HomeMy WebLinkAboutMIS97-0819 Propane and Fireplace - MIS Permit / Conditions - 12/1/1997-------------- -
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I fz*'C E= L_ 1.- A N I=- +D,l.3 E,". E" f IT It's FOR INSPECT IONS CALL 427- 9670
MI S97--0819 PAR L :322353100040 PLAT D I V : BLK : LOT :
JOB ADDRFSS : .��� j. Q-
APPLICANT JOHN 360-898-3444
OWNER : JOHN 360--998-. 3444
LEGAL : 150' OF f 15!' I It I T.L. 9f LOT 3
PROJECT DESCRIPTION :
PROPANE TANK, GAS F I RFPLACF PERMIT
NULL. & ;, '-1, RATIOIV
PROJECT LOCATION - DATE -----------w..u.__.._
EAST TWO MILES FROM ALDERBROOK RESORT ON HWY 106, WATER SIDE ,
PROJECT NOTES :
TYPE AMOONI BY DATE RECEIPT .
�::'..'�R'J3^.A..:iYS"tfIIQ"LSSIICV�:CT,fSX.'.�tY"•'
Mf;rE s 13 .50 KS 12.t01 /97 6010
r'
mC8S t 16 . 75 KS 12101 197 5010
WD ST $ 33 .00 KS 12101 /97 5010
TOTAL : 63 .25 OWNER OR AGENT DATE
MIS 1`1111, rev, 04/01/42 COMPL I ANCE TO ATTACHED CONDITIONS IS j
REQUIRED i
1
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 +)
I
I
I
t MASON COUNTY j
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F- F=tM I -F C (: ► N0 1 T I C?N :.^y
Case :fit, . : M I S97-0819
Fort JOHN COLA- I NS
Page : 1
1 ) PURSUANT TO 1991 UNIFORM B+►11-l)I NO CODE , SECTION 305(C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBI.C'
AND !_EG 1 BI_E FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BU I I D I NQ
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON F EF , RASFD ON ELATES IN 1 ABLE 3A OF THE 1994 UNIFORM BU 1 L D I NG (.ODE WILL FtF
ASSESSED IF OWNER!CONTRACTOR FAILS TO POSY ADDRES,-; ON SITE PRIOR TO REQUESTING
INSPECTIONS.
2 ) The owner sha I I ha\,a €+va I l ab 1 e orr site for inspection by Mascrr C:oant;t , a report
F nd i oat i nq the name and license number of the Installer , the amount of pressure at the
time of to:it i ng and the length of teat time . This report she l I be ulgnod by the person
conducting the testa .,-7
_ -
� ) If the tarok sizes is between 1,. and 500 gallons you mi.+st follow these quidel Ines :
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
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
Mason County Bldg. III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
1 . Tank is to be 10 feet from any buidl ing, public way or proper-ty line .
2 . If the tntik Ir. exposed to provable vehicular damage , provide
protective bollards .
3 . All weeds , grass , brush, trash and ether combus# We a material
shall 'be -kept a m1p_.imum of 10 feet away 'from 1_P containers .
4 ) CONSTRUCTION PROCESS TO HE FIELD CORRECTED AS RE00,1 RED PER MASON COUNTY BUILDING
DFPARTMrNT AND UN I FORI,A BUILDING CODE .x � ///
r— -
CJNCRETE MECHANICAL MOBILE HOME
Fuotings-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
ao ��-C�$ 1
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner 0 N 0 PX" CJ kl- Phone# Sl7 - 3yy Q
Site Address '�I LI 1 /U(,
city U s,-) ( o '1 st w A zip c19 5 9 '.1J
Directions to Job Site 5 1 711)d M L-P S F e 0 M A-4—D F2 Q Rook E�c�QT
Owner Mailing Address - 0 . V-Sy ,y, 561
City U k_')( O 'J St 1--i A Zip 9?S 92 - 0576 �
Lien/Title Holder w Prs 4 f'hUTUG_P
Address lqc�_k
City Fle 0"/2 C)i6�, St Wei Zip'�00_;�—!'
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. 3 o`_La 3 -"5 - 31 - 000 q--ri
Legal Description
#4 Use of building Describe work gDb `Pr(3jgcttN T0.N)(
#5 Type of Job: New Add Alt J epair
Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 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 N Other /
_Other �_ Gas Outlets
To Pellet Stove 33.00
Permit Basic Fee 16.75 Gas
TOTAL PLUMBING $ _
Permit Basic Fee 16.75
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, Septir- 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
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
SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER 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 by: _ Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: