The URL can be used to link to this page

Home My WebLink AboutMIS98-0329 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 ! 3 Ca IF-; t 1!._ AN F= C3 LJ �y Pt-:: " n+ I ..r MIS96-0329 PAPCEL :223315000029 PLAT :COPLO E S E JOB AVDRESS , 92.1 NE COLLINS LAKE DR TAHLIYA APPLICANT ; SCOTT 7-5095 OWNER : SCOTT GORMANOUS 377--5095 LEGAt. : CAI.LINS LAU it TA 28 PERMIT PROJFCT . NULL a VOID BY EXPIRATION PROPANE TANK 1 BANG F DATE �D-J By PRODUCT LOCATION TAKE RELFA I R TANUYA ROAD TO COt l INS 1-.AKE TAKE' A RIGHT AND 00 .95 M t t F ON NE COLLINS 1.AKE: RD 'TO TEt_EPHONF POUF 34--35 LEI"T ON LEFT PROJECT NOTES s i TYPE AMOUNT BY DATt RECE I PT MCFE S 32 .s_�O KS 06/251 98 1205 7 TOTAL-- 32 .5,N OWNER OR AGUNT Can TE taa..a.�l=.CYAax:c:.3aesaz-'-•^V--1:s.sGa':^.x�:::rsu^'c�.ar.::rtx•:_'cG:cSe�cnFZR*Ftssc:•!xrs3cr.-r:;:.2-.: NIS_►1fi, rep, P9 W92 COMPU I ANCE TO ATTACHED CONDITIONS IS' IiE Qtl 1 RI_L� - n, CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons _ date by Gas Piping date by 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 WALLBOARD NAILING date by date by Water Line FINAL INSPECTION fdate by date by date by 1 I 1 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P U--- Ut M I -T- C f-:)N D I 'T I C7 N E3 Case No . ; MIS98--0329 For - SXOTT GORMANOUS Page : I 1 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , At I.. SITF MUST BF MARKED wiTH APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION A,-'-*. 'TO BF.. PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPAPIMENT 11FOUIRES THA'T THIS BE COMPLETED PnIOR TO CALLING FOR ANY SITE INSPECTIONS . A AFINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING COUF WILU BF ASSESSED IF OWNFR I CONTRACTOR FAILS 'TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 2 ) The owner, shall havrr available on lte for inspection by Mason Cotinty , a report indicatinq the name and license number of the installer , tfie amount of pressure at., the klmar of testing altd the letigth 6T te-pvt time . This report sball be signed by the person oon(jUt_Iting the t,,t Opr the lines shall be under, pressure for a minimum of 15 minutes at 10 lbs and have accurate pressure qauge on site tinder test ref Jer-1 ; ng test requirements' at time of inspection . --------------------------------------------------------- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 3 ) It the -tank s i ze is between 125 and 900 1 cii: must V;� t t.. 1 . Tank is to be 10 feet from any bo.ridi ing, public way or property line . It the tank is exposed to pr�obah f e vehicular- damacle, provide protective bollards . 3 . All weeds , grass , hrtr�ih , trash and other c0Mhu6t1hIe Materiel 5ha 1 l be kept a minimum of 10 feet away from t_P oont a i ners , X ` 4 ) ALL CONSTRUCTION MOST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE CAL.L. THIS OFFICE BEFORE CONS t RUCT l ON. . X x` �p t-t\, Sf-CIN : 1 GO tp Q � � �+ `6�v 3 N gyc'tcv� E�4E o4 w vxc Owm Qzz� L Co�♦.v.s FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name SC-4- E '1�c;:��.� �a�w�gv�o�S PARCEL NUMBERZ-Z33V';0 Vao'<-21 Date G Z4 �GJ� 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 line4 I I <-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 1 I I I I I I I I I I I I I I I I I I adjacent property line- I ' <—adjacent property line SAMPLE SITE PLAN adja�nt property line-� azo' _ _ E-adjacent property line D 30- rR�SGRVE gel SEAS J AL NOM t I C rA&&ti1 CtZEEK I j Prio PosG0 1 /30 �I I R I VAC NiT I [„ArtAa6 \ I I 3o I /i P0.nvoseD T A&R=LLLhr.AAL 50 I IF-40 \ 1 1 1I 1 eo* 2) I r i 1 h /OD I � I I I . •nLL I I I I I j s TC I adjacent property line--.* Fadjacent 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+a"C-a. +o 4ru-tu-Ile- &Mta►',LG ro dis+anaa 4 e f. � J Signature Date FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD 'S - � ' PERMIT NO.: 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 S c Contractor Name\At.AW-,S�a-C,\^ ri v-,5 Mailing Address t�J 4\(�;7 Ci `r cc��r�-.�.`�� Z \&) Mailing Address•7:>-y -�3c-� -7<-\� City��vne o�, State a.�ip Code '�85 F5� City \ c�;�- State''(-- Zip Code`6lb5Z� PhoneC-: CG )'Ii7-7-'3a°35OtherPh.( Zj-- Ph. c3Qo -z-15S337 Other Ph. -&-no -7*3i1_GC--1S Lien/Title Holder Contractor Reg. # \-Z o\---M Ca c-T d Address 1'2\Z"; C' 'Ac ,Expiration _/ SEPTIC INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 3 3\ / c30 Fire District Legal Description \,C),` ,- Z \mac z Site Address(Please include street name, street number and city) " 'L `b--•\ L c ��'• Directions to site -t o Is your property within 200' of the following: Body of Water(Name) C c\\ _-�e- Saltwater Lake_< River/Creek Pond Wetland Seasonal Runoff,_Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1 st Floor___2�_2nd Floor Basement Garage Closet PLUMBING FIXTURES(S�ow Numcaf each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG_X Natural Gas Heatpump Toilets ` Type of Unit No. of Units Fees Bath Basins C 1 Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater a Propane Tank `a Laundry Wsher r-, b Gas Outlets /cr,-C Sinks pp Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other �� Z Other Other1 Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL- 7 5 ) A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&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-1 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 conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining_approval. X Date X FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date Z5 ��Submittal Amount Du Receipt Receipt No.AZ AEPARTMEtVTAEftk'VfEW AFPFtOVED DitiIIED CQRfDt€1()N.C(tiDES Building Department j�(• 61 g, Occ Group Type Constr. D Planning Department Other Other ....... FEES 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