HomeMy WebLinkAboutMIS97-00301 Final Propane - MIS Permit / Conditions - 6/6/1997 MASON COUNTY
1 Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I c,Cr IF L. L. A. N U C31.1 P E_- R M I I F"(s i I N FBI-t. 1 ! uNS CAl t 421 —9670
Mt S97---0301 PARCEL :32>_.127500030 PLAT : D 1 V . SL.K : LOT
.-OB ADDRESS ! Nf 7?O TAHUYA R I VER RD TAHUYA
APPLICANT : GREGORY q!kRPENTFR 275-5383
OWNE-k r GRt~GORY C,APPFNTFR 275--6383
LFGAI- s 1`1 S 4F Si11ME1' 21134 11114
PROJFCT DESCR I PT ION
INSTALL PROPANE: TANK
PROJECT I OCA C I ON :
GO OUT NORTH SHORE RD, -11IRN R i(;H1 ON BFI_FA IR TAHUYA AD GO PAST TLF UAIEE F"X I T, TURN I_FFT ON
TAHUYA RIVER RD, GO TO MAILBOX 608, PROPERTY ON RIGHT HAND SIDE OF TAHUYA RIVER RD
PROJECT NQT'FS
TYPE AMOUNT BY DATE RECEIPT
MCFE 6 .Y5 NJP 05/^8/97 4415f+8
MCI-F 6 .75 NJP 05/29/97 4456A
WDST $ 33 .00 NJP 05/28/97 44568
TOTAL. 46 :50 OWN 70 0n GFRT DATF
IR 11 S ?W r ev r 44101192 COMPLIANCE TO ATTACHED CONDITIONS IS
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping 4S G a - bA—"- date b
Foundation Walls date 6—`>`--4/7 b L ✓ ��� 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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line
FINAL INSPECTION
date by date (o —G— 9 by G '� date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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PE FIM 1 IF C, (IN0 1 'T I CAN
Case No . , M1897-0301
For s GREGORY (,ARPFN'iER
Page : I
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1 ) Approved per site -plan .
I c ) The owner sha I I have ava i I able on �3 i to for inspect l can toy Mnson County , a report
! Indicating the name and license number of the installer , the amount of pressures at the
time of testing and the I meth of test time: . This report shall be s ignf-d by the per -�oti
conducting the test .
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3 ) ALL 'CONSTRUCTION MUST MFFT OR EXCFt=D ALL LOCAI CODES AND UBC
F REP IREMFNTS
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k 4 ) If lhee tank sl .;-e is between 125 aree.i 500 gallons you mtist follow these guldelinest
1 . Tank is to be. 10 foeat from anv bu l d l i ng, public wade or property 1 i nee .
2 . if the tank is exposed to probable vehicular damage, provide
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i a is , bc u.,Ii , trash a wi j i k t,I u ombu.; t I b I e watc�i ICA I
sha I I be Dept a minimum of 10 feet away from LP containers .
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61 CONSTRUCTION rpocESS TO BF FIFLD CORRECTED AS REQIJIRFD PER MASON COUNTY BUILDING
DUPAR'FMFN'f AND UNIFORM BUIUDING
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# C:: 6S.3
Site Address 2K2 kb
City U� St Zip
Directions to Job Site U 6
Owner Mailing Address 0 /�
City St Zip 8
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 ' Parcel No. - -
Legal Description y� n
#4 Use of building �'�Y "�3.4 QA ' ^X Describe work
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3 eachj Fgg Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
ath Tubs No. ni Fees
S wers Furn BTU
_Hot ater H _ Heatpumps
_Laund V)fla/sher _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor rai No. Boilers/Compressors
/Permit
dry Bas s _ HP
washer No. Air Handling Units
osal _ cfm#
ls N Other
r Gas Outlets
W d as .Pellet Stovev asic Fee15.00 '� L PLUMBING $ _
Permit Basic Fee 15.00
TOTAL MECHANICAL $ v
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.
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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,
FI od Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
SOS
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CON TR GTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OF MASON COUNTYORDI NCE REQI�IREMENTS RDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHIC HIS PERMIT IS ISSU ND T TALL WORK ICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WIL B IN CONFORMANCE HE WIT . N CHANGES CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE E ITHOl1TFIRST BTAI ING PP VALFROM WI OUT FIRST OBTAINING APPROVAL FROM THE BUILDING
T E BUILDIN PARTMENT. TMENT.
OWNER pp � 7 LAX BY _
ATEQ-t ( 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: