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Home My WebLink AboutMIS99-00506 Final Propane - MIS Permit / Conditions - 8/20/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 inn I t3C: E 1— L_ ANr= C3kJ*c3; PE: FAM I `T R 1NSF f 1c►rJ. A► ; 427 -96?0 M i S99--0506 PARCEL :2 23097500220 PLAT : D L V : BLK ,t i_UT : JOB ADDRESS : 490 NE HORSESHOE DR BELFA IR Y APPLICANT : BRIGMON LOHMAN 3722617 OWNER : BR I UMON L..OHMAN 3722617 LEGAL : TO 22 Of SURYfV 7111 SFf SURVEY 41121 PROJECT DESCRIPTION : Install Propane tank . . Customer :Stated that oontrartor from stove p l kace would pull permit for any other th i rigs . PROJF C-T LOCATION . 490 E . Horseshoe dr .. PROJECT NOTES : YP1= AMOONT BY DATE RECEIPT MCFE: $ 9 .50 KS 08/ '18199 1614 MCBS, $ 22 .00 KS 08/ 1&199 1614 TOTAL. : '1 .50 ` OWNER OR AGENT ' tA:TE 11 S Parr, ev 04111112 COMPLIANCE TO ATTACI-1ED CONDITION: IS CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date ? ?.a 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 OTHER Groundworkdate Attic date by D W.V. b WALLBOARD NAILING date by date by Water line FINAL INSPECTION I date by date ��i��/ date by Page No. 1 PROPANE TANK AND STOVE CONDITIONS 07/15/99 1) POST ADDRESS -- PURSUANT TO 1994 UNIFORM BUILDING 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 :EOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE Poo UESTING INSPECTIONS. 2) ALL CO ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS X / 3) Propane Tank -- If the tank size is between 125 and 500 gallons you must follow these guidelines: 1. Tank is to be 10 feet from any buidling, public way or property line. 2. if the tank is exposed to probable vehicular damage, provide protective bollards. 3. All weeds, grass, brVsh, trash and other combustible material shall be kept a minimum of 10 feet away from LP containers. X L_-Oe-z 4) COMBUSTION AIR -- UMC Chapter 7. In buildings of unusually tight construction, fuel burning appliances shall obtain combustion air from outside (excluding cooking appliances and clothes dryers). X Mi FORM MUST BE COMPLETED IN INK � 'r IT NO.: 1 I S PLEASE PRESS HARD !TO � OWMASON PLUMBING/MECHANICAL PEF t &RIPLI TION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467Clfiifii ISID&MM&"AqJZq§ 64-6968 APPLIC T INFORMATION CONTRACTdik'114, AT Owner rat rnvr.. Contractor Name '"i— / e;!! Mailin Address ' 5-7 Maili Address . w City State LO® Zip Code 4785 ZJr City State L-NA Zip Code 3l z Phone Lei )?z7 z-&nOther Ph.( A),IA Ph. 7,5—Other Ph.( Lien/Title Holder 1��\.l Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer Systeoaaao PARCEL INFORMATION-12 digit Tax Parcel No. Fire District -2— Legal Description rv, P (,1 Site Address(Please include street name stre t number and city) v Dir ctions to site r /U s 8"6)A _ s�i-, 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 Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other 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-1 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. n first obtaining approval. Date l .�L1�"c X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by 1 Date �Il l I�� Submittal Amount Due��. Receipt No. T .:£3 At 1 tVfENTAL REV[EW< A D I .. # C? 5 Building Department _ Occ GroupType Constr. / (� I� Planning Department Other Other ...;>:::... ;;:::.:..>..:.;:;::..:... ..... Permit Fee Site Inspection Plan a Review Fee UFC Plan Review ie w Fee Plumbing&Base Fee Other Mechanical&Base Fee :tQ Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( �\ ) Violation Fee TOTAL FEES