HomeMy WebLinkAboutCOM2011-00091 Foundation - COM Permit / Conditions - 10/11/2011 r MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2011-00091
OWNER: MASON COUNTY PUBLIC WORKS RECEIVED: 10/11/2011
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 100 W PUBLIC WORKS DR SHELTON EXPIRES:
PARCEL NUMBER: 420021000010
LEGAL DESCRIPTION: PCL 2 OF BLA#06-72 PTN OF W1/2 NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CONCETE FOUNDATION FOR RACK TO PLACE SANDING HWY 101 NORTH TURN LEFT ONTO STATE ROUTE 102 (DAYTON
EQUIPTMENT AIRPORT RD) GO RIGHT TO PUBLIC WORKS DRIVE TO SITE
General Information Con uction&Occupancy Information
N . o eight:
Type of Constr.: IIB
Type of Use: Insp.Area: N f B t Occ. Group: U
Type of Work: FOU Fire Dist.: 16
o. t Exit Design. Load:
Valuation: $ 17,000.00 rLotSize-.
in
Pre-Manufactured nit In rmation Square Footage Information
Make: Length:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Info ation
Shoreline& Planning Information
Front: Ft. S e: Ft.
Rear: Ft. Slope: Ft, Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2011-00091 Please refer to the following pages for conditions of this permit. Page 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Total
CASE NOTES FOR
COM2011-00091
CONDITIONS FOR
COM2011-00091
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the 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.
OWNER OR AGENT: i DATE: 0 9, , " I I
COM2011-00091 Page 2 of 3
0 3
K CONCRETE MECHANICAL MANUFACTURED HOME Cl)
to
O Date
Footings/Setbacks Gas Piping By Ribbons Z
p Interior Date By interior-Date By Data By C7
Exterior Date BY Exterior-Date_ B Set-up O
INSULATION C
Point Load t Isolated Footings
8(3 f SLAB INSULATION Date By Z
Date By Data By FIRE DEPARTMENT
Foundation Wallis Floors Date By C
Date By Data riy DECKS 00
r
FRAMING Walls Date By 0
Date By Data Br' PROPANE TANKS �
PLUMBING vault Date By� X
Date By OTHER X
Groundwork Attic
Date By Date By Type
Date By
D.W.v DRYWALL Type_ 0
Int Brace Wall Date By 0
Date By pate By FINAL INSPECTION N
Water Line Fin Separation
Date By, Date By Date By
o
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done Sy Comments
f OGj-1,% 10GLS `t. -;V It f'JX-- G.rc:lC_ �'?��, t�►L e• 7
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MASON COUNTY PERMIT NO.
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 v J�E i i✓G/�7LL'Ct�
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ),i Company Name
Mailin Address /L t-� 6A ►t �,:1's ;v'e Mailing Address
City r State1-04 Zip Code IS' T `j City State Zip Code
Phoneq7-7-`Id kl x 4S3 �Oth r Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address , E Mail Address
Drivers Lic.# '1/yM DOB *1,4 Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septi Existing Septic I ic-s
Connect to Water System •�j�i ) Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit P rcel No ' -/� o-0 '► Fire District
Legal Description � ,-- _ f,,,:- (( /L 1 '-s 1►-2) i W
Site Address (Please include street name, street number and city)_ JL70 rr,► i K Gj=:,RK-s -IUir!c
Directions to site 4i-N -�9-(-/ltifl it,)) 4--�) 4-,? ins^ - i„6 20 ti92 SE' 102i %J
;I VWill timber be cut and sold in parcel preparation? Yes
Is property vyithin 200'of Saltwater Lake i1 —River/Creek Pond 11-VJ
Wetland Seasonal Runoff ` Stream dV�' Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB -,New `C Add Alt Repair Other�`�.--T PRIMI�AARY RESIDENC -SEASOf�b4
Use of Building/Ll r - Describe Work�L�c_rek �s.,5 ,. (�X ,►,.a iI [L
No. of Bedrooms/V1 No. of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor, Basement/1�_ Deck% Covered DecRI/A Other Sq.ft. ��
Garage q g � Attached_,r7L�_Detached n�_Carport�� Attached � Detached D'E�
MANUFACTURED HOME INFORMATION - Make OVA Model Year
Length'— Width Serial No. No. of Bedrooms --- No. of Bathroom�—
Type of Heat - Purchase Price$ Replacement Unit? Yes/No
Installer Name cation No. '-
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 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.
PROgF F77��
l OF WORK IS BY MEANS OF A PROGRESS INSPECTION �X Date `� J 1%
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPR VED DENIED NOTES
Building Department �Z
Planning Department
Environmental Health Department
Public Works Department Y,
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 $ TnTAI FFFC
MASON COUNTY
DEPARTMENT OF PUBLIC WORKS
100 W PUBLIC WORKS DRIVE
SHELTON, WASHINGTON 98584
Phone(360)427-9670 x450
1W Fax(360)427-7783
October 7, 2011
MASON COUNTY
MISSION Mason County Building Department
The mission of Mason PO Box 186
County Government is to Shelton,WA 98584
provide essential&
mandated services which Attn: Ms. Debbera Coker
will preserve & benefit the
health,safety,&welfare of
the general public in a Re: Sander Rack Relocation Project.
professional and courteous
manner through the effective Dear Ms. Coker:
and equitable management
of available public
resources. Enclosed please find the building permit application, design memo,foundation
Mason County recognizes calculations and plans for the sander rack foundation construction at the Public Works
that its employees& Facility. Per our previous discussion,the sanding racks were previously located at the
volunteers are the former public works facility on Johns Prairie Road. The metal racks will be removed
foundation upon which
these services are provided. from the Johns Prairie location and reinstalled at the public works facility at 100 W
Public Works Drive.
This building permit is for the construction of the new concrete foundation footings.
If you have any further questions, please feel free to contact me.
Cordially,
Brian Matthews, PE
Deputy Director/County Engineer
I