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HomeMy WebLinkAboutMIS98-00442 Cancelled Propane - MIS Permit / Conditions - 10/3/2001 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 f3 C E= t... 1-_. A N F= C3 kJ V3 P E' R M I `T FOR INSPECTION!-3 CALL 427-9670 MIS88-0442 PARCEL. :223O4769O16O PLAT - D I V ; BLK : L Ol : JOB ADDRESS : 160 NE LAKE RIDGE DR BELFAIR APPLICANT : ROBERT JACOBS 871 1000 1Y F PER M EX IpAT1ON OWNER : ROBERT JACOBS 871-1O00 14ULL & D I FGAL. : TR $-A OF SOAV 12161 TA A OF SP #1614 Of 6Q IAKf RIDGE OR gY pATE PROJECT DESCRIPTION : PROPANE TANK, LPG PROJECT LOCATION : BEAR CREEK DEWATTO ROAD TO ER I KSON 1.AKE TO WEST SIDE TNRU GATE BLUE AND GRAN(-iE RIBBON ON ROAD . PROJECT NOTES : TYPES AMOUNT BY DATE RECEIPT _res:»-cr-r^-='r,�:-��:,rrs,�-r,.-�ssa.=,:r--...:�-.-::at,--r_�x:�•.�'e�_.erL�i_ursti:.Krc,. MCFE" $ 20 .50 KS 08/ 1 8/98 48047 MCFE $ 20 .50 KS 08/ 18 /98 48047 MCf3 : $ 6 .50 IfS 08 r 1 g/98 48047 TOTAL-- 47 .50' WN R �AGIVNWf DATE MIS PONT, reu; 04,01192 COMPLIANCE TO ATTACHED CONDITIONS IS 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 by date by D.W.V. WALLBOARD NAILING date date by Water Line by FINAL INSPECTION date by date by date by T,Q - i MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P U7 n 110 1 -1, C; on N t Case No . : MIS98--0442 For , ROBEFIT JACOBS Page - 1 1 ) PURSUANT TO 1994 UNIFORM BUII. DING CODE , All, SITE MUST BE MARKED WITH APPROVED NUMBERS OR ADDRESSES PROVIDED 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 REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM l3Ul1.DING CODE WILL BF ASSESSED IF OWNER /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X-- 2 ) The owner shall have available on site for Inspention by Marlon County, a report indicating the name and license number of the Installer , ithe amount of pressure at the time of testing and the. lencl-th of test t Ime , This report sha I I be s i gned by t tie person conducting the test OR the lines shall be under pressure for a minimum of 15 minutes at 10 lbs and have accurate .pressure gauge on site tinder test reflecting test requirements at time of inspection . X-, MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 3 > I f t Fie tank s 1 ze 1 r between 12.5 and 500 ga I I on,, you must to I I ow t hese go + •. I E 1 , Tank is to be 10 feet from any buldIing, pub Ito way or property line . 2 . If the tank is exposed to probable vehicular damage, provide protective bollards . 3 . All weeds , grass; , brush , trash and other combustible material sha l I be kept a minimum of 10 feet away from LP containers . X Q ) Installation of heating equipment in single family residences shall meet the requirement of the 1991 WSEC . The furnace to be installed shall not exceed 1Fi0% of the heating design load or prescriptive requirements of Chapter 9 . Furnace efficiency sha1I be .78 AFUF or higher . Ducts sha1I be taped, sea Ied and mechanically fastened with a minimtam of 3 fasteners per joint . Ducts shall be insulated to R -8 . .r X 5 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES. IF ANY , QUESTIONS, PLEASE CALL THIS OFFICF BEFORE CONSTRUCTION , X FORM MUST BE COMPLETED IN INK �� l� PLEASE PRESS HARD PERMIT / NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address ,:z 3 .Z62 Mailing Address City �3 s tate Zip Code_�i� � City State Zip Code Phone( o) '7/-lCYO Other Ph.(LL o) ra,_2y.--9,F5 Ph. Other Ph.( Lien/Title Holder - Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMAT�Q12 digit Tax Parcel No. i / / - J Fire District Legal Description / Site Address(Please inqtqyle street na �lstreet number a d city) Directions to site /_� GL_ Is your property within 200' of the following: Body of Water(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) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank �/� Laundry Wsher Gas Outlets 4 Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Otherf1.c P rfoekT Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 7 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-I 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. X J Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. 01ME. RPPFtO .. l7Ehfl #} 'G1NRF#IS3TV CARS Building Department Occ Group Type Constr. Planning Department Other Other FEES — Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES