HomeMy WebLinkAboutBLD98-0623 Final Fueling Facility - BLD Permit / Conditions - 12/1/1998 MASON COUNTY �Z
Mason County Bldg. III 426 W. Cedar 771 .
i
RO. Box 186 Shelton, Washington 98584 r -
L_ @ 11A GA Ems" F7 P t i\A I —I—
FOR I NSPE-CT I ON CALL127'--9670 DFCIO199
BETWEEN 5pm AND Sam 427-7262
BLD90--062 S PARCEL s 12:32941001?1 PLAT . C3 I V : ELI< ; LOT
._TOS ADDRE-SS- 110 NE STATE 1110UTE' 300 BEI_Fk'I61 _
OWNER : W I LSON OIL INC .
C 0 PIT RA`CTOR : . V11 I L-80N 0 11. INC . 60--57'£T-r3666
LEGAL : N 100' TE 12 OF HE SE
Cfaf ''S OF WORT( . . .N E01 Ci.OFr 0 BATH : 0 �11PE AMOUNT BY HATE RECEIPT ITYPE AVOUN! BY DATE RECEIPT!
TYPE f)F USE . . . . :C0M -STOR I ES . .
OC:CUP ., GROUP . _:t12 SL DG , HE I GHT . t '17 .O'I t PLCK 3 810:71 KW (6!25!£+6 41
4
1
7
TYPE OF CONS T . , :2N F I REPLACES . . . . . O Ek+F S 50JO iW 0D!€30!9S d79Rfi
OCCUP . . LOAD . . . .. 0 WnODSTOVE:S , . . . 1 0 F.rjOT � 12�2.?5 T� fJ8rcBlsl? AlOS4
T7WE1_L .1JN I TS t o PARKING SPACES : 0 STFF S 4.50 TW 08106198 4T034
I NSF'L_ :T I ON AREA - 1 `*J0PEL I NE? . . . , ;Y FIN A 405.35 TW 08106198 47 93 4 TOTAL: 2512.51 VAILILAT ION: 1719001
SETBACK.S-._...___--__-____ TOI LETS . . . . . . . . . . . 0 FUEL TYPES___ __._ 130I LENS/C0MP---__ MOBILE N0f4E ---
FRONT . . .W :56 ;Of t BATH BASINS . . . E 0 0--3 f1P . c 0
REAR , . .E 1 10 Of t BATH TUBS, . . . . . . . . 0 :3-15 Hp . : 0 MODEL :
SICAE ( 'F ? .N- 5 .Oft GI-1(TWERS . . , e . 0 _ iIJf N 100K, Ol"U . 0 15 30 t• P . : 0 -MAfFE_.___--
S 65 .0Y t WATER IIEATEFIS .- , : 0 EURN 9TLJ : 0 30-50 HP , : 0
SH'RL.. I NE 31 €00 ,Of't CLOTHE '4VASH.E_RS . . . 0 F JRN FLO.OR . . . 0 5113-3- VIP . 0 ..,YLHAll
AREA' __ .._ �_ . �_.d_._�____ ;E( 1TCHEN- SINKS . . . . . 0 HEAT.'PUMP . . . . . 0
LOT 'S 17E . . ; FLOOR DRAINS _ 0 VENT SYSTEMS . . . 0 EVAP COOLERS : 0 LENGTH ; 0
BU I Lf7 I NG , . . : 1560s f I)R.I NI<.I NtG FOUNT ... , : 0 VENT FANS . . . . ... : 0 HOODS . . . . . . . . 0 WIDTH . : 0
B-A SFPAFNT . , 0stT LAUNDRY TRAYS . : 0 DOMES . I NC 1 Id:0 _SER I AL. 11-
DECKS . . . . . . . 0: f 13 I SI-IWAS14ERS . . . . . . . 0 AIR HANDLING UNITS--- COIAML . I NC I N :0
GAFF/CARP :7 Ost GAR6 DISPOSALS . ,__. : 0 -•: 10O00 cfrn . : 0 AELOC:/AET'A III r 0
.AT/DT . -7 US I NAL S . . . . . . . . . . . 0 :_. 10000 of,m . ; 0 OTHER UNITS . . 0
IMF I SC PLAT F I XTUP;E S : 0 GAS 0UTLF-TS . : 0
.._._-..._.............�..._.....s�.�a tY.:.^.:S�.-=.r_..._.-,_--•_".�^`_-:�.�._...._....__.:-.-...�-_.....��._._....m_....�...-..-..r«"..:._�'�^.._.'—..:"=":::M'^^:�.-�:.'^.�"._;�'^_5:..._....'^_.....`_.._..�"...:^y"-:...�:C e��-�-_^.^.y._•,^,^`„-,•�_.:.'.»'.�.:^.,:�^."..^.:::�.^....�-�.:_.^.^..�.=:.�=:..'^.:.'�:.4�r3�'r::�u"'.�^.-�^._'::-^._:_:..
l4.,IECT DESCRIPTION-COMUERCIAL FUELIEIt, FACILITI
� R4JECT,LOCAT ION:NORTH 011 SR 300 200' 1`11911 INTERSECTION Of SIT S '111 1ELFAIR.
THIS,PERNIT BECONE" NUTA AND Y010 IF WORK OR .CONSTRUCTIO0 A1ITHO01HR I" ITOT CO191HCE-0. WITriTII 190 UAYS; 4R.'I-F C011STRUCTION OR WORK fS'SUSPEITUEU FOP, A PERIOD
OF i9'04AYS AT ANY TIME AFTER WORK IS COAHFR4EI7...EJI0ENQF 'OF -CONTIPIlik1.IO1I OF 1YORK IS A PROOH8S INSP.£C1100 WITHIN THE i80 DAY PF,R109. FINAL IIISPEC'HOH RUST BF.
APPFOYED fE ORE $UILOING CAN BE OCCUPIED,
' /� {.
OWNER OR AGEN" ; _ DATE:
_ -��__...__._.�__...._...-.._...
,ID PRHT, r;.v: 03131191 y. COMPLIANCE TO ATTACIIED COIVLI r/10 NS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date — 2J�� 8 by �� Gas Piping date b
Foundation Walls date by Set Up
datE-. by INSULATION date by
BG/SLPB 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
date. by date by
Water Line FINAL INSPECTION
date by date � by date by
I _
I .
I
I
I
I
r.
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 1-86 Shelton, Washington 98584
Case No . : Bt_D98--0623
Fort W I LSON OIL INC .
Paget 1
; ) Approved per dimensions and setbacks on submitted site playa .
{ ;2 ) Proposed structure car; any p?ortiop thereof greater than 30" in height: from oracle tine,
MO St maintain a minimum of 5 ' setback from all property lines , easements and 1 O ' from
Lill -/County and State, road right . of ways .
3 ) Proposed structure or portions thereof with an projection over 30" in height from grade
line, must ma i nth i n a 0 ` separation distance between adjacent structures and t iiat
furthest pro jou.t i on . X _ `
Y
40 T moorary erasion control measures must be implemented to prevent water quality
degradation of adjacent waters or wetlands . Slit fencing must: be installed and
maintained unt i I upland vegetation has become estab l i shed;.
5 ) ayp i l oant sha t l submit a . s�tc� &water p Van .and specific c�t i ons thFa�t will be reviewed
and s allI meet the standards - of the E uson Gounly Dept . cat Public Works ( contact Alan
T ah ia , 360--427-9670, `eQ4 461 ) ; .tan approved s't:ormwater p l mr cancl Operation and
Apia l n tonance Agreement most - be finalized _before commer•c i a r ol_,era.t i ons may start .
X -
6) This application I s ' sub j eot to buffer end Landscaping requ i rementh as established Kinder -
Mason County Ordinance 1 .03 .036 .
l_ .�'_ , _..�..—��j7:=���-,��^r;��-�+J•��'----��`=-Da,1_i..r�� �'t.'c�V)fi��br.�t����
7 ) The use, haOd l i ng and storage of hazardoms materials or flammable and combustible
liquids in excess of 10 gallons is not: allowed without the approval of the Mason County
Fire Marshal .
x
8 ) Provisions for surface/Aubsurface drainage control must be implemented with new
construction or deve iorsra pt _pn site . ynd S U&T N`'T adyerse i y kmp ac y adjacent parcels .
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
Under the requirements of Mason County Stormwater Ordinance , either private ditches and
d r a i n s w i I i ill e o t r e.q u I r e me n t P. of 1,h e stori-awater Ord I nance or Pr lot, appr(,wa I wi I I bo
granted to use an ex i st I ng ut I I i ty and dra i na C e easement dedicated for that specific
Purpose , For further Information regarding thli .4 ordinance land the, REQUIREMENT to
obtain an ACCESS PERMIT for the installatinii/(,,otis-trtiotion of a driveway or access
onimeot 1 nq from a County Rt:tad, Contact the Mason County Pubic Works Department
nriter 'to construction at Ext 450 .
For- any construction which 11:1. PF'Oposed tc5 be located within 25 ' of a ftlasori County road
right of waV, it is stiq,gest 0
d to contact that office to review future planned work which
w�EA y affect Vour project,.
X
9) Perm I tted wi thwit ,;;ewage Any system, inoltidifig oommew loci I p o r t a 1.)1 e, s-a n i a n o w I I I
require a pawmit and approval from -the Health Department .
G I (j n"'i't U 11
10) All approved plans are required -to be on-site 'For ins e0tin p p o firposes . If insectin
a io is O(Ailed for and plans are not n site, Approval WILL o
L NOT be granted . In addition ,
me- Insyiection fee in 'the amount of $42 .00 per hour, (minimuth 1 hour ) vil 11 be charged and
iii ti.L tie co 1 1 e,o t e d by t h 1 s d e p a r t n i e n t prior 'to any further~ i nspeot i oil,, being performed or
api rova I granti,�d
X
11 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITES MUST NAVE APPnOVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A POSITION. AS TO BE. PLAINLY VISABLF AND LG IBLE F110M THE
E
STREET OR ROAD FRONTING THE ' PROPERTY . MA,1-,Otq COUNTY
OUNTY BUILDING DEPARTMENT nEQUIRES THAT
THIS BE COMPLETED PRIOR TO, CALLING FOV ANY' SVVE INSPECTI ()NS . A RE-I.NSPECTION FEE , BASF
ON RATES IN TABLE 3A 'OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
'OWNIER/00NTRACYOR FAILS TO POST ADDRESS N SITE PnIOR TO REQUESTING INSPECTIONS .
X
`12 ) AnV changes I n construct ion shat I be, reviewed b engineer of record and submitted in
r it i ng to the Ma-,3on County Bu J Iding Department prior to 00116ti-LICt 1 Oil .
X_
13 ) ALL GONSTAuc-r i oNj MUST MEET On EXCEED 'AI_I., A_0(.;AL CODE�S AND UB.0 RE001REMENTS AND OCCUPANCY
IS LIMITED TO THE PERM]TTED AND APPROVED CLASOIFICATION . ANY CHANCE OF USE OR OCCUPANCY
WOULD r 1OVEJj P11 I Oil TO CHANGE .
RESOLT IN PERMIT REVOCAT I'ON . 'cl-IANG E OF USE MUST BE APPt
7
———— ———————--——————--
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X
14) changos to
dI bu i i d i co m p I i ano e the 1991 Washington State
6p0VentiIat Indoor Air OuIitV=ner y ;o u �adk { teif _t
Code, thca i � B odo andsor Mason coraty Regu4ations must
be approved by Mason Coun prior to cons i.r•uet i onX
4 5 ) CONSTRUCTION PPOCESS TO BE s= I EW CP1 PEC:TED. AS PEOU 113ECi PEP MASON COUNTY SU I I..P i NG
DEPARTMENT AND UNIFORM BUILDING CODE .
fii
1 6) ALL GONSTI,UC',T I ON MUST MEET: OR EXCEED LOC.AI_, CODEt . IF ANY OUEST I CANS, PLEASE
C{;I_I_ THIS OFFICE BEFORE CONSTRUCaI I ON :
�" 41 i ;pa.r"—1 pr�o,f i de oor�t i f I ed speo I a I i n�pec•t or per engineer 's requirements . Welding and
F�a I t i ng , Provide this office �v i th oop.i es of all reports as they become due .
18 ) 1 . Ir strai Iation shall compiv with Art: ic.Ie: 52 of the T997 Uniform Fire Coded
a . Provide emergency shutdown dev i de within 100 feet; but: :no close than 20 feet Irya►►a
•t hu dispensers .
b . Provide one 20 BC ratedfire extinguisher within 75 feet of the dispensers ,
o . Provide signs prop.i b i t i ng smok i t►rq prop i b i t:.i ng d i pens hg into unapproved
containers , and requiring vehicle engines to be stoppedsa.►ring friar} 1 i nor .
d , L1 i 8pens i ng dev i oe8 shn.i I be protected i ns� r,.1at►►a�ilE' 'f r'r�'rt► vela i c i es bar mounting an a
concrete Island O I napes Dr more . ► n Ii.e i csb • 6r by prote;ot i Ve bollards .
2 . Provide an additional hydrant :fear i' i A prot_e.ot f on: i ocated 'on ..the East side of 016
E I fa i r 1-I i9hwaV, •155 ,foef: Northof .thQ cer►�t.Or i i Yae o f ' t:ho existing access road to the
Sandes Dell gu i 1 d i no . Gon t:aot Joryy Huk 1.1 i at: 13=e i fa i r Water District No . 1 , at ;
869) 75--,i00 for Tha spec I .t i o location and i ns�ta ! i �t i ran information .
`s , Adrd i .t i oda i fire hydr.a'nt must be In place and sery i cab I e prior to operat t =gin of the
fueIdnq faci I it°y .
Building Permit # C,? ZY,.06•;?-� MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location ®vc Ile s.,; 17 3<:?�
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
jOyl,o LL
A-
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 '(-29' Inspector 7--
moos NUT M04V T I T
,�
PERMIT NO.: BLD [b'(J`i 2,
MASON COUNTY 6��5 yr
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
S elton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner IAYn klaw 0 A Contractor Name�E1�,�z��'� ® owt �
Mailing Address 011 9)9 Mailing Address�� �nX A
City �3"1 tIF1a i�B State NA. Zip Code 90,4 v-n City ��c sl�pr r,s�. State Zip Code 9 ��
Phone(3l�, Other Ph. _ Ph.(:?/-,a ) Z_- Other Ph.!. a -� � � *!
Lien/Title HolderAM Contractor Reg. # A <an !
Address Expiration/ 2F61 /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of ewer System JV/I+ Well Water System Name of
Water System JVIA
PARCEL INFORMATION-12 digit Tax Parcel No. 3` / / �f�;/ ,� Fire District o
Legal Description B 4!2 IC'
Site Address(Please include street name, street number and city) 3 Ael AZ,,!rA64Ao_
Directions to site A1, 301-3 ®® ° e2
Will timber be cut and sold in parcel preparation? (Yes/No)_YO
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 NewX Add Alt Repair Other Use of Building
Describe Work 0®A&741;i OAI ®� G�44000SP Ca A(
` No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Garage Carport
Other C A-NQQV S . ft.
MOBILE-HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
W; Type of Heat Purchase Price $ Replacement Unit%?(Yes/No)
Installer Name Certification No.
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:
1; OWNER AFFIDAVIT-]certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I 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
r' 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 Date X Date ✓ /96
t FOR OFFICIAL USE BEYOND THIS POINT
Accepted by I F DatSubmittal Amount Dma. ue _ �71 Receipt No.
..:..;:.;:.;:.;:..;:.....:.;:.:.:
11 ....:....::.:::::..::APP.RQ:.:......::::::Ut».NI.Et?::><<::>::::>::::>::>:::<:.......::::::::::::::::Gtl �?IT . ;::::.; :.;:.;:.;:.::;::.;:.;:.;:.::.;:.:
::.::::. £>:I*PRTVfl ».: lw..::.:::::.::................................................................................................................................................................................................
Building Department
Occ Group W2— Type Constr.Ilr 14 W STAN.0.
Planning Department
Environmental Health Department - -_
Public Works Department
Fire Marshal
Valuation $ _ 1-711 aao. Bra PM'C-e -
'I —
Fee::::.>:. ;:-59ite lnspection:<;;.
�i..........
Building Permit F 2� p
Plan Review Fee g��. =7 J UFC Plan Review Fee
i, Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other S.T. FtE
Violation Fee Pre-Paid at Submittal
( )
::::::<:::>:: r:::
;::>.;:;;.::.;.::::::.;.. TOTAL FEES
l��.
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name OIL =XV C— PARCEL NUMBER 423 Zq 1/l 60121 Date 93
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indic8tiong N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System vl/�
DRAW SITE PLAN BELOW Include iadjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line-I i ®_ . /®/ > i E-adjacent property line
I
VA MR
�XiS�I�(o I o I
G—S-TOR5
N.
