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Home My WebLink AboutCOM2000-00016 Cancelled Kitchen - COM Permit / Conditions - 5/11/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262 Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Not$ Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2000-00016 OWNER: NORTH MASON UNIT RECEIVED: 03/07/200 CONTRACTOR: NORTH MASON UNITED M ISSUED: 05/11/200 SITE ADDRESS: 25140 NE STATE ROUTE 3 BELFAIR EXPIRES: 11/11/200 PARCEL NUMBER: 123214300000 LEGAL DESCRIPTION: SW SE EX SEE BLA#93-22 AF#561021 NE 25140 STATE ROUTE 3 PROJECT DESCRIPTION: DIRECTIONS TO SITE: COMPLETE KITCHEN ST RT 3 TO ADDRESS. a gm,EXPIRA-n� �� 8t VQI j03 gY p ATE General Information Construction & Occupancy Information Type of Use: Insp. Area: 1 No. of Units: Type of Constr.: No. of Bathrooms: Occ. Group: Valuation:Type Work: ADD Fire Dist.: 2 No. of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: odel: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline & Planning Information Front: NW 70.00 Ft. Shoreline: Ft. Rear: SE 110.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: NE 60.00 Ft. SEPA?: Comp. Plan Desig. Urban Growth Area Side 2: SW 140.00 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?: COM2000-00016 Please refer to the following pages for conditions of this permit. 1 of 3 Plumbing Fixtures Mechanical Fixtures FEES ype Qty. Type Qty. Type By Date Amoun Receipt Exhaust Hood 2 Plan Check Fee KLW 03/07/200 $42.00 52816 4 UFC Plan Check Fee DLS 03/23/200 $21.00 53420 Planning Review Fee AHB 03/24/200 $65.00 53420 Environ. Health Plan CEW 04/17/200 $25.00 53420 ft%Y'Plan Check Fee SKM 04/17/200 $42.00 53420 Mechanical Fee SKM 04/17/200 $19.00 53420 Mechanical Base Fee SKM 04/17/200 $22.00 53420 Total $236.00 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 an be occupied. OWNER OR AGENT: / DATE: J t- 0 0 CASE NOTES FOR COM2000-0001 1) SEE BLD99-0431 FOR ADDITIONAL PLUMBING AND MECHANICAL FIXTURES.SKM COM2000-00016 Please refer to the following pages for conditions of this permit. 2 of 3 CONDITIONS FOR COM2000-00016 1) Approved per dimensions and proposed uses on submitted site plan. X 2) The use, handling, and storage of hazardous materials or flammable /combustible liquids in excess of 10 gallons is ed without the approval of the Mason County Fire Marshal. X 3) CONSTRUCT ON PROCESS TO BE FIELD CORRECT5Q,AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x -1 V MI 4) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RE �T�}�;PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. xffl "1• 6) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour(minimum 1 hour) will be charged artd-ryrrC ,t�e�ollected by this department prior to any further inspections being performed or approval granted. X 7) 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$42.00 per hour (minimum 1 hour) will be charged and med by this department prior to any further inspections being performed or approval granted. X u o I t 8) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES 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 OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECT-FONS. X I/) COM2000-00016 Please refer to the following pages for conditions of this permit. 3 of 3 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 PLUMBING Attic by OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by t !, s Imo . 'L c� �✓1� v� PERMIT NO.: BLC9,0 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar1P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-446T Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION _ CONTRACTOR INFORMATION Owner r H G jlla Contractor Name Mailinc+Address / Mailing Address City &L f=i}��L State f{ Zip Code c! 'Z City p State Zip Code Phone(3&r� ) 375 371q Other Ph.( ) Ph.( ) Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic__X Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. / &q/ 4DDd Fire District Legal Description /,k- Site Address(Please include street name, street number and city) r Z Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) AJO Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs f TYPE OF JOB New Adder_Alt Repair Other Use of Building �'HURcN Describe Work rc;m >c,�fi_ KirGHrA.; 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 MOBILE HOME INFORMATION-Make Model 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. 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. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes sh be made without first obtaining shall be done in conformance therewith. No changes shall be made without approv first obtaining approval. X ' Date Cv X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date�-/�, i) Submittal Amount Due 4 Receipt No.�/(P DEPARTMENTAL REVIEW APPROVED DENIED' CONDITION CODE$ Building Department Occ Group Type Constr. - Planning Department I f Environmental Health Department s Public Works Department I Fire Marshal Valuation $ FEE Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other i Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) T ....... ... ...... OTAL FEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner r'a'toiF-, L'fvidl) XLft0l'57' C,40d" Contractor Name Mailing Address 'OA f 7 Mailing Address City Ifk State 1-0e Zip Code City State Zip Code �PhoneL 7T- 7 Other Ph.( Ph.( Other Ph.( Lien/Title Holder •--• Contractor Reg. # Address Expiration SFPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. S�/ / `� / 000,J O Fire District Legal Description 4.0 - ..>,c E C a Site Address(Please include street name, street number and city) AI'JX H1(41-1WWV Directions to site Is your property within 200' of the following: Body of Water (Name) k?- Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs J� Heatpumps Showers �Pi q i0 Vent Fans Water Heater n"1 Propane Tank Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other�xH.u%Y Hoont Z Other--.._— Other Base Fee Base Fee Zz — TOTAL PLUMBING TOTAL MECHANICAL )J — A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-[certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval first obtaining approval. X f.Gc Date 431k- X Date 61 FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMF_NTALREN#Eytl:' RPPRC�V>~f)< ENID COM1[DI#IONGORES>s'. Building Department Occ Group- TypeConstr, Planning Department Other Other _ T£E5 Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION �/�,.,�/ �Q1� //5 Case No. Name/ltb/G/fi'/��C�'� ��1 "015A#CEL NUMBER/Z 3 Z-�'` , �cbate 5'2y'-2/Y SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- i �� c5 /Fig ieAki Z' � i Fadjacent property line I I I � I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I adjacent property line- I ' Fadjacent property line SAMPLE SITE PLAN adja�nt property line- aio' adjacent property line D 30" rRLS�Rv&_ I' ti fi CREE{G \ I P I MOM t I Gr&ouu �I i HOc.�.i fc I F SC I 1 J 0' I I VAGn,T I T GAMAt�E I I 3� I / P0.oPoSCD I� �"\\ T A&R=LLLrJLAL So I 1 I 80. i I I I \ i /DO" I � I I I I I xt /00. I I L..._.G.L.L I J adjacent property line-; ; ► A�. � ; Fadjacent properf�line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d1 Stars&_ fiv ru.�tt,a.Y� 51op� f-c¢ dls+a�aa 40 Signature Date