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