HomeMy WebLinkAboutCOM2003-00101 Sign Final - COM Permit / Conditions - 6/30/2003 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
COMMERCIAL BUILDING PERMIT COM2003-00101
OWNER: MILLCREEK COLLISION CENTER RECEIVED: 5/30/2003
CONTRACTOR: SIGN SOLUTIONS, INC. 459-4462 LICENSE: SIGNSI'981 ILL EXP: 6/14/2004 ISSUED: 6/19/2003
SITE ADDRESS: 1111 S ATE_ ROUTE 3 SHELTON EXPIRES: 12/19/200-.
PARCEL NUMBER: 203014000
LEGAL DESCRIPTION: R F SE NE E OF W LINE OLD R/W &TR 3 OF N1/2 SW NW SEC 29 SEE SURVEY 4/77;PCL 2 OF BLA#92-34
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ILLUMINATED CHANNEL LETTERS ON RACEWAY APPROX. 2 BLOCKS PAST ARCADIA RD ON THE RIGHT
General Information Construction &Occupancy Information
Type of Use: Insp.Area:
No. of Units: Type of Constr.:Type of Work: NEW Fire Dist.: 4 No. of Bathrooms: Occ. Group:No. of Stories: Occ. Load:
Valuation: $ 1,000.00 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?:
COM2003-00101 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 Amount Receipt
Plan Check Fee K.c risnonnz -Z97 n g19nn inn
Building State Fee KAPrr, F;nr,ignn.� Oa rn R99nninn
Building Permit Fee NARr, r;i1PlOnn.1 ?z sn .g99nnznn
Total $55.17
CASE NOTES FOR
COM2003-00101
CONDITIONS FOR
COM2003-00101
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 2- e perso signing this conditio s either the meowner, agent for the owner or a registered contractor according to
WA state law. X-
2) ePURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITE 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
OWN CONTRA(;TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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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 Re-Inspection fee in the amount of$52.30 per hour (minimum 1 our)will be c arged an must be collected by this
department prior to any further inspections being performed or approval granted.
4) 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- mpliant wi M on Countyordinances and building regulations.
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5) Applicant acknowl ges that this veto me t ' ,subject to policies and regulations of Mason County Comprehensive Plan and Development
Regulations.X
COM2003-00101 2 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 peiod. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: DATE: j
a
COM2003-00101 3 of 4
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CD o Footings / Setbacks Date By Ribbons
Wo Date By Gas Piping Date By
0 Foundation Walls Date B y Set-up
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Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
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APPROVED
PLANNING
SITE PLAN REQUI:?EJ- TO BE ON SITE
CHA S TJ APPROVAL
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11_/05/02 TUE 12:47 FAX 1 360 427 7792 MASON Co. ASSESSOR LgjuuI
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MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION 00 /0 1
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 INFORMATI30&yj
CONTRACTOR INFORMATION
Owner A%l0,`tL�� &'.Yel Contractor Name S/C.AdSo%,lJgc,� C,
Mailing Address / S,Q Mailin Address lgU 6U
City.fle-e/�o,� State Zip Code 9 — City /►t e State Zip Code
Phone ( l00 ) o -aIWTther Ph. ( ) Phone ( 0 )S/�a-Other Ph. ( )
Lien/Title Holder ;fah e Contractor Reg. #.U6AU- ' xp. '9(P Ell:
/
Email Address Email Address
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Sewer System Name of Sewer System
Well--4—Water System Name of Water System
PARCEL INFORMATION - 12 digit Tax Parcel No. . Fire District
Legal Description .UU20 /qt)UO o O
Site Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparati n? (Yes/No)
Is property located within 200' of saltwa a C\1 La River/Creek rNJ Pond_If\
Wetland L.i Seasonal Runoff Stream Slopes or Bluffsl� v
PERMANENT RESIDENCE ElSEASONAL RESIDENCE ElTYPE OF JOB - New , Add Alt Repair Other Use of Building
Is this permit submittal the res�}It of a top Wor�/No'tif a orrection ti/�e�of�other enforce nt action? (Yes/No)
Describe Work �,t( d�( /��U/y�/,t/p t�U �t1,b,�/it/��/f7s/l�f 0If
per4JA4
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURF,D HOME INFORMATION - Mak Model Model Year
Length Wi Serial No. of Bedrooms No. of Bathrooms
Type of Heat urc as cement 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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY ATURE BELOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify hat ref tly regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Was te�an ti l ware
of the ordinance requirements for which this permit is issued and of the ordinance requirements re tin the for wffi�h this
that all work will be done in conformance therewith. No changes permit is issued and all work shall 6MCdOW in col ce there-
shall be made withou first taining approval, with. No changes shall be made without fiPstt�inmg 2tproval.
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X Date X Date R sl
FOR OFFICIAL USE BEYOND THIS POINT
Accepted b Planning Pd 'Ck#
Date Bld Pd. )2. 1 Reciept No'S/ O L J3"
Iln
DEPARTMENTAL REVIEW APjAR9,VED DENIED CONDITION CODES
Building Department e ®�
Occ Group Type Constr. f
Planning Department
Environmental Health Department
Public Works Department
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