HomeMy WebLinkAboutMIS92-1529 Final Water Storage Tank - MIS Permit / Conditions - 3/2/1993 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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APPROVIP 81,10f AN Ill:
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Bill PRO] 1 1 Atflij 10 A f I AC 14C 0 C(Mill I FUN',; IS I2 f:(g)I Rif u
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
._
BETWEEN 5pm AND Bam 427-7262
BLD92-1529 PARCEL : 1231375OOO1O PLAT : DIV: BLK : LOT :
JOB ADDRESS : NE 1171 SAND HILL RD BELFAIR
OWNER : PRINCE OF PEACE 275-3505
CONTRACTOR :
LEGAL : TR 1 1F SIRV 16195 FS 15141:A
CLASS OF WORK . . : ? BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : ? STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : O . Oft IPRMT $ 202.00 TLG 12/28/92 00
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 P L C K $ 25.00 TLG 12/28192 00
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 ISTFE = 4.50 1L6 12/28/92 00
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 0 SHORELINE?. . . . : ? TOTAL: 231.51 VALULATION: 31100
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME—
FRONT. . . ? O . Oft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0
REAR . . . . ? 0 . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . ? O . Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2 ) . ? O . Oft WATER HEATERS . . . . : 0 FURN )=1O0K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? O . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 7
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR /CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 REL.00 /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPI10N:water storage tank
PROJECT L0CATI0M:Sand Hill Rd. past elementary school to B e I f a i r Manor Road.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED TS NOT r.OMMENCEO WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE UIL01N6 CAN BE 0CC,UPPIIE0.
OWNER OR AGENT: t V` DATE:
8L0_PRMT, rev: 03/31 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCWSetback
E MECHANICAL MOBILE HOME
Footin �i�� date by Ribbons
date j 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
Attic OTHER
Groundwork
date by
date b
D W WALLBOARD NAILING
date by date by
Water Line
FINAL INSPECTIO -
date b
date by j�. � y f—;� date by
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
March 9, 1993
Prince of Peach
Attn: Joe Testu
N.E. 180 Cherokee Beach Rd.
Belfair, WA 98528
Dear Mr Testu:
I'm writingin regards t
��
g s o your BuildingPermit Water Storage Tank".
g
Your permit is signed off and approved by Mason County on March 2, 1993.
You meet requirements of hole drawing, and design requirements as per
engineer, Don Fawver.
If you have any question's please call our office 8:00am to 5:00pm Mon-Fri.
Sincerely,
Christine Herth
Clerical/Building
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MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
-- -- - - - ----- --- -
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD92-1529
For : PRINCE OF PEACE
Page : 1
1 ) FIRE MARSHAL COMMENTS :
1 . PROVIDE SECONDARY CONTAINMENT FOR ALL NEW SUPPLY PIPING .
2 . ALL FLOW CONTROL VALVES ON THE WATER SUPPLY SYSTEM SHALL BE
ELECTRICALLY SUPERVISED FOR TAMPERING . THIS CAN BE TIED IN WITH THE INSTALLATION
OF THE FIRE ALARM SYSTEM .
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MASON COUNTY Permit No.BLD `TD - 1 S Z`i'
BUILDING PERM LIT APPLICATION
PLEASE PRINT pA I t4Ge O; PLp4e 011440-Ltd 4C14()% d.1
#1 Owne riftlt fft I Phone# Qe 7S' 3 5OS
Site IddK-ss 1L+ Qc)AP
City Al Sta e Zip
Directions to Job Site 140 � '�f
IS L. To iCc.F 00 Q4 "A mok Qcm4.
4T MAP
Owner Mail-in Address d�
City State Zip
Lien/Title Holder
Address
City State Zip
#2 Contractor Name Wolf&UkwG'd n1w
Contractor Reg
44 AddressIna Expiration Date_
f City StateVJA Zip Phone 111
i � #3 If septic is located on project site, include records .
Connect to Septic? Public water Supply well
(If residential, proof of potable water may be +required. )
#4 Parcel No. y 2 w.-1 S- 0040 123(5
Legal Description
#5 Building Square Footage: (existing/proposed)
1st F1 / 2nd F1 / 3rd Fl / Loft /
Basement / Deck / #Bedrooms / #Bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft
#6 Use of building r ter% Describe work
#7 e Typ of Job: New Add Alt Repair Demolition
Woodstove Re-roof Bulkhead Other
448 Mobile Home Information
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
i
#9 Any water on. or adjacent to property: Saltwater Lake River
Pond wetland Seasonal runoff Other
Show following on the site plan
Lot Dimensions Flood Zones �{
Existing Structures Fences '
Structure Setbacks Driveways j
Water Lines Shorelines
Drainage Plan Topography
Septic System Wells
Proposed Improvements Easements
Name of Flanking Street
Name of Fronting Street Scale:
Date
A.PPLiCANT TO DRAW SITE PLAN BELOW
a
� w �
� TbQ4C
�.
rd
APPLICANT TO DRAW TOpOGRAPHy PROFILE BELOW
R c"T
i
i
Plumbing Fixtures ($2 .00 each) Fee: No. Boilers/Compressor Fees :
No. Toilets 0-3 HP 00
Bath Basins 3 -15 HP 5.00
Bath Tubs 15-30 HP 6.00
Showers 30-50 HP
5.00
Hot Water Htr 50 - HP 5.00
,:,,La un Washer
Sinks No. Air N dling Unit
Floor Drains <� 10, 000 cfm. 7.50
Laundry Basins 10, 000 cfm. 7 50
Dishwasher
Disposal Other
-Urinals Zz-Evap Coolers
Other Hoods
Fire Suppression
Permit Basic Fee 3,00 Domes . Incin.
TOTAL PLUMBING $ Comm]. . Incin.
Reloc/Repair 6.00
Mechanical Fixtures Gas Outlets x 2 .00
No. Fuel Types Woodstove separate
Furn < 100K BTU 6,00 they
Furn >- 100K BTU 6.00
Furs - Floor 6.00 Permit Basic Fee 10.00
Heat - s 6.00 TOTAL ME ICAL $
Ven System x 3 .00
V t Fans x 3 .00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTBIICTZ�
AUTHORIZED IS NOT CaHMMCED ?WITHIN 180 DAYS, OR IF CONSTRUCTION OR. ➢QORIC 1S
SUSPENDED OR ABANDONED FOR. A PERIOD OF 180 DAYS AT ANY TIME AFTER. WORK: IS*
COM ENCED. -
OWNERS AFFIDAVIT - = CONTRACTORS AFFIDAVIT
I certify that I am exempt from the requirements of the I certify that I am a currently registered contractor in
contractors registration law RCW 18.27 , and am the State of Washington and I am aware of the
aware of the Mason County Ordinance requirements for ordinance requirements regulating the work for which
which this permit is issued and that all work done will the permit is issued and all work done will be in
be in conformance therewith. No changes shall be conformance therewith. No changes shall be made
made without first obtaining approval from the Building without first obtaining approval from the Building
Department. Department.
X OWNER 64ut X BY
DATE: rl DATE
Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186
Shelton, WA 98584 427-9670/1-800-562-5638
FOR OFFICIAL USE ONLY: Accepted by: Date:
i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Planning:
Environmental Health:
Building Plan eview:
Occupancy Group:
Fire Marshall:
Or-he
ern - t
FEES
Special Conditions: Site Inspection
,
Building Permit
,
,
,
Violation Fee
,
,
Violation Investigation Fe��
,
Plan Check �
,
,
Plumbing Fee
,
,
Mechanical Fee
,
,
Woodstove Fee
,
Building State Fee
Building Valuation• ao ;
TOTAL