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HomeMy WebLinkAboutMIS98-0602 Propane and Stove - MIS Permit / Conditions - 10/3/2001 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 € I e.90--00602 PARCEL s 4 23 30/ 32 9!728 1 P@..1,T a D I V e 13L.K : LOT - JOB APPLICANT : JOYCE DAR E.LL 360--2 T5--5 95 LEGAL . Tit .30 OF GOVt LOT 3 FR 4-111 OF SP -!11862 PE ,Rp►T10N PROJECT PESCR I PT 1 ON : 4ULL & pl[3 PROPANE TANK, GAS STOVE SATE D(�13� I✓•RlJ6_ EC LOCAT I ONN a DOWN M I C SIGN CBEEK RD r'tiPPtn- OX , 2 MILES. TURN V1 1 G T ON SE I-TZ VR, UP HILL 1-0 ADDRESS . PROJECT NOTES Nib PHIT, rev, 0410H92 COMPLIANCE TO ATTACHED, CONDITIONS IS - - 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 by date by date by Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER i Groundwork date I by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Building Permit # �s' -r � z MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location a9 �c-c 2 2 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 CW 7--7- Cam? /�f'' fAnC- 1.2 c. A:-`P f-c�4� 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 Z_?CZ9 Date Inspector moo * NOT M44V THI", TA ,� � MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case Pao . . hTIS98--0602 For JOYCE DAPHELL Page , I 13 PURSUANT TO 1994 UNIFORM BUILDING (31ODF , ALL SITE MOST BE MARKED WITH APPHOVED MUNIBFI-IS On, 3 1 B 1.E R M I ADDRESSES PROVIDED IN SUCH A POSMON AS TO BE PLAINLY VISIBLE AND LEC - F 0 TiE -Ir 'N COUNTY B0 I LE?I NG DF PARTME114T REOU I RES THAT STR E E ROAD FRONT ING Tf . PROPERTY . MASO MPL ET El? PR IOR TO CALLING FOR ANY SITE INSPECTIONS , A REMSPECTION FEE , BASED Tit IS BEE ON ON RAT IN TABLE ""A ' F THE 1994 UINIFORM BUILDING CODE WILL BE ASSES011-ED IF ES 0VVqE11/,C0N-TRACTOR FAtLS TO POST ADDRE'31,3 ON' SITE PRIOR TO PEODESTING INSPECTIONS . X 411 2 ) T h e, owner sha, 1 1 have ava I I a'r)I e on s It e Tor I aspect I on by Mason ComltV, a rciparl' 44 - and -taller , the amount of pres(�ure the indicating, tile 21 a III I i0ense number of the I ns time of 'test in t and th ne legth Of test me ,ti This rp ort e shall be ^ lgeed b.v 'the per son 0(.1 n d u o t I rig tho, test OR the 11nes Shall be under pressure 'for a minimum of 15 minutes at '10 lbs and have noatirate w-essure gauge on site under -test re-Flecting test recitiirements, at 1: 111,1e, of I r(Spect 1 on Zzf MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I t t;I u t.c'.01 tN tv i t:' b ur i V4 c; I I 12 5? N 14 d '5 q I i y v-- lit to Zi t f L, i I "VY 1,i I e z'v tj 1 Tank Is to be 1,0 f eet froim any bu id 11I ng, pubg to way or P I,or,ort y I I lie . 2 I 'f tno tank is exposed te. probable vehioulair, �arzlage' Provide protoctive boff ends . 3, . All woeds , grass , brush , Trarah and other oombustable m, a,t e r I a I z;ha I I be V'p pt a m I n i m am of 10 f et away f r cm; LP oc n t a f)e r s . ,;REQUIRED PER MASON COUNTY RUILDMG 4 ) CONSTRUCTION PROCC-42,S TO BE FIELD CO3PRECTED A DEPARTMENT AND UNIFOW BUILDING C D Ez x PERMIT NO.:'6—`' U MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 0 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION / CONTRACTOR INFORMATION MATION Owner`V V� � DAkNrP i� � Contractor Name / E' fo Mailing Address F! © �3O Y' ' 1IJ Mailing Address City ­- L lCit c �- State&l Zip Code 4,5- ,, City State Zip Code Phone 3( (O )R7, s 1q-Other Ph.( Ph.0 Other Ph.0 Lien/Title Holders it a, ,, �, /ww / 4 Contractor Reg. # Address T 0 -%V)-X `7/,11- s3PL'��ii- 6flh Expiration SEPTIC INFORMATION-Connect,to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit-Tax, Parcel'No. / PA � �® l e� � l Gi Q Q rT' � Fire District Legal Description-7`Pq 3 ? ®It �n -3 4�D ,:�'` �t/ - 5-P �/, l Site Address(Please include street name, street number and city) ACri nu Directions to sitet3out,,i tea 'ssivn...---(',&. k X�P--S - g1444W ,S,,PI'$ �r, G>>G 14 1 1`k tI el u s � d IR%' r — d 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 New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(ShowNumber 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 Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher Gas Outlets;5 leve 10- -- Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? ' Other Other 1 Other Other Base Fee Base Fee �Z� l 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-]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 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. N changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X /l �-� Date /�' — X Date V FOR OFFICIAL USE BEYOND THIS POINT 7 Accepted,-by Date Submittal.Amount Due .Receipt No. »::::»:;: . : ::::>::>::>::::>::>::::>::::>::::>::>:::::> R.: t]VEp;:.;:.:.;:t7NIEtJ::::::::::::::>::>::>::>:<>:::>:::>:::»>:'::>:'.>:'.>::>::::> :>:: F#43N: DS:>;:>i::>::::>::>::>:::::>:«:::>::::<:::»::>::::<:::>::::>::::>:: AARTMEtVTAiE..ffE1Al..........................tt. R.... Building Department Occ Group Type Constr. Planning Department Other Other ... ....................................................................... .......... Permit Fee Site Inspection Plan Review Fee r 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 MASON COUNTY PROJECT SITE INFORMATION Case No. Nprrie PARCEL NUMBER Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg 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 DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet.of adjacent property line. adjacent property lined E-adjace 't property line All � r` '"--'tea J `� wa belt f ( t I y� adjacent prOperty lined E-adjacent-pro ert line � z _^y r e-r' rp SAMPLE'SITE PLAN adja�\ent property linedE-adjacent property line 30' raescRvE gel .SLC ESo u AL. I• ti _T'PTSL CREEK \ I \ fi HOM 6 _ ., i Gaa6n - I q0 I hlous� I ) PRo POSGD sxptP c --�1 1 — .. pit ISO VACANT I GAMAaB P0.oPascD R\ A&R=LLLTu.AAL SO I 1� 4o I I I � I I I L—e.LL I I I • I x /00' —� I I `V I adjacent ro ert lined ; I A°. \; Fadjacent ro ert line TOPOGRAPHY.PROFILE(Show aside view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dSst�ncm to �FrtcGtl.�Y� " d�sta►,ce. to 51opm -tna dis+ana� 4o Q Signature Date