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
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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