� I I
I I �
I
0
$ CA'olOy
� I I
I � I
I I
v �uS Bid
�j00 1 p1�
I I
I � I
I ® I
adjacent property line- I 131` I E-adjacent property line
SAMPLE SITE PLAN
3®® $'/-
adja t property line-� 3io� _ _ _ _ Fadjacent property line
D 30" rRad:R—V
SFASawJAL i• ti L _�'QTSC..__,� i.
CREEK \ I \ � � MOMt i .Gnaen
]I I \ F �•. I Hou3f�
I PRoPaseD
1
ISO
I R I
VAGtvT I Gy1rtAC�c£ \ I
I 3o CM1oPosCD I !
7 AGR=LLLTu..RAL So'
1 I
I
I � I
I I
/ I
\ I /DO'
I � I
r- -6LL
I I
I I
adjacent property lined i a"• \; Fadjacent property line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
dts+�„cm to
A/0 G UY,3 O R A&45
/ �ib'har+LG to
Slops f c¢
dis+an�m
4o Q
Signature Date
_11/05/1998 11:09 1-503-2442887 AFGHAN ASSOCIATES PAGE 02
AFGHAN ASSOCIATES,INC.
CONSULTING ENGINEERS N loo' J%, l..)el) AJ E S E
f/0 A)C- -=3nO
November 5, 1998
Mason County wilding Department
Attn: Kelly Mayo
411 N, Fifth Street
Shelton, WA 98584
Re: Belfair Canopy -Wilson Oil,Inc.
Our Project No.: 98056
Permit#: BLD98-0623
Dear Mr. Colvin:
For the above mentioned project, 2500 psi concrete is adequate for the canopy footings.
Therefore, special inspection,is not required for the footings.
Please call if you have further questions.
PR.
n, E.
Principal
HRA/rlh
FAWORDMODOM056U M.doc
9320 SW BARBUR BLVD.-SUITE 175-PORTIAND,OREGON 97219-(503)244-2450-FAX(503)2442887
4OV-24,38 16:42 FROM: TO:3604277798 PACE:02/06
"r NASTIER UCENSESERVICE _ � as
't DEPARTMENT OF LICENSING U8i KuuBEfi
i a P_O.BOX 903d 0! L
OLY MPIA,WA98507 8034 L- O N
" •••+° Telephone:(360)694-1400 WWFA NAME(pw..ON w-b)
UNDERGROUND STORAGE TANK ADDENDUM
(For new and retrofit tanks and change In ownership)
This foml must accompany a Master Application.
Please type or print clearly In dark ink.
Keep a copy of the completed form and the Instruction sheet for future reference.
OWNER INFORMATION (See page 1 of the Instructions for proper codes.)
1. Tank Owner Type ............. ... . .. ............................... . ............................. . . . . ..............
2. Financial Responsibility Category of Tank Owner............... .. ................ D
3. Financial Responsibility Compliance Method . . ................••••.•. . ......••••••.
4. Attach the document certifying financial responsibility.
5. Attach a list of any tanks at this site that are not covered by the owner's financial responsibility.
Include an explanation.
TANK SITE INFORMATION (See pages 1 and 2 of the insirudiorls for the proper codes.)
1. Site Number (if known) ........................................... .................................... I.....
2. Tank Site Use Type (SIC Code) .................................... ... ............................. 55 4 1
3. This application Is for X a new installation O change owner of an existing tank O a retrofit
4. Contact person at the tank site: UN M t4 N N L-b S/ TG
S 1 &D) -33 od
Name Phdrw Number
P� o�c
Address
Lo noov I W A
City
state Zip code
It you need msluanoe mm*dra T*Ie=M Munid 0ws Dog"b the teal,call
100(3W)W&Z?M.To rea wat INN d=mmnt In sn alterrmu loaner k r Me vWwwlly v,+„ an
et3a0a4+1 uV40EFIGROUND Taws ADO. eMAloR NI"t cr 4 fmpalrad,call CUM M6,1400.
7
O
C
i
INDIVIDUAL TANK INFORMATION (seepage 3 of the instructions fo►prapwcodes befae oompleBng this secton.) ro
Frei Tank Sowed Tank Third Tank Fourth Tank Fifth Tank m
B A Tank tD
ro
$ 8 Installation Date ro
C Tank Slmus nn m 3
D Tank Material p
E Tank Construdon
A
d
a F TarAt Retease Detection
C
G Tan♦c Tightness Teatirtg a
H Taf*Corrosion PtaiecWn 1
i Soil Protodlon A
J OveiRl Praiedion
K Piping Material p p
(L Piping Conatnrction
0
M Piping Relies Detection
m
' m
N Piping Tighbteee TestirV 6 B ro
O Piping Corrosion Protection �, m
P Pumping System 4r ft
Comperttnstds 1 2 3 1 2 3 t 2 3 1 2 3 1 2 3 fl
Q
a Substance Stored ^ `lam
LJ 'i m
Q D
R Substance Use A
m
w
IF �
S Compartment Capacity �Da y
NOV-24i98 16:42 FROM: TO:3604277798 PACE:04/06
UBI # 6100 -067 A�y
SITt= PLAN(India apace below.provide an as buihailo plan of Me tank and piping Inclallation,lndude all uw a rnquasa"d In Q�einevu4tlons.)
. a
'DRIQE
FH
�o
J h
cs aEsz-L 1-s Dltset_
pampas Pu P J3
� Wr+P�y b,�Z CIISo�►tve'
ReMarE Pp
Lis pi t3�kNDER ��
"Pik PvmP
.4 PL
J
N i` L ES L- Fu EL26`
5 UP �� Q
R
v
DRIVE
6 T`ATE" Ro VTE 3
Always contact IOcai authOdties regarding permit requirements.
You must have the Installation supervisor sign the back aide of this page.
a187m81r U4 DERGRoum TAM vo.(MR710fi Pxp 2.1 A
'K!OU-24 98 16:43 FROM: TO:3604277798 PRCE:05/06
UBI #
INSTALLLRS CERTIFICATION )
I hereby certify that the installation of the new underground tank system or any upgrades or retrofits to the existing tank system listed
on this form were completed according to all applicable regulations, codes and standards and that a certified supervisor was on site
during all required i tallation activities.
Sigm1ure of Certified Supervisor Dana Signed
1�1�� Sett"
PRINTED Name of Person Signing Above
OWNER/OPERATOR AGREEMENT TO TERMS AND CONDITIONS OF UST PERMIT
Owners and operators of petroleum underground storage tanks . Notify Ecology of intent to Install a new UST system at
(USTs) must: least 30 days,but not more than 90 days,prior to installs-
. Maintain proof of financial responsibility for taking corrective tier.(Row 90.76.020(1)(a), WAC 173-360-200(1))
aeon and compensating third parties for Wily injury and . Permanently dose a tank after It has been temporarily
property damages caused by petroleum releases.[RCW dosed or out of service for 12 months-and does not meet
90.76.020(1)(g), WAC 173.360-400 through 4991 the performance standards for new UST systems or the
Provide release detection far petroleum USTs that can upgrading requirements in WAC 173-360-310(2)(3). [RCW
• p 90.76.020(1)(f), WAC 173-360-380 through 385]
detect a release from any part of the tank and piping;must
be installed,calibrated,operated and maintalned according Notify. Ecology at least 30 days before beginning either
to manufacturers'instructions; and mus+meet the appropri- a permanent closure or a change in service. [RCW
ate performance requirements in WAG 173.360-345 or 365. 90.76,020(1)(c),WAC 173.360-389
[RCW 90.76.020(1)(d),WAC 173 360-330 through 359 • Have a certified UST supervisor conduct a site assessment
Operate and maintain corrosion protection systems In at permanent closure or a change-in-service as required
accordance with WAC 173-360-320 for new or upgraded under WAC 173.360.385 through 395.[RCW 90.76.020
steel tanks and piping installed after December 22, 1988. (1)(1),WAC 173-360.600 through 630]
[RCW 90.76.G20(1)(a)(b), WAC 173-360-300 through 325) • Do not operate an UST or accept delivery of regulated
Provide for spill and overfill protection for new or unpgraded substances without a valid permit,,JRCW 90.76,020(1)(c),
tanks installed after December 22, 1988,that are filled with WAC 173-360-130]
more than 25 gallons at a time.(RCW 90,76.020(1)(a)(b), • Notify the Department of Ecology within 30 days after
WAC 173-360-300 through 3151 bringing any newly installed UST system Into use.[RCW
Repon,Investigate and dean up any spills and overfills in 90.76,020(1)(c), WAC 173.360.200(2)]
accordance with WAC 173-360-375:[RCW 90,76.020(1)(e), • Violations of these permit conditions may result in pemtit
WAC 173-360-360 through 375,WAC 173-360-3991 revocation arWor civil penalty up to$5,000 for each tank
Use a certified UST supervisor to perform all UST service involved,for each day of the violation.[RCW 90.76.080,
activities:repairs,tank Installation,retrofitting,tank decommis- WAC 173.360.670, WAC 173.360-130(8)1
sioning,tightness testing,corrosion protection installation and
testing and site assessment [RCW 90.76.020(5),WAC 173-
360-600 through 6301
As the owner and/or operator of the Underground Storage Tank(US?)system described on this application, I car*that I have read
and agree to abide by the foregoing terms ant!conditions,and fhaf I urrotsrstand fftar having an UST permit requ►rm Char I comply WM
the provision pained in chapter 90.76 RCW,the raW governing USTs,and ifs implementing regulations, dWier 173-36o WAC
Siva o nderground Storage Tank owner Data Signed
5rf_V& W1I-C. Qx
PRINTED Name of Person Signing Above
BLS•TmW 1 IA"110110UND TAW(ADD,IMA710R V"R I d 4
TO:3604277798
t,igv=2-r_98 16:43 FROM: STORAGE TANK
GROUND S'TOR n %.c«+ r ^.W,.�.• ,;w�x.�. � .
UNDER = _
30 DAY NOTICE
L n 6 t a o >. Sea back of form for inSavcdcM 010we v PORN arol. 1wand bom
1'EMPORAR* PERMrT
In= 0 ktt= L3 Both VALID 1,1Wr1L .
(� o to Insmu to Cloy NOV 14 as
In ormatlon Owner Intornratlon
(RIb Yaim "M vM bo�MqA u)aft dt =l
ID Number I1ST owns x0wawr 2 i.1.r�Zn 2
sa•Aon FsdoQy � -I 1 - ,{�
�Btwrlsas Name RF����. C-4� Mallrlg Addrou IT" 0+ .
• sows
300
Pa�
/$^Gate Clv/SUfts .,)
.Q gL_ nf;
Code cf gs2--8 . _ Telephorw(„� Zp Cods ' TW@0wrw (�0] Y A 3 -�'J 0 r3
nk Installation Company (n wmn). Flu an Oils sedan OMY If wft we Wng lrraatlsd.
vI®Company W r R -Goo Cormd Name
,rasa 00 0 PA MC-rL G,A�l BOO Q Gx(!Dq
� v'► W 9�6 .2 Ttiept9u�s r y�3 3,3 0 0
cvY
s. .,
MCA-
rd;......•tma: , n-0'�{.as--iai'i:� •y<aigiq;�4 'S ,•s'nC6' :,a,
���� .,;rtt� �� Sli:6d, .'AJY'r.Y.!'rY.: %O` 69N �:/'�S?•l�'.._:•
. ..,.l... ::t;::[:b:::tjfS4)::��.l7,•.:'•. .f�n, fi t�Y.'S•-A� T- v::, !..w--• 4r
,^.a }' �.. y .. :.r . r':rt,... •!' r gg^%fxN. 555£.s' '-- :
.,x'a! �:'2yy;::;:: ,'G2,[':'try:•A't`k%VaT�+t•'..?:�X r•>. .. .T�'
;..s� e}y.:'•r,n>arg;�.� �^�A`' X,",.",{,,.��;���;. . `J• yr. �e.r.,'c.� :p:-',•.
