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MIS98-00527 Final Propane and Fireplace - MIS Permit / Conditions - 11/16/1998
t MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I f-3CF t- t.. ANF--' C>U Fvt:-_ M I -V hUR INSPECTIONS CALL 427--9 70 MIS98-0527 PA.RCEL : 1 233 1 5 1 00069 PLAT :BE'Pl_0 DIV : BLKz LOT : 69 ..JOB AC1CyR SSc 241 NE JOLLY ROGER LN BEUVAIR APPL I CANT ; JEAN PARKER (360)2'75--6 375 OWNER : JEAN PARKER (360)2 r- /5 PFAml LEGAL : BEARDS COVE 91Y I BLKz Ld5f 89 EXPIRA 'ION � Vol , PROJECT DESCRIPTION -. / Propane Tank and Gas r l rep I ace DATE B PROJEC;I LOC:AT0ONs Beard 's Cove. left on tar€snarl Lake Rand to Saber Place, loft on Jolly Roger tiouse oil l e rt: . PROJECT' NOTES TYPE AMOUNT BY DATE RECEIPT ^:-:.xcr:>.«t:-.zs-s^-:ss.-x�.Ymrr:,•:a:,x°.�a.as-r-::.^!x�smr.:�.z:.�m�u>'z,• a�-•--'s. MC FE $ 11 .00 K::; 09/30/98 1259 MC.'BS !'/. zOO FS 09/30/98 1259 w1)ST $ Aar .00 KS 09/30/98 1259 TO-I Ai. : 75 .00 OWNER OR AGENT ; (SATE 91S.-Mi, r2vc #4101147 COUPI_ IANC:F TO ATTACKED CONDITIONS IS REOU I RED I 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 dateF teMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic dats by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by F MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF— RM i 7 C; (> t.lfi� i T 1 CANS Case No . t MIS98-0527 For : JEAN PARKER Paget 1 1 ) PURSUANT '10 1994 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKET) WI "i-H APPROVED NUI•,ABE.RS OR ADDRESSES PROVIDED 1N SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE. STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY E1111 L D I NG DEPARTMENT RE OU I Rf;S THAT THIS BE. COMPL.F..TED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE . BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BU I I..D I NG CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X `' ) The owner shall hAve avaiIab! a can site for inspection bV Mason County, a report Indicating the name and license nuinbe;r of the Installer , the amount of pressures at the time of testing and the length of test time . This report sha I I be g Icined by the person conduct i nq the test OR the I i nes sha 1 I be under pressure for a minimum <tf 15 minutes at 10 1 bs and have accetrate pressure gauge on site under teat reflecting test requirements at time of inspection . X.__..��__._._.._..__.. 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 IInw . 2 . If the lank Is exposed to probable vehicular damage, provide protective bollards . 3 . A I I weeds: , grass. brush, tra ih and other' combust I b10. material shal I be kept a miniaan) of 10 feet away from i_P containurs . Q�552 � Permi Nom (S MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PL PRINT #1 Owner --e-J•EA M1 fq _ PA R, I<E ,1e Phone# o tt 4 7 31-5- Site Address 1— /V. city �'.�.-� %R. St -k1 g, zip 9��a Directions to Job Site Ti4�CL� 6�s �yA,� .3o O 7'c� z'A/1 11 LL I'64 0 .- `ter d Al sZ H. BL �',� -- �. ��t oN L. B, L'*KF )Fd — 1—so-T S T yt/ S 6 F -eJt5 t. r d 14 o 0 L.t- f -- ` 'Z Owner Mailing Address a 5- City 13 A L F-q ♦`l-e St _Zip g Lien/Title Holder --v--)(40" fV A Address City Z�!Z�"y ! -2 St i(/(/ zip j J #2 Contractor Name /i SAP �GGh���2 /-�/a/�U�cii2Lr Contractor Reg. # /�C�L/1Og30� Address Expiration date ©/ -d/-!U City St A Zip � _51 Z Phone #3 Parcel No.12 3 3 ( - f -J - O UO lQ 1 Legal Description Pf0 ,fjya #4 Use of building �4 o e-1 Describe work I'AIS7,-94 J*W #5 Type of Job: New ✓ Add Alt Repair Plumbing Fixtures(3 each) E2g Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYP . Gas lectric, _Bath Basins Heatpump, Other _Bath Tubs No. ni E= _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 ffo Wood, Gas, Pellet Stove `�2-0 Permit Basic Fee i TOTAL PLUMBING Permit Basic Fee TOTAL MECHANICAL DC� 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 'ocat--+ 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 CovI W b e LA fe OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAI I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONT" THE CONTRAC-�ORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF ..iE AWAREOFTHE MASON COUNTYORDINANCEREQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED ANDALLWORK DONE WILL BE IN DONE WILL BE N CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BEMADI.WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILT""G THE BUILDING DEPARTMENT. _ // DEPARTMENT. X OWNER r� �e. \✓ "`�-� J X BY DATE `y DATE Return perr iit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFIC AL USE ONLY: Accepted by: Date: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFli'IAL USE ONLY Proposal Proposal Approved Denied Planning Building. I � D Fire Mai shal: a 331 - 5 1- 000(017 Page No. 1 CASE HISTORY FOR CASE NO.: MIS98-0527 JEAN PARKER NE241 JOLLY ROGER LN BELFAIR 11/13/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MISA010 Application received / / / / 09/29/98 09/29/98 TMJ MISA050 Approved For Issuance / / / / 09/30/98 DONE KS 09/30/98 KS MISA500 (F) Issue permit / / / / 09/30/98 DONE KS 09/30/98 KS MISC100 Inspection 10/26/98 10/26/98 10/26/98 STOVE AND HARD GAS PIPE PASS PASS TR 10/27/98 KW r 4 s T/ ,