HomeMy WebLinkAboutCOM2006-00108 Cancelled - COM Permit / Conditions - 9/21/2006 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. a0b
PLEASE PRESS HARD BUILDING 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
APPLIC T INFORMATION Am CONTRACTOR INFORIQ�IOt�jn
Owner s Fire D�II' Mj fjr-� ki Company Name (())(( JJ)�(�
Mailin Address�'O, BvX 1.2 Mailing Address
City le State b/lq Zip Code city State Zip Code
Phone Other Ph. Phone Other Ph.
Lien/Title Holder C1^ 'e - Contractor Reg. # Exp.
E mail address r-cr4n n 64rc - com E Mail Address
Drivers Lic.# M DOB 'p- -3 Drivers Lic. # DOB
SEPTIC / WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well_ Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. O Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes/103�
Is property within 200' of Saltwater —Lake—River/ Creek Pond
Wetland Seasonal Runoff Stream Slopes or Mffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye
TYPE OF JOB - New Add__)L_Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work Ak
No. of Bedrooms No. of Bathrooms .2— Square Footage- 1s lootlfly0 2nd Floor
3rd Floor Basement Deck Covered De Other Sq. ft.
Garage Attached Detached ort Attached Detached
MANUFACTURE�HOMORMATION - Make Model Year
Length Widt No. N Bedroo No. of Bathrooms
Type of Heat Purchase Pric Rep ent Unit? Yes/ No
Installer Na rtification No.
OWNER/BUILDER Acknowledges submission of inacc,& to inf y result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I decl§A--tha a he o er, owners legal representative, or the contractor. I further declare
that I am entitled to receive this permit and to do the rk s o in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from an ase h er or any other party in interest regarding this application or the work
proposed in the application, I have obtained permi ion om th " o apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the info r 'ation rovide accurate and grants employees of Mason County access to the above
described property and structure for review an specti . Thi ermit/application becomes null & void if work or authorized construction is
not commenced wi hin 180 days or if constru n work is ded for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF_ ESS INSP O IVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATETHE APPLICATION.
XI Date
Owner Ow Repres tative Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Buildinq Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit 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
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.J®U f l
BUILDING PERMIT APPLICATION
;r 426 W.Cedar- P.O. Box 186, Shelton,WA 98584 O W2-3
,helton (360) 427-9670 - Belfair (360) 275-4467- Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner_ ♦tom► e F p n # -1? Company Name
Mailin ddress Mailing Address
City tate i ip Code City State 7.ip Code
Phone 1 7S-mil 2,4 Other Ph. -17,5 C7r? (g Phone Other Ph.
Lien/Title Holder At A Contractor Reg.# Exp.
E mail address d!5�a$ -2 x r E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Sepflc � zxistin Sept'
Connect to Water System _#_Name of Water System 4^A.,j S
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description ZS*
Site Address (Please include street rain , street number and city)
Directions to site
Will timber be cut andsoW in parcel preparation?Yes/ o
Is property within 200'of Sal ater—,yl.jr>- Lake River/Creek i{La Pond�&_
Wetland_.-jj,C.%.._Seasonal Runoff 'L.a Stream 11, Slopes or Bluffs > 15% kI.-n
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforownwd sctlon?Yes/No
TYPE OF JOB - New Add X Alt Repair Other P MARY RESIDENCE ❑ SEASONAL ❑
Use of Building d^ /?1 ¢ e t j rr s o a M
No.of Bedrooms &-r4 No.of Bathrooms IV A Square Footage- 1 st FL, A:Sob 2nd Floor N�
3rd Floor__da_—Basement A— Deck Covered Deck_# Other. Sq.ft.
Gara e___4(a_ Attached Detached Carport Attach Detached
MANUFACTURED HOME INFORMATION - Make 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.
GAWER/BUK�ER Acknowledges submission of inaccurate in may result in a stop work order or permit revocation.AcluxNAedgmwt of
such is by signature below.I declare that I am the owner,owners�tative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the apprication.I declare that I have obtained the permission from all the neoessauy parties.B pem�ission is
required from any easement holder or any other Mhy.in interest regarding this application or the work proposed in the appkafQn,I have obtained
permission from them to apply for this permit and conduct the work proposed The owner or agent on owners behalf,repraswft that the information
provided is accurate and grants employees of Mason County access to the above descnbed prope7 and structure for review and inspection.
PROOF UATION OF WOR G BY IS OF AYROGRESS INSPECTION.
X Date• Q
Owner/ e entative t ctor indicate which one
FOR OFFICIAL USd BEYOND THIS POINT Accept by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department uestion
Planning Department o e - 'n S - C�
Environmental Health Departmeni 7Te
Public Works Department yt c 'IF //
Fire Marshal y _05 S t,l G 1AP 1 - D Go
FEES
Building Permit Fee Site inspection
Plan Review Fee M. CD EH Review Fee
Plumbing & Base Fee -2Lywkq1t9VtRr Fee
Mechanical & Base fee Other F r y
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal 5 .
Valuation $ /80?, 93 TOTAL FEES
FORM MUST BE COMPLETED IN INK PERMIT NO. O&q 000"'
PLEASE,PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION D D 10g
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/ p CONTRACTOR INIF If �1
Owner[ IV017 (01 �rt OrA!t �'3 Art•Fghika! ,r�oC, Company Name—? X �
Mail' Addres Mailing Address
City tote G/S Zip Code City SState Zip Code
Phone - 65va I Other Ph._.27 'el aHj Phone Other Ph.
Lien/Title Holder /Ve 24- Contractor Reg. # Exp.
E mail address-c A,' Q- ti C-tc cr r+ E Mail Address
Drivers Lic.# -e 4m gas V6//d* DOB 0-f'S" 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. '/ Fire District
Legal Description
Site Address (Please include street name, street number and cit )
Directions to site gr
O
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15%
TYPE OF JOB - New Add k 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 KC Natural Gas_ Heat Pump_
Toilets .21 Type of Unit No. of Units Fees
Bathroom Sink .2- Furnace J
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater f Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
0VVNER/BULDER 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
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF NATION OF WOR MEANS OF A PROGRESS INSPECTION.
Date:
Owner/Owners presentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by% tanning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.-
Planning 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
1pMason County Dept. of Community Development
Mason County Bldg. 3 (360) 427-9670 Local
426 W. Cedar (360) 275-4467 Belfair
P.O. Box 186 (360) 482-5269 Elma
; Shelton, WA 98584
Notification of Permit Cancellation
September 28, 2007
MASON COUNTY FIRE DIST #3
P.O. BOX 142
GRAPEVIEW WA 98540
Case No.: COM2006-00108
Parcel No.: 121082160041
Proiect Description: Decon. Center
Dear Applicant:
Upon review of our records, the Mason County Permit Assistance Center has identified that
your building permit application has been inactive since 03/21/2007. Permits must make
some progress every six months.
If you intend to keep this permit active, you need to contact me within ten (10) working days
from the date of this letter. If we do not hear from you within the that time, your permit will
be cancelled and a building inspector will make a site visit. In the event that your project has
been completed and a permit was never issued, you will be assessed penalties as allowed
under Mason County Title 14 and Mason County Title 15.
If your project has been cancelled or if you wish to withdraw the permit, please notify me as
soon as possible at (360) 427-9670, ext. 616. If you feel that you have recieved this notice
in error please contact me. Thank you for your cooperation.
Sincerely,
Charell Holcomb
September 28, 2007 COM2006-00108
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Mason County Bldg. III, 426 West Cedar Street
PO Box 186, Shelton, WA 98584
www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269
May 18, 2007
Mason County Fire District#3
Firefighter Association
PO Box 129
Shelton, WA 98584
FAX: (360) 275-8515
E-Mail: chiefg@wavecable.com
Re Building Permit Number COM2006-00108,Building addition and remodel
Dear Mason County Fire District#3,
Thank you for submitting the building permit application referenced above. In order to complete the
building department and Fire Marshal review additional information will be needed which is listed below.
PLAN REVIEW REQUIREMENT COMMENTS:
l. The referenced building permit was submitted on September 12, 2006 without plans and design calculations.
On March 21, 2007 our office received plans and design calculations dated December 2005 and January 2006.
The engineers stamp indicates that the engineers stamp expired on August 29, 2006. Please provide stamped
design pages with a stamp and signature that is not expired on or after the date of submittal, September 12,
2006.
2. The proposal to add a 46'0"x 40'0"addition to an existing 80'0"x 40'0"apparatus structure causes the
structure to exceed 4000 square feet. When a structure exceeds 4000 square the building plans shall require a
complete vertical, Lateral and code analysis that shall be prepared by a Washington State licensed design
professional. All plan pages shall bear the required stamp of the design professional. A code analysis shall
include compliance evaluation relating to occupancy, allowable area, fire resistive construction, exiting,
accessibility for persons with disabilities, plumbing requirements (including number of fixtures and design of
system), interior finishes,Washington State Energy and Ventilation and Indoor Air Quality Code, mechanical
details, etc. as specified in the codes in effect at the time of submittal and Washington State Amendments.
Note that plumbing fixtures and work areas shall comply with accessibility requirements. Include details
demonstrating compliance.
3. Referencing building importance, the structure meets the requirements of a class IV classification specified in
Table 1604.5 of the 2003 International Building Code (IBC) and seismic use group III. When a structure falls
into a seismic use group of II or III a structural observation, in accordance to IBC Section 1709, shall be
required. In addition Section 1704.1.1 specifies that the applicant shall submit a statement of special
inspections prepared by the registered design professional in responsible charge. Please complete the"Special
Inspection Authorization"form enclosed with this letter to designate special inspections required and who will
perform special inspections and structural observation in accordance to the IBC requirements.
4. Where fire-resistive construction is required please identify the location and include tested fire-resistive
construction assemblies on the building plans.
5. Please identify material that will be stored in storage rooms including anticipated quantities of medical and
disinfecting supplies that may be considered hazardous material. Include MSDS sheets of materials to verify
hazard.
6. The code evaluation requested in item number 2 shall include an evaluation of an exit plan for the existing
remodeled area and proposed addition. The plan shall include an exit path, identify distance(s), exit sign
locations, exit hardware, number of exits, etc.
7. Please verify whether there will be a storage area in the attic. If a storage space is proposed above the main
floor please submit a floor plan that has been reviewed and approved by the design professional.
8. Please specify the proposed materials for walls, ceilings, and floors. Verify that wall and ceiling finishes meet
or exceed the required classification and that floor surfaces are non-combustible.
9. Mason County will confirm compliance to WAC296-305-065 relating to new and remodeled construction as
needed. Please verify whether the proposed facility has sleeping quarters, identify location and type of
emergency lighting system, ventilation system of the disinfecting facility, demonstrating that system is vented
to the outside to prevent contamination of other fire station areas, that a minimum of 3-feet of clearance shall
maintained around the apparatus, etc.
10. Complete the Washington State Energy Code forms enclosed. Include information on building plans to verify
compliance requirements including proposed mechanical equipment, lighting, switching locations, and
insulation.
11. Please designate proposed fire protection systems including proposed fire sprinkler and fire alarm as needed.
Note that such system will require a separate permit and approval but information indicating what is proposed
will be necessary in order to complete review.
When you have compiled the requested information please submit it to the Mason County Building Department,
attention D. Coker. If you have questions please contact me at(360)427-9670 ext. 510 or via e-mail at:
dlc&o.mason.wa.us. In addition you may want to contact Fire Marshal, Craig Haugen at(360) 427-9670 ext.
273 to discuss issues relating to Fire Code requirements.
Sincerely,
Debbera Coker
Mason County Building Department
Plans Examiner
word/COM2006-00108
encl.: Special Inspection Authorization Form
WSEC forms (Envelope, Mechanical, Lighting)
CC: rahn@hctc.com
29
15' �
' P '
Irl
--c sip
NC
SI-CE PLAN 0 3 ON SIT,--- R C
lA,fVGES 8!EiT ?PROVAL l� .
I`ty _. _ Date�(Li 60
RLMN
Sty S AR P URED
R P FROM THE FURTI .�_ST
�9 `PR0JECTION OF THE I WING
rn
GO
c C )
�p m
. v
2Ca� -
Frii
rQ
' /SSE N 1pa
rLi..V
/"+M -
�Y
E7rs Nl. ^,Qil A//,N
G Before Building Permit is to be issued,
Please Notify the Department of Health
o'bz r 6 ooy l
O
c