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
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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