HomeMy WebLinkAboutCOM2004-00220 Repair Post Office - COM Permit / Conditions - 12/20/2004 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 COM2004-00220
OWNER: JERRY IVY TRUST RECEIVED: 11/18/2004
CONTRACTOR: STEPHEN JOHNSON INC 360-275-6734 LICENSE: STEPHJ'199LW EXP: 6/1/2006 ISSUED: 11/18/2004
SITE ADDRESS: BLVD BELFAIR EXPIRES: 5/18/2005
PARCEL NUMB 23285000002
LEGAL DESCRIPTI SILK LOT: 2 60 NE RIDGE POINT BLVD
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPAIR OF POSTOFFICE 60 NE RUDGE POINT BLVD.
General Information Construction &Occupancy Information
Type of Use: POST OFFICE Insp.Area: No. of Units: Type of Constr.:
of Bathrooms: Occ. Group:
Type of Work: REP Fire Dist.: 2 No.No. of Stories: Occ. Load:
Valuation: $ 1,090.00
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?:
Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Types Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee r.KAH 11/1R/,)nri 09717 R1,)nnann
Building Permit Fee r.KAH 11/1R/o)nn. Ul An R19nndno
Building State Fee rnAH 11/1Ronn TA sm R19nndnn
Total $73.47
CASE NOTES FOR
COM2004-00220
I� CONDITIONS FOR
1 COM2004-00220
1) 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 be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
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2) PURSUANT TO INTERNATIONAL 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 INTERNATIONAL CODE WILL BE ASSESSED IF
OWNER/CONTRA C ^ ILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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3) ALL CONSTRUCTIO UST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUI ME TS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF US O NCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
4) CONSTRUCTION PROC SS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING dL ARTMENT AND THE
ADOPTED BUILDIN D .
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5) Specail Inspection is requi e-engineer of the project. A letter from the Engineer is required at final inspection.
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6) All building permits shall av a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final s ction.or to obtain approval will be documented in the legal property records on file with Mason County as being
X n-compliant wit a fn ty ordinances and building regulations.
COM2004-00220 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 anytime after work is
commenced. Evidence of continuation of work 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 in pction/ e o ner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described proper nos ruct ffe for re ew nd inspection.
OWNER OR AGENT: _ DATE:
COM2004-00220 3 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME
N
o Footings / Setbacks Date B y Ribbons
-41
6 Date B Gas Piping Date B ,
o Y 1P g Y
Foundation Walls Date B y Set-up
o Date By INSULATION Date By
B G / Slab Insulation Floors Final
D ate B y Date B y Date B y
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
Water Line Date By
Date By Date By
j2-2 ,G`�Y
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRESS HARD 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
APPLICA INFORMATION CONTRACTOR INFORMATION
Owner ev'r �v 'TV"_j-T— Company Name ') DLt►-t�30`-.���
Mailin Addr s - d Mailin Addr s _-O
City � State Zip Code City State Zip Code
Phone Other Ph. Phone 2-17 -5-6-7 -7V Other Ph.
Lien/Title Holder Contractor Reg. # C (`7'S'L� 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. IZ3 Z o o 0 Fire District
Legal Description
Site Address (Please include street name, street number and city) ►�
Directions to site
Will timber be cut and sold in parcel preparation?Yes/ No
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?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No.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 aiD 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 ExO� +
required from any easement holder or any other parry in interest regarding this application or the work proposed in the application, atob ain
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represe. t the i f0ic�m L!io� n
provided i rate a g nts employees of Mason County access to the above described property and structure for review� srL'U�`I
PRO OF TI ATI N WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:_t�1 3ELFAIR. C�FFIL
caner/Ow rs Representative Con actor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTE
Building Department d
Planning Department
Environmental Health Department
Public Works Department'
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood /Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES