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HomeMy WebLinkAboutMIS99-00556 Cancelled Commercial Tank - MIS Permit / Conditions - 12/6/2001 MASON COUNTY 4 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I `";C E L. L_A N E n t! !1:; P E R M I T FOR INSPECTIONS CALL 427•-9670 MIS99-0656 PARCELs419240000010 PLAT : DIV : BLK : LOT : JOB ADDRESSc 780 W STATE nOUTE 108 SHELTON APPLICANT : SKOOKUM LUMBER CO 360-352-7633 OWNER : SKOOKUM LUMBLA CO 360-352-- 7633 LEGAL : TA 1 OF SECTION N OF 1.1.111 PROJECT DESCRIPTION : PERMIT COMMERCIAL 500 GAL TANK NULL & VOID BY EXPIRATION DATE - PROJECT LOCATION : 3/4 MO WEST ON HWY *108 FROM HWY 101 TURN RIGHT AT ROAD WITH SKOOKUM LBR CO SING . PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT ::z-�•��:��:___,._:L-.�------�:�:�.:n:._�__.��max. _-,. PLCK $ 42 .00 KW 09/02/99 51439 FIR $ 21 .00 KS 09/ 14199 0 TOTAL : 63 .00 OWNER OR AGENT DATE #I S_PRYT, m: 04/01 i 42 COMPLIANCE; TO ATTACHED CONDITIONS IS REQUIRED 4 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I SCE LL— ^ N E O U S PERM I T FOR INSPECTIONS CALL 427-9670 MIS99-0556 PARCEL :419240000010 PLAT : DIV : BILK : LOT : JOB ADDRESS : 780 W STATE ROUTE 108 SHELTON APPLICANT : SKOOKUM LUMBER CO 360-352-7633 OWNER : SKOOKUM LUMBER CO 360-352-7633 LEGAL : TR 1 OF SECTION N OF R.R.R/1 PROJECT DESCRIPTION : COMMERCIAL 500 GAL TANK PROJECT LOCATION : 3/4 MO WEST ON HWY 108 FROM HWY 101 TURN RIGHT AT ROAD WITH SKOOKUM LBR CO SING . PROJECT NOTES : } i TYPE AMOUNT BY DATE RECEIPT PLCK $ 42 .00 KW 09/02/99 51439 FIR $ 21 .00 KS 09/ 14/99 0 TOTAL : 63 .00 OWNER OR AGENT DATE MIS—PR11T, rev: 04/01192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED f I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by _ I I I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F' � RR/1 1 T CCaNCa ! -7" 1 nN : Case No . : MIS99-0556 For : SKOOKUM LUMBER CO Paget 1 1 ) INSTALLATION OF PROPANE DISEPNSING STATION MUST MEET FOLLOWING STANDARDS : 1 . AT LEAST 20 FEET FROM ABOVE GROUND FUEL TANKS . 2 . AT LEAST 5 FEET FROM A DRIVEWAY OR ACCESS ROAD . 3 . PROVIDE EMERGENCY POWER SHUTOFF SWITCH WITHIN 75 FEET BUT NO CLOSER THAN 25 FEET FROM THE DISPENSER . 4 . PROVIDE NO SMOKING SIGN ON THE TANK . 5 . PROVIDE 2A 10 BC RATED FIRE EXTINGUISHER WITHIN 75 FEET OF THE DISPENSER . 6 . 1'ROV I DE PROTECTIVE BOLLARDS AS FOLLOWS : A . STEEL POSTS NOT LESS THAN 4" IN DIAMETER . CONCRETE FILLED, SPACED NOT LESS THAN 4 FEET ON CENTER , SET NOT LESS THAN 3 FEET' DEEP IN CONCRETE FOOTINGS OF NOT LESS THAN 15 INCH DIAMETER , LOCATED NOT LESS THAN 5 FEET FROM 'THE TANK . 7 . FIRE MARSHAL FINAL. INSPECTION REQUIRED PRIOR TO PUTTING � T.ANK TANK I N. ;DERV I CF 2 ) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or y-iven some other equivalent type of protection against erosion . ----- - - - - --- ----------4------------------------....—.—. . ..._. - T II MASON COUNTY ` Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E R M I T C O N [D 1 T 1 O N S Case No . : MIS99-0556 For : SKOOKUM LUMBER CO Page : 1 1 ) INSTALLATION OF PROPANE DISEPNSING STATION MUST MEET FOLLOWING STANDARDS : 1 . AT LEAST 20 FEET FROM ABOVE GROUND FUEL TANKS . 