HomeMy WebLinkAboutMIS96-0790 Cancelled Propane - MIS Permit / Conditions - 4/23/1997 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box' 186 Shelton, Washington 98584
1 C__-C; IF:. t- I.- At..N FE C.)1-1 F7:1 Fa Va to I 'T FOR IMSPECTIONG CALL 427-9670.
MIS-190-01790 PARCEL ,. 1232.942_100050 PLAT : D I V : ELK' s LOT :
JOB ADDRESSs NE 362 STATE ROUTE 300 BEL I"A I R
APPLI CANT i WALTER HE'NNINGSEN 276-3561 'p .1100
OWNERx WALTER HENNINGSPNI 275-3561 vo�
ON
LEGAL i TR 5 Of` RV Sr. tom
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PROJECT DE-i"SCRI ITT IO%h
PROPANE TANK FOR MOSiLE HOME ONIS
PROJECT LOCATION -
TURN ONTO NORTH $HOPE RD AND IT WILL BE T11E 5TH DRIVEWAY 0M RIGI-11', JUST PAST STOGN&WT LOADING
DOCK WHICH IS ON THE LEFT, FIRST LEFT IN 61,111 DRIVEWAY .
PROJFC7 NOTES :
TYPE AMOUNT BY D A TV.-' RECEIPT
MCFE t 6 .60 NJP '1-0/25/96 4334,13
MCFE $ 6 .50 WIP 101'c"5/96 43-345
MCBS * 111 .25 NJP '10125196 43345
01
T-
TOTAL ,. A E
XIS-NROT, COMPLIANCE TO ATTACHED GONDITiONS IS
REQUInEV
CONCRETE MECHANICAL MOBILE HOME
Footir;gs-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
aRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
d teV by WALLBOARD NAILING
D.` date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T C O N ® I T I ® N S
Case No . : MIS96-0790
For : WALTER HENNINGSEN
Page : 1
1 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS a IRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x ,
2 ) If the tank size is between 125 and 500 gallons you must follow these guidelines :
1 . Tank is to be 10 feet from any buidling , public way or property line .
2 . If the tank is exposed to pro-bable vehicular damage, provide
protective bollards .
3 . All weeds , grass , brush , trash and other combustible material
shall be kept a minimum of 10 feet away from LP containers .
X
3 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQUIREMEN .X
Y
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ) The owner shall have available on site for inspection by Mason County, a report
indicating the name and license number of the installer , the amount of pressure at the
time of testing and the length of test time . This report shall be signed by the person
conducting the test .
X 6Y=2
I5 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
I AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
I DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
6 ) Approved per site-plan .
y Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670
PLEASE PRINT
#1 Owner PL_&_. 919W00//y(' 5,6N Phone#
Site Address
City St Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No.
Legal Description
#4 'Use of building Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.25 each Fee Mechanical Fixtures ($6.50 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 Gas Outlets
_ Wood, Gas, Pellet Stove 32.00
Permit Basic Fee 16.25 jVM4Q.eDe L �
TOTAL PLUMBING $ _
Permit Basic Fee 16.25 �O
TOTAL MECHANICAL $�f.
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.
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
AWAREOFTHE 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 ALLWORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628
FC7R OFFICIAL USE ONLY Accepted by Date
Reel t Na Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
- Approved Denied
Planning:
Building:
Fire Marshal:
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks ; Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed'Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of/Fronting Stree in relation to plot plan
APPL ANT O DR SITE PLAN BELOW
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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