HomeMy WebLinkAboutBLD2000-00251 Propane - BLD Permit / Conditions - 3/9/2000 Inspection Line (360)427-7262 T
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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MECHANICAL PERMIT BLD2000-00251
OWNER: DARYLL HAL VORSON RECEIVED: 3/8/00
CONTRACTOR:
ISSUED: 3/9/00
SITE ADDRESS:PARCEL NUMBER: 223305000388 EXPIRES: 9/9/00
LEGAL DESCRIPTION: HAVEN LAKE TR. 388
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PROPANE TANK, OUTLET FROM BELFAIR TO NORTH SHORE TO BELFAIR TAHUYA RD TAHUYA
RD TO HAVEN WAY TO PROPERTY ON RIGHT APPROX 2 MILES MOBILE
ON SITE GREY WITH GREY TRIM. SITE ADDRESS IS 1818 NE HAVEN
General Information Mechanical Fixtures FEES
Type of Use: SF Insp. Area: Typo Qty. Type By Date Amount Receipt
Type of Work: NEW Fire Dist.: 2 Gas Outlets 1 Mechanical Base Fee TW 3/8/00 $22.00 1817
Propane Tank 1 Mechanical Fee TW 3/8/00 $15.00 1817
Total $37.00
'BLD2000-00251 Please refer to the following pages for conditions of this permit. 1 of 2
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CASE NOTES FOR
BLD2000-00251
CONDITIONS FOR
BLD2000-00251
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be occupied. n
OWNER OR AGENT: 5 S %� f �� �'. ��'L/— DATE:
BLD2000-00251 Please refer to the following pages for conditions of this permit. 2 of 2
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Page No. 1 PROPANE TANK PERMIT CONDITIONS
07/15/99
1) POST ADDRESS -- PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITE MUST BE MARKED WITH APPROVED
NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE
COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES ADOPTED
FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST
ADDRESS ON SITE PR10R TO REQUESTING INSPECTIONS.
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2) Propane Tank -- if the tank size is between 125 and 500 gallons you must follow these guidelines:
1. Tank is to be 10 feet from any buidling, public way or property line.
2. if the tank is exposed to probable vehicular damage, provide
protective bollards.
3. All weeds, grass, brush, trash and other combustible material
shaR be kept a minimum of 10 feet away from LP containers.
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3) Field Correct -- CONSTRUCTION PROCESS TO FIE CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING COOE.x
FORM MUST BE COMPLETED IN INK PERMIT NO.: CY`t> a
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
APPLICA T INFORMATION CONTRACTOR INFORMATION
Owner 6(� �����. 74 «/ter Contractor Name
Mailing ddr s 7 Mailing Address
City State 4VA Zip Code City State Zip Code
Phone(3G0 ) c7 -30 they Ph.(_?60)4/76�-77 Other Ph.(
Lien/Title Holder "V� e Contractor Reg. #
Address / e /� ✓ r B3 Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PAR INFORMATION-12 digit Tax Parcel No. Z 3 /SO / OC?3g� Fire District
escription A), 8 !-/���,, L . X o a r ® /3 0 /�%y r
Site Address(Please include street name, street number and pity) ,? ,✓,.
Directions to to 1- ^ P1qtr Akr7VI 54Q1^k1 -
4L7� 7o �T✓Ps> t' /O / a r / /r1
Is your property within 200' of the following: Body of Water(Name) ��/'� Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New_Z_Add Alt Repair Other Use of Building
Location of Fixtures/Units 1 st 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_Y 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._Ia .
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 requirements regulating the work for which this permit is issued and all work
confo nce therewith. changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
appr val. first obtaining approval.
X � Date Y o 0 X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date $ c> Submittal Amount Due ,,'I Receipt No. 1�
I3U'CtiESDEPA2 -MEN. LIM. V.
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
ES
X. ............
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