HomeMy WebLinkAboutBLD2003-00806 Cancelled Propane - BLD Permit / Conditions - 6/17/2003 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
lip,
MECHANICAL PERMIT BLD2003-00806
OWNER: ROBERT, WISE RECEIVED: 6/16/2003
CONTRACTOR: SUBURBAN PROPANE LICENSE: EXP: 03
ISSUED: 6/17/20
SITE ADDRESS: 2650 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: /17/200
PARCEL NUMBER: 223195000903
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LEGAL DESCRIPTION: WOOTEN LAKE TRACTS TR 71 W1/2
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK, GAS OUTLETS, GAS STOVE NORTH ON TAHUYA, BLACKSMITH RD FROM BELFAIR, TAHUYA RD.
APPROX. 2 MILES, HOUSE ON LAKE SIDE.
General Information Mechanical Fixtures FEES
Type of Use: SF Insp.Area: Type Qty. Type By Date Amount Receipt
Type of Work: MEC Fire Dist.: 8 Gas Outlets 1 Mechanical Fee KS 6/16/2003 $73.60 S12003
• Propane Tank 1 Mechanical Base Fee KS 6/16/2003 $23.50 S12003
Propane Stove 1 Total
$97.10
BLD2003-00806 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
$LD2Dtl3.00806 NC.
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CONIITK)NS FOR
SLO2003.00806
Contractor registration laws ars govemed under RCW 18.27 and enforced by the WA State Oept of labor and ln&stries,Cantractor Compliance
DOsfon.There are potential risks and monetary liabilities to the timeowner for using an unregiskered cantrdctoc. F'urthor information can be obtained al
1-804847 , The person signing Us conditian is either the homeowner,agent for the owner or a registered c contractar accocting to W A state lacy.
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Q 2 All approved plans are requeed to be on-site for Inspection purposes. If an inspection is called for and plans are trot available on site,Dien approval wilt
o not be granted. In add-lion,a re4nspectlon fee(refer to current fee schedule, mininium 1 hour)well be charged and rnust be cot�ted by the Building
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H Department Qrbr to any further inspections being perforated or approvals granted.
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In accordance with Tie Uniform Buiding Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visble and
legible from the street or road fronting the property.Mason County Bultding Department requires that this be completed prior to ca&ng for any site
CO a inspections. Are-inspection fee based on rates as adopted by the judsdiclian and the Uniform Bulling Code will be assessed U the owner an(/or
contractor fall to post the address on site pricer to rectuestirxg lnspecfions.
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:54 Proposed structure or portions thereof with an projection over 30"In heW from grade line, must maintain a 5'separation distance between adjacent
structures and that furthest projection-X
Ail propane tanks must be irmtalll In accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks filled on
co site must be located a minimum of W from any possible source of Ignition(electrical outlets,ele=oal fixtures, compressors,etc), mecbanical system
LD air intake(direct vent appliance,venttation 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 mlNmurn of 5'frorn any btdding opening(foundation vents,windows,doors etc),properly file or
D " easement. if a ropaca tank is exposed to probable vehicular damage, protective bollards must be Installed.
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6) AN Piro pana tanks must be Installed In accordance with the Uniform Fire Code and A appicabie Mason County ordinances. Ail Propane tanks betiveen
125 and 5W gallons mast be located a minimum of 10'frorn any building,property line, public way, posshle source of ignition(e-Iedri al outlets,
m b e7ectrfcal fixtLves,compressors, etc),and/or anyweeds,grass,brush, trash or any other similar combustib4e materials. If a propane tank is e>(posed to
M probable vehicula darwga,protective bollards must be installed,
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m a 7) All propane tanks must be installed in accordance with the Unuiurm Fire Code and all applicable Mascsn County ordinances. All propane tanks must
m maettfir `ap�r roq rats and minimum setbacks as listed in the Mason County Fire l�larshat's Standards for the Installation of Proper Tank ji-
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L RLD203-DUSW Please refwtu 1wlokwlrg pages kirmndiionsof1h!sperms 2 of 3
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Fuel plptitg shall be inspected after the inst'ailation of gas piping Is complete, and before the attachment of fixtures,appliances.or shut-off valves. At the
m time of inspection he test pressure shall be no less than 10 psi held for no tens than 15 minutes. Appliances to be attached to the feet piping system
LU shale not be used until tho final Inspection has been performed and approved by a Mason County building Inspector.
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9 Ownertapocant must obtain a seperaia periniitt for Lpe placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prier to the placement of too tank. X 4
1 ) Tlhe piracament of small propane tarries are noot7normally sub}ed€o a permit rev-e-w by the Planning Departmerd; homwer,'ptopana tanks are sided to
Planning Department regukations. SUCK regulations primarily consist of setbacks from shor>Xnes and features considered to he criticat areas (streams,
watands, slopes, etc.) If you thM'such features e " t on or nearbyyotx property, please contact the Planning Department so that exact setback
requirements can be dui eirrlined.X _}
11 All building pernilts shaft have a final Inspection performed and approved by the Mason County Build"x+g Department prior to perrnit explraticiu.The fagLxo
w to request a frrral inspEction or to obtain approval will be documented in the legal property records on file with Mason County as being non-compfrant wtth
Q Mason County ordinances and buiidding regulaftons.
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This permil bemrres raft and veld ifv"kofcord ucfcn authorized is nol corrvmnood wthln 180 days,orif cor►strudlon or workn eusp'ended hr a pa4od of 180 daysat any time after work ks
D pr`F canmarued, E"dF3rce oaf Cntr3 4f a Irupectlonw[Itin �elKdaype6od. Fina(inspect bnrwatbeapproredbekmboVing can beomuplad.
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OWNERORAGE DAT3F
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BLD2003-�0808 Meese rder to,the k�uaMro(lases for cord tiansof this pewrA. 3 of 3
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uo uziCuud ur:eu I-AA 300 497 7708 NASUN CO PERMIT CTR Q 002
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PERMIT NO.: yO�
PLUMBING/M7yECHANICA
9L PERMIT APPLICATION o
• Shelton(3901 27 9670 Belf it(3edar/P.O.qox 80137d�4467 Elma 1'0148 2-12 4 9
APPLI NT INIF RMATION CONTRACTOR INFORMATION
owner U QS t h -r
Contractor Name 5� .+ Ix.r1 waw.e
Mailln�Address Y f y4 IZt '-ire Mailing Address 3 1 S C4yco ti w
City ;C. rDSlfStatas� -Code i Cityl3fzmer-t- .v State ' ZlpCodeg1'31A.
Phone(4oEr)'Lrt? y9ccOtherPh.�) Ph.(36c ) 76,47OtherPh. You 43 ?�'b1--7
l_iatVTitleHolder 'S-dLr C-. CtS cabovr4 Contractor Reg.#C4;01 5VLVJ1sPl_0y4DA
Address _ _ Expiration O 1 12- / Zoos
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Narne of
Sewer System
PARCEL INFORM O 12lldigitlax re No. Z 2 '� t O c. QO FireDisfricit Z.
Legal Description 0: h
Site Address(Please Include street name,arrest number and city) '2-'-5 0 �(���- Q 6,
Oireciions to site O Inv 0eV-% i
Is your property within 200'of the following:Body of Water(Narne)_Id�� l�►I-gke _____ Saltwaur _ _
Lake_FtiveriCnisek Pond _Wetland -Seasnnal Runoff Stream
Slopes or Bluffs_ ---- --
TYPE OF JOB No=Add Ali_ Repair Other_Use of Building C, Cc2� :Otti
Lucatlun of Flxtules/Units 1st Floor 2nd Floor Basement tiara a Clostt
PLUMBINGIFD(TURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric,-_
Tyne of Futuna No.of Fbrturuy Fst IPO 4L Natural Gas Heatpump
Topers --- TyM nf.Un t CJa of Unity EBsls
Balhroom Sink Furnace
Bath Tuba - - - Neatpumpst
Showers Spot Vent Fan
Water Heater Propane Tank
Glothes Washer Use Ou to /p,b5
Kitchen Sinks �_ Wood Ga/pellet Stove L 52.30
Dishwasher Kitchen Exhaust Hood
Hosetubs --- Dryer Vgnt _
Other _ Other
Base Fee esae FeeZy-
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TOTALPLUMBING _ TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL a VOID IF WORK OR CONSTRUCTION AUTIlOR1ZED 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 PROORE66 INSPECTION. The owner or agent on ownsr's bahalf,rq,re►enls that the
Information provided Is accurate and grants employees of Mason Counly access to the above described property and structures for review and
Inspection of this Project.Acknowladgrnent of such Is by signature below:
OWNER AFF90AVIT-1 certify that I am exempt from the requlremsr8s of the CONTRACTOR'S AFFIDAVIT-I canlfy that I am currently regmtered as a
Contreolor Registration Law RCW 16.27 and am aware of the ordinance contraotor In the Slate of Washington and that I am aware at the ordinance
requirsm ants tar which this permit is lasted and.lhat Ail work will be done In requirements regulating the work for which this permit Is Issued and all work
cwnrurmance therewith. No changes shelf be made without find obtaining shell be done In confonnence therewith. No ohange5 Shall bQ mace without
nPWov first ' Ing a oval. [ I `
X ' Date Date V `I /�V J
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by. _ Date _ Submittal Amount Due`____ Receipt No.___
95atding Dsp nl
Occ Orou T e Conau. t
Planning Department
Other --�— —
Oths!
40yl' t TS,Y.f'.14.'1. sy .,�;{e,.,.. .5J 5 1:$tn`rR. �@dii'. .}
Pemtit Fse Site Inspection
Plan RsviswFee UFO Plan Review Fee
Plumbing b lase Fee -- — Other
Mechanial&Bass Fee Other
Wood/1160 ellat to Fee Pre-Pald all Submittal
(r Violation Fs� TOTAL FEES
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