HomeMy WebLinkAboutMIS97-00413 Cancelled Propane - MIS Permit / Conditions - 7/10/1997 - 1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 "L-1 C'. f7 1.- 1,.- N F:= CU U F'!1 . 1 t m 1 "T I• uk I NSPE C 1 I oNS CAL! 4.? r w6 tfit
MIS97•--0413 PA€tCEI- :322.12'76001 10 PLAT - DI V I BL K. : LOT +
JOB ADr)V1FS,: : NF 6011 TAHUYA R 1 VER RD TAHUYA
APPLICANT : WANDA WHITE 360--2 75--7935
OWNER . WANDA WHITE 360--2 75--7935
LEGAL. : TS 11 Of 311VFr 21134 111114
PROJECT DF SCR I PT I CAN :
INSTALL PROPANE TANK
PROJECT LOCATION :
1_01 IS ABOUT 12 MItFS f-A81 TO NORTtt kQSJ Of RFL.FAIR ON FNORTH SIDE: Of 11000 CANAL. . rROM
INTERSECTION OF NE BEL FA 1 R TAHUYA RE) AND NE NE TAHUYA RIVER RD PROCEED AS FOLLOWS = UO .BOUT" ON NE
TAHUYA RIVER RD APPROX 1 MI t F ; AT BOTTOM Of H 11..1 PAY ATTENTION; tiTART I NC%OP THE 111 t I , ON t f f-f THERE
IS ta. (TREY MA 1 L.30X WITH ADDRESS NE 593 AND A SIGN WITH THE" NAMES OF I RMA G E'BERHARD AND ROBERT A
W i L HFR ; TURN DOWN THE DRIVEWAY ACROSS THE ROAD FROM THIS ;MAILBOX AND SIGNS; ON THE f r r..l of 'm
DRIVEWAY IS A HORSE PASTURE ; PROCEED ABOUT 1 /2 MILE DOWN DRIVEWAY TO YLLI-.OW "POSTFD" SIGN; TURN
LEFT INTO YARD .
PROJECT NOTES :
Fc:a�sx:�:-�s:.r.-:.._-::.::-_.-cs::nr.-.'a..:.-r:.-G:.�:�•.....:rss-:r----x:�-_:.r-„>a*r+'-cyrr.a�::•.
I T (1'F ;aMOUNI BY DAl F Ar ct- 1 P1
MCFF * '0 .25 K;, 07/ 10197 1009
MCRS $ 16 .75 1K"1:; 07/ 101 ci 7 1 009
PLFF $ 3 , 35 KS 01/ 10/97 100'4 �
� ; 4
TOTAL. t 40 . 3� UWNLA „Ok AQEN1 ItAl1
11I S,.1111. r ev t 04101192 COMPLIANCE TO AT T AC14ED COND 1-T i ONS AS'
REQUIRED
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
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F f F 7 P/1 1 _1_ C A E) N C") i 1 S C)PJ c=s
Ca:7e No , , MIS97 -0413
Far WANDA WH I l F
Page c 1
1 PURSUANI TO 1941 UN I f"ORM flU I L D i NG CODE , SECTION 3166)(C: ) AND `,F CT I C}N 513 , All slffq
HAVE APPROVED NUMBERS OR ADDRF SSFS PROVIDED IN SUCH A POSITION AS TO BE PI_A I NL Y V I S I BL F
AND 1 EG 1 RLF FROM 'THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY 1301 1.1?I NG
DEPARTMENT REQUIRES TIIAT THIS BE COMPI.ETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A
RF I NSPECT l ON FEE . BA,',F.D ON RATE; IN TABLE :3A OF THE 1994 UN! FORM BUILDING CODE W I !_1 F
ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
2 ) ALL CONSTRUCTION MUS1 MEET OR EXCEED ALI., E_OCAI_ CODES AND 11RC
REQUIREMENTS
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 14 the tank sI7e Is between 125 and 500 gaIIons you must follow the8e qu1deIInts r
1 . Tank is to b;.� i o reot from any bu i d l i ng , public way or property live .
x . If the tank Is *expo .ed -to probable veh i ou t ar lama( e, prc►v i de
proteatIve boIIards .
3 . AI I weeds , (jr ass , t:rush , tra-,.l+ and other uomhustIbIa materIaI
shall bN kept a minimum of 10 feet away from LP containers .
x
4 ) ALL FURNACE iNSTAIL.ATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE 1994
WASH I NGTON STATE ENERGY CODE (WSFC ) . ANY PORTION OF THE MFCIIAN I("Al SYSTEM THAT Is
ALTERED OR REPLACED SHALL MEET THE M; NIMUM STANDARDS SET FORTH IN THE 1994 WSFC AND
1994 UNIFORM MECHANICAL CODE . X,___..__
5 ) CONSTRUCTION PROCESS TO HE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
6) Apprnved per site-plan .
Permit No. M IS / l - 003
MASON COUNTY
t PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT ' I_ /
#1 Owner '✓VO�dQ /)r7� Phone# 215-7935-
Site Address Af[— LrO���rj- j i el- Rd
City St Zip
Directions to Job Site /z r
6 -.L r �z
/ill " s -'s%
Owner Maili g Ad ress �44 L
City �T St Zip
Lien/Title Holder � y e
Address
City St Zip
#2 Contractor Name r��lS Contractor Reg. #
Address Expiration date
City St Zip Phone
#3 Parcel No. 321.
)2 - `7LE - 0o It n
Legal Description
#4 Use of building Describe work
#5 Type of Job: New Ad Alt Repair
Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 each
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other >-wa =6-nk
_Bath Tubs No. Units Fees
_Showers Furn BTU (0 .75-
Hot Water Htr 3 31S _ 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 �S
Permit Basic Fee
TOTAL PLUMBING $3 35 _
Permit Basic Fee 16.75
TOTAL MECHANICAL $ 40-,'If)7
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.
and
f�l
fi-wl /oµ
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
AWARE OFTHE 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 BUILDI G DEPARTMENT. DEPARTMENT.
XOWN S��A L XBY
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:
cARY YANW,D=cTOR
DEPARTMENT OF COMMUNITY' DEVELO NT
PLANNING -SOLID WASTE -UTIUI MS
?b~4 BLDG. I e 411 N. 51"ST. a P.O. BOX 578
IN4 SHELTON,WA 98594 a (360) 427-9670
ONCLAIMTRJWAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL L(M OF RECORD,
LAND DYVISION APPROVALS,SHORELINE PERMIT'S,VARIANCES, AND SPECIAL USE PERMITS:
the undersigned property owner is aware of the uncertainty regarding Maxon County's development reguLtions created
by the Orowth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason Cot ty's
willingness to proceed with processing of applications which might be affected by that Order,the undadiftd property
owner hereby agrees to waive any lawsuit, action, or claim fdr di►mages against Mason County which may arise out of
Masoe Caunty's actions in acceptance, processing and/or isnlanee of such permits or approvals (heteiARet"permitting
actions'),which damages are atAoutable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County't permitting actions invalid.
32), 12, - 7(1,)- nl,�lI (
Date (Parcel No. or Legal Description)
I
Property b, er'a signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE(INDIVIDUAL)
STATE OF
COUNTY OF
On this day of , in the year ,before me Notary Public,
Personal[ly aPPestred personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WPTN13SS my hand and official seal. -For cotrputy We only-
Reviewed by appllcwU do
Notary's signature MAW
My Commission Expires: _ Staff to":