HomeMy WebLinkAboutMIS97-00086 Cancelled Propane - MIS Permit / Conditions - 8/20/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I S C E 1 L A N E O U S PERM I T FOR INSPECTIONS CALL 427-9670
MIS97-0086 PARCEL :3213O759O1O4 PLAT : DIV :? BLK :? LOT :?
JOB ADDRESS : E 1505 JENSEN RD SHELTON
APPLICANT : BARBARA MATHESON 427-1740
OWNER : BARBARA MATHESON 427-1740
LEGAL : TR 10 OF SURVEY 4174
PROJECT DESCRIPTION :
PROPANE TANK
PROJECT LOCATION :
OUT BROCKDALE TO JENSEN RD TAKE A RIGHT FOLLOW FOR 2 .5 MILES TOP OF HILL CROSSROAD OF JENSEN RD
AND CAPITAL PEAK DRIVE , TAKE A LEFT 1 /4 MILE ON RIGHT .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCFE $ 13 .50 KS 02/21 /97 43971
MCBS $ 16 .75 KS 02/21 /97 43971
TOTAL : 30 .25 OmmERVOR AGENT DATE
P
MIS—PRMT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
r RO, Box 186 Shelton, Washington 98584
P E R M I T C O N [D I T 1 0 N S
Case No . : MIS97-0086
Fora BARBARA MATHESON
Page : 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST
HAVE 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X �
2 ) The owner shall have available 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 of testing and the length of test time . This report shall be signed by the person
conducting the test .
X
low
T
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQUIREMENTS
v') X
4 ) 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 containers .
X
5 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
6 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS , PLEASE
ALL THIS OFFICE BEFORE CONSTRUCTION .
X
i
Permit N .
MASON COUNTY -7_C�O�
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT ,�y�
#1 Owner � 2� �/� 197#�Z)XJ Phone# 4 7-- 7�d
Site Address e7 /.�S— ' .t P-k)
City �S )L) St Zip
Dire tions to Job Site G= - L 4' — iL /1"7s�lJti 5D
Owner Mailing Address ,,47
City S, 1 70 St A Zip -d1S71_?
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. 3 Z lab -
Legal Description
#4 Use of building Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 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 ( S
_ Wood, Gas, Pellet Stove 33.00
Permit Basic Fee 16.75
TOTAL PLUMBING $
Permit Basic Fee 16.75
TOTAL MECHANICAL $_Sl s-
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.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWAREOFTHE MASON COUNTYORDINANCEREQUIREMENTS 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 FIRS TAIN ING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT DEPARTMENT.
X OW X BY
DATE 2 -7-1" R� 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
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
f ,
11✓� �T OF PO11T ION
)A
C
� L ,r'TH 5E1/4 I23J i , Y;I;
i ...3O,TWP. 21 N, RGE.3 W, W.M.
!Y MASON COUNTY , WASHINGTON OCTOBER 1979
tthyl Richert
o',
w ��� /
Pf
7 E• ;JD
60
dt /30 O\ r/ Nv EASEMENTS
hyl o
R1cherC ,\��
t'� ,Itorl,f'I;tl" 80 i
Ai Wovud......4l 10140
SELLER r ,
?y,,�,,, CcuQ:ai G. Atonert, at ux R,� htr
P. 0 Box 516
Shelton, We 99584
r i
60 foot ensement@ described under Auditor's File No, 10,812, records
' of Mason County, Washington.
This is not a survey.
Distances, course@ and features are illustrative only .
Tracts shall not be used for on-site sewage disposal, vi dw„lling
structure without w-ritten-approve1 of the Mason County IleAlth Officer.
ROGER D. LOVITT 8 ASSOC, RICHERT 'S
PO. BOX 816
SHELTON, WA 9M4 TA/ I 100' I5a4
e..,,rnT,el,R,a w„N^,"!c' r• el,: i% -
T, ?:%-i c ii; '•' }�i`��JSt3+ .ii:, � f`ja: •} ;�� y +�ti;5%.c�;:;r , . ;G�� t ? '`;-
•t- _ _ _ _ _ _ :�^ ., ?'}' -..-1. •_tip v' '::?'Zii)�t1, cast,.`.? 79i?tfi ; �511_M1.,..n.; 'S -..,rr�-..s:Nc;.n�Cvti•r,,�;�;�;o:
t 7 i.