HomeMy WebLinkAboutMIS98-0680 Propane - MIS Permit / Conditions - 12/9/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 11 t'3 C F- 1... 1,_ A N f= 0)tJ!S P E R M 1 T- FOR INSPECTIONS GALL. 427--9670
MI SOR-0680 PARCEI-. :322365100004 PLAT :PFPI_0 D I V : BI_K : I_OT :
.JOS ADDRESS : 10191 F STATE ROUTE 106 UNION
APPL I CANT e TOM BAUER
OWNER : TOM BAUER
LEGAL. : PFIBLF BFACII PARK IF 4 A 1 T.I ,
PROJECT DE,CR I F'T I ON ;
INSTALL. PROPANE TANK
PRfiIJFC J' I OCAT I ON r
HWY 101 TO I11 GfIWAY 106 HIGHWAY TO F 10191 ACROSS FROM WATER PERMIT
NULL 4 VOID BY EXPIRATION
PROJECT NOTES :
OATS /D l BY VJ�
- "::.�:SCR"�"Y'+'SRe`Z�C'�^G'il'��KYaet%"s�]::i��.:wYC.�..Yw1Y'..'C.•.yc1:F'�X:'C.YC.'CISA'.,..^.4`.:Y�.^
1 YPF AMOONI- BY DATE RFCF 1 PT
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MCFE $ 9 ,50 N.1P 12/09/98 49035
MCFF $ 5,50 NJP 12/09198 49035
s �
TOTAL. : 15 0�+ OWNFR O ArFN � ,� fXATF
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#13 p4mi, r ev r @410119P COMPLIANCE TO ATTACHED CONDITIONS IS
REOUIRED
'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
FRJN' Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
i date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water line FINAL INSPECTION
date by date /by date by
< A 4 my
•4s .e . •c/ % n /cam d t�sS 'TES!" Of=
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P U-- F-A M 1 -11- C-- C-) N U.3 I -T- I C) N
Case No , % MIS98-0680
for, : TOM BAIJE A
Page , I
1 ) PURSUANT -10 1904 UNIFORM BUILDING C00F , Ali, SI-IF MUST BE, MARKED Willi APPROVED NUMBF13S
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LFGIBLE FROM THE
STREET OR ROAD FRONTING THE, PROPFRTY , MAk3ON COUNTY BUILDING DEPAIRTMUN1 REQUIRFS T 14A T
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON PATFS IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WII. t [IF AS%,*.;F11SFD IF
0WNFR_Lf,QN"LRACT0R FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
'I he owner shzi I I have ava i I at)I e on -, I t e for inspect Ian by Mason CountV, a report
Indicating the name and license numbor of the Installer , the amount of pressure at the
time of testing and the lenoth of test time , 'This report -,,hall be sifined bv the porson
conducting the test OR the lines shall be under pressure for a minimum of 15 minutes at
10 lbs and have acourate pressure patAqe on site under test r cat teotinq test requirements
at time of inspection .
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
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
Mdate by date by
Water Line FINAL INSPECTION
I date by date by date by
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) it the tank .; i re I s loft t we'en 12 b and 500 (ta i loot!; YOU must to l low t he:,r uu l de l I r►et.
1 . Tank i , to i)e io feet from any b(i1dIInq , public way or property II Ile
,.
2 . It they tank Is exposed to probable vehic.:ular damage , provide
protective bollards .
h Ali weeds , qr'a :;s , brush , trash -ind othor comttu€,t ible material
shad!-If`Fiey kept a minimum of 10 feet away from L.P containers .
i
t i
q ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED C, a,����U I HED P C�tc} COUNTY BUILDING
DE PAR TMF NT AND I IN i f ORM 13t.t 1 i.E) I NC CODE ,��F. ' .
5 ) App:.t:)'vei _peat- dimensions and seatback�i can s;uhmitted
.t a---pl1 a n ,
x
(FootCONCRETE FINSU�LAATION
ings-Setback MOBILE HOME
date by Ribbons
by date b
F IFourxiation Walls
date b b Set Up
y date by
BG/SLAB Insulation Final
date by
FRAMING by date by
Walls FIRE DEPT.
date by date _ bydate 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
Building Permit # �J�S ` MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location /U /70 S F R r 106
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
X A4' !ib/+�/.Bu5 r,(�L.E' /�1r9 J cr2iA f, A 7"a
& A'0017 �udL �ns�z /ICo,��1111o�ss &94�- -.o /0 1'
P aA UAvAOLX f : ZjZ- ,- JG Aly 4L////
U moo_ IWA4
. �
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date ! Inspector '�.-)u tdb fzX 7 Z�-O
moos NOVT MOOV T 1 � T A Lot
Building Permit #/1/5 ow MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location Z6RQ S' 7- /O(0 4U�54-`
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below `mush be corrected to gain code compliance
are 2i �? C St Ti o• /L t `£ ) M��h TJ 'oL�,'� Tl� .�ti�_1�u�.� �'�'e�L l�S�•
�J ir2 Sic riow i 2 tot "2 TOO G S T ICA4 •� &01r—
' 2n f4 r a Or- Ll.0 L IINb 13' I 0
ti 55u F.0 -o2 Lo W 11 j=u ream
�. mlc Pzaoo\rk vqLIA) " tDo ^io-T u c''
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection
Department
date 2, Inspector EV7' 2YO
■ os NUT MUV T t - , TA& ,U-
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I S C E L L A N E O U S P E R M I T FOR INSPECTIONS CALL 427-9670
MIS98-0680 PARCEL 322365100004 PLAT : PEPLO DIV : BLK : LOT :
JOB ADDRESS : 10191 E 106 UNION
APPLICANT : TOM BAUER
OWNER : TOM BAUER
LEGAL : PEBBLE BEACH PARK TR 4-5 & T.L.
PROJECT DESCRIPTION :
INSTALL PROPANE TANK
PROJECT LOCATION :
HWY 101 TO HIGHWAY 106 HIGHWAY TO E 10191 ACROSS FROM WATER
PROJECT NOTES :
f
TYPE AMOUNT BY DATE RECEIPT
L
IMCFE $ 9 .50 NJP 12/09/98 49035
IMCFE $ 5 .50 NJP 12/09/98 49035
TOTAL : 15 .00 OWNER 0 ATE
MIS—PRMT, rev; 04/01192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
A
V
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM 1 T C O N L I T I O N S
Case No . : MIS98-0680
For : TOM BAUER
Page : 1
1 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKED WITH 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 DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/ TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X��
2 ) The owner shall have available on site for inspection by Mason Countv , a report
indicating the name and license number of the installer , the amount of pressure at the
time of testing and the length of test time . This report shall be signed by the person
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 under test reflecting test requirements
at time of inspection .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
ns Vou musTo ow tnese guidelines :
1 . Tank is to be 10 feet from any buidling , public way or property line .
2 . If the tank is exposed to probable vehicular damage , provide
protective bollards .
3 . All weeds , grass , brush , trash and other combustible material
shall ept a minimum of 10 feet away from LP containers .
X �!
4 ) CONSTRUCTION PROCESS TO BE FIELD CORRECT S REQUIR R A COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . xJ�;2-
5 ) Approv per dimensions and setbacks on submitted
-p
X
r
t
FOKM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESS HARD ft
IVfASON COUNTY
PLUM BINGIMECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMITION CONTRACTOR INFORMATION
Owner Contractor Name FtfZALVz -L-
Mailing Address ca w1 Mailing Address
City � r 5 .0, AJ State G-�A Zip Code ; City State Zip Code
Phone 5-Q Other Ph.(____) Ph.L_ Other Ph.0
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFOR ION-12 digit Tax arcel No. / Fire District
Legal Description -
Site Address(Please include street name, street number and city)
Directions to site
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank f 5.6�
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL 5-. 60
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes sh II b ade without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date n Submittal Amount Due Receipt No.
Dk"PARTMENITAi? EY[EW> APPROVED DENIED. . NDtfICITVCt�RES.
Building Department W l %T_ (60 C IT t 0,4 S .
Occ Group Type Constr.
Planning Department
Other
Other
„PEES ;;..... :.,,.. ..
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NO.' MIS U
MASON COUNTY `
MISCELLANEOUS PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICAAITTNOR TION CONTRACTOR Ii�MA�ON
Owner ? me 1,t (, C' Contractor Na 1 x4 t_
Mailing Address C Mailing Address
City LA vJ to rJ State c_ ip Code _ r City State Zip Code
Phone � = Other Ph.( Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
PARCEL INFORMAT.IW�1-12 di Ta Parcel N _ / / �� Fire District
Legal Description � �t) � 4C.
Site Address(include street name and city lb/`�l ��, i �G E� (4-
Directions to site:
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe proposed constructionLL
_
a
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaining approval. be made without first obtaining approval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due 0 .5"0 Receipt No.
DEPARTMEN AL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee Other ofJ �� O
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ( )
TTA O L FEES
1