HomeMy WebLinkAboutMIS99-0073 Final Propane and Stove - MIS Permit / Conditions - 5/7/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M6 6 :3 C. 1- 1__ l_ A N F Cl C1 I-1 P 1- " Mi 1 -t" FOR INSPECTIONS GALL 427"-967O
MIS99-0073 PARCEL : 123305iO 67 PLAT -.BFPL0 DIV : BLK., LOT : 67
JCR ADnRESS : 30 NE UANYARD CT REI.FAIR
A.PPL I CANT . VAI. RAF PULLEN (360)277--341 3
OWNER : VAC. RAF P(JI_t.FN ( 360)277"--3413
LEGAL : #FAIRS COVE DIV 4 Me LATE 67
PPOJFCT DESCRIPTION :
Propane Tank and Gas Stove
PROJECT I.00AT I ON :
Go up the road 'to list cul. de- sac, on left at top of li) 11 . house on right In cul-de-sac .
PRtt.IFC T NOTES ,
TYPE AMOUNT BY PA1E ff Cf-. IPF�
-^.'56.=.^ -'�"l....riM�'�CC«'T:�S. '.`:#::� .h2:.::�"k- .::4YVP:+:-il.fR^��'4Y"1::0"cY:rl_.."1Y...•.
WD T 1; 42 ,00 MI 02/ ihl99 49470
MC f F. * 16 , 50 TMJ 021 16099 49470
M(18S 8 22 .00 ffAJ 021161919 494 70
MCFE $ 9 50 TM) 02/ 16/99 49470 �
TO rAL : 90 .00 '"CilAtN 3 4 ArF:NTT DA l f;
.r,���.V.-zc�:..:r-rr.-arcz�_.�:vsr:•rs.cay-"-sa-nc^•a..Tw^,r_-7- ,.,.._.. a-_.—:.zxr=.�
NIS_Poll, rev. 44111,19� COMP1 1 ANC E TO ATTACHED CONDITIONS IS
REOU I RED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Ping date b
Foundation Walls date J—/2 by �� _ Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls
DIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
/��-
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF fit Rai 1 -T
Case No . : MIS99--0073
For : VAL nAE PULL
Pages I
1 ) PUHSUANI TO 1994 ONIFORM BUILDING ('10F4 , AtA SITF MUST BE MARKED WITH APPROVED NOMBURS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLF AND LEGIBLE FROM THE
STRFET OR ROAD FRONTING TfJE PROPERTY . MASON COUNTY BUILDING DEPARTMFNT RFQ(jIRFS THAT
17HIS BF COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A REINSPECTION FEE . BASED
ON MAYES IN TABIF 3A OF THE 1994 UNIFORM BUILDING CODE WILL Br ASSESSED If'
OWNER/CONTPACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUES'rING INSPIECTIONS .
X
2 ) If the tatik sire Iti botwoen 125 and 500 pallonq you must follow these guidelines .
1 . Tank Is to be 10 feet frog anV buldling , public way or property line .
2 . If the tank Is exposed to probabl " vehloular damage, provide
protectIve bollards .
3 . All weeds , cjrass, , brush , trash and oih#5r oombustible mat er I a I
shall be kept a miniaoim of 10 feet away from L.P containers .
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
:3 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS , PLEASE
CALL THIS OFFICE BF f ORF CONSTRUCTION .
4 ) CONSTRUCTION PROCE�:S TO RE F I FI D t ORRFGTF-D AS RFOU I RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
Page No. 1 CASE HISTORY FOR CASE NO. : MIS99-0073
VAL RAE PULLEN
NE30 LANYARD CT BELFAIR
04/27/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MISA010 Application received 02/16/99 / / 02/16/99 DONE TMJ 02/16/99 NJP
MISA050 Approved For Issuance / / / / 02/16/99 DONE TMJ 02/16/99 NJP
MISA500 (F) Issue permit / / / / 02/16/99 DONE TMJ 02/16/99 TJ
MISB008 Clerical Review & Approval 02/16/99 / / / / DONE TMJ 02/16/99 NJP
MISB135 RLC Checklist Review / / / / / / N/A 02/16/99 NJP
MISC100 Inspection 02/26/99 02/26/99 02/26/99 NOT READY FOR INSPECTION WILL RESCHEDULE FAIL TR 03/01/99 KW
MISC100 Inspection 03/12/99 03/12/99 03/12/99 GAS PIPE PASS PASS TR 03/15/99 KW
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�C�u�ds 11AU& .17r ✓
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Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: MIS99-0073
VAL RAE PULLEN
NE30 LANYARD CT BELFAIR
04/27/99
1) POST ADDRESS -- PURSUANT TO 1994 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 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
2) Propane Tank -- 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 probable 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) Excessive Corrections -- ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES. IF ANY QUESTIONS,
PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION.
X
4) Field Correct -- CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
l
FORM MUST BE COMPLETED IN INK PERMIT NO.: k'
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INf ORMArT4ON CONTRACTOR INFORMATION
Owner s+.l F tl Contractor Name CS/ JLr-s2 -
Mailin Address . = L, p14,:yk C-1-, Mailing Address
City r Stateus ra tpCode City State Zip Code
Phone(7),L;y .)17-3g13Other Ph.( — Other Ph.0
Lien/Title Holder >c.tvv Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMA N-12 digit Tax P rcel No. / / Fire District
Legal Description
Site Address(Please include street name, street number and city) 3o V L- L. C., 5-1
Directions to site_ C,t- L, ht i-c,cack -Vc-, I ,,A de rr, \o-L-� C!-, I\_
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(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type o Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank _� 7
Laundry Wsher Gas Outlets
Sinks WO aS/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING g TOTAL MECHANICAL
_tW,
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-1 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. 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 (� c P-,l Date lc-�.' c' X Date
FOR OFFICIAL USE BEYOND THIS POIN fID,(V
Accepted by Date k Submittal Amount Due Receipt No. �L
AEPARTM tVT�1t Ii1^1ltEYl/.: . APPROiV11-1 ED DENIED ......::` CS�NDITIC?N.�ODES'
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
.. .. ..
TEES.
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
l J
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
(� l ,�,Case No.
/Name V. 1 ��� Y'� l� i v� PARCEL NUMBER � 3� 4 � ��/J[z/
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 line- I E-adjacent property line
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adjacent property line4 ' I <-adjacent property line
SAMPLE SITE PLAN
adja t property line- 3Lo' 41 E-adjacent property line
D so' �a�saavE gel
S�%J AL. I _]efT7G.__,�
\ � I MOM L. .GciaEN CREEK � \
I j PrLOPastn smpt:C-
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VACA1uT I fi C AMAo.d I
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I� �\ A&R XdLLLTuJLA L So'
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adjacent property line-: ; I A'. c \; <-adjacent properiy 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
d15+a.,« to
Shrux-fiLLYe-
data r,Lc. r o
S1opm ta¢
di.��anao.
to !.
Signature Date