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HomeMy WebLinkAboutMIS99-00034 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 11 <3 C—, F= 1- 1_ A N E C-31..) t--' 11 M 1 'T FOR INSPECTIONS C:AL t. 421-9670 MIS99-O034 PARCEL v22311760F 060 PLAT i DI V s Bt.K : LOT : JOB ADDAFSS : 6651 NE ELFFNDAht PA:;S RD BEL.FAIR APPL I CANT : DALE F'L.E:TCHER (360)372--6 5'71 OWNER , DAI F F i.F'T(;MFR (360),1Y2 - 21571 LEGAL : 11 a Of SVI VEY V91, 4119-22 PROJECT DESCA I F'T I ON : Propane Tank PERMIT -(ION NULL & Vp1D QY EXPIRA to � BY L P110JECT LOCATION : DATE Be l f4i r , North Shore Read to E L tendah I Pass Road to address on left . PROJECT NOTES .. .:..:ccesxw•r,„.::c:•;s%-u nsr...v:rv-e-r-u,x::=--.rva-_rr c�-..su=�.:rra.::asas-�:_-.✓..:-, TYPE AMOUNT BY DATE: HFCF I P1 �.—zrsszee+s_sr_vnr.csa-ecx•crlx:.e�acvaaymaa•�a+e:-n�a¢u•-srs:rsr..�—r:: MCBS 1 22 .00 TO 01 1 25/99 49:300 MCFF. 1, 9 .!i0 T 01 /25/99 49300 � MCFF: 5 .50 TJ 01 /25/99 49300 kTOTAL : 37 ,00 i l 7}WF4E` n ,t T A E NIS FAV, rev: 04,1 01192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED ^� 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 FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date b D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by F Permit # �-�3 5� MASON CG1JN�'Y BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Ji9ss This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance iALL %� .✓ �v E You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection OK to j/Xe�-l��G�:cEo o►:,®i�oy�0�,®h�dT�S ❑ This is not a complete inspectiorf Department 236vc-` Date 3 - L% 9 Inspector T 4�� ■ soA :JOT MOOV TH11--- T A ,� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1F? E R M 1 J' C:: O N C') 1 'T' I C) N F3 Case No . r MIS99-0034 for : DALE FLETCHER Page; 1 1 ) PURSUANT TO 1994 UNIFORM 1311 € 1 D I NG CODI' ; Ai.A SITE: MUST BF MARKED W I TI1 APPROVI=n NUMf FAS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING I-Hu PROPS Rl y . MASON {:OUN rY BUILDING DEPARTR4FNT REQU I Rf S THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE €NSPECTION FIFE , BASES) ON RA i ES IN 'TABI U 3A Of THI^ 1994 UNIFORM Btu I t D I NG CODE Will BE ASSFSSFD IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUE:ST' ING INSPECTIONS . t XL 2 ) If the tank size is between 125 and 500 c1ai Ions Vo t moist follow these yuideI iness 1 . Tank Is to be 10 feet from any buidling, pubis way or property line . 2 . i r t ite tank is exposed to probable veh l ott I ar damage , provide protective bollards , 3 . All wends , grass , brush , trash and other combustible Material shad be kept a minimum of 101 feet away from t.P containers . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 3 ) ALt. CONSTRUCT ON It 6S\1 MEED w-y FXCEFL) LOCAL. CODES . IF ANY OuF..S-r i ONS, PLEASE CALL rN IS, Q i Or 13 F RF CON,S7ii1.1C1' !(3N X � Ar 4 ) CONSTRUCT i ON PROCESS 10 BE F I FI-1) CORRECT S RF J ► I HV r) PE MASON C00N1 Y HU I L.D t NG DEPAR'rMENT AND UNIFORM BUILDING CODE . x I I i i �ble EnvironmentalConsulting Services, Inc. 1• Industry Drive Washington 98188 1• •1 1• r- d _ •is- +. ti Able Environmental Consulting Services, Inc. 1104 Industry Drive . . 98188 •. .• •. 4 r • �a � D.Fletcher Not To Scale 6651 NE Elfendahl Pass Rd. j N Creek Belfair,Wa. 98528 ABLET**055PC _ (2) 1,000 gallon ust Diesel#2,Heating Oil 125' t,000 Gal. UST I eck 24' Garage H2O r* home 33' I I,000 Gal.UST LPG Gravel Driveway Wood Pile Elfendahl Pass Road D. Fletcher 6651 NE Elfendahl Pass Rd. Belfair,Wa. 98528 ABLET**055PC (2) 1,000 gallon ust Diesel#2,Heating Oil Exploded View 18" Garage 123" Pump&Fill 00 304" LP Fuel Line 18"BGL Bullards Home 20" I 36" li LPG Bullards x 2 @00 12065751360 02/04 '99 09:35 NO.650 04/08 01/27/1999 12: 39 286-772-8487 BUWMnN U1L rr�uc vc 0 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED A3 PROVIDED BY LAW A9 CONST CONT SPECIALTY BOFIMAN OIL i PROPANE CO 11463 RAINIER AV8 2 SEATTLE WA 98178 FI731J�52•(RU({N7) Deixh AMO Dij4plar cemilic:uc — RZG I STERED A9 PROVIDED B7 LAPS A8 CONST CONT SPECIALTY REOI9T. # BXV. RATS Please Remove $��Z�WAAOP03393 11%05/1997 And Sign ldentitication BOWMAN OIL A PROPANE CO. Card Betorc 11463 RAINIEit Avx. 8 Placins In SEATTLE WA 90178 Billfold Signature rtisuctJ by DEPARTMENT OP LABOR AND INDUSTRt� Rzs.(nzun(KM7, •r �. it MASON COUNTY cha i al Permit cha Permit o. ate Ovyn VVV . _ '�,` Contractor ' ��T•i' '4`- i' Job Descriptio M Am ,t t t f.. Inspection By Approved for Cover yi• .rJA�"' 'V Remarks For Required Inspection ! Applicant Must Call i t 24 Hr. Inspection Request Line ' (360)427-7262 or Post this card in a con WD r� • ts'" - (360)427-9670(8,00 AM to 5.00 PM) at Front of Premises •{ \,r Y ZO/ZO 9Z9'ON 817: L L 66, 6Z/LO 099 L, ZL 902 L 00E? FORM*MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD 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 - 1 �c 2 Contractor Name d Pz-qa,:nAPJ "'fu, 4 P2cYrAa, Mailing Address v •-1 ( w Mailing Address_04io.3 PA m.Lrz- Ave- Sr, Cit A"W 2. State Q'�_ Zip Code g;,�,M City State Zip Code Phone( 3( ) .3}Z-L> IOther Ph.0 Ph.(JL)t") z - WN20ther Ph. Lien/Title Holder Contractor Reg. # f11&)i9lA G PC> '7� L Address Expiration n j / car SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 di it Tax Parcel No. v� I / 1 O ot)ti G Fire District Legal Description ' [ ,j(V.L e - Site Address(Please include street name, street number and city) I i, Directions to site Is your property within 200' of the following: Body of Water (Name) Saltwater Lake Rive r/Creek_ S 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 8,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 requirfJements regulating t orYfor which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shalllbe done in confo ance therewi . No changes shall be made without approval. first bta ing app al. X Date X W Date z� FOR O� ICI L USE BEYOND THIS INT Accepted by - Date Submittal Amount Due Receipt No. 4iLyz E7EPAR7M1T E1fiL: f1ER :IftNC _5 Building Department Occ Group Type Constr. Planning Department Other Other S ... ..:?:..<P ....F ............... ................................. .. 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 FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION - Case No. Name'DeLke- PARCEL NUMBER 22,3(1 '"4-6 "000--t) Date 1 7-J C 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 I E-adjacent property line I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I adjacent property line4 I ' E-adjacent property line SAMPLE SITE PLAN adjacent property lined E-adjacent property line �J I D 30, r2`SCRvE �r-3�1 9EasovA� I L _ e�sc--I J I• I HOME I Cry GrzdLov K 1� F IV' I i Ha as I > PmaP C- —�I I 1 I rF— 6n' —.��• � I I VAGtvT I fi CsARA4� I /' I go I !i I P0.oPmCD I �k T A&R=LLL1ru-0.AL So 1 I � I I I I I � c+..eLL I I I I I � /00' — I L,a�G.L.L I adjacent property line- ; \; E-adjacent 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 d15+ancQ +o d;Zta r,cL to SI opa to at di.�+anaQ Sig re Date