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HomeMy WebLinkAboutCOM2022-00048 Sign - COM Permit / Conditions - 10/6/2022 Mason County Mason County - Division of Community Development / 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us COM2022-00048 NEW COMMERCIAL PERMIT PROJECT DESCRIPTION: NEW DIGITAL MONUMENT ISSUED: 10/06/2022 SITE ADDRESS: 4350 E GRAPEVIEW LOOP RD GRAPEVIEW EXPIRES: 04/04/2023 PARCEL: 121082160041 APPLICANT: MASON COUNTY FIRE DISTRICT#3 OWNER: MASON COUNTY FIRE DIST#3 PO BOX 129 PO BOX 129 GRAPEVIEW, WA 98546 GRAPEVIEW, WA98546 360.275.4483 OWNER'S REP: Thigpen, Neil 909 S 28th St Tacoma, WA98409 6262985747 GENERAL CONTRACTOR'S LICENSE: PLUMB SIGNS INC License: PLUMBS1077QC 909 S 28TH STTACOMA, WA98409 Expires: 12/17/2023 253-473-3323 VALUATIONS: FEES: Paid Due Project Valuation (BID, 27520.65 $27,520.65 Planning Review Fee $80.00 $0.00 ESTIMATION..) Technology Surcharge $14.94 $0.00 State Fee-Commercial $25.00 $0.00 Plan Check Fee $294.18 $0.00 Building Permit Fee $452.59 $0.00 Building Plan Review/Change of $125.00 $0.00 Use - Onsite Sewage Total: $27,520.65 Totals : $991.71 $0.00 REQUIRED INSPECTIONS Footing Inspection BLD-Final Inspection CONDITIONS Printed by:Amber Selby on:10/06/2022 11:30 AM Page 1 of 3 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW COMMERCIAL PERMIT COM2022-00048 * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * All building permits shall have a final inspection performed and approved by 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 non-compliant with Mason County ordinances and building regulations. * CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. Printed by:Amber Selby on:10/06/2022 11:30 AM Page 2 of 3 -� SNG•PLq•,, Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW COMMERCIAL PERMIT COM2022-00048 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of ermit does not presume to give authority to violate or cancel the provisions any her state/loc regulating construction or the performance of construction. Issued B Contract r Authorized Agent: Date: Printed by:Amber Selby on:10/06/2022 11:30 AM Page 3 of 3 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670, EXT 352 =, COMMUNITY SERVICES < < BELFAIR: 360-275-4467, EXT 352 Building,Planning,[nvironmental 1lealth,Community llealNi ELMA:360-482-5269, EXT 352 - www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.phv Permit Number COM2022-00048 Date Issued 10/06/2022 Issued By Project New digital monument Site Address 4350 E Grapeview Loop Rd Applicant MASON COUNTY FIRE DISTRICT#3 Contractor PLUMB SIGNS INC Contractor Phone 253-473-3323 Primary Code UPC IBC, IRC, IFC,IEC,IMC,& Type Permit Type NEW COMMERCIAL PERMIT Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.** PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department t Concrete Setbacks Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building J 7Z Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other N 09/16/2022 F e `M. igitally ,AI N - `signed _ o 0 Ott dy by z Cott . -. uedyw MOWk APPROVED MASON COUNTY DCD PLANNING • 5007T RUEDY MCP 25'Min from property line rt "" � INSTALL AREA 11 i +. ,c :r µ-• iris i� Y i:� i RR5 Zoning Front Yard Setback.25'. Side&Rear Yard Setbacks. Residential dwelling and accessory structures is 20'. OR 10%O width of lot if not more than 100'wide OR approved ADV SITE MAP FES d, +rF IY. • r GRAPEVIEW LOOP RD,GRAPEVIEW �® CARINTAYLOR �N/A 1 OF 2 12257 ZAPEVIEW RRE DEPARTMENT 4350 EAST ,WA 98546 X BAAwRn >A.r PROPRIETARY A N D CONFIDENTIAL TH E I N FO RMATIONCONTA INE D I N TH IS DRAWING IS THE SOLE PROPERTY OF PLUMB SIG INS.ANY RE PRODUCT ION IN PART OR AS A WHOLE,WITHOUT TH E WRI TTE N PER M ISSION OF PLUMB SIG NS IS PROHI BITE D.COPYRIGHT 0 202 2 PL UMB SIGN S.INC. IAMEY GRfER F1>JUNE2Ri] • 1 32.4 SQ FT (11.8 SQ FT WORDBOX+EMC ACTIVE AREA 20.6 SQ FT) 6'-9" 1 COM2022-00048 FABRICATE AND INSTALL ONE(1)NEW D/F MONUMENT SIGN Mason County TOP WORDBOX SECTION ! 81"x 21"x 12"w/1-1/2"RETAINER Permit Document PRIME AND PAINT SATIN BLACK r TRANSLUCENT WHITE ACRYLIC FACE 1' 0" APPLY TRANSLUCENT VINYL GRAPHICS WITH LOGO(COLORS TED) ATTACH ABOVE DAKTRONICS DISPLAYS TO POSTS LED ILLUMINATION MIDDLE EMC SECTION TWO(2)STRINGERS 66"x 4"x 4",WELD TO 4"x 4"SQUARE TUBE POSTS INSTALL ONE(1)NEW DAKTRONICS S/F DISPLAY WELD THE DAKTRONICS SIGN CLIPS TO THE 4"x 4"STRINGERS ON THREE SIDES PRIME AND PAINT FLASHINGS SATIN BLACK BOTTOM SECTION -.090 ALUMINUM POST COVER -PAINT TO MATCH COOL GRAY 9c 6'-9" 1•_0,, FABRICATE AND INSTALL SHROUDING/FLASHING ON BOTH SIDES AND TOP BETWEEN DAKTRONICS DISPLAYS ---- 6'-6" PRIME AND PAINT SATIN BLACK (EMC ACTIVE AREA) ATTACH TO STRINGER SUPPORTS APPROPRIATELY � Lill ' 1'-9 Mason County does not review for GRAPEVIEW approval of Electrical Documents. A • • • separate permit is required from L&I. 6'-0" ILLUM.CABINET W/LEXAN FACES-ATTACHMENT DETAIL 3 2„ Aluminum L cabinet- - � '/4"x 1 '/]" LISTED (EMC ACTIVE AREA) angle iron t1--smt 3'-8" � � sign frame/socket p Lexan face Sched 40 LED steel pipe- - Illumination UL approved • ' ' ` WABO cert. power supply 2„ welds S-- Connect to existing On/off power source toggle switch OThis sign intended to be installed in accordance with the requirements of uL Article 600 of the National Electrical Code and/or other applicable local codes. DESIGN PROTECT INSTAII LOCATION APPROVED BY/DATE _ SALES �® 12257 GRAPEVIEW FIRE DEPARTMENT 4350 EAST GRAPEVIEW LOOP RD,GRAPEVIEW,WA 98546 I X CARIN TAYLOR 3/4"=1' 2 of 2 DRAWN BY START DATE PROPRIETARY AND CONFIDENTIAL:THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF PLUMB SIGNS.ANY REPRODUCTION IN PART OR AS A WHOLE,WITHOUT THE WRITTEN PERMISSION OF PLUMB SIGNS IS PROHIBITED.COPYRIGHT©2022 PLUMB SIGNS,INC. JAMEY CARTER 17.JUNE.2021 i •• � � L) to •^ .*t �" ; 4 LU yr e'er w • w, w � ° r ry„ '11e 1 f O T ' 1 ♦ a LLI t • v ti ♦ �� •� 'ate '� YMI{ a � - t.b "� L Mason County Permit Document - - z COM2022-00048 INSTALL AREA � 100'+ 1 no- - -- - E - All � x! k 1 +rL . x 1 #; ,• i �.�wr+rir_ww•s.•, '•r ir` �°$t ,' r's� s:, �. ..'� fi�l M. MI *tie • Ali . q k � , r Ilk gap" 1111111111 Av IM1Y, DESIGN PROJECT INSTALL LOCATION rPROVED BY/DATE a` I SALES �® 12257 GRAPEVIEW FIRE DEPARTMENT 4350 EAST GRAPEVIEW LOOP RD,GRAPEVIEW,WA 98546 �I• CARIN TAYLOR N/A 1 OF 2 plLmbDRAWN M START DATE PROPRIETARY AND CONFIDENTIAL:THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF PLUMB SIGNS-ANY REPRODUCTION IN PART OR AS A WHOLE,WITHOUT THE WRITTEN PERMISSION OF PLUMB SIGNS IS PROHIBITED.COPYRIGHT©2022 PLUMB SIGNS,INC. JAMEY CARTER 17.JUNE.2021 r Page 1 of 2 ■ s U L AWAY 11545 W. BERNARDO COURT, SUITE 201 SAN DIEGO, CA 92127 . PROJECTMANAGER@SULLAWAYENG.COM - � PHONE: 1-858-312-5150 FAX: 1-858-777-3534 PROJECT: GRAPEVIEW FIRE DEPARTMENT, 4350 EAST GRAPEVIEW LOOP ROAD, GRAPEVIEW, WA DATE: 04/13/2022 PROJECT#: 34623 ENGINEER: JC CLIENT: PLUMB SIGNS LAST REVISED: -'-"-- 6'-911 6-611 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /6 YP . . . . . 4 STD PIPE OD: 4.50„ Q •. WALL: 0.237„ O . . . . . . . . . . . . . . . . . . . . . . o . i . . . . . . . . . . . . . . . . . . . . . . . . c000 . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . co . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l� SADDLE DETAIL, TYP. .'.'.'.'. .'.'.'.'.'.'.'.'.'.'.'.'.'.'. MIN. (2) LOCATIONS N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . ° ° v' v Mason County °. 4 Permit Document ° COM2022-00048 C° ° d ° 0 L-2- 1 0 1 L ON GENERAL NOTES ' 1. DESIGN CODE: IBC 2018 & WASHINGTON SBCC 2018 2. DESIGN LOADS: ASCE 7-161209 3. WIND VELOCITY 100 MPH EXPOSURE C ` `"- 4. CONCRETE 2500 PSI MINIMUM : 5. PIPE STEEL ASTM A53 GR. B, Fy = 35 KSI MIN. � �� 6. WELDING STRENGTH, FEXX = 70 KSI ^s� SAL 7. PROVIDE MIN. 3" CLEAR COVER ON ALL STEEL EMBEDDED IN CONCRETE WHEN CAST AGAINST SOIL 8. LATERAL SOIL BEARING PER IBC CLASS 4 (150 PSF/FT) 9. PROVIDE PROTECTION AGAINST DISSIMILAR METALS 10. ALL DIMENSIONS TO BE VERIFIED PRIOR TO FABRICATION Page 2 of 2 ■ SULLAWAY 0 17 KI P7 PROJECT: GRAPEVIEW FIRE DEPARTMENT DATE: 4/13/22 PROJ. NO.: 34623 ENGINEER: JC CLIENT: PLUMB SIGNS V5.5 units; pounds, feet unless noted otherwise Applied Wind Loads; from ASCE 7-16 F=qZ*G*Cf*Af with qZ = 0.00256KZKZtKdV (29.3.2 & 29.4) Cf= 1 .444 (Fig. 29.3-1) max. height= 6.000 KZt= 1 .0 (26.8.2) (=1.0 unless unusual landscape) KZ= from table 28.3-1 Exposure= c Kd= 0.85 for signs (table 26.6-1) V= 100 mph G= 0.85 (26.9) weight= 0.405 kips s/h= 1 .000 Mpt_= 0.00 k-ft B/s= 1.13 Pole structure height at pressure Wind Loads component section c.g KZ qZ qZ*G*Cf Af shear Moment Mw 1 0.21 0.85 18.50 22.70 2.81 64 13 2 0.50 0.85 18.50 22.70 1.08 25 12 3 2.42 0.85 18.50 22.70 24.75 562 1358 4 5.13 0.85 18.50 22.70 11.81 268 1374 sums: 40.46 918 2.76 (MW) k-ft arm= 3.0 for s/h=1, add 10% (asce fig. 29.4-1): x 1.10 3.03 Pu= 0.49 kip M= 3.03 k-ft M=sgrt(MpL2+MW2) M =sgrt(1.2MpL2+1.0Mw2) = 3.03 k-ft Pole Design section; pipe M < Wn with Mr,=fyZ fy= 35 ksl 0.9 H M jk-ft) Z req'd. (in) Size(in) t (in) Z Use at grade 3.03 1.16 2.5 0.203 1.37 4 Std. Pipe, �Mn = 10.6 k-ft Footing Design footprint: round c)= 1.3 IBC 1605.3.2 IBC Table 1806.2, sections 1806.3.4, 1807.3.2 S=(1.3x2x150psf/ft) P= 0.72 kip S1 = S x d /3 A = 2.34xP / (S1 xb) S= 400 S1= 522 d =0.5xA (1+ (1+4.36x h/A)A.5) IBC 1807.3.2.1 A= 2.14 footing: 1 ' - 6" dia. 3' - 11" deep COM2022-00048 Mason County Permit Document 40 MASON COUNTY COMMUNITY SERVICES Permit No: LO��U��'1 U PERMIT ASSISTANCE CENTER: •40 BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL AM ram'-( 615 W. e,Street,Shelton,WA 985M `E C E'V Phone Shelton:(360)42Y9810 ad.352•Fax:(360)49-A98 Phone ED l Be Hair'(360)225-4461.Phone Vote:1`360)462-5269 BUILDING PERMIT APPLICATION JUL 1 2022 PROPERTY OWNER INFORMATION: CONTRACTORINFORMATIO : VAlderStree NAME:MASON COUNTY FIRE DIST#3 NAME;Plumb Signs MAILING ADDRESS:PO Be.129 MAILING ADDRESS:909 S 28th St CITY:Grepavlaw STATE:WA ZIP:SOMBO129 CITY:Tacoma STATE:WA VIII:98409 PHONE#1:253651-2144 PHONE:626-298-5747 - CELL: 62B298s]4] PHONE#2: EMAIL ;eesycodechecks@gml corn EMAIL:paylor®plumbegns.00m L&I BE G#800 455 295/PLUMB310]]OS ggp, 11//10123 PRIMARY CONTACT: OWNER CONTRACTOR Q OTHER❑ NAME Nall Thil EMAIL eesycodech8cke®gmell.c0m MAILING ADDRESS 909 S 28th St CITY Tacoma STATE WA ZIP 96409 PHONE ON-291l CELL 626398-e147 PARCEL INFORMATION: RojiirpI7]T PARCEL NUMBER(12 Digit Number) 121082160041 ZONING LEGAL DESCRIPTION(Abbreviated) PCLI OF BLA,#W-o9 PTN TR 4 GL.1 FIREDISTRICT SITE ADDRESS 4350 E Grepeview Loop Rd,WA 98546 CITY Gmpeview DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E+ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chackat/rhorapply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION 0 REPAIR❑ OTHER ❑ USE OF STRUCTURE(Baddmca,Goroge,Commasaml Bldg,Ex.)Fire Department IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whore Bldg) ❑ YES(Pan(a)ojBldg)❑ NO❑ DESCRIBE WORK SOUARE FOOTAGE: tbrgpw d) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.it. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER - sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED" MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTINCi)l( PLUMBING IN.STRUCTURE? YES❑ NIP, Ijyes, attach completed Water Adequacy Form PERIMETERUFOUNDATION DRAINS PROPOSED? YES❑ NOl EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS P TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate Information may result In a stop wain,order or penny revocation.AcknoMedgement of such Is by signature below.I declare that I am the owner and I further declare Nat I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,Including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above dee cd bed property and structures)for review and Inspection. This pennitlapplicallon becomes null It void gwork or authorized construction is not commenced w thin 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X � � '.,Dlgnallyalgnetl by Ndl Thgpea 7/11/2022 �'Dele:2022,07 1l 10:N:3e-04 Signature of OWNER(Must be sinned by the OWNERI Date DEPARTMENTAL REVIEW APPROVED I DATE I DENIED DATE TAGS/NOTE&CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH rD Z 1 u.S E n, EH Setbacks t7 d w 9 4 f � 33 €4 6 �j 5Y 963 & N 3 y r I { D a a s eE @� ,9 p9. SrtE MPP IS NOi iO SVEO Fl[SGtE. as MASON COUNTY COMMUNITY SERVICES Permit No: Onmm-000qb PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone RECEIVED 4;0 Belfair:(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION JUL 1 1 �Z2 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO - Alder stret? NAME:MASON COUNTY FIRE DIST#3 NAME:Plumb Signs MAILING ADDRESS:PO Box 129 MAILING ADDRESS:909 S 28th St CITY:Grapeview STATE:WA ZIP:985460129 CITY:Tacoma STATE:WA VIP:98409 PHONE#1:253-651-2144 PHONE:626-298-5747 CELL: 626-298-5747 PHONE#2: EMAIL :'easycodechecks@gmail.com EMAIL:ctaylor@plumbsigns.com L&I REG#600 455 295/PLUMBSI077QS EXP. 11//10//23 PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ NAME Neil Thigpen EMAIL easycodechecks@gmail.com MAILING ADDRESS 909 S 28th St CITY Tacoma STATE WA ZIP 98409 PHONE 626-298-5747 CELL 626-298-5747 PARCEL INFORMATION: BUILDIN10% PARCEL NUMBER(12 Digit Number) 121082160041 ZONING LEGAL DESCRIPTION(Abbreviated) PCL 1 OF BLA#03-09 PTN TR 4 G.L.1 FIRE DISTRICT SITE ADDRESS 4350 E Grapeview Loop Rd,WA 98546 CITY Grapeview DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑� SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ❑✓ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Fire Department IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of BIdg) ❑ NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) Digitally signed by Neil Thigpen 7/11/2022 X 'Date:2022.07.11 10:20:36-04'00' Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH N m EH Setbacks = A.)DrainliekUFeaerve regwres 10'seMack from faotingloundatbns v B.)Septic tank(s)requires 5'solback from all foonngloundallons C.)No IourafationrPerimeter Drains within 30It.downgradient of 9 9 D2infiekUBeserve area g �rO�op D.)No Cut Bank(s)(greater then 511 and over 45 degrees)within ,� q m 501[,down gradiom of DraintielNResorve area V o 0 7 H•'# Z 'Ir4¢ 7 6 a � 4 Gl 21 : r+ Q r s Will R z e r a M m yy `i�� '.✓ i'�- � �[r., 'k, °bier t 0 7 #s, llp, , !�* � .�} ,�i• �� t #•. y'�� as "o Iry SITE MAP IS NOT TO SPECIFIC SCALE.