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Home My WebLink AboutMIS98-0217 Propane - MIS Permit / Conditions - 4/22/1998 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 i M 1 :C. E-= L_ 1_ ANFCatJc:; P F R M i .1 ; : fit ; M1S98-0217 PARCEL :322353190060 PLAT JOB ADDRESS : 9090 E STATE ROUTE 106 UNION APPL I CANT : KATHLEEN HICKS 360--533--5465 OWNER . KATHLEEN HICKS 360-5;T3-5465 I..EGAL : TR A Of GOVI LOT 3 TR 3 Of SP 11532 PROJECT DESCRIPTION : PRO 1 PANE TANK PROJECT L.00AT I ON : \-` , c)%Ir �( 2 M 11..ES EAST OF ALDERBROOK INN . 1� c)k PROJECT NOTFS : TYPE AMOUNT BY PATE RECEIPT MCFF g 14 .00 KS 04 /2? i98 46873 TOTAL : 14 .00 Ow OR AGEPIY DATE MCI S PINY, rev' 0411 i 18? COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE=. RM I `T- CC71Nh I -F i C.)N :> Case No . : MIS98-0217 For - KATHL.EEN ft I i.;K.a Page : 1 1 ) PURSUANT TO 1991 UNI1"ORM BUILDING CODE , SFCTI0N 305(C ) AND SECTION 513 , Al-l'. SITES MUST HAVE: APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND t E('; I BI.E FROM THE STREET OR ROAD FRONTING 'I HF PROPERTY . MASON COUNTY BU I I. D i NG DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECT1ON FEE , BAS1=D ON RATES IN TABLE 3A OF THE 1994 UNIFORM B!IIIDiNG CODE Will. BE ASSFSSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .. 2 ) The owner shall have available on site for inspection by Mason County, a report Indicating the name and license number of the Instalier , ' the amount of pressure at the time of testing and the. I enrgth of test time . Th is report sha I I be s i fined by t he per:.un conducting the test OR the lines shall be under pressure for a minimum of 15 minutes at 10 Ibs and have accurate pressure gauge on site tinder test reflecting test requirements at time of inspection . i - i 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 d to by D W D.W.V. by WALLBOARD NAILING date date by Water Line by FINAL INSPECTION date by date by date by _� MASON COUNTY Y / Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 j 3 ) If the tank i ze Is between 125 and 500 fria i 1 ons Vou must follow these qu i de I i nF f1 . Tank Is to be 10 feet from any buidlinq, public way or property line . 2 . If the tank i exposed to probable vehicular damage, provide , protective bollards 3 . All weeds , grass , brush , trash and other combustible material shall bbe'� kept a minimum of 10 feet away from LP containers . x-'41f f 4 ) CONS'I•RUCT I ON PROCESS TO BE FIELD CORRECTED AS REQU I ED PER MASON COUNTY BIJ I LD I NG DEPARTMENT AND ON I FORM tilt I LD I NG CODE . .x v i - r. CONCRETE MECHANICAL MOBILE HOME ' Footings-Setback date by Ribbons date by Gas Piping date b Koundation 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 Attic � Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I — I Permit Nop MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 ' PLEASE PRINT #1 Owner eej e j I j cj Phone# d ,S�3 Site Address q6 fo /6 E City fch4 St Zip Directions to Job Site l Owner Mailing Address P 0 13 w 6�� 11 rr nn City l�tf�¢�cf'P.��., St Zip !d.5 e20 Lien/Title Holder _ g ,,t .e Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No. '3 2 Z 3 5- I - q611) - 60 Legal Description #4 Use f building �� Describe work U #5 Type of Job: N Add Alt Repair Plumbing Fixtures ($3.45 each) 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 I Gas Outlets — Wood, Gas, Pellet Stove 34.00 Permit Basic Fee 17.25 1 TOTAL PLUMBING $ _ Permit Basic Fee 17.25 TOTAL MECHANICAL $—Li/ 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. S+ R 4- ta6 OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 1 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 ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADEWITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPART ENT. ) DEPARTMENT. X OWNER -C.✓• 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 Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: