located on project site, include records. °ram
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
gal Description rzn rV 15�) c� yi. SIG VISTQ 1Qouu► C 7 of PI.,TS , P& f6Z a-4 Q)3
ReC. RD5 yr rKo5%>N
#5 Building Square Footage: (existing/proposed) �`��
A 1st FI / 17 I�_2nd FI / 3rd FI / Loft
Basement / Deck / q7j _#bedrooms / a #bathrooms
Garage / 7&LJ Carport 7 (Circle ttached r Detached?)
Other sq. ft. /
#6 Use of building 5k%Atv1.F- RxMiL�-f lge5ioeNci5 -1- f�1171i tk T�.UUC Describe work
#7 Type of Job: New_��Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No
# Bedrooms # Bathroom Ty eat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: t"J"e
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
i
L
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets _ CIRCLE FUEL TYPE: Da , Electric,
Bath Basins Heatpump, Other
Bath Tubs �J Na. Units Fees
��i 1L.1
Showers � � Furn BTU� _
Hot Water Htr Heatpumps
Laundry Washer 3 Vent Systems
a Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
Laundry Basins 3 _ HP
Dishwasher No. Air Handlina Units
Disposal 3 cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $� �' No. Other l� �0
( Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
s::&-3
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBT INING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPART N
X OWNER X BY
DATE DATE C�
FOR OFFICIAL USE ONLY: Accepted by: 9 F. Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: mmS
Environmental Health:
Building Plan Review
40
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES oC)
Building Permit
Plan Check od
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove p p
Radon Monitor
u4wirr� kadbr� ? --
Site Inspection
Building State Fee ,
Other
r
Other
ll c�
Building Valuation: Iv 0 TOTAL FEE
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPrf
4 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-96 roo 7
PLEASE PRINT 6-� e��w\; -lam �O�t�r I / e
#1 Owner �.OrrQr �/� L Phone# Zflo-3�\-3 33
Site Address F-16 k`n's-
City n St A .
a*ffffffN7R—
Directions to Job Site
fill
rre 7 n
v
Owner Mailing Addresses
City St
Lien/Title Holder
Address
City _ St Zip
#2 Contractor Name Contractor Reg. #WOE.'1A**— I3 Q3
Address ;\a20 %n r-�r. Q- S E, Zoe Expiration date l0-qs
City \r.1�p�'<��<JJ\\\1` Stoma• Zip CAQ07- Phone300-VA-V?5W
#3 Parcel No. 32Z.3
Legal Descrip ' f
#4 Use of building Sin Describe worker Y)ia'vo\\\
#5 Type of Job: New__Add Alt Repair
Plumbing Fixtures($3 each) FPg Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE&lectric,
_Bath Basins Heatpump, Other
Bath Tubs No. Unk Fees
_Showers Furn J��p,OCfJ 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�3� 'Qar,�SL. �. o d
Wood, Gas, Pellet Stove 25.00
Permit Basic Fee 15.00 _ ��� 1 .o 6
TOTAL PLUMBING $ _ 4. k4"�\
Permit Basic Fee 15.00
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
p t app cation 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)ms,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
7?.y
.a
19
�v
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 l-OR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OFTHE 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 BUILDING DEPARTMENT. DEPARTTMME
X OWNER X BY ` l
DATE DATE C1—
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 by: - "`"`�—' Date: `7 1
Receipt No. _ Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner CQ i .os Du rA
e Phone#
Site Address 340 114 f 4_�t uan. Cdcf
City Oc St OI (C�* Zip
Directions to Job Site h vLt ogiNe
Owner Mailing Address 44 '�E
City �� ^�yc c2, St ty/1 Zip g Fd�
Lien/Title Holder #— ( a o-Q, _-
Address
City St Zip
#2 Contractor Name Q� �„ eftC �e'yL) Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. -St OWOS i C)-,L i P U15TA -N?,S
Legal Description `
#4 Use of building S! Describe work
#5 Type of Job: New,X_Add Alt Repair
Plumbing Fixtures ($3 each) .Fga Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No.. ILL Fees
_Showers _ Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. Boilers/Com red ssors
_Laundry Basins HP
_Dishwasher No.. Air Handling Units
_Disposal _ cfm#
_Urinals No. Other
_Other Gas Outlets
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00
TOTAL PLUMBING $
Permit Basic Fee 15.00
TOTAL MECHANICAL $
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.
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 COUNTYORDINANCE 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 ITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUI ING DE ARTME DEPARTMENT.
W
X OWNER X BY
DATEFzg�_!5DATE
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 by: Date:
Receipt No. Referred To I
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
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