HomeMy WebLinkAboutMIS99-0740 Propane - BLD Permit / Conditions - 11/9/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 :y tr E L. L_ A N E C3 IL)*3 PE, R M I `7 FOR INSPECTIONS CALL 427-9670
MIS99--0740 PARCEL : 12.3315100091 PLAT :BEPL0 DIV : BLK : LOT : 91
JOB ADDRESS :
t1
APPLICANT : JERRY JOHNSON
OWNER : JERRY H JOHNSON
LEGAL. : BEAADS COVE DIY 8 BLK: LATj 91
PROJECT DESCRIPTION :
PROPANE TANK, OUTLET, GAS STOVE
PROJECT LOCATION :
2 STORY GREY AND MAROON ON EAST SIDE OF ROAD .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
WDST S 42 .00 KS 11 /09/99 52106
MCFE $ 5 .50 KS 11 /09/99 52106 ,
MCFE $ 9 .50 KS 11 /09/99 52105
MCBS $ 22 -00 KS 11 /09/99 52106
TOTAL : 79 .00 OWN _ '-OR AGENT" � DATE
IIIS_?IIII, rev! 11/At 192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
I Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
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 / Z .� by`�/Z date by
MASON COUNTY
- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Pl =: F1M I T CC3NC3 I T I C)N `
Casa No . MIS99-0740
For : JERRY N JOHNSON
Page , 1
1 ) UMC Chapter 7 . in buildings of unusually tight construction, fuel burning appliances
shall obtain combustion air from outside (excluding cooking appliances and clothes
dryers ) .
x
2 ). ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQUIREMENTS
S) 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
sha l l be kept a minimum of 10 feet away from LP containers .
,QNCRETE 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 FRAMING by date by date by
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
4 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
5 ) 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 IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
CONCRETE MECHANICAL MOBILE HOME
Footings Setback date by Ribbons
date by Gas Piping date b
I ,Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
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
M I S C E LL— A N E O U S P E R M I T FOR INSPECTIONS CALL 427-9670
MIS99-0740 PARCEL : 12P 15100091 PLAT :BEPLO DIV : BLK : LOT : 91
JOB ADDRESS : , / �)2
APPLICANT : JERRY JOHNSON
OWNER : JERRY H JOHNSON
LEGAL : BEARDS COVE DIV B BLK: LOT: 91
PROJECT DESCRIPTION :
PROPANE TANK, OUTLET, GAS STOVE
PROJECT LOCATION :
2 STORY GREY AND MAROON ON EAST SIDE OF ROAD .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
WDST $ 42 .00 KS 11 /09/99 52106
MCFE $ 5 .50 KS 11 /09/99 52106
MCFE $ 9 .50 KS 11 /09/99 52106 C
MCBS $ 22 .00 KS 11 /09/99 52106
TOTAL : 79 .00 OWN R AGENT DATE
MIS_PRIIT, rev: 04101/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T C ONO I T I O N S
Case No . : MIS99-0740
For : JERRY H JOHNSON
Page : 1
1 ) UMC Chapter 7 . In buildings of unusually tight construction , fuel burning appliances
shall obtain combustion air from outside ( excluding cooking appliances and clothes
dryers ) . (�
X
2 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQU I UMZNTSX
3 ) 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 contaiiers .
MASON COUNTY
NiMason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x ;2
5 ) 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 IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X j2ZU
FORM MUST BE COMPLETED IN INK ,C
PLEASE PRESS HARD PERMIT NO.:/Tz J
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 14 Contractor Name self
Mailing Address 1 I NEr w Mailing Address
City State Code 1 SS 2 8 City State Zip Code
Phone(S6b ) S-,?S06 Other Ph.(34t) y/90 Oat Ph.0 Other Ph.(
Lien/Title HolderR,, SAfc,�A. Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. !2 / / SJ / 600 PI Fire District?
Legal Description Ae.c►-ds wry. &kg del" 9/
Site Address(Please include street name, street number and city)
Directions to site . ,2S7,or fz Ores on Ea s7- S; ,-o��oad
Is your property within 200' of the following: Body of Water(Name) )VA Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New_4_Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor__X_Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Tvpe 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 tv Propane Tank
Laundry Wsher a r' _ Gas Outlets sa
Sinks Wood a Pellet Stove I o0
Dishwasher Direc Vent? ✓
Other Other
Other Other
Base Fee Base Fee
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
FOR OFFICIAL USE BEYOND THIS POINT l�t
Accepted by Q t Dates/ Submittal Amount Due Receipt No. �U�/
AEPAt2TItiQETl77CE Eyl1l:: <.AppRs3vw AENIEi3 �:Q�GODES ,
Building Department
Occ GroupType Constr. _
Planning Department
Other
Other
FEES ::...............
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
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
I Case No.
Name J�q16%% so►1 PARCEL NUMBER /2 33/ 51 L9009.1 Date_1/-3?-99'
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences E
Existing Structures Driveways'/ i�'
Structure Setbacks Shorelines `a t
Water Lines ah Topography N <zS
Well Location (including adjacent)ift" Drainage Plano L
Names of Streets �W Easements row
Names of Fronting Streets✓ Septic System W
DRAW SITE PLAN BELOW Include adjacent properties if on shore ine or within 100 feet of adjacent property line.
adjacent property lined ' 9� — �e f-adjacent property line
iN d 0 I I 1V
Q I fD P
1 n I f
L I
71
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F „c-e-
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adjacent property line4 ' Fadjacent property line
Feree �' QrirJ, 5a,dw►� drive.
SAMPLE SITE PLAN
adjacent property lined _
� T-- 3io' Fadjacent property une
p . 31 " r1�.SCRvE 30 �
JC/+..1L1.J AL_ I ti �QT.7L � �
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adjacent property lined ; A�. c \i <-adjacent propert � 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
dts+�r,ca. to
S+ructL�Y�
�,bJ� �(� d�5tav�GG to
Slopa fia¢
dls+anima.
t o Q.
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Sig ure,o Date