HomeMy WebLinkAboutMIS94-0743 Propane - BLD Permit / Conditions - 9/11/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
NIS94-074 't t 0
10 vi !)1.111 t t t
P P I iN N I S I f.Vf N N 0 li C k Y b 0:4-6 S 7—38 48 0 3---6 3 1-2 9 1 H
() ':4 f F, S'T F VE 0 N 0 H L VY 503-657-38S8 ".w63-631-29, 18
I V AIM ff 4 Of TO] i El fs 4#11S
PROPANE TANK
PRO I I- i 1 f 0 C'h ) I ON
HWY lot N TO HWY MILE POST MARKER 322, +fRSI DRIVEWAY ON 1_Et-1 PAST JOw:; FVD CREEK NO ( THEIR IS A
'HWY 101 MARKEN t)lkf.-.CTIY ON THE RIGHT SIDE Of THE ROAD ACHO%% FROM THF. ORIVIF.WAY VNIINANCU . )
I y P t: AMOONI Hy DA rt f.(I: I p t
IN,
I0 AL , 1 00 �4'ww of io'o' N I
11B PROT. O9j#11147 COMPIIANCE TO ATtACHFD COM011'J"ONS IS
RUQUIRFri
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 OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date � ->—,b� x
Ok �. �_, date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1-11 IE. 1.4 M I It C, 14 U) T J 11". 10 M
Casp No . z MPS94-0743
Foi '73TI:VFH NOW LY
1 ) PIJR+IJANI 10 .1991 UNIVORM RUILD [Nti CODE . SECUION AND '&CUION fit i . At ( MOSI
HAVC APPROVED NIJMHfR�; OR ADDRCSSES PROV301-0 IN �JJCH A PO';Jl I-ON A,; Ttl fit. ICI AINIY VJ *',JHIE
ANCI LJ. 61HLE, VROM VHF '.,^)JRFLI' OR. ROAD FRONIINC, MC VROPFPIY : t4A';ON CMINfY HIIIII)ING
Df PAR 1fV:NI' RFQ1J1k+")' THAI 7111S HE ("OMPIFIVI') PRf0f? I (,'At tINN UOR ANY SlIf JW&EI I I ON:, A
RF1W)PCCf'10N HV*iFt) ON RATES' IN ] ABLE 'iA (IF IHF 191i1 HNIFORM W111, I)ING CODE-f WILL HE
- '
I 0WNE..k /CON1VAr, 1OR FAIL�i to PO'il AD !� "RIOP 11) Vit WIFS ( INI-IfDRI .S (IN �,111: I
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2) lhf�? owrwt c-hall have AVAilAbIP on for inspec -firm 6y cotml:v , '"t report-
incticnI.Anq I-ho t)ame atid lioenfe mimbtr of the iw.,i:eil I -,-t , the R"InIffit of pt kc'�tlre At t'he
time o I Ues t I ti q emd the I enqt��h of t.-. t-ime 'I h I ,,, report hJfov I I tie �-iqtioel by the ppr f;on
cond I It,ti I)A} f'-.hp t.ps"t�
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3) 1 f iA10 I Allk Si7f,4 14- bPtWerr'n and fi00 qA11on"i voti to low t.h#!.7;o (Iijidel inp.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 OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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 OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
n i
MIDI (� qc�
' or MASON COUNTY
u MISCELLANEOUS PERMIT APPLICATION
426 W. CedariP.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner STEVEN & LINDA MOBLEY Phone # 206-877-6426 FIIEI District#
Site Address 50 SCHAUFLER IN —City LILLIWAUP
Mail Address_ 16720 S. Bradley Fed.
City Brecon City _ St Oregon Zip 97045
Applicant STEVEN MOBLEY Phone# 503-631-2978
Applicant Address 16720 S. Bradley Rd.
City _ Oregon City St Oregon Zip_ 97045 �
Direction$ to Site; HWY 101 N. to HWY Mile Post Marker 322, lst driveway on left past Jorsted �k. Rc
(There is a HWY 101 marker directly on the right side of the road across from the
driveway entrance.)
#2 Parcel No. -32t4i - 31 00040 j
Legal Description _ Lot 3 said Section 34, Township 24 North, Range 3 West, W.M. f
#3 Indipate by circling the applicable source It any water is on or adjacent to the property site:
saltwater lake river creek stream pgnd wetland seasonal runoff marsh other
#4 Project Start Date 9/16/,94 Project Completion Date
9/16/94 I
#5 Use of Buildiing_ Describe proposed construction—
—
APPLYING FOR PROPANE PERMIT FOR AN EXISTING HOME. I�
t —
Tependinfl upon the type of psrmit,a floor plan and plot plan may be required.
-Thle`permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT i CONTRACTORS AFFIDAVIT
i
I CERTIFY;THAT I AM EXEMPT FROM THE 'REQUIRE- I CERTIFY THAT I AM A CURRENTLY RECIISTERED ON
MENTS O� THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE_ OF WASHINGTON AND Ah'
RCW 18.21, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REG LAT
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED`ANL
IS ISSUED AND THAT ALL WORK DONE WILL QE IN CON- ALL WORK DONE, WILL BE IN CONFORMANCE TH RE,
FORMANCIr THE EWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FRS1
WITHOUTF)R5T TAIN ING OMTHEBUILD- OBTAINING APPROVAL FROM THE BUILDING DEP RT.
ING DEPART �/� MENT.
X OWNER XBY I
J� / Q,
nAYF , / "�1� � ! I n�Yr
MASON COUi;T`r' !.-LfG 3 4 2777•+.8 P. 01
F
� f
Show following on the site plan
Lot Dlmen§ions Flood Zones
Existing S'ructures Fenc98 j
Structure etbac;ks Wells
Water Lin s Shorelines
Drainage lan Easements i
� Indicate directional by
Septic Systems .Name of Fronting Street N, S, I-, W etc.
Proposed mprovements Name of Flanking Street _
PLOT PJ-AN AREA -� - —
Ir
I OPA
Sc auR� Cry�
A44 pj
,,�-. � ,�, .� 5 �, ..~.--s-�---- .gam'-~'."�•Y:K�� —.
iFQR OFFICIAL:USE pNLY:Accepted ay t Date t
' DEPARTMENTAL REVIEW €
FOR OFFICIAL USE ONLY
plannin g APP COND APP H LD
i
Building —
i
t
Fire Marshal _ _
Other
i
Special COditions Fees
Permit Fee _
.- Plan Check
w— Other_ _
-1 - Other
i State Building Fee — !