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Home My WebLink AboutMIS98-00451 Fuel Tank - MIS Permit / Conditions - 9/17/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I S C E L L A N E O U S PERM I T FOR INSPECTIONS CALL 427-9670 pp- b0o10 MIS98-0451 PARCEL :4192449 18 PLAT : DIV : BILK : LOT : JOB ADDRESS : 780 W STATE ROUTE 108 SHELTON APPLICANT : SKOOKUM LUMBER CO . 426-9721 OWNER : SKOOKUM LUMBER CO . 426-9721 LEGAL : TA 2 NE SN N OF R.R.R/N PROJECT DESCRIPTION : ABOVE GROUND FUEL TANK PROJECT LOCATION : EXIT HWY 101 AT SR 108 , PROCEED WEST ON SR 108 APPROX 1 MILE PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPTI IPLCK $ 42 .00 KW 08/24/98 48086 STFE $ 4 .50 NJP 09/ 17/98 48333 PRMT $ 126 .00 NJP 09/ 17/98 48333 PLCK $ 42 .00 NJP 09/ 17/98 48333 TOTAL : 235 .50 OWNER 0 . AGENT v DATE MIS_P9MT, rev; 04/01192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 j PERM I T G O N U I T I O N S Case No . : MIS98-0451 For : SKOOKUM LUMBER CO . Page : 1 1 ) Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland sediments from entering shoreline waters . Erosion control measures must be in place prior to any clearing , grading , or construction . These control measures must be effective to prevent soil from being carried into surface water by stormwater runoff . Sand , silt , and soil will damage aquatic habitat and are considered pollutants . Any discharge of sediment- laden runoff or other pollutants to waters of the state is in violation of Chapter 90 .48 RCW, Water Pollution Control , and WAC 173-201A, Water Quality Standards for Surface Waters of the State of Washington , and is subject to enforcement action . Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior authorization from the Department of Ecology pursuant to WAC 173-201A- 110 . A short-term water quality standards modification may be issued if the proponent agrees to a number of specific construction practices and techniques designed to minimize water quality impacts . All areas disturbed or newly created by construction activities must be revegetated using bioengineering techniques , clean durable riprap , or some other equivalent type of protection against erosion when other measures are not practical . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 2 ) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act , its rules , and the Mason County Shoreline Xa -Vl gram . 3 ) Proper disposal of construction debris must be on uplands , in such a manner that debris cannot enter wetlands or cause water quality degradation of adjacent waters . 4 ) 1 . Installation is required to comply with Appendix II -F of the 1994 Uniform Fire Code . 2 . A final _1 spection by the Fire Marshal is required . X !�'CC a * PERMIT NO.: ZS� MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION gZ� 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 J K.00 KUtA LUM UV--V4- Contractor Name �D Mailing Address PO GOX r Mailing Address VAL�: JT1QE P.0 City '>LYM Fit-,, State k^+ A, Zip Code `) B507 City 'i fr tc... State k-IN Zip Code Phone 3( Go ) )7Z I Other Ph. 152- t,33 Ph.( '��-5-g9- Other Ph.c Lien/Title Holder 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. t 24 / 3 ► / 0C36U Z.v Fire District �r Legal Description hv--E P,TTAC.h1 Site Address(Please include street name, street number and city) Directions to site E-Yi'T NW`c ,0 1 7 SZ 10b Fv-oLx-<6o "ii �-T N fz CY_-- A F F IZO x I t\A I C.G -To—CC3-Tt~. Is your property within 200' of the following: Body of Water (Name) 'V r-t)Nt C-W—Es- 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 6,000 CrAL ACTT Other Other 500 UAL A&TI Base Fee AUl= AF3oV >zvLK;� Base Fee TOTAL PLUMBING I C. T.4Nk TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL 8,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. I first obtaining approval. X Date `e-1(i X Date FOR OF ICI L SE BEYOND THIS P I T P Acce ted b Dat Submittal Amount Due i Receipt No. � � Y .. . ...._. _ _ AEPAI3TMI- II'A .REY#Ettlf:< ::: APPROVED DENIED ;. [?�#T4?h#WOES....:::...........::::::::: :::::....... .. - ::: Building Department Occ Group u-I Type ConstL Planning Department Other Other - — .. w W W 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 14 FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name 5Ko0► y" I-UM&EIZ Lo . PARCEL NUMBER 41611Z4310002 D Date 9S —V k -98 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I X�'�TtaLH I Fadjacent property line I I I I I I I I I I I I i I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I adjacent property line-> I I E-adjacent property line SAMPLE SITE PLAN adja�nt property lined.gCFAto wr AL_ ]I III F ,p• Ii , f-adjacGie�cnnuat�.paNar o perty line S �-30L-+H LT J RE&I< A7 HonL. ) Pmapeaatn saps:c 'I I 1 , I I VALAK,T I T c ArtAa� I o' I i I,`\ � CM1cfasCD / AGKZCLLLTu.RAL so 1 I � I B O I ' I \ I I \ \ /00" I I r_ •eLL I I I I x /00' -� I L.�G.LL I adjacent property lined ; \; Fadjacent ro ert 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 dls+a"aa- to ruLi-t.�YG dit+ancm Y o f. i Signature Date