HomeMy WebLinkAboutMIS99-0505 Cancelled Propane - MIS Permit / Conditions - 10/3/2001 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M}1 i rC:: F1... t—ANEC:)US PERM I T Ft , PFclI
MES99--0505 PARCEL : 123 00012 PLAT iBEP1_0 D I V : RL K ; LG
JOB ADDRESS . 1031 NE 1-01fON BLVD. BEL FA I P
APPLICANT : MIKE JOHNSON 275--62.87 PERmff
OWNER : MIKE JOHNSON 275--8287 r4ULL V01D SY EXPIRA'n0N
LEGAL : BEARDS CAVE DIV 8 BLK: LOT: 12 � 10 BY ��---
DATE o
PROJECT DE SCR I PT i ON r
install propane
PROJECT LOCATION o
FROM RELFA 1 R TAKE FIWY 300 TO SAND HILL RD. , RIGHT ON SAND 14I LL TO LARSON BLVD, LEFT ON LARSON
BLVD . , FOLLOW LARSON BLVD . , FOR 3/4 TO 1 MILE ; NE 1031 IS A SALMON COLORED HOUSE' ON 'I HE LEFT SIDE
OF THE ROAD .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCFE 15 .00 KS 08/ 19/ 99 1610
MCBS 22 .00 KS 08/ 19/99 1610
WDST 42 .00 KS 08/ 19!99 1610
TOTAL. ; 79 .00 OWNCR--}R AGENT- A ,.E,._ ,
YIS FPNT, rev: COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
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 Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
-- WALLBOARD NAILING
D.W.V. d
date by ate by
Water Line FINAL INSPECTION
date by date by date by
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Page Io. 1 CASE HISTORY FOR CASE NO.: MIS99-0505
MIKE JOHNSON rr
NE1031 LARSON BLVD. BELFAIR
08/17/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MISA010 Application received / / / / 08/17/99 08/17/99 KKK
MISB135 RLC Checklist Review / / / / / / 08/17/99 KKK
49
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MASON COUNTY
�\ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P' E-7 F-1M 1 T' CC'fNV3 1 T 1 0NE.
Case No . : MiS99-0505
For . MIKE JOHNSON
Pago : 1
1 ) PURSUANT TO 1997 UN1FOIIM BUILDING CODE , ALL SITE MUST BE MARKED WITH APPROVED NUMSE:RS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPER T"Y . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR 'TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES ADOPTED FEE -CHEDULES AND "THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/CONTPACTOR FAILS 'TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
2 ) UMC Chapter 7 . In buIIdIngs of unusually tight construction, fuel burning appliances
shall obtain combustion air from outside (excluding cooking appliances and clothes
dryers ) .
x
3 ) If the tank size is between, 125 and 500 gallons you must follow these guidel itses :
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I Tank Is to be 10 'Feet from any buidling, public. way
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
4 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
Page No. 1 PROPANE TANK PERMIT CONDITIONS
07/15/99
1) POST ADDRESS - 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 SCHEPULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST
ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X Ad Ad
2) P opane Tank - ;If th ank size is between 125 and 500 gallons you must follow these guidelines:
1. Tank is to b0 feet from any buidling, public way or property line.
2. If the tank is exposed to probable vehicular damage, provide
protective bollards.
3. All w eds, grass, brush, trash and other combustible material
shall kept a minimum of 10 feet away from LP containers.
X
3) F' t Correct CONSTRU ON PROCESS TO BE FIEL CORRECTED AS REQUIRED R SON COUNTY BUILDING
DEPARTMENT AND UNIFOR UILDING CODE.x
FORM MUST BE COMPLETED IN INK D NO.:V 1 �F)
IT41f
PLEASE PRESS t1ARD MASON UN 1��
PLUMBING/MECHANICAL PEMI CATION
426 W.Cedar/P.O.Box 1�r6he onp A CrPITER
Shelton 360 427-9670 Belfair 360 275-4467,84nia 360 4 = I SAICE
9
APPLIC NT INF RMATI9bL CONTRACTOR INFOR ATION
Owner Contractor Name U
Mai ' Ad rpss l Mailing ddress
City Sta Zip Code Cit State
Zip Code
Phone — e Ph. Ph. � r Ph.
Lien/Title Holder 1t3 rl Contractor Reg. #
Address H Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description Z
Site Address(Please include street na e, street zmb d city) /'
Directions to site / U
Is your property within 200' of the following: Body of Water(Name) !L C} 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 �AEJ
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-I 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 Date X Date
dFOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date M.lMsubmittal Amount Due ! Receipt No. (Lf l
. .
Ake'A. :ME 1T1lE:R1wV#EV1:».::;:>::: >.r::::::::::APPROVED a3ENIE#} CLINDIT[ONGL�:DES .
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
.. ir>wE$
.....:.::.................................................................................................................................................................................
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