HomeMy WebLinkAboutMIS94-00811 Final Propane - MIS Permit / Conditions - 6/23/1995 CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
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 OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date jp— L�— by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I S G E L L A 14 E O U S P E R M 3E T FOR INSPECTIONS CALL 427-9670
00050
MIS94-0811 PARCEL : 32135431d.0-WI-4 PLAT : DIV: BLK : LOT :
JOB ADDRESS : E 5171 STATE ROUTE 3 SHELTON
APPLICANT: WILLIAM LAMONT (206)426-1888
OWNER : WILLIAM LAMONT (206)426-1888
L E G A L : TR 1 OF LOT 2 1 U112 OF SE111 ' FS 18958
PROJECT DESCRIPTION :
PROPANE TANK SET AND CONNECT TO MOBILE HOME
PROJECT LOCATION :
MILE POST 8 ON HWY 3, TURN LEFT, FOLLOW DRIVEWAY UP THE HILL
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCFE, $ 6 . 00 NJP 10 /03/94 37383
MCFE $ 6 . 00 NJP 10 /03/94 37383
MCBS $ 15 . 00 NJP 10 /03/94 37383
TOTAL : 27 . 00 OWNER OR AGENT DATE
MIS_PRMT, rev: 04/81/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
+
P.O. Box 186 Shelton, Washington 98584
M = 'E; CE L. L. AV4t C3IL! F- RMX _r ► iiF, IN.'Fl:f' 11ON CAt I 417 _9670
00050
MIS94-681.1 PARCU 1 - 321 I'll AI z rIIV! F.i Y. I (it
1f)li ri1JGf?1 _: E 5171 STATE-. ROUT-E 3 SHFI_`FON
APPI I WII1. IAM IAMONT (1.96)4.1 .. 1HS1i
IItJNFPA WTLI FAM I..AMONT ( 706)426-1808
111.A I i1 11F L1i I i VI I7 1I stilt " f s tom
PROM r 1 01 ` (-.If J P I I ON
NROPANU TANK SET ANO COHNF CT TO MOBILE HOME
1>RO,'!l f ; I 11C A ION •
MILE POST 8 ON HWY 3, TURN LEFT. FOI LOW DRIVEWAY UFO THE 1111. 1.
Tkfi.Is' r 1. N+1 t t
II` PI AMr) IN I By y IJA II Pt C:f= up I'
till I' N,JP Ie10i1.14 I :18
F4f 1"I g. r, 00 NAP 10 jO i ;,ato sa ;r? � f �i �✓ J
M f 11 I 0 0 NA 13 1 0"t j':i 4
I I }+ 1 'tit / 00 I U1..1NI It 01 AFO-N 1 till I I
1113_kfiNi, rev 41111r4. COMPI IANC.E. TO AFFACHF0 CONDIIJON; IS
RF'QOIRFD
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
11::::` II::: 11 R' 11,11 :'11:: ...u... tl::::: 11:::U 11".-H U), ::II:: -..II II: C::U IPa.p
Case No . : MI594-0811
For : WILLIAM LAMONT
Page : 1
1 ) The owner shall have a a 'la o site for inspection by Mason County , a report
indicating the name a d cens number of the installer , the amount of pressure at the
time of testin a leng of test time . This report shall be signed by the person
conducti g e
X
2 ) If he tank size is between 125 and 500 gallons you must follow these guidelines :
1 . Tank is to be 10 feet f om any buidling , public way or property line .
2 . If the tank is ex ose ,to probable ehicular damage , provide
protective bolla s
3 . All s a 0 rl stible material
shall be pt of 10 fe t a ay from LP containers .
X
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MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.0, Box 186 Shelton, Washington 98584
W I I I T A M I A 11(1 N I
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I f I h 1. i i I I I Ild (J)0 1 1 1 1 1 1 1 i di, I I
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Permit No.//U`J
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner &/'10A)'1' Phone#
Site Address c'_" S/ ;71 �4 S
City St 4,,),A, Zip % 858'
Directions to Job Site M i f COST Si J�jT�'� in!(r J��d�'fi
Owner Mailing Address
City � St Zip
Lien/Title Holder k.JAS H/A --M r) m Q-ro A-
Address �� i�ox
City 04 St Zip
#2 Contractor Name G-�-� o v� Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No.
Legal Description
#4 Use of building Describe work Pclrr,QG /,AJ
fv -r'A,04
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3 each) Feg Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. UaLta 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 Go
_Other Gas Outlets
Wood, Gas, Pellet Sto a 25.00
Permit Basic Fee 15.00 G� -
TOTAL PLUMBING $
iv
Permit Basic Fee 15.00
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.
X
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 COUNTY ORDINANCE REQUIREM NTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUE A ND THAT AL ORK WHICHTHE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE T EWITH. NO HANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHO FI �STO ININGAPP VALFROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEP R E DEPARTMENT.
X OWNE X BY
DATE ��i - — 9/ 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: