HomeMy WebLinkAboutMIS96-0167 Propane - MIS Permit / Conditions - 3/25/1996 J
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 E C-, E" 1_- Iw A N I= C70 1.1 P F R M 1 1 V-0ti i N6PI:G i I ONE GALL 427-96'10
M I S96-0167 PARCEL :322357''0D260 PLAT - D I V s BLK % L.OT
JOB ADDRESS = F. 281 WINDSTAR RD UNION
APPLICANT : CLIFF MATTFSON `,� IXOXA
OWNER . CL I Ff7 MATTESON E��A �• ..
LEGAL ; 1`1 24 Of SHMYfY VOL i PGS 2ii-218
PROJECT DE SCR 1 PT i ON s ��g► .o`� r
SET PROPANETANK AND CONNECT TO IiOT TUB
PROJECT LOCATION :
HWY 3 TO HWY 106 , APpnox 3 Ir t j vs WEST OF 'FYfAN0H S rATF PARK . LEFT HAND SIDE . T IM8FIIT I DES'
DRIVE .. 00 TO TOP OF DQ I V4: FOLLOW S I!DNS TO W I NOSTAR ROAD . LEFT SIDE WITH LARGE WOODEN GATE
PROJECT NOTES :
TYPE AMOUNT BY DATE RFCF I P'F
MCFF $ 6 .00 NJP 03/25/96 41512
MCFE S 6 .00 N.JP 0312�f/96 41512
MC:F E $ 6 .00 NJP 03/2 5/96 41512
MCBS $ 15 .00 NJP 03/25/96 4151e.
TOTAL_ : 3'i .0i� 4 Q2WNFR '�R AGENT UA~TI^
#IS.PONT, reef 14181112 COMPLIANCE TO ATTACIIED CONDITIONS IS
R[_t�t1I RED
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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PPH "1 !`,/I 1 F' C." aNn 1 -r II (INS,
Case No . ! ICIIS96--Oi67
Far ; CLIFF MATTESON
I-age 1
1 i Approved per s i t e -p l an .
2 3 PUR-OP NT TO 1991 UN 11`ORM BUILDIN(i CODE , SECTION 305 (C ) AND SECTION 1513 , ALL S I TF S MAST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMI_NT REQUIRES THAT THIS HE COMPLETED PRIOR TO CALL I NQ FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , BASED ON RAT[ 5 IN rAhLE 5A OF TIIE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNED/CONTRACTOP FAILS TO POST ADDRESS ON SITE PRIOR TO REOUE'ST1NC
INSPECIIONS
3 > The uwner shbi l have available on site for inspection by Masan County , a report
Indicating 'the name and license nutaber of the Installer , the amount of presevjre at the
time of testing &rill the length of test t imo . Th i s report she I I be s I gnead by the person
-0011duct I ng the test
I
Imo— I
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
I date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date b date by
PLUMBING y OTHER
Groundwork Attdate ic b
date b y
D.W.V. WALLBOARD NAILING
date by
date by
Water Line FINAL INSPECTION
date by date by date by
li
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ) ALL CONSTRUCT I ON MUST MEET UH EX(,EFD ALL LOCAL CODES AND USC
REO
/F^� Nf
A
I r t lie -1 nk e i 7e i s t.etweren 1 25 rand MM qa I I( nss Vou must Fo l l ow the.ser nu I Cie I I tie;
1 Tank Is to he 10 feet from any buldiing, pubilu way or property line
. If they tank Is exposed to prob!-*hla vehicular damacte , pcovide
prote c. t i ve bollards .
3 . All weed.:, , grass , hrtj%h , trash and other combu7,t hale material
sha 1 ! he kopt a minimum of 10 feet away from LP conta l ne u-L .
X.
6 ) CONSTRUC4' 1 ON PROCESS TO RE FIELD CORRECTED ,EIGiU.L �1�EDAAS0N COUNTY BUILDING
DEPARTMENT ►RTMENT i1ND LI I FOkM BUILDING GOD . x �
�f
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
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner Phone #
Site Address
City St Zip_
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder Q-e/p p�2_
Address
City St Zip
#2 Contractor Name gt&-rw z2,- Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No.3-21 3 57 - 7�7- � D
Legal Description -V-/" ►�11)7s �X Qj 42 Te c'7-,2 j6 !1�1D %213
#4 Use of building Describe work
#5 Type of Job: New Ad - Alt Repair
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 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 25.00
Permit Basic Fee 15.00 / �yL ��� /
TOTAL PLUMBING $ &/VA* " �0 YlOr
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 includes the placement of a fuel tank, heat pump or other unit to b6 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.
y35 - 41
� y calk
F
� o � a
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 MADEWITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPART T. DEPARTMENT.
OWNER X BY
DATE DATE
turn 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:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: