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MIS97-0019 Final Propane - MIS Permit / Conditions - 1/22/1997
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I C.: F_ L. t__ AP4FFF ClU:4 P E=_ VIM 1 '1 FOR i NSPFCT 1 ONS CALL 427-9610 M I S97-0019 PARCEL :32 1 2 75 3002 20 PLAT s L.API_.O D 1 V : BLK : LOT - JOB ADDRESSs E 331 OLOF LYMF AD SHELTON APPLICANT : LENN SMITH OWNER : LENN SMITH LEGAL- : LAKE LINERICK A TRACT M EY 1 221 PROJECT DE SCR I PT I ON : PROPANE TANK, OUTLET PROJFCT LOCATION OUT MASON LAKE RD RIGHT ON OI DE {._YNI~ AD FOI.I.OW TO Em ?31 OLD I.YME RD . PROJECT NOTES : TYPE AMOLIN'F BY DATE RECEIPT .....i'�3.w....'.."......:_.:n.TzFi2?S`F�L:.Y:S•_.Y:;.'�'L..�.+AOC.^fT^.:'^.,�.SIICS'C'SC'��75'L�^:_^. " MCFE: $ 6 .715 TW 01 / 13/97 43750 MCBS $ 16 ,75 TW 01 / 13/ 97 43750 TOTAL - 23 .50 OWNER O _AQENT, DATE. xz:.6^A.:.'LLF':_':Y.w.1�?..:'R:'3STii.y'C`�^.T...T3C'-Y•CC'\l':SJE:T.CL'..+'dIG'ShLz4L'iGk';:."AS'x. N I S. PONT, rev: 44111192 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 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 f_ 2 2 _� 7 by l�� date by I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF F1M I 'U r. L7NU-1 1 ..I_ 1 C-1N :E, Case No . : H I S97-0019 For : L.ENN SMITH Page : 1 1 ) PURSUANT TO 1991 UN I FOR04 BUILDING CODE , SECTION Tl35 { ": ) AND SECTION 613 , ALI S I TES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS 7"0 BE PLA1Nt.Y VISIBLE AND LEGIBLE FROM THE STREFT OR ROAD FRONTING "i'FIl PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY 5ITf INSPECTIONS . A RE I NSPECT I ON FEk , BASED ON RATES IN TABLE 3A Of THE 1994 1.1N I FARM BUILDING CODE W I LI. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING SPEC'T" IONS . 2 ) The owner shall have Lavaf !ab!a on site for inspection by Mason County, a report indicating the name and license number of the Installer , the amount of pressure at the time (it too>t i nq and the length of test time . This report shta i I be s i gr+ed by the pearl on conducting they test . 3 ) ALL CONSTRUCTION MUST MFET OR EXCEED ALL LOCAL CODES AND UBC MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 ) I -i the tank s 1 r_e Is beetweer, i,-,, and Soo gat i oti!! voij must rot tow t"tese ou i de I i nes : i . Tank is to be io feet from any bu i d i I ng, pub i i c way or, pr-operty i i ne . 2 . If the tank Is exposed to probable vehicular, damage ,, provide protective bollards . 3 . At weed�� , gr�bss , brur.h, trash and other rombustihie mat brtai shall be kept a minimum of 10 feet away from LP containers . 4 MASON COUNTY PLUMBI G/MECHANICA PERMIT APPLICATION 426,W. Cedar/P.O. Box 186, Shelt , WA 98584 - 427-9670 PLEASE PRINT #1 Owner 1,e Phone# Site Address r✓, 3 3\ © 0 '� P') City 517,4M,_., St Zip �1�S-6`'1 Directions to Job Site C�)k C'��z ����- >2c� - �-t� ►1£ � r'-b �i . s� l . Owner Mailing Address City St Zip Lien/Title Holder Address City _ St Zip #2 Contractor Name �/e Lo Contractor Reg. #,4CN`F,Y-.X3Z?rc L Address Expiration date VS1S 7 City �'�`7 ri ,r�; St Liz Zip ` SZ� Phone 9`t3 I l 33 #3 Parcel No. ��i �'� - _- Dp ZZ c> Legal Description #4 Use of building �-eS ;die_ Describe work--get 2sti qti( #5 Type of Job: New �(_ Add Alt Repair Plumbing Fixtures ($3.25 each) Feg Mechanical Fixtures ( eachl No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _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 Wood, Gas, Pellet Stove 32.00 Permit Basic Fee 16.25 2 i�QW,L 4�vk TOTAL PLUMBING $ Permit Basic Fee TOTAL MECHANICAL $ No Basic Fee for Wood, Gas, Pellet Stove 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 located 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. S r l ?� l - - V_z_� OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRA& THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE MASON COUNTY ORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE �( / Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: Receipt No. Referred To i DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: I i Building: Fire Marshal: I