r.r;�weel:o::' S 8c:her'^9c'�k`i rtiteN Itiry,,yc•::;•ttpf. �iY•ifM:''.a»r • "FS' .v. w-Yv ya •:.,.•,. -..,•
' ....,>: '•'r:r�da•.�i� >�,. ?[,e.'�x'?',�:..9fi;., , �'.w"�'�e'"'u'�.'{�u:�, �%.YSS£ 't �e�'i'
".M
"�'�.:':S:•'•':i i; z :i,f:'.::>��Yr::�f,'• a y' �:a•�ni„�5�, ..�:k max{' :.=r:, ,s,•-x..•,•�r'••''.
>•f; "y�j,'�v it�"�'>�`>X .""�a,:....1,!'.�'t.•y: .e S^ ; •.;!!�'. {. .�,'-..
.. ��j� ...•.. ._.{,.; / ' �� 'C; i,�M•�v''NK�'••,wi'„•,o.o,'KK. 7ti•'k.+•tlr I
«.:.{, a' :µ� Tank I I,.
�'.+!•,,:C[fl,. [. ;fV^. :Y.;.-.. ^?,}Cc ?lffee::++::: .r•,w... 'rr'.L'1��.•.•'•y_1N'^. ::2}: ,;r.
:,viwi#ice.''•• Y_�•:�..o.. }. o,.,.N9'+�„'i��% a,rn
Fill out ads sedan ONLY If
:,.Nt,,ek' a t•'� •I,ar i ���.•„ r „!q{/ S..•,., :.�;:•',a•t.hJ
:$'S�:Y!;ia:i:,eV:.l..;,r....^..is $fia.e ,.�.?t-'�!5'..::: v',Fr. •,L.rsr .�st�t•', •+;�' f[. `
�
��" r k• ,tip '.. Y„;.;..: �:.....;,w.:'t l��are being
., v� �:�;,' :.,,•','.'•""'•'?1�,.�8y�w�j2F �Yf•a i�x�.,.[:iS3:
.• V'} ;;,'`,!!�! SS:j�.;:1 '.�'tb'i�.s:n,� ,4n':w K.e.Y,i:.i"v,ryiP�'n's#r:".:� #s,xc..... w'.u�iu ��..��.�•.�, j' '.:S,..x..,..... [f
f.l�«.a�: { ,o x., �v[•r a ' "; "r.,<r'prf .+ [�'�r!!i�5,2�Sb,att.' rS:x•Aw}7;Mt,..
w• :r.
Tank ID b=24 Do%
r .yA Sfx.�•`G. i'i,' r .a'rt t; 9Ho�rt«.N.;cu--.•..d!'
.. .,:.?,... ,:xb`=•; Y:ri¢vw' ':x.?,. ..,;o-yV�{�. xq't.;e.�C::o:.,fr3s s+y.t• e'!.
�"".�.y'rt.. r rY q^�'.K:as, I�wr 4?•i�Pw u.t .,��,�:.y;"a,;;,»>'s..,�";n' :'u xaa.r;,en.'•';:
.. i:.4�.�jj ti• •A. •.tit. t '�p .[ `y^t�,,� "�. •as��FC'�:a'f3y�'J�•nY�ki� ;�•a%y��•
i �[' ,{G/t5n• L••,�3iw�tt53'�i.k.f::J.'ln� 'i'Q �s" '.b.%✓:' ,`,V'
,:tt".'„ n'.,.[!�+[�. .y.1 ,�,N�„'�,+,ot ,^t•• � .Y,';,,•vr�M':" r'!'''::.�,r.Yr.F 5h['. rK4.�, •�w:•�.(S•���
:.•,`y.str•3;,a,^Ji:•-:r;'::'. ::,'ii: F'F;trti >1riwX�:rxn::.".•4,•
;;.q r �t 7.. :",:•S:4L''� !S?:(!;�1,Y:":�'y,jt;,�s'jC,,.. � ib�,'�- �`2tF''S�Y,`�Q'rM,%+el;. ' S�. .�'� ,��,X"'.:.if:iiC'.' .. ,rkV7F". ."d.��.%r,N�k,', n.9•, n .�...+�T.(f���
.•� :.{,::: ..::t. .�, �•^�'�„�,;xy;�^p r.;�a•n.,n;rrr•wr:,Vs%`F:;,...3�:':"�",�":a"•.;':
.. y�;s": :.f.'`�'?r,"r'•i:..'. �•., �lf:,`v .. : r,.'�t rn:�.;.y6;:s'�••Ts 'i"'.;•:•h' .:...r
...4t' .f{,.:1:"2..�3.„r�•�5Z i5<• ..1:r i•{ZF•'� t%S;:Q :�F.<:��:{!4D,{�••n?`�?fJY„ �,'':ig)�}(�� �:i�S�.Q.
}'1>: $$,,��,�ij:,rl"!:t'L?. ':>;�' ,;il:,: S.�.:�:...:: ,'^.G:n•:}h... .:,0:4 ,•r...{•:a:.•:,{c..-•.S
'}.Y�'5�:.'.•:•.aT,:+ ::75!SJSgas tF,.w<..�:�� •.�t't"'•: r'.t.• ff�'+ :"�:��i;� ��
.. r.:..•..,,a.�r• .::;: ' ' : :n;x":,a.'i?y.:•:^:Zi��ff1C'".'rya;s�%>l:'d� t�<..`.r.}�iH„�!:ti:i•
, .,�+1,.: ` r ..C;4G:o:rt•w"��.a,t^,j.. sf" ,:y'ic,.a:2.., ...�•r,s ..rr,,!c+
Till� t:j.•.l'i LYiSS,[(•f•...:L!:•.,, Si�:4:.y.. fi".
