HomeMy WebLinkAboutBLD2001-00330 Final Propane - BLD Permit / Conditions - 5/7/2001 Inspection Line (360) 27- 262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427 96704ext7352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 -/„��c.rp
Shelton, WA 98584
MECHANICAL PERMIT BLD2001-00330
OWNER: WILLIAM R JOHANSEN 360-372-2584
CONTRACTOR: RECEIVED: 04/16/2001
SITE ADDRESS: 451 NE ANVIL LANE BELFAIR ISSUED: 04/16/2001
PARCEL NUMBER: 223107700510 EXPIRES: 10/16/2001
LEGAL DESCRIPTION: TR 51 OF SURVEY 10/103 (GL 1 + 2)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK, GAS OUTLETS, GAS STOVE BEAR CREEK DEWATO RD, TAKE BLACKSMITH RD TO ANVIL TO
ADDRESS.
General Information Mechanical Fixtures FEES
Type of Use: SF Insp. Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: Gas Outlets 1 Mechanical Fee KS 04/16/200 $63.30 55982
Propane Tank 1 Mechanical Base Fee KS 04/16/200 $23.50 55982
Propane Stove 1 Total $86.80
BLD2001-00330 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2001-00330
CONDITIONS FOR
BLD2001-00330
1) 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 post the address on site prior to requesting inspections.
X
2) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain
combustion air from outside in accordance with the Uniform Mechanical Code.
X f�/
3) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5'separation distance between adjacent
structures and that furthest projection. X
4) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks filled on
site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc), property line or
easement. If a propane tank is exposed to probable vehicular damage, protective bollards must be installed.
X
5) 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 v icular damage, protective bollards must be installed.
X /h
6) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane
Tanks.X /
►'V�/
7) 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 not be used until the final inspection has been performed and approved by a Mason County building inspector.
X
BLD2001-00330 Please refer to the following pages for conditions of this permit. 2 of 3
8) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such regulations primarily co sist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think such features exist on orR6arby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
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 any time 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: ��
BLD2001-00330 Please refer to the following pages for conditions of this permit. 3 of 3
I CONCRETE MECHANICAL MOBILE HOME
I Footings-Setback date byRibbons -
date by Gas Piping T L ) dateby
Foundation Walls date —c / by �\ Set UP
date INSULATION date by -
BGlSLAB Insulabon 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 b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date j> by date by
- 2-c�-- O/ I �✓/ o'er�=X� f�T � �/- ��sS- 7/�
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PERMIT NO.: BLD
MASON COUNTY
BUILDING 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.119FORMATION CONTRACTOR I%%I�IpT� kkC, aS
Owner i cc Contractor Name S�� $Co���%���/ ���� dkc
Mailin Add s Mailing Address �
City 1,t r State W Zip Code City State Zip Code
Phone 0 .372,-1 Other Ph.( )tp$"-(�.S Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATIO -12 digit Tax Parcel No. 22 /O / 77 ,pp S'/O Fire District).Jk I
Legal Description Q r o /a c-f-
Site Address(Please ' clude street name, street numb and c y) /
Direction to sited I wtt Lc r 7
Will limber be cut and sold in parcel prepara ion? ( es/ (i1
Is your property within 200' of the following: Body of ater (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work 4, =G..-4_S S 4-oo.-e-
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
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
apprroovval first obtaining approval.
Date "A- X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
:DEPARTMENTAL<REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTALFEES
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 b,),11-A�V1 k :�ohA y\�!,P Contractor Name fi; (roll OA3 JSS (A'-d rwvl
Mai:.ing Address ux Mailing Address
City � IyA; State Zip Code City State Zip Code
Phone ?1,-) Other Ph.(-3bo V 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 INFORMATION-12 digit Tax Parcel No. ZZ3 10 / 7:2 U /d Fire District
Legal Description -FR / 0 F, sie aVF� zZ
Site Address(Please include street name, street number and city) y r - It
Directions to site
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 wAdd 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 2 1S-
Sinks Wood/Gas/Pellet Stove / Z`L-
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee ,Z.3 s"
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-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/Gv emu+ Date ���L d/ X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accopted by Date Submittal Amount Due Receipt No.
QE PART iE1/# APPR1tD: "iCyNIED< CONDITION CODES'
Building Department �� rOcc Group a onst /���`'
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
MASON COUNTY PROJECT SITE INFORMATION
Case No.
PARCEL NUMBER > 2 ?/() ZZ— ate (1— 73 —U1
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I ft I <—adjacent property line
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14 ouse, N
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adjacent property line-) ,S�� I Fad'acent property line
SAMPLE SITE PLAN
adja t property line4 22_0' _ _ <-adjacent property line
D 30- �rr�scRVe 3o-,I
I c fi HOMt I .Gaa6n
Ca�►c \ I rw
I j PrkaP
1 ,
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VAGrvT I [AMA&-d I /
I 30' I j i
PAoPosCD
I \ I A&R=LLLr"AL 50
�A \ 90.
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80'-'1)
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L..,e.LL
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adjacent property lined Fad'acent ro ert' line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
dist9r.cQ to
srtru�tL.Lr�
d��'t'ar,LL to
Slops t-e¢
dis+anc�
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Signature Date