HomeMy WebLinkAboutMIS96-00663 Final Propane - MIS Permit / Conditions - 10/8/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 c;C E L_ L_ A N C C3 U 3 P E Fi M 1 i" FOR INSPECTIONS CALL 427-0670
M 1 896-0663 PARCEL :3213f 2403090 PLAT � D I V s BL.K : i.OT i
JOB ADDRESS , F" 140 CRANBERRY CREED RD . SHELTON
APPLICANT : VERN IIONSTA I N 426--4422
OWNER : VERN HONSTAIN 426-4422
LEGAL : T1 4 QT S112 1112 IF SE if
PROJFCT DESCRIPTION
PROPANE TANK, STOVE. GAS OUTLETS
PROJECT I_OiATION :
OUT HWY 3 TO DEER CREEK CROCRY TURN LEFT AFTER .S`T ORE, 2ND HOUSE ON R I O111 , BROWN HOUSE AND
GARAGE SILVER ROOD.
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCBS * 16 .25 TW 09/ 19/96 42 972
MCFE $ 6 .50 TW 09/ 18 /96 42972
WDST t 32 .00 TW 09/ 18/96 42972
Y
futGFE 4 6 .50 TW 09J 1 E1/9Fi 42872 1&.x'... -
TOTAL : 61 .25 j OWNEP OR AGENT DATE
IIS f9171, rfv: dilif192 COMPLIANCF TO ATTACHED CONDITIONS IS
REQUIRED
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 _ C 6 by date by
`I
I
CONCRETE MECHANICAL MOBILE HOME `
Footings-Setback date by Ribbons
date by Gas Piping F C rc a 3 cc-, > IJ date b
Foundation Walls date IO-C-56 6-3 by 4 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
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PEERM 1 T C:', �PJC i T 1 47►W
Case No , : MISOG-0663
rcir : VERN 110NSTA I N
Page : 1
1 ) The owner shall have available on site for Pnspaation by Mason County, a report
Indicating the name and license number of the litstaller , the amount of pressure at the
time of testing attd the l Angth of test time . 1h i s report shall be signed by the per:ion
conducting the test .
h_ _r
2 ) ALL CONSTRUCTION MUST 161EET OR EXCEED ALL LOCAL CODES AND UBC.
REQUIREMENTS
X_._.._..—
3 ) If the tank size Is between 125 and 500 gallons yots must follow theso gu 1 de I 1 nes :
1 . Tank Is to be 10 feet from any buidling , public way or property tine .
2 . 1r the tank 1n exposed to probable vehicular damage, provide
protective bollards .
3 . All weeds , grass , brash , trash and other combustible material
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
sha I I be ke;-,t a minimum of 10 Peat away f rum LP conta i ners
X { ��
4 ) Changes to approved building plans that effect compIianoe to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or Mason County Regulations must be approved by
Mason County prior to conntruotionX
r
v) ALL CONSTRUCTION 14UST MEED OR EXCEED LOCAL CODES . If ANY QUESTIONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
f=
6 ) CONSTRUCTION PROCESS TO BE F I E I.D CORRECTED A4 REOU I RE D PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
Permit No.
MASON COUNTY r a LS9 U- -o U U3
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT
#1 Owner V e r rl onr)S+Ct i Y-1 Phone# yap
Site Address F/-5'D Cr-n✓► hc—rrLj K L R00d
City .She He"-) ' �^ St /')Ct Zip 2(f�
Directions to Job Site v )C r, r
_ hd Hozz t�-kh+
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Fc r re- l c� `, H r ►-}f_n I-or iS P Contractor Reg. #
Address —� Expiration date
City flDOdsr St Zip Phone
#3 ' Parcel No.— ���- - ��jC�a U rt;ry no Dick.n son Non51Q i r�
Legal Description
#4 Use of building Describe work hsf /)
t ew r--
#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 Fu rn 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 �p
_Other k Gas Outlets
Woo , Gas, Ilet Stove 32.00
Permit Basic Fee 16.25
TOTAL PLUMBING $
Permit Basic Fee 16.25 a5
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.
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
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 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 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:
..............
... ........
_NW
----------