2 . AT LEAST 5 FEET FROM A DRIVEWAY OR ACCESS ROAD . 3 . PROVIDE EMERGENCY POWER SHUTOFF SWITCH WITHIN 75 FEET BUT NO CLOSER THAN 25 FEET FROM THE DISPENSER . 4 . PROVIDE NO SMOKING SIGN ON THE TANK . 5 . PROVIDE 2A 10 BC RATED FIRE EXTINGUISHER WITHIN 75 FEET OF THE DISPENSER . 6 . PROVIDE PROTECTIVE BOLLARDS AS FOLLOWS : A . STEEL POSTS NOT LESS THAN 4 " IN DIAMETER , CONCRETE FILLED , SPACED NOT LESS THAN 4 FEET ON CENTER , SET NOT LESS THAN 3 FEET DEEP IN CONCRETE FOOTINGS OF NOT LESS THAN 15 INCH DIAMETER , LOCATED NOT LESS THAN 5 FEET FROM THE TANK . 7 . FIRE MARSHAL FINAL INSPECTION REQUIRED PRIOR TO PUTTING TANK TANK IN SERVICE . X i�T 2 ) All upland areas disturbed or newly created by construction activities shall be seeded , vegetated or given some other equivalent type of protection against erosion . ii FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name-5-14-,zPo PARCEL NUMBERAt'r-k4 <-->o «ia Date 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.) 'rr X,. Vehicle Vehicle Washing/ L Maintenance Fueling 1>z ve► Cve(l ..,, Station o •. } Station ` Oil House' ;. f ` ,....:,,... �,,•°. '�. Hog r" Fuel Saw / Handling ;r. Mill / Sow Area ...... Area / Mill / Area �]:0 .'�.•.`^� ; � Lumber / o J ; 9 t Storage Area \ f SAMPLE SITE PLAN adja t property lined 3io- _ _ adjacent property line I D 30' rRSGRuE 30:.�1 SFACC wi A1_ ti ,� _]�PTSL__,� f• I fi CREEK \ I � I Hone t i .Gns.tu ]I HOusf� I j PRO Pwtb sa pt!c- olt R I. — \ I I VAC-ANT 7C,ARAc 6 I 30 I i i I C0.oPo3CD ' T A&RiLLLLru.0.AL SO I K—40 If-- . ' I e o' I � I � I I I /00' I I L• •e-LL I I I � /00' adjacent property line-:� ; 1 \; f-adjacent 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.) 41 SAMPLE TOPOGRAPHY PROFILE dl3t�r�Lm fio ruttLa.Yc_ Slops fio¢ dlsia�c� to a Signature Date PERMIT NO.: 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 �-i. gAV-V- ram- f.�. Contractor Name+�G�.e—li` .� Mailing Address ,c7 v Mailing Address City`'A i.^ StateWA Zip Code City. State V Zip tode g11 Phone o }--1�jOther Ph. .� 44i:;,—Ot-f2I Ph.( )Q 45,01 l Other Ph. 4( 14 )grfi�—'7� 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. k1 07-14 l, GO Fire District Legal Description • deG- Site Address(Please 'nclude street name, street number and city) , 10 o Directions to site V, t e,<1 M a I Is your property within 200' of the following: Body of Water (Name) 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 /Y117►(ic��/ Laundry Wsher Gas Outlets 7�C-* Sinks Wood/Gas/Pellet Stove --�- � Dishwasher Direct 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 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: . sr OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 changesthall be made without appc a. first obtaining approval. � e X Date X Date FOR OFFI I USE BEYOND THIS POINT. Accepted b;:::10(1}K Da bmittal Amount Due ":,- Receipt No.-4q3l DEPARTMENTAL. MW15W AR#'R+OVED RtANtED CONDITION CODES .. Building Department Occ Group Type Constr. Planning Department Other Other ..................... .. ........... 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