HomeMy WebLinkAboutCOM2012-00001 Change Toilets - COM - 1/4/2012 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 COM2012-00001
OWNER: SUGAR TAP HOLDINGS RECEIVED: 1/4/2012
CONTRACTOR: ISLAND HOMES NW 360.275.8127 LICENSE: ISLANHN892NN EXP: 8/15/2013 ISSUED: 1/4/2012
SITE ADDRESS: 18340 E STATE ROUTE 3 ALLYN EXPIRES: 7/4/2012
PARCEL NUMBER: 122205003907
LEGAL DESCRIPTION: ALLYN BILK: 3 LOTS: 8,9,10 BLK: 3 1/2 LOTS: 8,9,10 &VAC 10' SHERWOOD &VAC BENNETT ADJ
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE A TOILET TO URINAL AND EXISTING URINAL TO ALLYN
NEW.
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Insp.Area: No. of Bathrooms: Occ. Group:
Type Work: NEW Fire Dist.: 5 No. of Stories: Exit Design. 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?:
COM2012-00001 Please refer to the following pages for conditions of this permit. Page 1 of 4
w Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Urinal 2 Plumbing Base Fee TAA! 1IA19017 -OA 7n C1gn17nn
Plumbing Permit Fee TW 1icnnl9 M7 An C19n19nn
Total $42.10
CASE NOTES FOR
COM2012-00001
CONDITIONS FOR
COM2012-00001
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 1-800-647-0 he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
3) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIRE NTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE CUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
4) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Ag ncy (ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have
been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orcaa.or
X
5) 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 wi h the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason Cou uilding Inspector shall be made prior to requesting additional inspections.
X
COM2012-00001 Page 2 of 4
T) 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 or to obtain approval will be documented in the legal property records on file with Mason County as being
non-co tnt with Mason County ordinances and building regulations.
X
7) All per i s expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for actin for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the older have prevented action from being taken. No more than one extension may be granted.
X
This permit beco es 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. Evidenc 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 wor s by 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 Mason y acc ss to the above described property and structure for revi w and inspection.
OWNER OR AGENT: DATE:
COM2012-00001 Page 3 of 4
CA)
0 C
CONCRETE MECHANICAL MANUFACTURED HOME
Date B y >
ry Footings I Setbacks Gas Piping Ribbons
6 C) Interior Date By Interior- Date By Date By
>
o Extefox Date By Exterior-Date By
Set-up
Point Load I Isolated Footings INSULATION Date By
BG I SLAB INSULATION 0
Date By Data By FIRE DEPARTMENT r-
0
Foundation Walls Floors Date By z
Date By Date By DECKS Q
Cn
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date -By
Date By OTHER
Groundwork Attic
Date By Data By Type-
Date By
D.W.V DRYWALL Type
Dam By -
Int.Brace Wall Date 8y
Date By
FINAL INSPECTION C1
Water Line Fire Seperation
Date By Date By Date � By
Pass or Request Inspect.
C1
Type of Insp. Fail Date Date Done By Comments
715> X,e
ro
2-
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0
MASON COUNTY PERMIT NCY_nm)-n _
PLUMBING/MECHANICAL PERMIT APPLICATION 0
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
fLelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269 twoL(,R (-2j v� be�I'L
On the web www.co.mason.wa.us
APPLI T INFOR T N CONTRACTOR IN O MAA'VJ CONTRACTOR �I
Owner U Company Name 151
Mailing dres o Mailin Address
City. _State Zip Code City Sta e Zip Code
Phone Other Ph. Phon Z Other Ph. '
Lien/Title Holder Contractor Reg. # xp. '
E mail address E Mail Addres
Drivers Lic.# DOB Drivers Lic.# G OB
SEPTIC INFORMATION- Connect to New Septic Existing Septic. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt I C Repair Other Use of Building
Location of Fixtures/Units- 1 st Floor--)L 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric—LPG—Natural Gas_Heat Pump_
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
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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 aegarate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF NTI UATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. ��l
X Date: I� 21)
ner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing &Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES