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COM2012-00078 Foundation - COM Permit / Conditions - 8/2/2012
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 i� COMMERCIAL BUILDING PERMIT COM2012-00078 OWNER: ALLYN HISTORIC CHURCH RECEIVED: 6/26/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 8/2/2012 SITE ADDRESS: 18500 E STATE ROUTE 3 ALLYN EXPIRES: 2/2/2013 PARCEL NUMBER: 122205007010 LEGAL DESCRIPTION: ALLYN BLK: 7 LOT: 10 &VAC PTN SHERWOOD 10' WIDE ADJ PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPAIR/REPLACE FOUNDATION UNDER STEEPLE ALLYN near waterfront park PORTION OF BUILIDING General Information Construction &Occupancy Information Type of Use: Insp. Area: No. of Units: Type of Constr.:Type of Work: FOU Fire Dist.: 5 No. of Bathrooms: Occ. Group: Valuation: $ 8,634.00 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: W 8.00 Ft. Shoreline: Ft. Rear: E 40.00 Ft. Slope: Ft. Water Body:Case Inlet Shoreline Desig.: Not Applicable Side 1: N 5.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area Side 2: S 30.00 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?: COM2012-00078 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee ( nnnn r,nFi9n19 S1nR 71 signi9nn Building State Fee rNARA F17a19n19 �,e rn S1?n1?nn Building Permit Fee rnnnn Fi7ann19 s1R7 7F _q19n19nn Total $280.46 CASE NOTES FOR COM2012-00078 CONDITIONS FOR COM2012-00078 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 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X (_It C 2) Approved pensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 3) 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 b5�harged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 4) 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 5) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X LW, 6) 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 Bui in Inspector shall be made prior to requesting additional inspections. X 7) 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-compliant with Mason County ordinances and building regulations. X COM2012-00078 Page 2 of 4 8) All permits expire 180 days 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 hpiderhave prevented action from being taken. No more than one extension may be granted. X 9) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, co ctors, and 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 continuation of work is 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 o ounty access o the above described property and structure for review nd inspection. OWNER OR AGENT: DATE: Z �) 2 COM2012-00078 Page 3 of 4 n O F. CONCRETE MECHANICAL MANUFACTURED HOME .� o Dale B y 1p Footings/Setbacks Gas Piping Ribbons Z o Interior Date By Interior-Date By Dale By = 4 Exterior Date �O 3J 12-ay Exterior-Date B Cl) Set-up —4 Point Load/Isolated Footings INSULATION Date By 0 BG Date By DaaISLABINSULATIQN By FIRE DEPARTMENT _ n Foundation Walls Floors Date By = Date — S` 'r L By Data By DECKS C FRAMING Walls Date By n Date By Data By PROPANE TANKS = PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Type_ Date By Date By o.w.v DRYWALL Type: O Int Brace Wall Date By Date By 9 Date By FINAL INSPECTION N Water Line Fire Seperatiot C? Date By Date By Date 1 -L g—j Z By ./ C Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments coo ,A04?)1z16 �S j�_L`i�l L /D-01-4Z 1-/ ' �S fj Fooi7�/�--f��P/f- X �� /_r/jv ,EX t51-114r}t .7 LIE Q�ii yip Ft.gry� i 1✓G 9l/ j r✓o ,..s<.r,S� vv� �+ GO�✓.1�-j3 � !�a�RIS �R O�? GR ti — c s8L,5,coe ar s ov ► cc to 4? r-R/gyp ^' akl1v rCa lJ- /ram G� it/C� v CD 0 *�lie ► JI f ,441 . r. i • ar rr� r q _ L S �rE �L V � D � r r ,� 0, D f(}2K? tJa zo =m u) Z = cm Z Ir 30' 5 zo frT o GIN { 1+0 � L�v!��l ►�G � r G 1 o E_ < FA-FC Room 3 ALLVO APPROVED .. �, c, MASON COUNTY DCD PLANNING l SITE PLAN REQUIRED TO BE ON SITE ��A2C L L_ # l ?Z Zo -'S'o - t ? j fD CHANGES SUBJET TO APPROVAL By Date 0\1 _ [ D T m ; W O rn cn Z -i n m � m Q � � c � T-) _ v ;a �4 r Ix Cx o s► c.,�Tr<Y�51 c c—PLC A LVPJ Cor�r�, r u:�CCH ASSoa - . c--. STAY t poo1 z � ? APPROVED MASON COUNTY DCD PANNING y ,l'- SITE PLAN REQUIRED TO BE ON SITE CHANG S SUBJET TO APPROVAL By— Data yU v S C(1 LE /kL�YN CoM rn CHJZcH A-55,0 w A L-L-`�rJ, w k °1 1:6,Sz 4- PhecE-L- Zo-5u- 0701V HANGES SUBMIT HANGES FOR APPROVAL oR�nR PERFORMING WORK BUILDING rAAtIw CHv2cH Sra,Jc-rveE -- EY t 5T-. STR JGTv 2s- ST2J CTv E � e i,.Sts i CLE\JA- 0tJ SoJ L Lt Vl�l1�t� F�GE Z MASON COUNTY PERMIT NO.l�C32�J1 ) 2— 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 INFORMATION CONTRACTOR INFORMATION Owner C:)mv''%1 . C-14VA,20-/ V `D5::.( . Company Name S�3` t " :c� - , rZ> Mailing Address 132 O D A 121.1-5 Mailing Address �> i ;Ox /s cl o City Ai-L-,..: State V_Zip Code &2't5 Z'fi City LJ'y -1 State LA✓& Zip Code C4(5��4- Phone '3LO-Z7 - 3 e 5E5 Other Ph. Phon 275- • >G 4- Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address 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 Water System Name of Water System PARCEL INFORMATION -12 Digit Parcel No ZZC o 1 C, Fire District Legal Description �i-L-"`��% -� 7 ��i�rC) '( VAC_ P'T Si-j In �✓ �f✓ �l��. Site Address (Please include street name,street number and city) 145 J,> G'- 5iY4-iE Directions to site & '( 3 IS> 5dC - �� ��"� ALJ-Y"-; Will timber be cut and sold in parcel preparation?Ye / 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?Ye a TYPE OF JOB - New__Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work�CPA i Z f ok;( - j:c '.►JJ�1 A! No. of 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 holier 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. PROOT4,F CONTI�/ ATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X G4,,n'` -- .. C-lirl ti0 Date: &,/ &,,,,12.— Owner/Owners Re resentative ontrac or)(indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted bye Date e - DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department iqol 7- L Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection 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$ 1 TOTAL FEES FIB' u f0m f oN RE TA Seri (arc 3 VL.-`A 9 $S Z Lf NC w FOJO DA-13J IJ DT s F6 12 0 - s0 - o70 CHANGES SUBMIT CHANGES FOR APPROVAL _ Foj-n o(_ / "x )S" wl I-- r# L� PRIOR TO PERFORMING WORK E)(IST• Zx8 F�i�,��Iz FL�o2 Sol5T5 f 1`7/�i ►J C.N �fLGt-� ST>'2�/�+v�.E - { S,+nT 5Tt,✓1 w q L_L— $ X I $ W 1- L� J36 Lob/. I-Ioall. 13a2 , ST�►�aAR� NE\,) ZX 6 PT' e w)3I4 13T�.J►1. ��o-''i tJG SILL- PLATY Ex1S)- Fo�.jL�gTta,1 - P�J2CD C�r1�,�E1�"" Q WAL-L , 4-Sr 0-C . WRt-L S Foorin!(r A-P?lox 8 TAL.L- J--N a I/Z r`x Jo " A.g. 6 o_c . I on-real oc-pyglt.s u,jKtjow kj — (rv0 cHAAJ&f- ) 2 A,CS y vj! 3,w3,x Pc bfn' Ex15T" Lew d -► � �:,� D. FT WAIL S1L-1— FLY}l NJ L_L 2' �34' I NE%,J ?�J2 t D CO+JC. E�isr• CrRA�E I C00tJr GT0<S 137-wjJ f}. _ _ _ FOOTnnitr d STEVA WAL-L FLL7J{L Z'0I ST 4 S I L..L� PL_P1TF ' A tt4 (ZE- ► lvz Dowc�S ( � c t NL�� f ,' �J ` I A EmrtzY%wAY- Dn-IL_C tD 9 ENX)t� I I 5 ���E CW IZYW�'/ - EXIST. F�o�2 ?b15TS To 12' vC_ Foosl►j \1EI\MtJ r CC -S TO C3bI f _ ` I f�EN►r��n/. fLEr+ oJc E�L�s�. t,L- �6JV� (o fn I, bIGI! �yla I `� SJ FLo.74L 4 9-e9t.4c,e A 3/�'" N f=1„1 r D � EX!5 i- �n1 � ; � �•. ��4� I ��.+ I f 3ep I I �.e/1 7'}.� i Qxtsj-. Z �-xq F T L � Id o GI-/A�G%F -To /Lr`rv+ldwpcY To Inc mA►AJ 'J I I OF ST2vcTv2 t 0 I sT N is L c vJ Zx 6 PT PL-A i 1 '`t t2.E-g� DowE`5 E,YI Sf. Co nIC L ro-ay SL49 6'x P21r_L�ro t�xrcD To R6r�,41N / SCt�LE �f 2 DU I LD I N G I r' 0 ��Isr. �oF a Nl_ roUtjDA- jojJ Erj-rLy SLAB, 3 Scr� L-c l " = l , � 2Z �C�5oo7© � o zo r z - Co07 COPY THESE PI-PANS MUST BE ON TPIE J'Ja SITE FOR INSPtCTION. r REVIE MEPL COMPLIANCE FOR CODE CO documents attacl'ed approved Pl"'ns- MAS COUNTYsite Plan ILDI G DEPARTMENT _�—Pages Date �±Z 5- Z Fngincering:Pl q review chY 1 6) lateral Verti a' �lU!, o; p ffg es -- -- 2 f l-z