HomeMy WebLinkAboutMIS97-00776 Final Propane - MIS Permit / Conditions - 9/14/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
f._ L_ ^ N E= C)Ut3l p V- R M I 'l FOR I N:sI'FC 11 uNo i ALL. 427_,c,,6 O
MIS97-0776 PARCEL c3213E,2200020 PC AT DIV : SILK ; LOT J
JOB ADDRESS : 1010 E MIKKEL.SF'N RD SHI L.TON
APP!_ ICANT : THEERIN IANFY 1
OWNER : THERIN LANEY
LEGAL : E112 Nx IV EX
PROJECT DE SCR I PT I C N ,
PROPANF TANK FOR AI TE-RNATE POWER SOURCE
PROJECT LOCATION :
HWY 3 TO MASON LAKE RD LEFT TO M1KKEL SEN RD RIGHT DOWN POWE-V! INTS ONE THE 1,13TAY 11NDERI_ INE= 'TO THE'
RIGHT
PI ,r),tFCI NO,rFS -
TYPF AMOUNT BY DATE PFCEIPT-17
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mCI:f * G : T'i TW 11113/97 4155B7R �J; ;
mcf F * 6 75 TW 1 1 1 1 ;3197 45898 V
MC"E3S * 16 . 75 TW 1 1 / 1 197 4 898113 ,le
77.
`10TA.1 : 30 .25 OWNER OR AGEN,x
II IS 1'1111. ►ears #4101 142 COMPI, I ANCE, 10 ATTACHED CONDITIONS IS
REMJIRFn
xl
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas P' date b
Foundation Walls date V —9�? b 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
PLUMBING date by OTHER
Groundwork Attic
d date by
ate b te WALLBOARD NAILING
D.date by date by
Water Line FINAL INSPECTION
date by date _/�/- / O by, � date by
ly e:DB ,a 7,ow�c G,QS
L�STi c (!S7s4S 4 O .--,-.c./s. �
i
MASON COUNTY
LA
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
11F. F7M Ii 'T Gc..1N1) 1 T" 1 c.► r►
C use No . : M I S97-0776
For : THERIN LANEY
Page : 1
1 ? PURSUANT TO 1991 ON 1 FORM BUILDING CODE , SF C i ION 305 t t: > AND ISUCT I ON 513 , At t ; I ff � M01,?T
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY V 1 S i Eft F
AND L EG i SL F t ROM THE STRFF T OR ROAV F11ON'I 1 '.., THE PROPERTNr . MASON COUNTY RU I I.D !Nt�
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE I NSPE(,"T 1 ONS . A
RE I tISPF_CT I ON FE F , BASED ON RATFS IN TAKI E 3A OF THE 1994 UNIFORM BUILDING CODE W i t.L BE:.
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITES PRIOR TO REQUESTING
INSPECTIONS .
2 ) The owner shr'a I t have uva t I ab 1 K on s i t fr for, I nspe(1 ion by Ma.:,on Co►inty, a ueport
indioat. ing the name and license number of the Installer , the amounts of pressure at the
time of testing and the length of test time. . this report Fthal I be skined bV the r) s>e,n
oonduot i net the teat,
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
REQUIPPMENTS
(<T
4 ) 1 f the tank :.- I -e i �; between 1,`-!5 and 600 (ja I Ions you must to I I ow these q u i de I I ne^
1 . Tank Is lo 10 feet from any bijidling, ptiblin, way or property live .
2 . If the 'tank Is exposed to probable vehiciflar, damage, provide
protective bofl�lds .
3 . 1 weeds;'. 0 ass , brtish , trash and ether combustIble material
�lha I V be, kept ,� mInImum of 10 feet away from LP contal 11119
)r") B
5 ) CONSTRUCTION P OCESS TO BE FIELD i-'OR144CIED TOIJIRFD� PER MASON -OONTY BUILDING
F WPARTMENT AND ON I ORM BU I t D I NG CODE
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT /
#1 Owner /'#Cr/ Phone# Z7' S 3
Site Address
City 5 /4�J St
Directions to Job Site 3 �� O L L //0
Owner Mailing Address
city_LpG� St 1"�4 zip q8s Y�
Lien/Title Holder
Address
City St we Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City _ St Zip Phone
#3 Parcel 5 00 0 2,0
Legai'Description
#4 U of building Describe work
vti
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures 6.75 each
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 --33-.W
Permit Basic Fee 16.75 �o frA �s Q ��
TOTAL PLUMBING $ _
Permit Basic Fee 16.75
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.
,I
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
AWARE OFTHE MASON COUNTYORDINANCE 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 FIRSTOBTAINING 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
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: