HomeMy WebLinkAboutBLD22474 Final Addition - BLD Permit / Conditions - 7/15/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
BelfairA,ssenbly of God Ne 23001 Hwy 3 Belfair, WA 98528 (206)275-2858
DIRECTIONS approx. 1 block North of Belfair Elementary on the left
TO JOB SITE
PARCEL 123325000040 LEGAL Tract 18 of Sam B Theler Home and Garden Tracts
NUMBER DESCR.
j NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICEIrI UM
CONTRACTOR Belfair Assembly of God NE 23001 Hwy 3 Belfair WA 98528 206-275-2858
USE OF Church balcony, assembly building
BUILDING
' CLASS OF NEW ADDITION X ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK Construction of riser in balcony area, wood framing, seating capacity 400
a
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE O CONDITIONING.
BASEMENT SgFt BEDROOMS no PRIMARY RES.o THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS. SgFt BATHROOMS SEASONAL RES.0 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
i
ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE no IS CARPORT/GARAGE
GARAGE SgFt Balcony 2000S j$jTACHEDO DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
__ .`__ 3�.w�Yc X BY DATE
X OWNER �—-----
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVE NO DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
S C LCONDITIONS BUILDING GROUP PRE INSPECTION
jk SHORELINE
WOODSTOVE
r— PLUMBING
MECHANICAL
j STATE BUILDING FEE
I
moPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL
BY CASH CK MO
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.<><'�ZQ
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER
Belfair Assembly of God NE 23001 Hwy 3 Belfair, WA 98528 (206)275-2858
DIRECTIONS
TO JOB SITE approx. 1 block North of Belfair Elem. on the left
PARCEL LEGAL
NUMBER 123325000040 DESCR.Tract 18 of Sam B. Theler Home and Garden Tract
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP ONE
CONTRACTOR Crest Construction 4208 198th SW Suite 101B CR-ES-TC-235NQ 98036 7 5-5827
USEOF Lynnwood, WA
BUILDING Church sanctuary, assembly building
WORKCLASS Or NEW X ADDITION X ALTERATION REPAIR MOVE REMOVE
DESCRIBE
i WORK New construction, addition onto existing building, wood framebuilding with arch
I
glu-lam super structure. Full basement to be left unfinished.
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BEDROOMS -0- DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
1 BATHROOMS 5 TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 3 BASEMENT Yes ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT22.,fi32 FIREPLACE no DETACHED ABANDONED FORA PERIODOF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE`
i
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENT I FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFOR NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WN �✓-P.v�..�� 6, �WDATE X BYfF DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 3' � ,
YES NO YES NO
HEALTH PUBLIC WORKS y FEE
PLANNING FIRE BUILDING PERMIT ZO
D.O.T. BUILDING -PLAN CHECK
=1 SPECIAL CONDITIONS BUILDING GROUP �z PRE-INSPECTION
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WOODSTOVE
PLUMBING
{ MECHANICAL
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STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS, HECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
246��e� CASH CK MO TOTAL
H ONSULTANT SERVICE
1 OF COLUMBIA EMPIRE ENGINEERING. INC.
~ ._....___.. P. O. BOX 16596 PORTLAND. OREGON 97216
(509) 761-0700
Sept. 26, 1991
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1
Pastor Dennis Smith
BELFAIR ASSEMBLY OF GOD CHURCH
N.E. 23001 Highway 3
Belfair, W.A. 58529
Dear Pastor Smith:
This letter is to confirm that the plans we drew for you,
dated February 27, 1988, are designed to seat approximately
356 people in the balcony. The building (as shown in the
plans) has been designed and drawn to meet all requirements
of the structural and safety codes.
I hereby accept all responsibility for the architectural and
engineering design shown in those drawings.
Sincerely,
Lorenz J. Nelson,. AIA
Architect for,
CHURCH CONSULTANT. SERVICE
LJN: jn
3609 REGISTERED
A CHITE
LO NZ J. NELS
STATE OF WASHINGTON
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Shorelines: /y,¢ sl.�rd Plumbing: ef7
Setback: Mechanical
Special
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CondittFions; �. ,r
Mobil e:
_ Smoke Detector:_
'VE Remarks:
Footing: , Qq
Setback _S
Foundation %rb y�STitiJ�Rs Bdt eovr
Walls; ✓a��-�,yeJ
*Framing:
: fiw_P= Gig s .t� If
Fireplace-.- '
W004 Stove:
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TYPE ADDITION ''
Permit No. 22474' No. Floors 3 Sq -Ftg 22632
Owner BELFAIR ASSEMBLY OF GOD Tel 275-2858 Date 8-5-88
Address NE 23001 Hwy 3 Belfair�i Zip
Contractor-Cr`iat Const
Address 4208 198th SW Suite 101B Lynnwood Zip
Legal Description Sam Theler.H & G Tr cts Tr 1R
Direction to project site Approx 1 block No p Relfa;
Elementary on left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
�i'rnc� ut�ed. /O-Q-�Q/ TUr
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