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Home My WebLink AboutBLD99-00322 Safeway Sign - BLD Application - 6/8/1999 hsru spa i"OF il EL,F- �CF3 n � RNK FORM MUST BE COMPLETED NK �'!�- �, y RE,,u RER PLEASE PRESS HARD NfASON COUhTY. BUILDING PERMIT APPLICATIO 33010 426 W.Cedar/P.O.Box 186,Shelton,WA 9858 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 rMailii(g ,!1,ddress PLICANT INFORMATION ( Safeway Project ) CONTRACTOR INFORMATION Signs I n c ner Tollefson Commercial Pro Contractor Namedams 606- 110th Ave . N. E . M- Mailing Address 5838aS . WA, pCode984 99 y Bellevue State WA Zip Code 98004 city Tacoma (�) OtherPh.(_) Ph.( 253 ) 473 332�MBSIOTTQS Phone(__— Contractor Reg. # Lien/Title Holder Expiration Address SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Welling Septic Systemonnect to Se ofr System Name of Sewer System Water System PARCEL INFORMATION-12 digit Tax Parcel No. 12329 / 41 / 0 0 010 Fire District Legal Description see attached legal E . State ou e Site Address(Please include street name, street number and city) e a 1 r , Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) Saltwater Is your property within 200' of the following: Body of Water (Name) Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New x x Add Alt Repair Other Use of Building Describe Work Install new signage fog" Safeway No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor sq. ft. 3rd Floor Loft Basement Deck ached Detached her Garage Attached Detached Carport 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 CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF I CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. I PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner sor c agent on owner's behalf,represents that the i 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: i 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 11 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 confor conformance therewith. No changes shall be made without first obtaining firststeal obtaining lapprovalmance therewith. No changes shall be made without approval. `- Date 6 4 9 9 X Date FOR OFFICIAL USE BEYOND THISPOINT" ` / Receipt No. Accepted b Date X-Submittal Amount Du p PPPRCTVED D�N1D 771 Building Department Occ GroupType Constr. Planning Department Environmental Health Department i Public Works Department Fire Marshal Valuation $ Building Permit Fee —D Site Inspection / Plan Review Fee G UFC Plan Review Fee Public Works Review Fee Plumbing & Base Fe Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submitt ( ) :> TOTAL FEES 1-3D�� Y.+.':;'• 5:'+.>i.'uk'•rx4s'•,'#`:`.. :f:{v'>`• "'.,,.C..n, yur�..ar:•,<Y%>. .t�,v .^•.°`'. >,:ts ua}5;.+riaS+•f4 :i.•• c xcc ..e+i•`isac:.•.:•:>:e..osr••::•::.:;:, . '• 01 y Y PERMIT NO.: BLD� ' MASON COVNT� , tD�� BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482a269 Seattle 206 464-6968 APPLICANT INFORMATION i 5 a fe w a y r'77 I T 4 } CONTRACTOR INFORMATION Owner T O Y l e f i-g-t ls,,g me r c i a l il'r o Contractor Name PIUMb 500S t` Mailing Address bb r''` e _ L 0 Mailing Address 5836 L A 1!1 City uG�iie'dtlt? State 'WA Zip Code 930104 City Tacoma State Wig Zip Code 1z'4%)"� h Phony % ) Other Ph.( ) (Ph. c :� ether P . J ) � t h Lien/Title Holder Contractor Reg. # Address Expiration / / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System 010 PARCEL INFORMATION-12 di it Tax Parcel No 1 ` / 41 / Fire District Legal Description see at�ached ie gwi Site Address(Please include street name, street number and city) Directions to site i3eit�' t N.L.•r . t 4 111 timber be cut and sold in parcel preparation? (Yes/No) Saltwater Is your property within 200' of the following: Body of Water(Name) Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 1TYPE OF JOB New x x Add Alt Repair Other Use of Building Describe Work g new 5ignage f—r'Sc f4 ay" No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement-Deck Other sq. ft. Garage Attached Detached Carpo Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length It 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-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. Date G 4% 9 �( Date FOR OFFICIAL USE BEYOND THIS OI -t Accepted by 't (< / Date= t ' ' Submittal Amount Du -,. • Receipt No— � DiwPAR�M�NTA�..0IwU'1; APPROVED DENIED CDNDITiQN C ?dE Building Department Occ Group Type Constr. Planning Department l Enyironmental Health Department r° Public Works'Department I Fire Marshal r Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES } »tfor.9.tr ':'tt.. 'r•r'rYkr.'tso&x. .x .< 'iaev:x::^d�3:ii:Si:e•f:'+.'r::<•:• 1 � PERMIT NCh::. BLD- ' MASON COS_ T ! BUILDING PER MIT APPLICATION' 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 36,0 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION ( S a f e w a y P r cl j e v ) CONTRACTOR INFORMATION Owner Joilefson Sommercial Prop Contractor Name Plumb Sigos 1nC Mailirtg Address 0 5- I 0 L 1 N7i e . . L• o Mailing Address 5 d 30 S . ;- d atpel City Bei ledue State W \ Zip Code 96004 City Tacoma State tuft Zip Code Phone(_) Other Ph.(____) Ph.( 2 3 332 Ether Ph. 7 VS Lien/Title Holder Contractor Rego #— R1P=1B�10 Address Expiration / / SEPTIC/WATER SYSTEM(NFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System r PARCEL INFORMATION-12 di it Tax Parcel No.. 1232 / 41 / 0001 0 Fire District Legal Description Jee at. ached lega`:l Site Address(Please include street name, street number and city) V • 1=• L a e 0 U t e Directions to site e a i r , 8 26 Will timber be cut and sold in parcel preparation? (Yes/No) 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 Nev Use of Building Describe Work_ Ty + No. of Bedrooms_ --1st Floor 2nd Floor pQ 3rd Floor L (gyp e Dther sq. ft. GJra9e P q 1 I o J ttached Detached MOBILE HOME INF Z�, -7 R• Model Year Length I Wit No. of Bedrooms No. of Bathrooms Type of Heat OZ -7 S Per�...;-� • Replacement Unit ?(Yes/No) Installer Name ation No. NOTICE: THIS PERMIT ;�j' / ITHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WOR� v 57 • v C Yl°A'�' )AYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF U C ION WOAT N. The owner or agent on owner's behalf,represents that the information provided i r� o the above described property and structures for review and inspection of this project OWNER AFFIDAVIT-[cerl _ AFFIDAVIT-[certify that I am currently registered as a Contractor Registration LaW 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 Date 6 4 9 9 FOR OFFICIAL USE BEYOND THIS OI Accepted b. 2� _Date& ,�YStbmittal Amount Receipt No. C� AFRQR lIKR.. CDI�DIT 1D[ _ C)D Building Department s - 1P/9— ' c-oyhe- Occ Group Type Constr. �- 9B S.Oo Planning Department r' Environmental Health Department , t Public Works Department 'x Fire Marshal _ - Valuation $ XX �^'::'.::{:^:ii: :::�:::�i:�i::;: ::!'�ii:::?�:':`::�i:�i'�'� :::��:�:i:::i: :ii:::::.:::�:i:�i:i:�i:::i::i: ::ii"; :•i::•,: Building Permit Fee =Slte Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) :�' . ... .. . TOTAL FEES « .. ;. 06/08/1999 10:49 253-472-3107 • PLUMB SIGNS PAGE 01 NS1iARTAL- i of Pa�Oes FAX TRA Plumb �..�....-..,.....�.. ,. 24&aZ,&5/ FROM �� Ss.9s9arM+Ada�ns8tist CO• FL,UMBSION CORP . Tw�n,a.w�Nnp�lon9s�o9.2a7s ,f=--- � sT33i23 (a 4-e�Ts1m OEPT /4 Q ��pX# �472-107 � FAX 0 A '` COMMENTS_ C.S. sign Corp. 2103 N.W. 96th Street Seattle,WA 98117 Re: Safeway - Belfair, Washington Dear Christian, As per your request, I am providing the prices for the new signage fbr the above prujrscL. Tau, permits and engineering Costs will be extra. 1. One set of 72" "SAFEWAY" individually illuminated, self- contained, plastic faced, shoot aluminum letters, to be mounted on a concrete block wall. $1,310.00 2. One set of 48" "SAFEWAY" individually illuminated, self- contained, plastic faced. sheet aluminum letters, to be mounted on a concrete block wall. $ 1,225.00 3. One set of 42" "FOOD & DRUG" individually illuminated, self- contained, plastic faced, sheet aluminum letters, to be mounted on a concrete block wall. $ 1,210.00 4. one ser. or 30" -FOOD &DRUG" ludlvidually ljl....A"AcLLctl, OwIr contained, plastic faced, sheet aluminum. letters, to be mountod on a concrete block wall. $ 1.190.00 S. One 6' X 73" individual illuminated self contained plastic faced, sheet aluminum three piece "LOG" to be mou,ated on a G'8" x T11" white sintra panel and 'installed on a steel grid entry. tower. $4,250.00 r 6. One 35' high x 14' wide double faced illuminated pylon sign complete with engineering as per specifications. $31,350-00 7. Two double faced illuminated entry light cabinets. $ 1,450.00 Total Bid Price Plus Tax $41,985.00 Thanks for letting us bid on this, Christian. If you have any questions or concerns, please feel free to give me a call. Sincerely, Donn Plumb May 10, 1999 1