HomeMy WebLinkAboutBLD94-1713 Sign - BLD Permit / Conditions - 12/19/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar�v g
P.O. Box 186 Shelton, Washington 98584
Fa IF I ,> r O R I
( ' L1194--1 713 PARCEL :3191 12291O03 PLAT : DI V :l BI-K :r LOT t?
JOB ADDRESS : SE 66 LYNCH AD SHELTON
OWNER : COLDWELL BANKER PACIFIC PROP 426--7766
CONTRACTOR. : HEATH SIGNS 623-3100
LEGAL :
CLASS OF WORK . - :NEW IREDR 1 0 .BATH : 0 j)YPf AMOt1NT BY DATE RECEIPT E
PE AMOUNT BY DATE RECflPT
TYPE OF USE . . . . :COM STORIES . . . . . . . :0 � �
i
OCCUp . GROUP . . . .7 BL.DG . HEIGHT- : 0 .01t PRMT 1 16.09 KS 12119194 38012
TYPE OF CONST . . :? FIREPLACES . . . . : 2 PICK ! 6.56 KS 12119194 38/12
OCCUP . t OAD . . . t 0 WOODSTOVE S . . . . . 0 ISIFF S 4.SO KS 12119194 38012
nWELL_ .UNITS . . . . . 0 PARKING SPACESt 0 '
INSPECTION AREA : 1 SHORELINE? . . . . :N L TOTAL: 27.111 VALULATIONt /
SETBACKS-- ------ TOILETS . . . . . . . . . . : 0 FUEL TYPES----------- BOILF..RS/COMP----- MOBILE HOME--
FRONT . . .N 5 .Oft BATH BASINS . . . . . . : 0 a 0-3 HP : t 0
REAR . . . .S 5 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :
SIDE ( 1 ) .E 5 .0ft SHOWERS . . . . . . . . . . : 0 FURN K. 1O0K BTU : 0 15-30 HP : : 0 --MAKE.---- _._--
S1DE (2 ) .W 5 .Oft WATER HEATERS . . . . : 0 FURN t=10OK; BT11 : 0 30-50 HP . : 0
SHRL INE, O .Of't CLOTHES WASHERS . . : 0 FURN -- FLOOR 0 50+ FIP . : 0 -YEAR----•----
AREA ---- ------- --- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0
LOT SIZE . . t FLOOR DRAINS . . . . . t 0 VENT SYSTFMq . . . . 0 EVAP COOLERSt 0 1. ENGTI-1 . O
BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . , . . t 0 DOMES., INCIN :O -SFRIAL11•--- -
DECKS . . . . . . : 0Sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSALS . . . t 0 <— 10000 c rim : 0 PFL,OC/REPAIR : 0
AT/DT . :7 URINALS . . . . . . . . . . : 0 10000 ofm . : 0 OTHER UNITS . : 0
M I SC PL_M FIXTURES : 0 GAS OUTLETS . : 0
PNDJfCT DES(#IFTION!SIGN
PROJECT LOCATIONiON THE CORNER (SE) OF SR 101 AND IYNCH RD
THIS PERMIT BECOMES MULL AND VOID IF WORK OR CONSTRUCII01 AUTHORIZED IS NOT CONVINCED WITHIN 100 DAYS, OR IF CONSTRU"TION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER 109.1 IS COMMENCED, EVIDENCE OF CONTINUATION OF WORK 11 A PROGRESS INSPECTION WITHIN TPE 101 DAY PERIOD. FINAL INSPfC1ION MUST M
APPROVED BEFORE BUILDING CAN BE OCCUPIED.
OWNER OR
810 PROT, rev i 0301191 COMP1. I ANCE TO ATTACHED CONDITIONS IS REAU I RED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback _ n (D��� date by Ribbons
date '/ / ' z` by W �� Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date date by
PLUMBING Attic by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F R M 1 'T C" CI n.f " 1 -T I � ¢
Case -No . - BLD9,1 i .
For : COLDWELL BANKUR PACIFIC PROP
Page : 1
1 ) 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 right of
ways .
2 ) All approved plans area required to be on-ei i to for Inspection purposes . It Inspection i r;
called for and plans are not on site . Approval WILL. NOT be granted . In addition, a
Re-- Inspection fee in the amount of $30 .00 per hour (minimum 1 hour ) will he charged and
must be collected by this department prior to any further Inspections being performed or
approval granted .
3 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Blz PLAINLY VISIBLE
AND LEGIBLE FROM THE STRFET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS HE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITF PRIOR TO REQUESTING
I NSPECT I''O , .
X._ �?
4 ) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UFSC
REQUIREMENTS
5 ) Changvs to approved bullding plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code. the l)n I form Building Code] land/or Mason County Re(1til, t 1 ons must
be approved by Mason County prior to constructionX
6 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED DER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x ^___ U
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
�� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT vv
#1 er . Phone# � — -7 a
ite Address (,a(, a.r���, Q Fire District#
City St DL�C'<--'_Zip
Directions to Job Site S-ES
Owner Mailing Address 6,
City St 11�0—_ZipCt'?GRq
Lien/Title Holder
Address Sc- (Me czc �rrt
City St Zip
#2 Contractor Name C Contractor Reg# NE."T]-WA1 1330P�
Address t'l I I '(' c,-T: Ex iration Date _/ /
City e"" St (k)Ck_Zip C) Phone# (22-3
#3 If septic is located on project site, include records.
Connect to Septic?_L)A Public Water Supply Well Q A
Connect to Sewer System? Q z Name of System 1�1
(If residential, proof of potable water is required) -SHORT SUButvLSloN of a portioh
of the Northwest quarter (IJ(Jy)
#4 ,�ceNo. aa of the Northwest quarter
of Section (17) , Township (19)
Legal Description 14orth, Range (3) west; W.M.
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd F / IF
Basement Deck / #bedrooms / #bathrooms /
Garage / Carport (Circle:/ le: Att ed or Detached?)
Other S•�/� y�A� ft. l
#6 Use of building k---' ? Describe wort
#7 Type of Job: New ✓ Add Alt Repair er
#8 MOBILE/MANUFACTURED HOME INFOR ION
Model Year Make odel ' V
Length Width Serial No.
# Bedrooms athrooms Type of Heat
Purchase Price G^ Q
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan �-
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. UDiLs Fees
_Showers Furn BTU
_Hot Water Htr — Heatpumps
_Laundry Washer — Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal — cfm#
_Urinals No. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50,00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X B
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: J
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
1
Planning:
Environmental Health:
Building Plan Review
C�
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: _ FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
a p Other
Building Valuation: 5— 0 �— TOTAL FEE