HomeMy WebLinkAboutCOM2011-00050 Replace Posts - COM Permit / Conditions - 7/19/2011 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
1�
COMMERCIAL BUILDING PERMIT COM2011-00050
OWNER: ALLYN VIEW PROPERTIES LLC RECEIVED: 6/27/2011
CONTRACTOR: STEPHEN JOHNSON 360-275-6734 LICENSE: STEPHJ'199LW EXP: 6/1/2012 ISSUED: 7/19/2011
SITE ADDRESS: 18321 E STATE ROUTE 3 ALLYN EXPIRES: 1/19/2012
PARCEL NUMBER: 122205073006
LEGAL DESCRIPTION: ALLYN BLK: 73 LOT: 5-10 &VAC SULLIVAN &VAC ALLEY ADJ
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Replacing Posts on the Allyn Shopping Center Bldg. (5 total) ST RT 3, L JUST BEFORE LAKELAND DR TO SHOPPING CENTER
matching existing
General Information Construction &Occupancy Information
Type of Use: SHOPPING CENTI Insp. Area: No. of Units: Type of Constr.:
Type of Work: REP Fire Dist.: 5 No. of Bathrooms: Occ. Group:
Valuation: $ 16,490.00 No. of Stories: Exit Design. 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?:
COM2011-00050 Please refer to the following pages for conditions of this permit. Pagel of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee rnnnn R/97/9n11 Tipi 5l Ci?niinn
Building State Fee I AXA/ 7/1 9/9ni t RA sn ci 9ni inn
Building Permit Fee I AIN 7i1919nlI T,97a 9F si?niinn
Total $465.26
CASE NOTES FOR
COM2011-00050
CONDITIONS FOR
COM2011-00050
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,, h rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
L
2) 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 reinspection fee, based on the current fee schedule, minimum one-hour will be c� a collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
3) Owner/Agent is responsib t the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
4) 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 the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County Building Inspe ball be made prior to requesting additional inspections.
X
5) 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 inspection o to obtain approval will be documented in the legal property records on file with Mason County as being
non-compliant with Mason u ordinances and building regulations.
X
6) All permits expire 180 day after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit holder have pre action from being taken. No more than one extension may be granted.
X
L
COM2011-00050 Page 2 of 4
7) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasteners, connecto d flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X — �
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 contau ork is b 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 M soO
u y acc s to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
COM2011-00050 Page 3 of 4
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. l._/}hI1 AL.I t "L'Lti�L
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
APPLICANT INFORMAT ON CONTRACTOR INF MATION
Owner. A I !ems r ✓ 7 cis « Company Name
Mailing Address O �X YS Mailin Address � 'U
City t �� State " Zip Code City State Zip Code
Phone Other Ph. Phone �� Co Z� 6��;-��'���/�CggO P Other h.
Lien/Title Holder Contractor Reg.oL, �`��Exp
E mail address E Mail Address 'fie v e C (Z, / i irr�T
Drivers Lic.# DOB 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 Syste
PARCEL INFORMATION - 12 Digit Parcel No. 73 7 13 0 _ 6 0 (1 Fire District
Legal Description _
`�
Site Address (Please include street name street number and city) `�' =j-
Diref2i n, to s' a -42� -Xo a f-t1 c� > G _
Will timber be cut and sold in parcel preparation?Yes o
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream 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 Add Alt Repair,4 Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms.-No. of Bathrooms Square Footage- 1st 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 Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Z Replacement Unit? Yes/ No
Installer Name Certification 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.This permit/application becomes null & void if work or authorized construction is
not commenced with' days or if construction work is suspended for a period of 180 days.PROOF OF FONTINUATION OF WORK IS BY
MEAN RO ESS I SPE TION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X f Date: -7
Owner/Owne epresenta' e Contractor indicate which one)
FOR OFFICIAL USE BEYOND POINT Accepted by: i' V` Date =`� I
DEPARTMENTAL REVIEW --APPROVED DENIED NOTES
Buildin De artment - -47 4 `
Planning Department TT t ibei rhl
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbinq & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ f TOTAL FEES
pRoposaL
Stephen Johnson Inc. RECEIVE
B U I L D I N PO Box 488 .� 2 2011
Belfair, WA 98528 426 VEDAR S1.
(360) 275-6734
Fax (360) 275-6775
PROPOSALSUBMITTED,To DATE
STREET JOB NAME
CITY,STATE&ZIP CODE JOB LOCATION
PHONE FAX NO.
e hereby submit specifications and estimates for
cXl G1O
We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the su(ym'of:
dollars($
Payment to be made as follows: -�
Authorized
Signature t��
Acceptance of Proposal - The above prices,specifications
and conditions are satisfatory and are hereby accepted. you are authorized to do the
work as specified. Payment will be made as outlined above. Signature
Date of Acceptance: Signature
R
O
N CONCRETE MECHANICAL MANUFACTURED HOME r-
Footings/Setbacks Date By Ribbons Z
Gas Piping
o Interior Date By interior-Date By Date gy <
m
o Exterar Date By Exterior-Date By
Set-Up C
Point Load/Isolated Footings INSULATION Date By
BG I SLAB INSULATION - - - ;0Date By Date By FIRE DEPARTMENT p
Foundation Wails Floors Date By m
rn
Date By Data By DECKS
FRAMING Walls Date By m
Date By Data By PROPANE TANKS r
PLUMBING Vault Date By r
Date By n
OTHER
Groundwork Attic
Date By Date By Type:Date By
D.W.v DRYWALL Type- 0
Int.Brace Wall Date By O
Date By Date By ic
FINAL INSPECTION
Water Line Fire Sepe ration
Date By Date By Date Z _ By —'
O
Pass or Request Inspect. Q
Type of Insp. Fail Date Date Done By Comments O
0
0
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. LiNjrY1jX0)I UCA.17U
PLEASE PRESS HARD BUILDING 'PERMIT APPLICATION A 0L
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 INFORMAT ON CONTRACTOR INF MATION
Owner A 1 r ►r?I'c's LC- Company Name 1� ►�e v� - tiffs �'`
Mailing Addres VS Mailir�ddr s N 'U
City 1 �� id.—State WO Code City i��f /r� State Zip Code �Z
Phone Other Ph. Phone�°�C a Z� �7,� Other Ph.
Lien/Title Holder Contractor Reg. Exp.
E mail address E Mail Address Te 6 e- 7—
Drivers Lic.# DOB 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. Z. o a V Fire District
Legal Description �j r
Site Address (Please include street name� street number and city)
Dire tin to s' e IAJ�. ✓VLF 1^t� /
' I I� a L- i
Will timber be cuf and sold in parcel preparation?Yes o
Is property within 200' of Saltwater Lake River/ Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
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 Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ No
Installer Name Certification 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. This permit/application becomes null & void if work or authorized construction is
not commenced with!ES�Sl
days or if construction work is suspended for a period of 180 days.PROOF OF PONTINUATION OF WORK IS BY
MEAN ,¢PRO SPE TION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X Date
caner/Owne epresenta a rconVictor indicate which one)
FOR OFFICIAL USE BEYOND POINT Accepted by: 6'1LR Date 2'-1 I
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department Y1Tr1C / j / t C
Environmental Health Department
Fire Marshal
FEES
Buildinq 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