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HomeMy WebLinkAboutMIS95-00478 Final 2 Gas Pumps - MIS Permit / Conditions - 1/3/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 M 1 43 C E 1.._ l_. A N F 00 t.J P V R M 1 T' FOR INSPECTIONS CALL. 427--9670 ' MIS95-0478 PARCEL :321363600061 PLAT : DIV : BLK : LOT , JOB ADDRESS : F 5881 STATE ROUTE 3 SHEL.TON APPLICANT : DEER CREEK STORE 426-3671 OWNER : DEER CREEK STORE 426-•3671 LEGAL : TO 11-11 OF d.®. ECLEN'S I.L.C. E PROJECT DESCRIPTION : 2 GAS PUMPS i PROJECT LOCATION: NORTH ON HWY 3 APPROX 10 MILES, STORE IN ON LEFT OF HWY . PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT MCFE:' $ 12 .00 KS 07/20/95 39696 MCBS $ 15 .00 KS 07/20/95 39696 TOTAL. : 27 .00 OWNL R AGENT ' DAT . IIS_11IT, rev: 94101192 COMPLIANCE TO ATTACHED CONDITIONS IS REOU i RED 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 INSPECTION — 'n date by date by date by `I I I I 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 BGiSLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by - date date by PLUMBING Attic OTHER Groundwork date by DW V b WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Ad 8 �F, MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E RIM I -T- +C: C) N U 1 `1 1 (73 N Case No . : M I S95--0478 For . VEER CREEK STORE Page : 1 1 ) 1 . PROVIDE: CLEARLY LABELED PUMP MASTER SW i 1(:FI WITHIN 75 FEET, BUT NO CLOSER THAN 15 FEET TO THE DISPENSERS . � 2 . PROVIDE A 2A--20BC RATED, ORY CHEMICAL FIRE EXTINGUISHER WITHIN 75 FEET FROM THE: DISPENSERS . 2 ) All approved planti are required to be oo-site for inspection purposes . If inspection Is galled for and plans are not on site , Approval WILL NOT he granted . In addition , a Re-. Inspection fee in the amount of $30 .00 per hour (minimum 1 hour ) will be charged and f must be collected by this department prior to any further Inspections being performed or approval qr nted . �. X r; 3 ) PURSUANT 'TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513, ALA. SITES MUST HAVE APPnoVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS Tn BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A { RE I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A Of THE 1991 UNIFORM BUILDING CODF WILL BE ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS , r MASON COUNTY Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 4 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC R!?�_l R�E 5 ) Changes to approved building plans that effect compliance to the 1991 Washington StHte Energy Code, 1991 Ventilation and Indoor Air @ualitV Code, the Uniform fat► i l d i n+g Code and/or Masan Count R t ions must be approved by Mason County prior to oonstructlonJf 6 ) CONSTRUCTION PROCESS To BE FIELD CORRECTED ,AS OIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x I w MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 LR (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION RE: Permit Number # rn I To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the,work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each .required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to U 1 / rQ(,y/9 (,to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, 'c> Building Department cc: PronPrty Fila Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner S� Site Address City St Zip 5�� F Directions to Job ite 57 Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name "rp� 1c, l e b1=c , Contractor Reg. l Address R) . � y Expiration date City St._LdA Zip 9 Phone #3 Parcel No. `ZA'3; 3 ?, Legal Description V -At #4 Use of building `F F 0 Describe work _ Z� iN #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. Unk Fees _Showers Furn BTU _Hot Water Htr r u W Heatpumps _Laundry Washer c (RD _ Vent Systems _Sinks _ c Spot Vent Fans _Floor Drains W No. Boilers/Compressors _Laundry Basins C7 HP _Dishwasher . Air Handling Units _Disposal Rig cfm# _Urinals 6 NQ Other th �J/hl�S ERP Gas Outlets Wood, Gas, Pellet Stove 25.00 Permit Basic Fee 15.00 TOTAL PLUMBING $ Z- F I Permit Basic Fee 15.00 TOTAL MECHANICAL bG 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 ALLWORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADF_*ITHOUTf I�RSTOBTAINING APPROVAL FROM WITHOU IRST OBTAININ PP VAL FROM THE BUILDING THE BUILDI D NT. DEPA rMIT". CX OWNER X BY DATE ba 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 QNLY; Accepted by; Date; Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: i Building: Fire Marshal: Y