....+•' •.�.r^::C���`y
..:'iM::}n'•, \:rn�i,`:�wry:. ^4,�^, ',Lt•' S.".V}.:::.'�'�:`...L-...ti.:ua•<....
....d...�'•rru i,{: >..,,r ,,,e..L •.2:.rti,..<s:,.'.... ..: `,+�'s9 '..4•i�'+.e^�kd>::'t>r.:Y.•r,?;'L'ii' iiY'�:;3,:. �.�-'•
ewslvo Ink docunwit In an ammas>w fwMjL oenLrct d"To)=C49AMP PROQIIAM it 1-MM26 7718(VOICE)OR(360)407.6006 CMD
rY 020aS(RLv.4A5)
l
NOV-23-98 MON 12:54 ROMOO INDUSTRIES FAX NO. 380 750 8511 P. 01
si. 17 3 c'-3o
1410MC0
INDUSTRIES, INC. C-)o�� - <—Y�2, ?
Mason County Building Department
Attn. Terry Ryan
Permit#BLD98-0623.
Following is the Information requested. Romco Industries Inc. is a full
service fabrication and Installation Company, that specializes in canopies and
buildings. All work is performed by qualified employees. Following is the WABO
cards for our welders. Also included is a letter from the engineer of record.
If I cari be of further assistance please call.
Sincerely
Mike Swanson
Administrator
;Ar
Web Page:www.Romcolnc.com • e-mail:Canopies@Romcoinr,.com '}
(503)241-9838 • (360)750-7944 - 1114 W.Fourth Plain - Vancouver,WA 98660 • Fax(360)750-8511 • (800)349-7�44:
NOV-23-98 MON 12:55 ROM00 INDUSTRIES FAX NO. 360 750 8511 P. 02
11/23/1998 11:27 1-503-2442887 AFGHAN ASSOCIATES PAGE 82
`�AFGSAI�A5SOC7ATES.INC.
CONSULTING ENGINEERS
November 5, 1998
Mason County Building Department
Attn: Kelly Mayo
411 N.Fifth Street
Shelton, WA 98584
Re: Belfair Caaaopy-Wilson Oil,Inc,
Our Project No.: 98056
Permit*: BLD98-0623
Dear Mr. Colvin:
For the above mentioned project, 2500 psi concrete is adequate for the canopy footings.
Therefore, special inspection is not required for the footings.
Please call if you have further questions.
Six In
Tatz�id R, Afghan, .E.
Principal
HRA/rlh
F.\W0AO\98Q0M D16\irU2.dae
9320 SW BARWR BLVD.-SURE 175-POMANO,OREGON 97219-(503)244-2450-FAX(003)244-2557
<:
c.
Fi+ICiAGS
--7�^ ..:yy�HII��YY)K
.X. z :fl< : :"D :0::0:•> ` 200:UriloriAve SE Sulte200 O
n '^ -i n m PO Box'7310.O1ymP1a,WA 98567-7310 .
Z =� -i - Phone:(360)586-6725 C
5.
1
m N z -< -Ni M. D I"., i n f V
A N ER
C'A R
N m W Fr.n w
(`F RTIFiT,D
1 O p m O z p s CO
co
L' a z o STEVEN P. ROMMEL
sN m p C C O
a z sad LrWon,mnenauadop,amm,Drv�l's�xe�e � EXPIRES:D1APR99>ROM 84 4920 Z
i ? ,o Ialj?d'Aanoo D nwr .10A0 ,Slr " 24813 NE 10THAVE
00 1 !� 1,� �.� od�Lnnla laajS'rK4+�w.',:d : 1` RIDGEFIELD WA 98642-9428 ry
- w W to �P O �. A N raMO
a, ; b 0 '��� m n n do �t am!u�n lld Pia ajV m,�a-
rn
PO Z unun vows, { 3
p yY Md11TS i°°°`a�Q�'s
j ;: I��i2;Tlllt DSfd 1f U,t pfOQalty DI WABO
O {-' � ° � �+ p j B�Q7r�M 7V1r(l.i�fIHZS:-�. Catdmua,bertnewcdanacbe[m�s,cplt.uon�ale. E7[ea,dvepireclof
'.
pZ
' O
p
y > m v [7 i I n
n m
I Z X D ? O z Sat L+PRAJ°o9-1Dv,d ala d,u° O
m cD 1=7 . z f+ jalll�'I' anoo! :��,° 1 JJOdALle6aT!8uganti I•
D Ir aaAo WASHINGTON ASSOCIATION OFBUILDINGO z a�IL3 :;dq xiu laaj `leua,e 200 Union OFFICIALS �C
muy,g° S W non Ave SE Sidle 200.
