HomeMy WebLinkAboutCOM2001-00051 Foundation - COM Permit / Conditions - 6/6/2001 1
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 -
Shelton, WA 98584
Not
COMMERCIAL BUILDING PERMIT COM2001-00051
OWNER: SHELTON CHURCH Of THE NAZARENE RECEIVED: 06/05/200
CONTRACTOR: SHELTON CHURCH OF THE NAZARENE ISSUED: 06/06/200
SITE ADDRESS: 1331 E SHELTON SPRINGS RD SHELTON EXPIRES: 12/06/200
PARCEL NUMBER: 420122190190
LEGAL DESCRIPTION: TR 19 OF NE NW TR 2 OF SP#1403
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FOUNDATION ONLY APPROX 1 MILE WEST FROM INTERSECTION OF SHELTON SPRINGS
RD AND WALLACE KNEELAND ON SOUTH SIDE OF ROAD
General Information Construction & Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Insp. Area: No. of Bathrooms: Occ. Group:
Type Work: Fire Dist.: No. of Stories: Occ. Load:
Valuation: Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
odel: 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?:
COM2001-00051 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amoun Receipt
Foundation Only KLW 06/05/200 $100.00 56441
Building State Fee TW 06/06/200 $4.50 56441
Total $104.60
CASE NOTES FOR
COM2001-00051
CONDITIONS FOR
COM2001-00051
1) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF
USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x 4: �o
2) All property lines shall be clearly identified at the time of foundation inspection.
X
3) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS, REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x //7)
4) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC),
ventilation and Indoor Air Quality Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason
County Regulations shall be approved prior to construction. X �LN�
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UNIFORM BUILDING CODE ALL
CONSTRUCTION MUST MEET REQUIRED SETBACKS AS ESTABLISHED PER MASON COUNTY
ORDINANCE 45-99 AND MASON COUNTY SHORELINE MASTER PROGRAM IF APPLICABLE. IF THE
FOUNDATION IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION, IT WILL BE THE
OWNERS LIABILITY TO REMOVE SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO
WITHIN THE TIME SPECIFIED BY THE BUILDING OFFICIAL
x CAP-1:2
6) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5'
separation distance between adjacent structures and that furthest projection.
x
7) 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 engineering documents are a part of the approved set of
plans and must remain attached thereto. If engineering documents are removed, approval will not be granted.
In addition, a re-inspection fee of$47.00 per hour(minimum 1 hour) will be charged and must be collected by
this department prior to any further inspections being performed or approval granted.X�;'/ (�
COM2001-00051 2 of 4
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8) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan
is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per
hour(minimum 1 hour) will be charged and must be collected by this department prior to any further inspections
being performed or approval granted. X
9) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are
not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hour) will be charged and must be collected by this department prior to any further inspections
being performed or approval granted. X (�Z42/�:)
10) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES
THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE,
BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL
BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS. X _11"y0
11) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an
equivalent type of erosion protection (silt fencing or straw matting).
12) Parking shall be sufficient for 55 normal parking stalls (9 feet by 20 feet) and 3 handicap parking stalls (12.5 feet
by 20 feet) with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped
to entry, located closest to the building entry, and shall be signed with the International Symbol of Access.
Screening from adjacent residential properties is required oer SCB pre-sub requirements.
X �IZZGl7
13) This application is subject to Buffer and Landscaping requirements as established under Mason County
Ordinance 1.03.036.X cy lzl/7
14) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10
gallons is not allowed without the approval of the Mason County Fire Marshal.
X
15) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum
of 5'setback from all property lines, easements and 10' from all County and State Road right of ways.
X C>#WD
16) 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 or drains will meet requirements of the stormwater ordinance or
prior approval will be granted to use an existing utility and drainage easment dedicated for that specific purpose.
For further information egarding this ordinance and the Requirement to obtain an ACCESS PERMIT for the
installation/construction of a driveway or access connecting from a County road, contact the Mason County
Public Works Dept. prior to construction at ext 450. For any construction which is proposed to be locate within
25' of a Mason County road right-of-way, it is suggested to contact that office to review future planned work
which may affect your project.
X
COM2001-00051 3 of 4
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.
OWNER DATE:
COM2001-00051 4 of 4
FORM 1�1.11ST BE COMPLETED IN INK _ Z Coi-1 Z.-v'
PLEASE PRESS HARD �^/� e PERMIT NO.:
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar1P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ' Cor Contractor Name 1011" � r, t���=! � � we'z
Mailing Address 2j11-)J Mailin Address 13 / &
City r f�- State Zi Coe 6- City f State PYA 2ip Code rt'"
Phone(?�tp )tl.2K:.-iza Other Ph.( Ph. A%--e dl'?<i'Other Ph.0
Lien/Title Holder_V]eJ n L/imreh/J A, girzjr,�T.rr_ Contractor Reg. #
Address /_3i .` 5 Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well/Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. V1 2.Q WL / / __ Fire District
Legal Description
Site Address(Please include street name, street number a d city)J_i-;3i r.n - be
Directions to site car-r it d!tt * �r
Z',t I gi &
Will timber be cut and sold in parcel preparation? (Yes/No) A10
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of wilding - E
Describe Work ,! -„ 4r f-
No. of Bedrooms No. of Bathrooms Z SQUARE FOOTAGE-1 t Floor Y3 ' nd Floor cr.
3rd Floor Loft Basement Deck Other t.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model 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.
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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I 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 therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval, first obtaining approval.
,&�- - Date X Date
—(�. OR OOICIAL USE BEYOND THIS POINT l
Accepted by ! GH Dal? %5-0 Submittal Amount Due Receipt- AL-
.............
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REPAR?NlNT .. R1MV11�Y APRovfl DEN1iED CONDITlfN Cope
Building Department
Occ Group - Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
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 ( )
TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MA-SON COUNTY PROJECT SITE INFORMATION
Case No.
Name G�/OAt (t UN Ar-f -WAZAC AFJOCEL NUMBER Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site
plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System 1
DRAW SITE PLAN BEL I �Clda o shoreline or within 100 feet of adjacent property line.
adjacent property line I I- z i.qE, , Fadjacent property line
I ry�O � r y N Ste'/n/6
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SAMPLE SITE PLAN
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TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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Sign-WtLrre Date