HomeMy WebLinkAboutBLD2000-01227 Propane - BLD Permit / Conditions - 9/21/2000 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 _
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
!rot Shelton, WA 98584 1 d i10 3 / Z
RESIDENTIAL BUILDING PERMIT BLD2000-01227
OWNER: ROBERT DUFF RECEIVED: 09/20/2000
CONTRACTOR: ISSUED: 09/21/2000
SITE ADDRESS: 2821 NE OLD BELFAIR HWY BELFAIR EXPIRES: 03/21/2001
PARCEL NUMBER: 123093400040
LEGAL DESCRIPTION: TR 4 OF SE SW EX NELY 118.3' NE2821 OLD BELFAIR HWY
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK , OUTLET , STOVE NORTH ON OLD BELFAIR HWY TO ADDRESS
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.:_ No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Length: Ft. Front: Water Body:Ft. Shoreline: Ft. SEPA?:
Rear: Ft. Slope: Ft. Shoreline Desi
Model: Width: Ft. Side 1: Ft. g..
Year: Serial No.: Side 2: Ft. Com . Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Gas Outlets 1 Mechanical Fee TW 09/20/200 $63.30 2012
Propane Tank 1 Mechanical Base Fee TW 09/20/200 $23.50 2012
Propane Stove 1 Total $86.80
BLD2000-01227 Please refer to the following pages for conditions of this permit. 1 of 3
Bcj-�) bc-,
No. 1 PROPANE TANK PERMIT CONDITIONS
i
,/99
POST ADDRESS PURSUANT TO 1997 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 DEPARTMENTtREQUIRES THAT THIS BE
N FEE, BASED N
COMPLETED PRIOR TO CALLING FOR ANY SITE UNIFORM BUILDINGPCODE WILL BEECTIONS. A R ASSESS EDIOIF 0 NER/CONTRACTORTFAILS ES PO POST
FEE SCHEDULES AND THE 1997
ADDRI;SEQN S14E PRIOR TO REQUESTING INSPECTIONS.
k ou mist follow these guidelines:
1 rrn�ane ganx If the tank size is between 125 and SDO gallons y
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 needs,,_^grass, brush, trash and other combustible material
mum of 10 feet away from LP containers.
sh mini
�Uiv �.
x �ORRECTED AS REQUIRED PER MASON COUNTY BUILDING
;7 Field Correct CONSTRUCTION PROCESS To BF
DEPARTMENT AND UNIFORM BUILDING CODE-X -------
Permit number BLD4v
Mechanical Permit Checklist
► Name of owner: Name of Installer: l?*-11
► Fuel Type? LPG 1/ Nat Gas Electric Other
► If propane, what is the proposed size of tank(s)? 2 SD 6�44,
► What type of mechaical unit will be installed? (i.e.freestanding stove,forced airfurnace, etc.)
S140� &- -rNS'rti-r
► What is the use of the structure? (Circle one) Residentialsi Commercial
(A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff. Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application)
► Type Of structure: (Circle one) Site Built Homed Manufactured Home Other
► What room will the mechanical unit be located? F. .r,� ;Fc,,
► Will the unit be located in a basement? (circle one) Yes
► How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.)
► How will the the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or
wood fuel. (Indicate B-vent, direct vent,L vent,etc.) J? - U.&„T
► What year was the structure constructed? 1�2 Was this structure part of a PUD upgrade?
► What type of controls will be installed? (i.e. thermostat, etc.) / A",-iaz Gw mole
► Will the proposed mechanical unit be a heat source?(circle one) Ye No
► Additional information:
Typical mechanical fees:
Forced air furnace $ 14.80
Heat pump 10.65
Propane tank 10.65
Gas Outlets 10.65 additional outlets over 5, $1.00 each
Mechanical base fee 23.50 or $ 7.25 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace, pellet stove or wood stove $42.00
$4.50 state fee will not be collected on mechanical permits
CONt MECHANICAL MOBILE HOME
Footir etback date by Ribbons
date by Gas Piping date b
Found e I falls date Z -----PC) b / /� Set Up
date by INSULATION date by _
BG/SLAB Insulation Final
Floors
date
aRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date Z _C"1C) by date by
-'
l
FORM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584 D
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 rJ
APPLICANT INFORMATION CONTRACTOR INFQWRMATION
Owner - r S' �,� Contractor Name JJ��II��
Mailing Address A' _. L4) 4,;;4_*•L } Mailing Address
City�[irr- ,CA_ State itV Zip Code City State Zip Code
Phone(,s ) Z 7'7•.?,Sy Other Ph.(____) Ph.(_ Other Ph.(_�
Lien/Title Holder &.j*4,,,,a2,4y Viz" /Y/url� Contractor Reg. #
Address Expiration
SE ICI ORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer stem
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description
Site Address(Please include street name, street number and city) .2 .:/ .Jew Din
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 Newt/Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st 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 Fpe.—s
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank ✓ t�' p
Laundry Wsher Gas Outlets
Sinks `� Wood/Gas/Pellet Stove ✓
Dishwasher Direct Vent?
Other Other
Other _ Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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-I 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 shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X AXZIIDate <0 X Date
FOR OF I IAL USE BEYOND THIS POINT
k �^
Accepted by G Date Submittal Amount Due "� "� Receipt No.Lf
��
O ART(Vf 1TAi ii�£V#E1K .. ....APPROVED GJENIEU77.
;:: QNRtTIQN'GQDES; ...
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
SEES ...............
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