HomeMy WebLinkAboutCOM2012-00067 Final Propane - COM Permit / Conditions - 8/16/2012 irfMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
Shelton, WA 98584
orlo COMMERCIAL BUILDING PERMIT COM2012-00067
OWNER: COLLINS LAKE COMMUNITY CLUB RECEIVED: 6/4/2012
CONTRACTOR: LEGACY TELECOMMUNICATIONS INC LICENSE: LEGACT1005KD EXP: 6/1/2013 ISSUED:
SITE ADDRESS: 131 NE YOUNTAIN VIEW PL TAHUYA EXPIRES:
PARCEL NUMBER: :22331�2VO069
LEGAL DESCRIPTION: COLLINSLAKE#3 TR 69
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Adding a 250 gallon propane tank and outlets for the backup ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON BELFAIR
generator located next to the well house TAHUYA RD, R ON COLLINS LAKE DR, FOLLOW AROUND TO MOUNTAIN
VIEW PLACE TO SITE ADDRESS ON THE LEFT SIDE
General Information Construction &Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Insp.Area: No. of Bathrooms: Occ. Group:
Valuation:Type Work: MEC Fire Dist.: No. of Stories: Exit Design. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2012-00067 Please refer to the following pages for conditions of this permit. Page 1 of 4
s Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Gas Outlets 2
Propane Tank 1
Total
CASE NOTES FOR
C -OM2012 00067
CONDITIONS FOR
COM2012-00067
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There ar ' I risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1 800'647PO592. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) Existing roof deck shall be insulated to a minimum of R-38 if: The roof is un-insulated or existing insulation is removed to the level of the sheathing,
insulation in the roof/ceiling was previously installed exterior to the sheathing or non-existent.
`X
3) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE E- R OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x ( --��---
4) 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 protectiv oar, s. . All weeds, grass, brush, trash and other combustible
material shall be kept a minimum of 10 feet away from LP containers. X /
5) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are
subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical
areas (streams, wetlands, slopes, etc.) If you thinks tures exist on or nearby your property, please contact the Planning Department so that
exact setback requirements can be determined. X____
6) All property lines shall be clearly identified at the time of foundation inspection. X /
7) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
no c�om iiant with ason County ordinances and building regulations.
X
COM2012-00067 Page 2 of 4
'6) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
X!M holder have prevented action from being taken. No more than one extension may be granted.
9) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to
ens se structures meet the setback conditions listed.
X
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 com Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of cort inuation o work is by means of a progress inspection.The owner or the agent on a owners behalf, represents that the information provided is accurate
and grants employees ounty access to the above described property and structure for r ie and inspection.
OWNER OR AGENT: DATE: O
COM2012-00067 Page 3 of 4
e
n
0
K CONCRETE MECHANICAL MANUFACTURED HOME
N
O
tv Footings J Setbacks Gas te By
Piping Ribbons
o Interior Date By Interior-Date By Date By
r
m Extergr Date BY Exterior Pete_ By
Sot-up D
Point Load J Isolated Footings INSULATION Date By m
BG/SLAB INSULATION
Date By Data By FIRE DEPARTMENT O0
Foundation Walls Floors Date By
Date By Data By DECKS ic
C
FRAMING walls Date By Z
Date By Data By PROPANE TANKS
PLUMBING vault Date By n
Date By OTHER r
Groundwork Attic C
Type_ W
Date By Data By Date By
D.W.b DRYWALL Type. O
Date B Int.Brace Wall Date By 0
Y Date By N
FINAL INSPECTION
Water Line Fire Seperation
Date B Date By Date By tV
y
Pass or Request Inspect. o
Type of Insp. Fail Date Date Done By Comments 4
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MASON COUNTY PERMIT NO.(,6WI 20i1o"t ~Z: to .
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
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner C,pjk1Y1S 1 Ak, (,OMtNAk)Y11-I-4 Company Name
l¢p 0
Mailin Ad es Mailing Address
s
cityState `14 Ck Zip Code Cit State �—Zip Code
P Y P
Phone 2 1 Other Ph. Phone 'It '& � n 21 � Other Ph.
Lien/Title Holder Contractor Reg. # 1,6�Rt�sod5lGOEx '
E mail address E Mail Address �la^'�lF,t na,1201�r W"15• (-Oro
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No. 223 -52-000IolI Fire District
Legal Description 110WhS 1A 162 �F3 '( 00
Site Address(Please include street name, street number and cityAs. C011\hS 16G DY. v a V\J& OIQ50d
Directions to site v DY\111 WDYAIVIS W& ✓T4- v
11v
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New 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
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG ZNatural Gas_Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets 0
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL 107•'7h
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor. I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties. If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provid4o is accurate and is employees of Mason County access to the above described property and structure for review and inspection.
PROD F CONTINUA 10 F WORK I EANS OF A PROGRESS INSPECTION.
X Date:
ner/Owners epresentative/ ontractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd_ Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES