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HomeMy WebLinkAboutCOM2001-00120 Espresso Stand - COM Permit / Conditions - 9/27/2001 1 1 W O J J u) m N -n 0) (D X O �? (D m m a CL cD -v c uC► u0i m D ;a o o �_ o D � m D 0 mmmZ • c@ Mr- ' 0r � � '� A �1 w 3 0 :j y co y w o eD z O m 0) o � C0 • CD OM (p cD 7 -I �' h3 -1 �-I � CD D 7 0 0 Z ace -„ o z o F o tD ° Fr mom � Q; c$' Z rnm3 -. y m � z ID � z w p m A CD 0 N oD n ;u rn C CD CA ° gm 0 m 0 'fl w O a) a ° m c 3 O CD rn � � CDA o L96„ n W p 0 c ODm 0 0 CD � 0 3 + p - r x ic (Ao + n w C c W Z cn E. ZCD o ' W p o Z -�0 o Nm mo H o �o 0 CD 0'ZD , C 0a cn m c c O� Da 0 a o cc m ? _C CD ca n N � n _+ rn m y c c m M r -w p Sao _ M (D m 'T1 ZJ 0 n a Cl) 0 (D v ° O of '0 o O o �, -0 r e eCD °' oc `� ? � 2! 00 .. a -p -� -* O cn ye _ c� 0 m ao C O w o �? 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CD =40 CD f a = a t1 � � � (A .* NN c.30 '.M =`< m.w � `� mm o �O o o coax n � rno o E. C) D -aoo00 = 35 m my n -n2CD : m� w CL CCDD nS N -0m i AN > to C( m CD , CD Cl) o C O y 0, > > C3 fD � o � o off, b Z o � CD CD c �' a Q CO) °' � rno � nN w 0 � m N O c 3 m m 0 CD CD , _. CD p 0 "' � Za -% 0 * m a X N � -i - o �SD c CD rn cD906 . m 0 0 ow 3 a v o c w CD � c CD O N m c 0 Qo' o o �'. O o� CL n o a N X O O D cnCD 0 O N O CD O ;0 n CD 0 0 0' `< c 0 .. m 1j y � aM M =i = 0 3 .. O cn 'D o F � m c a' O 3 a w 0 w I lom ZW 1-UOi'Z� • PERMIT NO.: BLD MASON COUNTY 4 BUILDINGPERMIT APPLICATION 426 W.Cedar/P.O.BoX 186,5hettQn,WA 88584. Shelton 360 27.967Qtel#air 360.275-4467 1FIma 360 $15268 Seattle 206 64=6988 APPLICAN,T.tNFCiRMATI;ON CONTRACTOR INFORMATION; { Owner ;'�t ' tom Contractor Named f Mailing Address Mailing Address City State L.sA ip'Code - City State Zip Code .Phone Other Ph.(&tA - ' ! , Ph.( )_ Other Ph.(U� Lien/Tit e-ttol er Contractor.Reg.# i Address : Expiration E SEPTIC/WATER*SYSTSM 11�1Ft3RMATI"-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer Sysrr Well Water System , Name of Water System .. �; t 1 �;1, . CEL INFORMATION41 digit T 5 <Parc01 M6 Fire District egal Description T ite'Address(Please include street n me, street number and city) Directions to site ` 2;! Will timber,be cut and sold in parcel p , r ion s/ ( `#our property within 2DI)' of the tiel6c` v od�.,10 Water(Maine) } Saltwater Lake River/Creek_____ P�letld' Seasonal Runoff Stream Slopes or Bluffs PERMANENT,AES,fDENCE0 " SEASONALR9;QENGEi�: TYPE OF J'OB New Add Alt_Repair .Other Use of Building t Describe Work No, of Bedrooms No: of Bathrooms F�j WT 1st Floor�2nd Floor 3rd Floor Loft eA: eck Other sq. ft. GarageAttached c ` r Attached Detached MOBILE H 'M INF4RNIATION-Ma e` Model Model Year' , Length Width Seri�I No. No. of Bedrooms _No, of Bathrooms Type;of Heat Purchase Price $ Replacement Unit?(Yes/No) Installer Name Certification No. ` i NOTICE:THIS PERMIT$ECOMES NUI L'8.VOID IF WORK OR CONSTRUCTION AUTHORIZED_NOT COMMENCED,WiTHgd 180 DAYS,OR IF CONSTRUCT1ON WORK IS 1US0ENDED OR ABANDONED FOR RAP PERIOD OF 180 DAYS AT ANYTIME AFTER THE WORK IS 60 MENOED, PROOF OF CONTINUATION QF WORK IS BY MEANS of A PROGRESS INSPECTION. The owner or agent on owner's behalf,t$presents that.the information provided is accurate and grants emploYees of Mason County access to the above described-property and sttuctures for review and . inspection of this project. Acknowledgment of,such is by signature below: QWNER AFFIDAVIT-i certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that l am currently registered as a Contractor Registration Law RCWN 1'8.27 and am aware of the,ordinance' contractor in the state of Washington and that I am irware of the ordinance requirements for which this permit is issued and that alt;work will be done in requirements regulating the work for whichthis permit is issued and ail wprk 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 Date to Da FOR OFFICI .L USE'BEYOND THIS POfNT Accepted b Da Subrrlittat Amount Due . feceipt IV E Building tep'artment. Occ Grou T e Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation$ Y �,y ... Building Permit Fae Site Ihspecytton Plan Review Fee ER Review Fee ' Plumbing&Base Fee , Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee . Violation Fee Pre-Paid sit Submittal ( ) TOtAL FEES C19Mto 0, PERMIT NO.: BLD ' MASON COUNTY BUILDING PERMIT APPLICATION W. 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 �J. Shelton 360 427-9670 Belfair 360 275-4467 Elma 38 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Se Mailing Address Mailing Address City a f State wA Zip Code tig City State Zip Code Phone ^ t, Other Ph.( ') Wst-11 Ph.( Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER"SYSTEM-1,NFORMATION-Connect to New Septic _N �Existing Septic Connect to Sewer System Name.'Jof Sewer Systn Well Water System Name of Water System UU � ^�' _ r x.,, 1 ARCEL INFORMATION-12 digit Taz`Parcel fro. Fire District Yi Legal Description Site AddreSS(Please include street name, street number and city) VSr -x i [ F' ,y,r- Directions tp site r.,A 7,7 'WA:-j Will timber be cut and sold in arcel re P P e Lion s/No otlr property within 200' of the fotl+aw ` ody of Water( ame) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ (y. 7 TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work " X No. of Bedrooms No. of Bathrooms F'9QsTAIGP-1st Floor 1 �- 2nd Floor 3rd Floor Loft s end "deck Other sq. ft. Garage. Attached rt Attached Detached MOBILE HOME INFORMATION-MWe Model Model Year Length Width Seri( No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit?(Yes/No) Installer Name Certification No. 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-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 iss.v6d 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 Date / FOR OFF , ` ' USE PfYOND THIS POINT r Accepted by t 1(_w Dat Subrnft Amount Due Receipt { Rt)1EI�...... . Slow Building .......................,.... . .Ems......................... Building Department ;,, Occ Group' Type Constr. Planning Department Environmental Health Department Ccc.� C u J Public Works Department Fire Marshal:; Valuation $ '+ £,;: «£tits:?,..: ..::»>, k;>;s!•wg<,,.«,.,. ' i:. Building Permit Fee Site Inspection Plan Review Fee EH Review Fee S'U r Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other ,Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) r., r...' •_ w; k i k a TOTAL FEES ' FORM,MU8T BE COMPLETED IN INK PERMIT NO.: B PLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Sox 186,Shelton,WA 98594 Shelton 360 427.9670 Selfair 360 2Hi=4467�Elm 13SWULS Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner -rbM t l nit\a "�t�11~__ Contractor Name_ Mailing Address Mailing Address City State,�,1(� Zip Code "' City State Zip Code Phone('Abn AM-i kOther Ph.CAc3) S-U17 ir7 ,Ph.( ) Other Ph.(_) Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of S wer System Well Water System Name of Water System tl w PARCEL INFORMATION-12 digit Tax Parcel No. Y / Fire District Legal Description -"" Site Address(Please include street name, street number and city) Directions to site GAS wAI Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200'of the following: Body of Water( me) NO Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE 0 SEASONAL RESIDENCE(3 TYPE OF JOB New Add Alt RepaiOthr " . er Use ofBui ngDescribe Work X Ad... � 4,No. of Ekedrooms No. of Bathrooms SQ ARE FOOTAGE-1st Floor j 1972nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Para a Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSYRUgT1ON 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 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. r- _ Date_,,,,, Date FOR he F Cf L USE BEYOND THIS POINT Accepted by t y Da Submittal Amount Due22441 Receipt Nf Building Department Occ Group— Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Owl M Site Inspection EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) &. `t TOTAL FEES k o rw PERMIT NO.: BLD_ MASON COUNTY BUILDING PERMIT APPLICATION f If l 426 W.Cedar/P.O.Box 186,Shelton,WA'98584 A7 '3 Shelton 360 427-9670 Belfair 360 276-4467 Elma 360 482-6269 Seattle 206 464-6968 APPL SANT INFORMATION CONTRACTOR INFORMATION Owner ;- f g,, 'j'G llrurr�+� Contractor Name e MailingAddress . —� Mailing Address City State Zip Code City State Zip Code Phone 1142_Other Ph.(360) ,==JaM Ph.( )_Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/V4IATI`R"SYSTEMFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sawer Sys1w, Well Water System Name of Water System , ., N I, �+ IIQ PARCEL INFORMATION-'12 digit Tafilarcei ciF / / Fire District Legal Description Site Address(Please include streetliame, street number and city) Directions to site Will timber be cut and sold in ar pe tion s/ r 1 `y6ur property within.200' of the I n od f Water( ame) b Saltwater Lake River/Creek R 1 �I nd Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE Q TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work " rr,( No. of Bedrooms No. of Bathrooms IR#T 1st Floor fl-2nd Floor 3rd Floor Loft en ck Other sq. ft. Gara a Attached �kl Attached Detached MOBILE HOME NF'ORMATION a Model Model Year Length Width" Serial No. No; of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit?(Yes/No) Installer Name Certification No, 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-1 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 Date FOR OFF Ct` L USE BEYOND THIS POINT Accepted b .�,1 Da e Submittal Amount Due Receipt ;._.:<;_;:;:_:.>:. . .. ]]��. . ; �..:*':.: �e•u;: ! ;r: Eft;:.: .:: :<.;:. ........:...:>; ..........,t...... :,�"A .TM I' !�w: ';�ii�i �:.7f.::::::::....::::.: •.::.:.:.,, ::� ..:.� .::::::::::.::.::::...::....:..:::::::::: ::::::D.::::::::::.:::: Building Department,; Occ Group Type Constr. l� 6 Planning Department Environmental Health Department Public Works Department Fire Marshal uV i Valuation $ { : _. , M. Building Permft,Fee Site Inspection' Plan Review Fee % EH Review Fee' Plumbing&Base Fee Planning Review fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) u <3 TOTAL FEES MOB MECHANICAL Rtbb L HOME . I Fbs'Setback date dde daft Gas F%)kv SM UP Foundation Wab dale by date by dde by WSULATION FkW BGISu►B kmilatton � data by dds by FIRE DEFT. FRAMING way date by date by date by OTHER PLUMBING ANo Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by FINAL 1 P N water tine date ?.� by;�U I Idate by Idate by eJ tz Fa c� 1 s • ��■■■■■■■■■■ �■ N■■■ mm ■■ ■■■■■■ONE ■■i�■ � :, ■■■■■■■■■■ ■■■ ■■■ ■■ 411 ME ■■■ ■ ■■■■I■ v, ' ;�11 ■ ■■ ■■ ONE ■ y` ■■ ■ ■■■■■■ ` ,` ■■ ■ ■■■■■■ 1 ■■' = I v , ■ ■■ME ■ . OEM■■ ■ ■ ■■■No ■■ ■ �_ ■ ir ■ ■■ ■ ■ ■■ ■ ■ ■ ■ MAIM■ i: ■■ ■■ ■ MAIM■ I ==�� ■■ ■ ■ MAIM ■" r MEN ■ MAIN - ,�.r�Tzr. . - f.^4 E^vim - - :'• ■■ NNs■■■■ ■ , ■■ ■ ■i■ 5 :!i■■■ MAIM MIN■■ ■ N ■■ !1■■■ ■■■■MEN■I I■■■■■®®� ! ■ ■ ■ ■� ■ fflh. ! MAI W ! MAIN■■ ■ ■ ' ■kmlI■ ■ ■ ■ ■l MAIM ■ ■ � ii ■ it P ■ MAIM■ , .XIm ■AIM■■ NNN MAIM■ ■NNAIAI■■■■■ 12?nelllNN ME MENA MMMM ■■ ! ---- ■ - —_ ! N■■■■ ■■ L �y ■■ I a MAIM �1 Elm -t ii�t _ .i6i 1 P. ■ ■„ NNi■ - _ z, ■■ ■ ANN ■ ■ ■ ■ MEN ■ .... 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