HomeMy WebLinkAboutMIS96-00436 Cancelled Propane - MIS Permit / Conditions - 1/22/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
r F0 a. .'c 1 OW, 4rr ..�)cy
full SOO-0435 PARCEL_ s32. 1362100120 PLAT a D i V : BLK s LOT
JOB ADDRESSs E 371 CRANBERRY GREEK RD SHELTON
A PPL I CANT : JAMES OKONEK 426- 4946 PERMIT
OWNED c JAMES V OKONEK 426 4948 NULL & 1 oln, RY EXPIRATION
LEGAI i TO 12 1F If Of
PROJECT DESCRIPTION :
SET PROPANE TANK
FRO JEC-1 ►..00AT I ON a
6 MILES NORTH ON HIGI-IWAY 3 10 DEER :;RFCK STORE . TURN LEFT PAST THE STORE . 6141 HOUSE ON LEFT
APPROXIMATELY A QUARTER MILF ON CRANBERRY CREEK ROAD. LAUREL HEDGING DRIVEWAY
PRO.JEGT NOT178
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TYPE A,MOUNI BY DATE RECE I PT
WDST 3� 32 .00 NJP 07/02/96 42.292.
MCFF $ - 6 .50 NJP 07/02/96 42292
MCFF !I � 6 .NO N,IP 07/02196 42?02
MCBS 1 < 116 .25 NJP 07/0?/96 42292 ---
TOTAL - , 61 .25 ( I O14AGFN i �- DATE
I f$ P1111, rev; 04111192 COMPLIANCE: TO A I TAC;HED CONDITIONS IS
if6UINFD
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
_ '7 I;Y1Sl CVO c G,�d Y--
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Case No . : M 1 S96 -043:5
I oc e JAMF S H OVONEK
Paget 1
1 ) PURSUAN'r TO 1991 UNIFORM RU i t D i NG CODE , SECTION 305(C ) AND SECTION 51:3 , ALL SITES MUST
HAVE: APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS CO BE PLAINLY VISIBLE
AND L.EG I t I-F FROM THE ;STREET OR ROAD FRONTING `"HE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT 'THIS BE C.OMPLET171; PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FFE , BASED ON kATFS IN TABLE 3A Of THE '1991 UNIFORM etl I LD I N(B: CnDr WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS ,
X �
2) The owner shall have available on site for i n,pect i on by Mason County, a report
Indicating the name and license number of the Installer, the amount of pre6sure at the
time of testing ind they length of test time . 'This report shall he signed by the person
h conducting the test .
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MASON COUNTY
�\ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
REGUIREMFNF4
4 ) It the t.ranlc s i <e i s between 125 and 500 sra I I on,, you mtj�•t to I I uw t hetce qu !r1e I I voi .
1 . Tank i 4, to be 10 feet from any bu Id I i ng, public wav or property I i ne .
2 . If the tank Is, exposed to prrnbat le vehicular damd(ce , provide
protective bo I 1 ay~pis .
3 . el: li weecJs , crra ;s , tlsush, tt�ash and other combustible matc�rial
shall be kept a minimum of 10 feet :away from LP contain►er-s .
5 ) CONSTRUCTION PROCESS TO bE FIELD CORRECTED AS REQU I RED PER ,-MASON COUNTY R(I 1 t_D I NV
DF PAR`IMFNT AND UNIFORM BUILDING CODE: .x__.
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I ,
Full Propane Sales & Service
• Fittings • Home DeliveryC & D
s
] � e
al,S:kW,mV
; r
25Q--Clallon Tank Set
/O/05Z-R/ /p 105-2 Q'
/v/oSZ RZ v/d SL 13 Z
Rent Buy ak
Tank(250) 14
$54.00 $675.00
Set-up & Delivery $36.00 $36.00
Regulator Kit $86.00 $86.00
P;opane(225 gal ) t $252.00 $209.25 �'
Poly line(10') $45.00 $45.00
$473.00 $19 051 .25
Tax $37.37 $83.05
Total wl as $510.37 $13134.30
Tata1(vv1dut),Wv $238.46 $908.52
Poly plastic ends $15.50
Poly plastic line (per foot) $0.86
Two stage regulator $68.00
Poly plastic tee $30.75
Black pipe & fittings(per foot) $2.00
1 /2"Gas ball valve $6.50
3/4" Gas ball valve $7.50
sf250
MIS
�. MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner Phone # Fire District#
Site Address City
Mail Address
City St Zip
Applicant Phone#
Applicant Address
City St Zip
Directions to Site:
#2 Parcel No. - -
Legal Description
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date Project Completion Date
#5 Use of Buildiing Describe proposed construction
`Depending upon the type of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X N7) X BY
ATE — — ' DATE
Show following on the site plan
4 v
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street f Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
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1
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1
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
'TOTAL DUE $
Permit No.
r W MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner Phone#�
Site Address
City St Zip 9ff '
Directions to Job Site 7�
oti
e
Owner Vailing A41 reess
City, / O A/ ZQr�� St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. - -
Legal Description,3Z 1312 _ Z / - a CO /Z O /Z. B NJE /tom Zf�
#4 Use of building s /79 Describe work r pe ,¢C-
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 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 N Other
_Other Gas Outlets ,
o ellet Stove 32.00,"'
Permit Basic Fee 16.25 A—
TOTAL PLUMBING $ _
Permit Basic Fee 16.25
TOTAL MECHANICAL $ �al,Lot6
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 continuxtion cif 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 submIted 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.
S6
�a ems'
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 REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALLWORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADEWITHOUT 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 985 4 • 427-9670/1-800-562-5628
FOR OPFICIAL'US�ONLY: Accepted by: " Date:
7 �/,M:5o
Rece�pt.lYa Refer d To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: