HomeMy WebLinkAboutMIS96-00197 Propane - MIS Permit / Conditions - 4/8/1996 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
M 1 .--'*C, E I._. 1_.. A N E C3 LJ P E R m I `T FOR I NSPFCT I ONS CAI. L 427_9670
M1 S96--0197 PARCEL. :223 1 1 761101 O PLAN' : n 1 V s BLK : LOT
JOB ADDRESS : W�. .�4`NP.E� G17 I I7aS5 t i3e
APPLICANT' : ALDON STRAINS 360-372-2737
OWNER : AI-DON A STRAINS 360.-372-2737
LEGAL.. : TA 11 Of SVIVfM VOL 4119-22
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PROJECT DESCRIPTION : {
PROPANE TANK
PR0JF(;T LOCATION : �/ /
y 4o Qecr Crk - Dc�Jc�-90 r� �: - /��n�a�� �GsS 4(-A n Ge l �4 g� �en
PROJECT NOTES :
�aw�.:.r:.ar wrras�n-. .��tE.xia.7r�.+....••ecz^�rs+..e:,r.¢.z:
TYPE AMOUNT BY DATE flu(IF " FIT
M,CFE 19 .50 KS 04/08/96 41802
MCBS !P 16 .25 KS 04/08/96 41602
i
TOTAL : 35 . 75 OWNER 00 AGENT DATE
MIS PINT, rev, 0411119? COMPLIANCE TO ATTACHED CO)ND 1 l 1 ONS is
REQUIRLD
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
1• �.ls� nLI�G.., �LiL/� �, �r r,�1 / .//Lh r.J�c/� fir) l�l' inc, % '-�
Z• �v ,'�% VeL..'��� �.' e!' ^ hro`• 14
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
PF_ F4t4 1 -r C�' C31v0 1 'T I CIN
Case No . s M1S96-0197
Fors ALDON A STRAWS
Page : i
i� PVkSUANT TO 1991 UNIFORM BUILDING CODE ,, SECTION 305(C ) AND SECTION 513, ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET 011 ROAD F RONT i NG THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT" REQUiRE5 THAT THIS BE COMPLETED PPIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSP1=CT 1 ON FEE , BASED ON RATES IN T,ABt E 3A OF THE 1991 UNIFORM 811 I LD I NG CODE W I L.L BE
AaSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON 71TE PRIOR TO REQUESTING
INSPECTIONS .
TNe owner wha I 1 have £ava i i abl a (on site for I nspeot ion by Mason County , a report
indinating the name a►sd license number of the installer , the Rmount of pressure at the
time at testing and the length of tec�t times . his report s-hall be signed by the person
con uct i nq the test 3 wEJQV,)A,-,j
r'
C,-)4T, cTCQS LtC-F& -E cJ1 S 0 0 - 1 • <?(a J)Qi. OF 1, A-43OR.
It -the tank size Is between 125 and 500 gallons ynu must follow these gu i de l l ne, :
i
I
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
t . Tatik is tr, be i o test trotn any bu I d i I ng, publ I c way or property I I tie .
2 . If the tank ic: exposed to probable vehicular damage, provide
protective boIIa► ds .
3 . A11 woods , grass, brush, trash and other Uombustibla materisi
'haIi he kept a minimum of 10 feet away from LP containers .
DONSTRUCT I ON PROCESS TO BE FIELD CORRECTED,AS RPQ(l I RED PER MASON COUNTY BUILDING
DF PARTMrNT AND UN I FORM B0 I LD I NG CODE . x � ;"��
L
'w�c,Vk -L-7 Permit No. Dg��
MASON COUNTY ASS
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �Z��j�
PLEASE PRINT
#1 Owner A L be S Phone# / - 340 3 71 - 2 7 3 '7
Site Address N F v /)6 ,0 f kA S Sr 1C Fire District# ;L
City /3 .e L 4�A A! lc)A 9k S--4 St Zip 9F s-2- k-�
Directions to Job Site of jo f?o .4 f A ,e Z e e U Dc k 9 a
C k re j4 DR N L fA BS -T,04 Z. s T- T�a.Y v e )�; Z L 61 C,646Tk 7)S
0,411
Owner Mailing Address Ao 6 o x i K
City �3 e- L. /-',Ag i ,e , Lc) .CI St Zip !&P.s'z k
Lien/Title Holder I<e y /V�
Address_ /3,' 4 X o i 4 ,C sq Al e
Clty ,C3 J- FLI i F-- St Zip S"G
#2 Contractor Name S c,- A N Q£e '4 N Contractor Reg#
Address S- /.S' (1. 1-4 1 C a a ) A /V u-2 Expiration Date
City e A- fi� N w A St Zip Jo Phone# d6 , 72 1-_IZ;S/7
#3 If septic is located on project site, include records.
Connect to Septic?_jJSJ Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. I23 11 - bo 1
Legal Description T k J fI o F S u,ed e) 1/01. N � -
2 2
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / # rooms /
Garage / Carport / (Circle:Attached or Detached?) ,
Other sq.ft.
".
#6 Use of building r7�U '�/Wscribe�vWft
p
L-A
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION '
Model Year_�9'2`1 Make s Model
Length Z q Width i-/ , Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$ / -, ecsy
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences j h�
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
w Q7
� � 1
13 c
7-
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
Showers
:_L__ r Heatpumps
_Laundry Washer Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
Disposal cfm#
_Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 0.00
Fixed Fire Supp. Sys
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.
TOTAL PLUMBING $ No. Other
I Gas Outlets (p
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF p�
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 1 00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION. f
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORD]NANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWN E R ` '��/ X BY
DATE y.— _2_ DATE
FOR OFFICIAL USE ONLY: Accepted by: t �i�� --- Dater Z ��
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Or
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE ,?