i���y 31jDiClOjttD-r14ra p°y MY d ajDjd :°uo3 � A PO Box 7310.Olympia.WA 98507-7310 �
A1VJ3 -,aaAa,as°1vlw Phone:13 601 5 8 6-6725 m
;4 j i I 1 'aPPM 19'JnI3n.4S 1. CERTIFIED WRi.DF,R f'AP p zn
ja11 t artoor saj � i ; WILLIAM J. DUPRE
.9 :,�°r Jaen r.8/I ,d EXPIRES >
ra'xol'P 6-d _Vdry,,, DUP 56 3491
d awl-fju,alx++uaA 116' upv,I jaajS 3921 E FOURTH PLAIN BLVD UNIT 35
j aj"Td VANCOUVER WA 98661-5743
lvnunyy 3w1 Md�YS' w�rv1�� x=>r�
QDRM'I 7h1t cam Is the properly DI WA80
M1 Cardmusibc""Amdanorbdnrc MA*41j0odu,. O
�,w,tncDircclos
w
W
O
CD
CSl
...._.. ......._._..�_.__... ....,._ �.,,,,..,,,.r.r. co
• CSl
WASHING ONASSOCIATI0NOF8UI1.11INGOFRC1ALSS
200 Union Ave SE Sune 200
PO Box 7310.Olympia.WA 99507.7310
-Phone:(360)586.6725
CERTIFIED WELDERCARD
,uu,u„u,l,,,ldruno,° WILLIAM J_ DUPRE III
jar ` a n„�°n,p.�,;, ,e8 S:O1JUL98>DUP 74 1767
a�ba� :w�,r laao EXPIRE
�.,8/J:as,,�.1,,,. 1
�Y X 11L3 -aAL ADMI gal. 3921 E FOURTH BLVD UNIT 35 0
c�„&„a 1�!a� yaajs->P�„ery w
A AH3 -11� ajvld :e,,,,� VANCOUVER WA .98561-5743
5 om, ronw-1was* .P°y,,,N,. �{
.- :- ". aO�► . _ 1.� /hla�' :cs"°�d SviR,,H Thk card is Ihe.f'
PI ticl.leinjan p amayof wma . `.
..Grdrua4ephe+.edmnhr.:ree�.._ .
M.
JUL-15-98 WED 09 :24 AN CTL, INC 206 5880928 P. 01
.. ._ -- -----'wan
Post-itm Fax Note 7071 P4046h
Tod Rro�n
CoJOQpI. Co.
CO N STRU CTI C Phone k Phone 0 Fax H3/_� G ), Fax# CJ C.r JC� J
(�J uite D-7,Tacoma,WA 98499
Telephone(206)588-0805
Facsimile (206) 588-0928
July 15th,1998
ATTN: MR. WARREN COLVIN
FAX NO.: (360) 427-7798
MASON COUNTY PUBLIC WORKS
Dear Mr. Colvin:
Please be advised that Construction Testing Labs, Inc. has been retained by
Wilson Oil to provide special inspection and testing for the Relfair CFN project.
Our firm is WABO registered and the number is SMI 54 9653,
Sincerely Yours,
Jack C. Ross
President
JCROSSIfmd
cc: Mike Scott
Fax No. (360) 425-6274
FILE;cgLVIN,LTR
AFGHAN ASSOCIATES, INC.
CONSULTING ENGINEERS
July 14, 1998
Mason County Building Department
Attn: Warren Colvin
411 N. Fifth Street
Shelton, WA 98584
Re: Belfair Canopy -Wilson Oil,Inc.
Our Project No.: 98056
Permit#: BLD98-0623
Dear Mr. Colvin:
For the above mentioned project, 2500 psi concrete is adequate for the canopy footings. A
special inspection is not required.
Please call if you have further questions.
Sincerely,
Hamid R. Afghan, P.E.
Principal '
HRA/rlh
7"ONAL
FAWORD\98000\98056\Ltr01.doc
9320 SW BARBUR BLVD. • SUITE 175 • PORTLAND, OREGON 97219• (503)244-2450• FAx 244-2887
WORK ORDER - PUBLIC WORKS DEPT.
V4 Date: (t� ,r/ (p Work Order
PERMIT#: Number.
Requested by: ovyff,2vt
Authorized by: Date:
Type of Work: ---
CHARGE TO: vv
NAME
AGENCY/COMPANY
BILLING ADDRESS
PHONE
,(e) Pub. Works Person In Charge:
(C) Project Time Line: (from-to dates) TO
Project Start date: Estimated Finish Date:
APProx1rnate hmm: ESTIMATED TOTAL$*S:
COST ESTIMATE
(D) l Employee !Rate Hours Subtotal ' Frinae% TOTAL$
TOTAL SS
EQUIPMENT USED:
MATERIAL USED:
a.::::::.::::::::.:a.:::::•...::::.::::.:.r:,:.,.....::: ..:vim.
{�, �,�w?;.,?r�.?::;,�N.•;.}r::.,s.... ..-.,. .� y �s:•- ,:�;sr.«�r�;r.:.�s::�c�.:,. .,;r:...�!�-.��sn.M}x.�rNs:.
.......,. .r.....:::•?::..va,�.•x-??:�?.:::.v:;.}-...:_":?Yw:-??xov-v:::.vj..v::.:.au•.�,.?-:.v::#:rr:. � .. �� .:. -. ?::{::,;.y.a?.±t.;.., ;�.}va.. �;:�.c.:; :;,2}-.:�:}.•aa r}Srv':-::ti.'•:
... ...4� :...: ............. ...a v: rr-_.v;:?::.•:vv}?vi:iy.}aw.w:::•:::.v:•:::.v-v:.- _�. .. ... :.v-w:..a:� .v.4::�:?-}:n�.4 n:.}j}'im:}:?va.{ii'vi:}i�n•:i.?v�i}}?}:v:-?•
?nSxa-SaNio-xr��:�fSEdcistidn�:•�o-a?:�::,w+:A:?:::?:varx::a:?twad'LKYa.ik%Fcaa,"�J6a:Xt%tixLca�:::-�+ix`,:4ar:.owc aa:;f�,:.Gwva,::ua,.a .. .......(F) Actual Cost $ BARS: PROJ 1R:
DATE Employee
WORKED Name ri Rate Hours Subtotal Ednae% TOTAL$
EQUIPMENT USED: Date Rate TOTAL!'S
MATERIAL USED:
TOTAL ALL
(G) BILLED DATE INV 0 PAID DATE REC.0 CK#