HomeMy WebLinkAboutCOM2004-00085 Natural Gas/Eternal Flame - COM Permit / Conditions - 4/14/2004 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
Pro
COMMERCIAL BUILDING PERMIT COM2004-00085
OWNER: WASHINGTON STATE PATROL RECEIVED: 4/14/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 4/14/2004
SITE ADDRESS: 631 W DAYTON-AIRPORT RD SHELTON EXPIRES: 10/14/2004
PARCEL NUMBER: 420023260010
LEGAL DESCRIPTION: TR 1 OF N1/2 SW 631 W DAYTON-AIRPORT RD SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
INSTALL NATURAL GAS/ETERNAL FLAME N ON HWY 101 TO LEFT ON DAYTON AIRPORT RD. .50 MILE TO
ACADEMY ON LEFT. MEMORIAL IN CENTER OF COMPLEX
General Information Construction &Occupancy Information
Type of Use: COMMERCIAL Insp.Area: 1 No. of Units: Type of Constr.:No.of Bathrooms: Occ. Group:
Type of Work: MEC Fire Dist.: 11 No.of Stories: Occ. Load:
Valuation:
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?:
Please refer to the following pages for conditions of this permit.
COM2004-00085 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type; Qty. Type Qty. Type By Date Amount Receipt
• Gas Outlets 1
Total
CASE NOTES FOR
COM2004-00085
CONDITIONS FOR
COM2004-00085
1) 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 n signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X ,
2) CONSTRUCTION PROCE� BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
3) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final ection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant with M ty ordinances and building regulations.
X -
This permit becomes null and void if work or construction autho aed 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' spection 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 ins neror th agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property a ructure for revie and i ection.
OWNER OR AGENT: ��— DATE:_—f
COM2004-00085 2 of 3
CONCRETE MECHANICAL MANUFACTURED HOME '
Footings /Setbacks Date By Ribbons
Date By Gas Piping Date By
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
D ate B y Date B y Date B y
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date B v
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IRRIGATION
$ BACRFLOW PREVENTION DEVICE
�_1/4• Q T► FIRE HYDRANT ® FIRE HYDRANT VALVE
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1-1/1 CAP IV2 SV1 RELIEF VALVE
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DAYTON AIRPORT R01FI/GTAIS Rn ltc 1n7
WASHINGTON STATE PAIROL ACADEMY PREPARED BY.
RICHMOND ENGINEERING
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0 20 Rp 100 140
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FORM MUST BE COMPLETED IN INK C
PLEASE PRESS HARD MASON COUNTY PERMIT NO.:�
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.
Shelton(360)427-9670/Beellf iro(360)�75-4467'Elma(360►482-5269
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner '°�°Sffi/l/�o� S'/�i�T� / �i�uL Contractor Name
Mailing Address G 3/ 12,f✓7-0A/ /41,e Mailing Address
City State Zip Code `I t'5&Y City State Zip Code
PhoneC____),./•26-%GG Other Ph.0 Ph. Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
[SEPTIC INFORMA IOZ N-Connect to New Se tic ti Connect System Name ower System
PARCEL INFORMATION!,;-,I 2 digit Tax Parcel No. %t / �, / l_IcLG I L Fire District ?
Legal Description
Site Address (Please include street name,street number and city)
Directions to site % lot-� Cr1l� `BTU 177,eT h V C'/_T
/Vi,L
Is your property within 200'of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs__ _
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Uni 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets ( Q O
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other ANAL
Base Fee 141:�/—rIM/f_ Base Fee 2 3 •S 0
TOTAL PLUMBING �t� r TOTAL MECHANICAL -4
� to
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance th ewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval first obtaining approval.
X -`'� / rr�r`"" Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPAR1`ttiftENT :RM.EW APPROVED DENIED GONC>I'I`IONI.00DES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES