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 .
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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
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�ble EnvironmentalConsulting Services, Inc.
1• Industry Drive
Washington 98188
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Able Environmental Consulting Services, Inc.
1104 Industry Drive
. . 98188
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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
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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
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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
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adjacent property line4 I ' E-adjacent property line
SAMPLE SITE PLAN
adjacent property lined E-adjacent property line
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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
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d;Zta r,cL to
SI opa to at
di.�+anaQ
Sig re Date