HomeMy WebLinkAboutMIS99-0777 Final Propane - MIS Permit / Conditions - 12/17/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar /Z ,
P.O. Box 186 Shelton, Washington 98584
M 15 C E L l_ A N E O U�s P E R M I -F.. FOR INSPECTIONS CALL 427-9670
MIS99-0777 PARCEL : 123305200027 PLAT :BEPLO DIV : BLK : LOT : 27
JOB ADDRESSa 200 NE SCHOONER LP BEL.FAIR
APPLICANT : GEORGE WOODHEAD
OWNER : GEORGE W WOODHEAD
LEGAL : BEARDS COVE DIV 5 BLh LOTa 27
PROJECT DESCRIPTION :
INSTALL PROPANE TANK
PROJECT LOCATIONa
HWY 3 NORTH TO MILE POST 25 .4 TURN LEFT AT BP STATION GO .2 MILES TO 4 WAY STOP TURN LEFT ON
NORTHSHORE RD GO 300 W. GO .8 MILE TURN RIGHT ON SANDHILL RD GO .5 MILE TO LARSON TURN LEFT GO TO
TOP OF HILL TURN RIGHT ON NE SCHOONER LOOP FOLLOW TO TOP OF HILL TURN RIGHT JUST BEFORE SIGN, SAYS
NE HARPOON DRIVE .
PROJECT NOTESa
TYPE AMOUNT BY DATE RECEIPT
MCFE * 9 .50 NJP 11 /24/99 52224
MCFE $ 5 .50 NJP 11 /24/99 52224
MCBS * 22 .00 NJP 11 /24/99 52224
TOTAL : 37 .00 OWNER OR AGENT DATE
MIS ?IMT, rev: 141/t192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANIC41L 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 date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by 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. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
PERM I T 00NL7 i T 1 CaNK,
Case No . : M 1599--0777
For : GEORGE W WOODHEAD
Pages 1
1 ) 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 DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED 1F
OWNER/CONTRACTOR FAILS TO POST ADD•USS ON SITE PRIOR TO REQUESTING INSPECTIONS .
2 ) ALL CONSTRUCTION MUST MEET OR EXCkED ALL LOCAL CODES AND UBC
R E Q U I R E ACE N T.S.:_ ----_ '
X d -
.t
3 ) if the tank size is between 125 and 500 gallons you must follow these guideiiness
yl
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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 .
4 ? CONSTRUCTION PROCESS TO BE FIELD CORRECTED_ AS RE.QU..IRED PER MAS4N�—COU T BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
i
53 Fuel piping shall be inspected after the Installation of gas piping Is complete, and
before the attachment of fixtures , appliances , or shut-off valves . At the time of
inspection the test pressure shall be no less than 10 psi held for no less than 15
minutes . Appliances attached to the piping shall not be used until the final inspection
I has been approved by the building inspector .
I
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FORM MUST BE COMPLETED IN INK PERMIT NO.:
PLEASE PRESSfHARD 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 INFORMATION CONTRACTOR INFORMATION
Owner e e O n e Q � Contractor Name
Mailing Addre Le 0at4 7Mailing Address
City q pl r� I, State Ul, Zip Code 9 l City State Zip Code
Phone( F&e ) Other Ph.( Ph.0 Other Ph.(
Lien/Title Holderf ra ra sk/g Cv.*fNVJ1 y (�J, CY Pt,"yt; Contractor Reg. #
Address PO, AgA 5,4,e/to-x U Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Ta Parcel Fire District
Legal Description L_
Site Address(Please include street name, street number and city)
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 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 of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICA
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.
Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by UAIIV6Date Submittal Amount Due Receipt No.
FJ ART AE'R EViF AP ROVE~ R>Ef+flEt} GOftIRtTIQiI RES
Building Departm t
Occ Grou H Type Constr.
Planning DepaAment
Other
Other
«::. ;..... .::: IwE ....
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