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Home My WebLink AboutMIS95-00169 Final Propane - MIS Permit / Conditions - 4/25/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 C F L_ L- A N EF C.)tJ's, 1- t Ft M 1 T FOR I NSPECI I ONS GALL +1?_7--9670 MI595--0169 PARCEL t 3213624O4080 PLAT . D i V : BLK : LOT : JOB ADDRESS : E 100 CRANBERRY CREEK RD SHELTON APPLICANT : RICHARD FIEID OWNER : RICHARD FIELD LEGAL. : TO 1 OF SE 1t FS 11937 PROJECT DESGR I PT I ON t set propane tank and connect to gas log stove PROJECT LOCATION , 6 1 /2 miler, north or: H i clhWOV 3 . left .dust past Deer Creek Store . second place can right , I PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT WDST $ 25 ,00 NJP ;! 3/ 1 7/95 38597 MCFE S 6 .00 NJP 03/ 17/95 38597 . MCFE $ 6 , 00 NJP 03/ 1 7/ 95 38597 � T _ IviGBS 4 15 .ash N�iP L3,.'117195 3H:�97 TOTAL : 52 .00 O �R OR AGENT DA IIIS_tIMI, rev, O4l11/92 GOMPt. IANCE TO ATTACHED CONDITIONS 15 RFOU1RED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F" 1 F7t 1�1 1 T' C. (73 N 0 1 T" I C�N S Case No . , MIS95-0169 Fors RICHARD FIELD Page , 1 1 ) Approved per site--plan . ? ) PURSUANT TO 1991 UPIIFORM BUILDING CODE , SECTION 30b(C ) AND SECTION 513 , AIL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIPES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPEC'T I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM B(?I t D 1 NG CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . �) r X . 3 ) The owner shalt have available on site for inspection by Mason County, a report Indicating the name and license number of the installer , the amount of pressure at the time of testing and the length of test time . This report shall he signed by the person conducting the test . X_r 4 ) If the tank size Is between 125 and 500 gallons you must follow these guidelines : MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 . Tank is to be 10 feet from any buldling, public way or property line . 2 . If the tank is exposed to probable vehicular damage, provide protective bollards . 3 . All weeds , grass , brush, trash and other combustible material shall be kept a minimum of 10 feet away from LP containers . X 5 ) CONSTRUCTION PROCESS TO BE FIELD CORRECT-� A REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UN 1 FORM BUILDING CODF .x p_�k 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 PLUMBING date by OTHER Groundwork Attic date b date by . D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INS ECTI date by date �/Z bypfE. date by Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner Phone# P� ��T y Site Address no City St Ct llf Zip Directions to Job Site /V -U t 1lo c i , fir» r� . Owner Mailing Address_n Z,3q City �, � / 1�J St Cc-w Zips Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No._,,'5- ),S�c Legal Description #4 Use of building 6�� Describe work ,-�j�7L�/?/ #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Uaila Fees _Showers _ Furn BTU Hot Water Htr .3.a0 _ 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 �O d Wood, Q Pellet Stove . o 0 Permit Basic Fee 15.00 TA N K ,OD TOTAL PLUMBING $/$•ol-*) 1 Permit Basic Fee 15.00 C70-0a TBJTAL F 67 TOTAL MECHANICAL $SZ� 06 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 tobe located outside of the existing structures, a plot plan MUST be submitted as required below: 1%. 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. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRA& THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWAREOFTHE 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 Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: