HomeMy WebLinkAboutBLD2003-01070 Final Propane - BLD Permit / Conditions - 8/14/2003 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
MECHANICAL PERMIT BLD2003-01070
OWNER: ORVILL, PETERSON RECEIVED: 8/4/2003
CONTRACTOR: QUALITY APPLIANCE (360)427-1202 LICENSE: QUALIA*98400 EXP: 9/20/2004 ISSUED: 8/4/2003
SITE ADDRESS: 2861 E MASON LAKE DR EAST GRAPEVIEW EXPIRES: 2/4/2004
PARCEL NUMBER: 222335200075
LEGAL DESCRIPTION: MADINGS SUNNY SHORE ADD #6 TR 75 2861 E MASON LAKE DR EAST
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK, OUTLET, GAS STOVE ST RT 3 LEFT ON MASON BENSON RD LEFT ON MASON LAKE DR EAST
TO SITE ADDRESS ON LEFT SIDE
General Information Mechanical Fixtures FEES
Type of Use: SF Insp. Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: 5 Gas Outlets 2 Mechanical Base Fee TW 8/4/2003 $23.50 S22003
Propane Tank 1 Mechanical Fee TW 8/4/2003 $73.60 S22003
Propane Stove 1 Total $97.10
BLD2003-01070 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD20 0 3-01 0 70
CONDITIONS FOR
BLD2003-01070
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X� v
2) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to 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-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fail to PosLthe address on site prior to requesting inspections.
X �
3) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in pe mit re
X t
� L �
4) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All Propane tanks between
125 and 500 gallons must be located a minimum of 10'from any building, property line, public way, possible source of ignition (electrical outlets,
electrical fixtures, compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. If a propane tank is exposed to
probable vehicular dams e, protective bollards must be installed.
Xr ..
5) Fuel piping shall be inspected after the installation of gas piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system
shall be used un� inspection has been performed and approved by a Mason County building inspector.
X (�
6) All property lines shall be clearly identified at the time of foundation inspection. X
7) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mast Coin r ' nce��d building regulations.
X �rr�b�
BLD2003-01070 Please refer to the following pages for conditions of this permit. 2 of 3
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after-work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: DATE: d d
BLD2003-01070 Please referto the following pages for conditions of this permit. 3 of 3
t � ,
CONCRETE MECHANICAL MANUFACTURED HOME
Footings/Setbacks Date B y Ribbons
D ate B y Gas Piping Date B y
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
D ate B y Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL I SPE TIO`�N
Water Line Date / D3B y/? LS
Date By Date By
0
0
0
CD
O
a '�
m `C ,
� WfthCD
o
�n
0
i
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box Shelton,WA 98584
Shelton(360)427-9670 Belfair 1 ) 75-4467 Elma(360)482-5269
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner I ICY 0,0 Contractor Name k 1
Mailing Address Mailin Address S �l N•, ZL3
Cit Y'a�,.Pe,_ l� a Zip Code _t City she 1{�h State 17 ►� Zip Code !Cla!k
Phone a X 3 r Ph.( Ph.(3+6a )4L1-QA'L Other Ph.(_
Lien/Title Holder Contractor Reg. LLACk k-* g8400
Address Expiration/ / Zvn V
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATIO�-' digit Tax Parcel No / / Fire District
L cription1 S!,Ln —2
e Addres (Please include s0e6t name,street number and Ci )
Dir 10 o site
Is—your property within 200'of the following: Body of 4ater(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANI L UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG V Natural Gas Heatpump
Toilets -Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank /0.&6
Clothes Washer Gas O
Kitchen Sinks Wood pas let Stove a. O
Dishwasher Kitchenaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
/�`
t� Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
I3EFAfiTMEAITAI fi 1/fEW.... ttiPFROVED: RIMED _..:. _: . "GOhfRI'#'14)N O�?1 .5
Building Department ,,,
Occ GroupType ConstrV11)
Planning Department
Other
Other
... .: ..:
:.::;::.;.
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee O Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES L? O