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HomeMy WebLinkAboutMIS98-0261 Remove Underground Storage Tank - MIS Permit / Conditions - 6/3/1998 r MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 E'G I=—t—L- ^ N E ©U 1 P V- 11 M F 01i INSPECTIONS CALL. 427--9610 M I S98-0261 PARCEL. 132233500001 4 Pt AT !SUPI C D I V ; BLK , LOT : JOB ADDRESS ; 7101 f' RTATE ROUTE 106 0141 ";+ A,PFL 1 C;ANT ; WESLEY 'JOHNSON 2*6-292 -3528 OWNER : WESLEY J(.)tIN:;()N �106--292-3528 pEfItA1T LEGAL . SUIIY If ACM TO 1-11 fX AID TAX 895 BY EX*IgATiON � volo � PROJECT DEscp I I'-( I ON : r4u« �0� BY =REMOVE uioncAGROUNII STORAGE TANK DATE p PROJECT LOCATIONt f'RAVEI. SOUTHWEST f ROM RELFA I R , INA AI ONG HWY 106, SOUTH SHORE OF HOOD CANAL , JUST EAST OF t)N f ON PROJECT NOTESt TYPE AMOUNT BY DATE RECEIPT 5�.�.�.0^8:'::L:._'31LTSSCY2.."'�s':�^RA�.SC.:�>=3SCY::.�L^. :^.1pL..."�.:SCffS.:C4L.:b'�'IAY•T..-:.:.SR^ - PRM'f S 42 .00 NJP 06/03/96 47249 TOTAL : 42 .00 OWNFft . R AGENT DAf MIS PAL], per: 4441192 COMPLIANCE TO ATI-AC1415D CONDITION; IS REQUIRED 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 by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by p W WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I L MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF- " M 1 T G0if"J " I "I 1 C) N Case No . - MI S98 --0261 Vorr : WE SL E Y JOHNSON Pale s 1 1 ) Water qua i I ty i s not he i rig degraded t o f hey et► imer►t oT t he aquatic, env I ronmer,l a re su l t of th is Pro jPot . 2 ) The proposed proIeot must br cons Istent with all appIIcahle poIiuies, and olher provI i of er Shoreline Management Act , Its rules, and the Mason County Shore Iino Master P f X g .� ...L _�.a..Y.__..._ .__. 3 ) PURSUANT TO 1994 I!N I FORM BUILDING CODF , ALL SITE M11ST BE MARKF D WITH APPPOVE:D NUMRFRS OR ADnRESSES PROVIDED IN SUCH A• POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDPNG DEPARTMENT REQUIRES THAT THIS BE COMP1...FTED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECT1ON FEE , BASED ON HATES IN TABLE ?A OF THE 1994 UNIFORM 131r111_D't NG CODE WILL BE ASSESSFD IF OWNER/C FAILS TO POST ADDRESS ON SITE PRIOR. T0. REQUESTING INSPECTIONS . x 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 Ba/SLAB Insulation Final Floors 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 I I I MASON COUNTY � Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 RI_QU 1 Vic' x 5 ) CONSTRUCTION PROLE .',S 'TO BE F 1 FI.D CORRE•:CTEL A US2 i RED PFR MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . a_ �_t, 6 ) Tank removal permit is approved pert€ i nc:; approval and monitoring by DOE or other approved agency . Conformance to all applicable WA State laws/regulations for tank removals s ma ditory and an Undergound Storage Tank Site Assessment Report must be submit d or file records prior to final inswection 1 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 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 --- -------- �• MASON COUNTY nnls MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 *427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269 PLEASE PRINT )A 16itA b► O K .Tn r) #1 Own Estates sley & Frances Johnson Phone# 206-292-3528 Fire District# -k)— to Address East 1 Highway 106 City Union, VIA 98592 71�1 ail A Address Wells Fargo Bank, N.A. , P.R. of the Wesley Johnson Estate City P.O. Box 21927 Seattle St WA Zip 981.11 Applicant 6 ells Fargo Bank, N.A. , P.R. of Wesley-_Johnson Phone # 206-292-3528 ti A U= Applicant Address P.O. Box 21927 City Seattle St WA Zip 981 i #2 Contractor Name CEcon Corp UBI# 601 028 238 Address 1703 Portland Avenue Contractor Reg # CECONC*113K3 City Tacoma St VIA Zip 98421 Phone# 253-272-8851 Expiration Date 05 /19/98 Directions to Site: Travel southwest from Belfair, WA along Hwy 106. South shore of Hood Canal, just east of Union, WA. See Attached #3Cragrel No.l Description See Attached TRX #4 Indicate by circling the applicable source if any water is on or adjacent to the property site: B�rJ saltwater lake river creek stream pond wetland seasonal runoff marsh other #5 Project Start Date 5-25-98 Project Completion Date 5-26-98 #6 Use of Buildiing Resort Describe proposed construction Remove UST and backfill excavation with clean material. *Depending upon the type of permit,a floor plan and plot plan may be required. nn *This permit is valid for 180 days from the date of issuance. D r OWNERS AFFIDAVIT CONTRACTORS AFFIDAVITERMr i �N�` SSrTS`�el9 d"d CTOR IN THE I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE ICERTIFYTHATI AMA CURRENTLY REG CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM AWARE OF STATE OF WASHINGTON AND I AM AWARE OF THE OR INANCE RE- THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS QUIREMENTS REGULATING THE WORK FOR WHICH THE PERMIT IS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN CONFORM- ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. FROM THE DING DEPA 11 X OWNER � G�ed X B GEC Or r�n Tr I Show following on the site plan ' Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Wells Water Lines Shorelines Drainage Plan Easements Septic Systems Name of Fronting Street Indicate directional by Proposed Improvements Name of Flanking Street N, S, E, W etc. PLOT PLAN AREA 'CSC_ FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning 4qAPP 'CCOND APP HOLD OS/L Building Fire Marshal Other Special Conditions Fees DU Permit Fee $ � Plan Check Other Other State Building Fee TOTAL DUE $