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HomeMy WebLinkAboutMIS95-0269 Final Propane and Stove - MIS Permit / Conditions - 5/9/1995 VIA00 V COUI V I Y Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I !, F= 1_ 1 . A N F0�U P F R M I I FOR INSPECTIONS CALL 427-9670 MIS95-0269 PARCEL :223315200025 PLAT :COLLINS LAKE DIVe3 BLK : LOT : 25 JOB ADDRESS : NE 70 COLL. INS . . . . . . . . Pi. BELFAIR APPLICANT : LESTER SHARRETT 876-8282 OWNER - I.ESTER SHARRETT 876--8282 LEGAL : COLLINS LAKE 13 ILK: L01: 25 ` PROJECT DESCRIPTION : PROPANE TANK AND STOVE PROJECT LOCATION : FROM COULINS LAKE FIRE STATION NORTH ON FOREST DRIVE TO '"Y" GO LEFT (COLLINS PLACE) SITE IS 6TH DRIVEWAY ON RIGHT PROJECT NOTFS : TYPE AMOUNT BY DATE RECEIPT WDST $ 25 .00 CO 04/26/95 0747 MCFE S 19 .00 CO 04/26/95 0747 MCBS $ 15 .00 CO 04/26/95 0747 Q TOTAL : 58 .00 J OWNER OR AGE N � i- DA 113 ills, rev: 441/1192 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 date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date _� by date by ` nnn � �r1I � Ti IVI/`1J0N VVIJN Iy Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E FT M I -T C C3 N D I -T- I © N Case No . , M 1 S95--0269 Fore LESTER SHARRETT Pages 1 1 ) PURSUANT 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 OR ROAD FRONTING THE PROPERTY . MASON COUNTY PUIL.DINGi DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL. BE ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 2 ) The owner shalt have available on site for inspection by Mason County, a report indicating the name and license number of the installer , the amount of pressure at the . time of testing and the length of test time . This report st+a I I be signed by 'the person conducting the test . X 3 ) If the tank size Is between 125 and 500 gallons you must follow these guidelines : ------------------------ ----- I%V AAQN K / O U NT Y Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 Tank is to be 10 teet front any L)u idl ing, public way or property line . 2 . It the tank Is exposed to probable vehi tau lar damage, provide protective bollards . 3 . All weeds , grass , bruRh , trash and other oombustible material shall be kept a ujiniintim of 10 feet away from LP containors . X '7 5 OC-) b 9 Permit No. o J 4-7 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner 4 ���R ,� -51Y.4 22 ez T Phone# ;Z74"- 7;z r '7 Site Address Z�2 1)e Gez-L/n1_S Fire District# ;2.. City ` �y.0 St r'✓•Fs�b Zip Directions to Job Site I"< ,cilLe STD ;YO?%7'N Ta ` ,L F i C e, T% ffk 0.^/ Owner Mailing Address '03 G V- A4 —e' ez-e- City 4n2,e 7 awe —St Zip 29'3 C c Lien/Title Holder Address Clty St Zip #2 Contractor Name I o k 7 IeA 1� (a/L S Contractor Reg# d FC01YK*0Y10P Address / D• 13 GX 2Y"Z/ Expiration Date 9 / l /�.tr City is /a �,' St KIiC, Zip a Phone# y 71' - #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. J 133 I -�sz.. -Do D 2.5 Legal Description bt t f VAS l - L" ra� #5 Building Square uare Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building Ir S`C� "�-�al C-Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFAC RED HOME INFORMATION Model Year Ma Model Length Width Serial No. # Bedrooms # Bathroo Type of Heat Purchase Price$ #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 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 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 Furn BTU Hot Water Htr _ 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 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets ( Wood, Gas, Pellet Stoves NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15. WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. 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 OFTHE ORDINANCE 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 OWNER �� X BY DATE DATE FOR OFFICIAL USE ONLY:Accepted by. � ��' ~� I Date:' � F DEPARTMENTAL REVIEW FOR OFFICE USE ONLY ` Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal• Other: FEES Special Conditions: Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Edon-Monitor Site Inspection t. �—� (p 0`0 Building State Fee Other Other Building Valuation: TOTAL FEE