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HomeMy WebLinkAboutMIS96-00114 Final Propane - MIS Permit / Conditions - 3/15/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 El C; E 1._. 11— A N F C3 tJ Z; PERM 1 T FOR INSPECTIONS CALL 42 i' -967O W S96-0114 PARCEL :221321190340 PLAT ; DIV : BLK : LOT % JOB ADDRESS -: E' 1O85 P1CKER !NO RD SHELTON APPLICANT : M I CHAEL SE 1 BERT 427--6 701 OWNER - MICHAEI. SF IBFRT 427- fi101 LEGAL ; TA 34 Of 89YT LOT I 1 11 Of SEC 33 T1 3 OF SPI755 SEE SVIV 5142 El CO R1/ PP:OJECT DESCRIPTION a PROPANE TANK PROJECT LOCl1T I ON % w �;H Y 3 TO P! KER !NG TAKE RIGHT BUILDING JUST PAST SPENCER LAKE STORE . PROJECT NOTES ; TYPE AMOUNT BY DATE RECEIPT MCFE 6 .00 TW O2/27/96 41335 MCFE 1 6 .00 TW O2/27/96 41335 MCBS $ 15 .00 TW 02/27/96 41335 _ PLCK * 19 ,00 TW O2/27/96 41335 TOTAL, ; 46 ,00 tiWNER OR AGENT DATE s MIS ?Rif, rev: g4;0 v COMPLIANCE TO ATTACHED CONDITIONS I %RAOt1 I RED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I i MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P IFF R f0 1 -U C C3 Nis 1 -1- 1 to N E; . Cafr,e No . : MIS96-0114 Fort MICHAEL SFIBFR*I' Page , I 1 ) Approved per, site-plan , 2 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , Au SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND L-FfilBLE FROM THE STIiEFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FFF , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS 3 ) The owner shall have available on site for Inspentloto hV Mason County, a report indicating the name and license ntimber of the installer , the amount of pressure at the time of 'testing and the length of test time . This report shall be signed by the person conducting the test . X - 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 date by PLUMBING Attic by OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by III I i L MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 4 ) If the tank sizo is betwe--n 125 and 500 quileons you must follow these guidelinest 1 . Tank is to be 10 fe"t from any t)uwlinq, public wry or propertv line . 2 . If the tank is exposed to probable vehicular damage, provide protective bollards . 3 , All weeds , grass , brush, tr-a,,h and other, combustible, material shall be kept a minimum of 10 feet away from LP containers . 5 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTEP AS REQUIRED PER MASON COUNTY BUILDING DEPARfMFNI AND UNIFORM BUILDING C,0 D E ,- ;_- ----------------------------------------------------- 1 CONCRETE MECHANICAL MOBILE HOMSS 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date3// tj l �� by 'V -bLl date by Per�h?"o. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner SPU4CEC� t- K. Phone# (3Lc) 477- 5S6 Site Address E 1055 P1 CK-C- I MIq e2D, City 5SHCI"MAI St ��q Zip 'I`,SSA Directions to Job Site N© ZI-y) C�J 14V4\/ 3 CL,I-r 6F 5�-IC-LTo-1> P- cm PiCKC-CIAlh 1Z�• � A F2CX M I L-6 FCST I I )1, /'�E6oC I T I M I L.-E �,-)C W N PiC K Ee 1 A-f E( C Ill L EF 1 Owner Mailing Address A5 A EVe-F City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No. - Legal Description #4 Use of building Describe work #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. Uaila Fees _Showers _ Furn BTU _Hot Water Htr _ 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 Wood, Gas, Pellet Stove Permit Basic Fee 15.00 TOTAL PLUMBING $ _ Permit Basic Fee 15.00 TOTAL MECHANICAL $ 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 lank, 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. 7�3 O v � v � EM �q N t_-L I WNERS 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 OF THE 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 BUILDING Dr-EPPA�R,TMENT. DEPARTMENT. X OWNEp,-C V� �}2�-�-�— X BY DATE Z-Z 7'Cl 6 DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 985 4 • 427-9670/1-800-562-5628 1"OR OFEICIAL'USE QNLY: Accepted by; Date: Receipt No. fer ed To DEPARTMEN L REVIEW Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: