HomeMy WebLinkAboutCOM2007-00122 Water Resevior - COM Permit / Conditions - 7/25/2007 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
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COMMERCIAL BUILDING PERMIT COM2007-00122
OWNER: MASON COUNTY PUBLIC WORKS RECEIVED: 10/10/2007
CONTRACTOR: ROGNLIN'S, INC. LICENSE: ROGNL**342LF EXP: 8/1/2009 ISSUED:
SITE ADDRESS: 100 W PUBLIC WORKS DR BLDG A SHELTON EXPIRES:
PARCEL NUMBER: 420021000010
LEGAL DESCRIPTION: PCL 2 OF BLA 06-72
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Water Resevoir Nortthwest corner of Highway 101 and Highway 1102 (Dayton Airport Rd)
General Information Construction&Occupancy Information
Type of Use: Insp.Area: No.of Units: Type of Constr.:
Type of Work: ACC Fire Dist.: No. of Bathrooms: Occ. Group:
Valuation: $ 106,950.00 No. of Stories: Occ. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: 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?:
COM2007-00122 Please refer to the following pages for conditions of this permit.
1 of 5
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Total
CASE NOTES FOR
COM2007-00122
CONDITIONS FOR
COM2007-00122
1) Owner/Agent is fi6;7ible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28. //
tJ
2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIR ENT AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR NCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
3) Changes to apV9ved building plans that affect compliance to the current Building/Plumbing/Mechanical Codes and/or Mason County Regulations
shall be appro a p9to construction.
x ,J
4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All a gineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approv I yvill;riot be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collected by t s County Building Department prior to any further inspections being performed or approvals granted.
X ,J \\\
5) Prior to final approval, all upland areas disturbed or newly,cre t y ' nstruction activities shall be seeded, vegetated or given an equivalent type
of erosion protection (silt fencing or straw matting). X
6) 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 t international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason Count Buq l 'gpector shall be made prior to requesting additional inspections.
X
COM2007-00122 2 of 5
7) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to reque a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
tenon-complian it on County ordinances and building regulations.
X
8) The agreerWent negotiated between Mason County Public Works and Mason County Fire Marshal's Office for a limited supply NFPA 13 compliant
fire sprinkler system includes the following:
"An onsite water storage tank with an agreed upon capacity of 100,500 gallons.
"An approved fill and refill system for the storage tank.
•A rated fire pump system to meet the calculated requirements.
*A back up power source to power the fire pump.
•A 10"fire loop system for the compound with a minimum of seven, 7, hydrants.
* Installation of the 12" piping infrastructure connecting scheduled and proposed public water supply from State Route 102 to the Public Works fire
loop.
An inspection sh II be ap roved by the Mason County Fire Marshal to verify that required elements are installed as agreed upon. The inspection
shall be perfor and pproved prior to the final inpsection performed by the Mason County Building Inspector.
X
9) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely
impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements
of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose.
For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a
driveway or access cVhicay
from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450.
For any constructionrop sad to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review
future planned work your project.
X
10) Water quality is not o b Ld�yraded to the detriment of the aquatic environment as a result of this project.
X
11) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action fora a iod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit h ented action from being taken. No more than one extension may be granted.
X �(
12) All approved pla,4 are required to be on-site for inspection purposes. If inspection is called for and plans re not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be c rg nd collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
13) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of abor and Industries, Contractor Compliance
Division. There are potential riskAand onetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0982. T r signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
COM2007-00122 3 of 5
14) International Buildig Code CHAPTER 17: IN ADDITION TO THE INSPECTION REQUIRED IN IBC, SECTION 109, THE OWNER OR THE
If -NGINEER OR ARCHITECT OF RECORD ACTING AS THE OWNER'S AGENT SHALL EMPLOY ONE OR MORE SPECIAL INSPECTORS
WHO SHALL PR9VIDE INSPECTIONS DURING CONSTRUCTION ON THE TYPES OF WORK LISTED UNDER CHAPTER 17. THE SPECIAL
INSPECTOR D TI & RESPONSIBILITIES SHALL BE AS SPECIFIED IN CHAPTER 17.
X
15) A structural bservation, as defined in Chapter 17 of the International Code, shall be provided by the engineer or architect of record responsible for
the struct al design or another engineer or architect designated by the engineer or architect or record.
Prior to the fin inspection of the structure the structural observer shall submit written statements to the Mason County Building Department
indicatin th to visits have been made and identify any reported deficiencies.
X
16) Tempora erosion control measures must be implemented to prevent water quality degrad # djacent waters or wetlands. Silt fencing must
be installed and maintained until upland vegetation has become established. X
17) PER TITLE 14 MASON COUNTY BUILDING CODE-CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS - 14.17.110..
A fire apparatus access road in excess of 14% grade and more than 150' to new residential or commercial structures will require an automatic fire
sprinkler stalled. Contact the Mason County Fire Marshal at(360)427-9670, extension 273, for further information.
syste n
x A
18) This parcel - oc ted n a smoke management zone. Please contact a fire warden at(360) 427-9670 ext. 459 for further information.
X
This permit becom s null and void if work orconstruction 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 i ection.The owner op4he agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described pro rty d ructure fo review A inspection.
OWNER OR AGENT DATE: Z v
COM2007-00122 4 of 5
(10/29/2007) Debbera Coker- RE: contractor bid of water reservoir Page 1
From: "Ryan Walsh" <ryan@rognlins.com>
To: "Debbera Coker" <Dlc@co.mason.wa.us>
Date: 10/29/2007 1:30 PM
Subject: RE: contractor bid of water reservoir
COST FOR THIS WATER RESERVOIR $106,950.00
RYAN
-----Original Message-----
From: Debbera Coker[mailto:Dlc@co.mason.wa.us]
Sent: Wednesday, October 24, 2007 4:02 PM
To: Charles Butros; Ryan Walsh
Subject: contractor bid of water reservoir
Hi Charlie and Ryan,
In order to calculate permit fees for water reservoir I need a the
contractor bid in writing. Can one of you fax or e-mail a copy?
thanks in advance.
Debbera Coker
Mason County Building Department
Lead Plans Examiner
Phone: (360)427-9670 ext 510
FAX: (360)427-7798
e-Mail: dlc@co.mason.wa.us
MASON COUNTY PERMIT NO(�A� '7 --
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
APPLICANT INFORM#TION J CONTRACTOR INFORMATION
Owner t N11A '�< <Volt- Company Name E0
Mailing r4ddress Mailing Address 7 r 7
City itb 7 State Zip Code City . State W,4 Zip Code SZ o
Phone Other Ph. Phone,3'ob) CS2 5Z2o Other Ph.6 +o)bt5o !�'
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - onnect to New Septic Existing Septic
Connect tfa Water System Name of Vyzfer System
Well Sewer System Nam of Sewer System
PARCEL INFORMATION "giarjel N Fire District
Legal Description
Site Address (Please includ reet name,"street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluff—�/o
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Ir Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work j,•) ►2RTCIE LA L ac
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck_ Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Wi Senal N No. of Bedrooms No. of Bathrooms
Type of Heat Pu ase Pn $ Replacement U � Yes/ No
Installer Name edification 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 informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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 OFAPROGRE§§INSPECTION.INACTI TY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Date /04- a?
Owner/Owners Representative!Contra or indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee /O 3 . QS Site Inspection JJIFG 3 5. _1
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 $ / S � TOTAL FEES
RptViewSingleSys Page 1 of 2
Division of Environmental Health
Nsh"g°mStaitek'jurlxvr,`(?/ Office of Di'inking Water
_ij�Health
Main Report �J J 1 / 1+ `j (jj f— '!1� 1000%
0 WATER FACILITIES INVENTORY (WFI) FORM Qua
i Updat
ONE FORM PER SYSTEM Print
WFI Printed F
Submission Reas
RETURN TO: Southwest Regional Office,PO Box 47823,Olympia,WA,98504
1. SYSTEM ID NO 2. SYSTEM NAME [MASON
COUNTY L�A
GROU
AB640 F MASON COUNTY PUBLIC WORKS
6. PRIMARY CONTACT NAME&MAILING ADDRESS 7.OWNER NAME&MAILING ADDRESS 8.Owner Num
THOMAS V. MOORE[MANAGER] MASON COUNTY PUBLIC WORKS
PO BOX 1850 CHARLIE BUTROS TITLE:MANA(
SHELTON,WA 98584 PO BOX 1850
SHELTON,WA 98584
STREET ADDRESS IF DIFFERENT FROM ABOVE STREET ADDRESS IF DIFFERENT FROM ABOVE
ATTN ATTN
ADDRESS 171 EAST SHORE DRIVE ADDRESS 415 N 6TH STREET
CITY GRAPEVIEW STATE WA zip 98546-9300 CITY SHELTON STATE WA
9. 24 HOUR PRIMARY CONTACT INFORMATION 10. OWNER CONTACT INFORMATION
Primary Contact Daytime Phone: (360)427-9670 x652 Owner Daytime Phone: (360)427-9670 x463
Primary Contact Mobile/Cell Phone: (360)490-0396 Owner MobilelCell Phone:
Primary Contact Evening Phone: (xxx)-xxx-xxxx Owner Evening Phone: (xxx)-xxx-xxxx
Fax:(360)427-7772 E-mail: tommO@co.mason.wa.us I Fax: (360)427-7783 I E-mail: charlesb@co.mason.we
WAC 246.290-420(9)requires that water systems provide 24-hour contact information for emergencies.
11. SATELLITE MANAGEMENT AGENCY•SMA(check only one)
U Not applicable(Skip to#12)
Owned and Managed SMA NAME: SMA Numb(
Managed Only
- Owned Only
12. WATER SYSTEM CHARACTERISTICS(mark ALL that apply)
❑Agricultural Hospital/Clinic Residential
Commercial/Business Industrial School
Day Care Licensed Residential Facility Temporary Farm Worker
Food Service/Food Permit Lodging Other(church,fire station,etc.):
1,000 or more person event for 2 or more days per year Recreational/RV Park
13. WATER SYSTEM OWNERSHIP(mark only one) 14. STORAGE CAPP
lAssociation County Investor _]Special District
jCity/Town L .I Federal Private State
F1 5-11 16 17 I 11 18 1 Fri-9 -121 11 22 1 F 2-3-1 F
http://www4.doh.wa.gov/Sentrylntemet/SingleSystemViews/RptViewSingleSys.aspx?rptNa... 6/8/2007
RptViewSingleSys Page 2 of 2
HISOURCE NAME I INTERTIE SOURCE CATEGORY USE I TREATMENT I PTH
Source Number LIST UTILITY'S NAME FOR SOURCE E
AND WELL TAG ID NUMBER. Ih ERVAWRININUTi.
1
Example:WELL#1 XYZ456
IF SOURCE IS PURCHASED OR INTERTIE
INTERTIED,
LIST SELLER'S NAME SYSTEM
Example:SEATTLE ID
NUMBER
01 Pre-Active 01/09/2007 WELL#1 LX L^J N LX 0�
DOH 331-011(Rev.06/03
Home Page I Find Water.Systems I Find Water.Quality I Downloads/Repo_rts_
DOH Home I Division of..Environmental_HealthI Drinking Water Home I Drinking_WaterSQntac
Access Local Health I Privacy Notice I Disclaimer/Copyright Information
Links to external resources are provided as a public service and do not imply endorsement
by the Washington State Department of Health
Office of Drinking Water
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Tumwater, WA 98501
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Send inquiries about DOH and its programs to the Health Consumer Assistance Office
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Last Update : 07/21/2006
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