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MIS97-0654 Final Propane - MIS Permit / Conditions - 10/21/1997
tl'i` 1 lu 1'i+EIE;E;::;�U � Ik4. li'OR t-i�—t��;�_l�Ui >—i'�t"�AJ�•tiNic t�UNI'Y 1.;111TtaTRc; MENT AND UN I FO` p l t MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 IN AI i e,.; E= 1— 1 . ,R> N F-: C1 tJ P F, F M 1 "I FOR I NSF'k_i; I ►ot,46 GAI 1 427 9670 MI S97-0654 PARCEL :32 303510600,3 PLAT :AYPLO 6 D I V : BLK : 6 L_OT % 3 JOB ADDRE 3S i /-(' ° 10 - (,- ,.Aj,V--�- L If1 APPLICANT : JOYCE FIELDS a nWNFR i JOYCF F i 11- 1 DS LEGAL : A9@CK 8FAC6 1ST A#9 8(li 6 LQf: 3 PROJECT DESCRIPTIONr Propane tank i PROJECT LOCATION At AVork Beach enter and turn 1ett . Next to last house on right . Blue and wh1tee . i G PROJECT NOTES p c ae�.c-✓;�.:aacnrars;xcw- TYPE MOUNT BY DATE RF CF' I PT MCFIF $ 3 .75 TM-1 00/29/97 455±57 MCF'E 4 3 .75 TMJ 09/29/97 4:5557 MCBF, 16 .75 TMJ 09/29/97 45557 LTOTAL : 24 ,25 OWNER" OR AGENT DArk 24:..=fei".ZFG'.•.:":::I'.`..2=56.�"S;.SIBS".'cT'=•CF.:�::�tC�"..+.•4C .Y�,"A�t�il�.•bFCnT . MIS llMf, f ev; g4111192 COMPLIANCE TO ATTACHED- rON01 T 1 ONS IS REQUIRED i i r r CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons ate by Gas Piping date b i 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 PLUMBING Attic by OTHER Groundwork date b date b y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by �j date by CD—2/ MASON COUNTY Mason County Bldg. III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 P F F1 M I Ar C. © N U) i -r I C3 N t7> Casey No , : MIS97" 0654 For , JOYCE F.. FIELDS Page : 1 1 ? PURSUANT TO 1991 IIN 1 F ORM BU 1 I D i Nr CODE , SFC-F I ON 305 ( C ) AND SECTION 1513 , ALL SIIFS M111ST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIPLE AND L.EG I BI-F FROM THE STREET OR ROAD FRONTING THE PROPERTY . 14AF-ON COUNTY BUILDING DEPARTMENT REOU 1 RES 'THAT THIS BE COMPLETED PR f OR TO CAl l_ I NG FOR ANY SITE INSPECTIONS . A RE I NSPF C;T I ON FEE , BASED ON RATES. IN TABI_F 3A 01`7 THE 1994 UN 1 r-0AM RU I L D i NG CODE W 1 L L. BE. ASSFSSED if' OWNER/CONTRACTOR FAILS TO PAST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 2 > The owner shall have available on site for inspection by Mason County, a report fndfoatfnEI the name and Ifcense number, of this fnsteIfer , the amount of pressure at the time of test i nr1 and the length of test t im+e . Th i s report f;iia I I be s igned by the person -,onducting the test . X -` 3 > AI 1. CONSTRU(:T I ON MOST MEET OR EXCEED Ai.A. 1- OCAL CODES AND LIBC 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 PLUMBING date by 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 4 ) It t-W- tank. ,i l -f- i s t,et weer 125 and rW gal l ons y at: must follow there c u 1 de I i ne 1 Tank Is to be 10 feet from any bu i d i i ng, public, way or property I i ne 2. . If thH tank is exposed to probable vehicular damage, provide protevtive bollArds . 3 . All weeds, 0( ass, br iish ., t r ish anti other combust l ble material shall be kept a minimum of 10 feet: away from t.P containers , _7 x 5 ) CONSTRVJ I ON PROCESS TO RF FIELD CORRFCTEO AS REQUIRE()., PFh MASON COUNTY BUILDING DEPARTMEN i AND UN I FOPM BU I 1 G I NG CODF , x.__....___._.... . 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 . . 54Permit NA MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner /E, Phone#��� 2?2 --2Z Z/ Site Ad ress — 2f city St Zip % S Directions to Job Site s. 7-- Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name (�L�a{)�►7 lC'_ 1 r�D�CTY Gf�.S Contractor Reg. # Address �r�� �^ Expiration date City St Zip Phone #3 Parcel No. .3 (� - - Legal Description I—U 6 #4 Use of building uillding /��5(r,(p�J�,� Describe work 11 #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3.35 each) 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 No. Other Other I Gas Outlets 75 Permit Basic Fee 16.75 �� � -5,15' 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. r , 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 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. DEPARTMENT. X OWNER X BY DATE DATE j 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: