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HomeMy WebLinkAboutBLD93-1750 Mobile Office - BLD Permit / Conditions - 2/4/1994 J ( ''/ l� 670 FOR INSPECTIONS CALL FEB 7 417-9262 N IF; 1•4. INI X. N BETWEEN 5pm ANU Sam 427-7262�'ENERALSERVICES UiV: BLK : LOT : BL093-1750 PARCEL : 123211001010 PLAT : JOB ADDRESS : NE 431 L0G YARD RD BELFAIR OWNER : NORTH MASON FIBER CO_ 275-0228 CONTRACTOR : HOLT 275-0193 LEGAL : 1B 1 OF 1112 NE FS 15291:1 B[ l641 CLASS OF WORK . . : NEW BEDR : 0 • BATH : O ENHOF PE ANOUNT BY DATE RECEIPT lIYPE AMOUNT BY DALE RECEIPT TYPE OF USE . . . . :COM SfORIES . . . . . . . : 0 UCCUP . GROUP . . . : ? BLDG . HEIGHT . . : O . Ott $ 111.11 KS 12/13/94 2213 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 'STFE t 4.50 KS 12�13�94 2213 UCCUP . LOAD . . . . . 0 WUUDSTOVES . . . . : 0 II I I OWELL . UNITS . . . . : 0 PARKING SPACES : 2 1 11OTAL: 114.51 VALULA11ON: IB51� INSPECTION AREA : 1 SHORELINE`? . . . . : N I ' TOILETS O FUEL IYPEy--------"- BOILERS/COMP---- MOBILE HOME-- SETBACKS-------------- 0-3 HP . : 0 FRONI . . . N 5 . 0tt BATH BASINS . . . . . . : 0 : : 3-15 HP . : 0 MODEL : MODULAIRE REAR . . . . S S . Ofit BATM IUgS . . . . . . . . : 15-30 HP . : 0 -MAKE------ SIDE (1 ) . E 5 . Ott SHOWERS . . . . . . . . . . : 0 FURN < 100K tilU : 0 ? SIDE (2) .W S . Ott WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 SHRLINE . 0 . 0ft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 BSAR--____ KITCHEN SINKS . . . . : 0 HEAT" PUMP . . . . . . : 0 AREA ---------------- LOT SIZE . . : . FLOOR DRAINS . . . . . : 0 VENT SYSIEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 42 O ® BUILDING . . . : 504st DRINKING FOUNT . . . : 00 VENT` FANS . . . . . . : DOMES . INCIN : O -SERIAL#L--- BASEMENT . . . : Ost LAUNDRY IRAYS . . . . : DECKS . . . . . . : 0st DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- CUMML . 1NCIN : O MBb1 0st GARB DISPOSALS . . . : 0 <= 10000 ctm. : 0 RELOC/REPAIR : 0 GAR/CARP : . 10000 ctm : 0 OfHER UNITS . : 0 AT /Dl- . : ? URINALS . . . . . . . . . . : O . GAS OU'lLETS . : 0 MISC PLM FIXTURES : 0 PROJECT DESCRIPTION:NOBILEIFOR OFFICE PROJECT LOCATION:HWY 3 EAST 1 NILE OUT Of BELFAIR LEFT AT LEFT HAND TURN LANE, FOLLOW SI6NS (NORTH NASON FIBER) OR ION OR THIS PERMIT BECOMES NULL AND VOID IF WORK OR SEVIDENCE AUTHORIZED ISITHIN DAYS DAYWPERIOD.ORK IS SFINAL INSPECTIONUSPENDED FOR A BE APPROVEDOF 186 ABEFOREANY TINE BUILDINGACTERBEORK IS OCCUPIED�NENn -7f � ) J( / DATE: �`'r�Li OWNER OR A6� •�f �^i !!!rr`��% BLO PRNT, rev: S3131191 COMPLIANCE TO ATTACHED CONDIT ON5 IS REQUIRED 1-:1, k::.. IF-�" 01 1'.—.�.._ q:.:;. q::;U II"4 i._:M .::N:: -.N.... :.:I:: 1 :1 P4 Case No . : BLO93-1750 For : NORTH MASON FIBER CO . Page : 1 A Road Access Permit or Approval must be granted by the Mason County Department ofi' Public Works . For more information contact Jay Harmon , Mason County Right—ot—Way AgenL, at ( 206 ) 427-9670 , ext . 456 . The use , handling and storage of hazardous materials or tlammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire 9�� X_ __ �. Proposed structure or any portion thereof, greater than 30" in height trom grade line , must in 'a ' n a inimum of b ' setback trom all property lines , easements and right of ways . X 'Proposed structure or portions the eoi with an projection over 30" in height trom grade line , must maintain a 5 ' sepa tion Lance between adjacent structures and that / furthest projection . X_______ — �y,[ 'Water system should meet the requirements for a community water system. MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 42V9670 FAX 427-8425 January 11, 1994 North Mason Fiber P.O. Box 275 Belfair, WA 98520 RE: Water System Gentlemen The building permit, BLD93-1750, for the new office building has been processed by Environmental Health because the determination of water adequacy was acceptable for approval . However, it has been determined that this water system will need to meet the requirements for a public water system. Public water system must meet several requirements, for example: have approved protected well sites and undergo regular testing. Enclosed is a copy of the draft Mason County Design and Construction Standards .for Group B Water Systems and the draft copy of the Group B Water System Regulations. Not everything in these enclosures will apply to your system but they will give you a good idea of what will be necessary. If you have any questions, please call me at 427-9670 from 8 : 00 to 9 :30 Monday through Friday. Sincerely AA 19� Carolyn Jen n, M.S. , R.S. Environmental Health Specialist Permit No. MASON COUNTY BUILDING PERMIT APPLICATION g3/h:p 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628S n PLEASE PRINT �J #1 Owner So ,rd Phone # ,Oz� -75` Site Address .COG Fire District# City i —StZip �23d�S18 Directions to Job Site 17.11' GcJ4 - -Z Me/ o �e1 Owner Mailing_ Agiress oZ2_5 _ City St Zip Lien/Title Holder Address 1� Clty (lig St Zip #2 Contractor Name /tl�� ,�•�.�.., .tom *- �i�.- - Contractor Reg # Address �k 1�� Expiration Date _/ l l 4y 4' lei City 1�1z�FiQi/2 St l c%f Zip � Zklf Phone # 02 77�7- <2193 #3 If septic is located on project site, include records. t=�� Connect to Septic? , /,-� Public Water Supply Well C)(W kICD z Connect to Sewer System?�,4 Name of System (If residential, proof of potable water is required) a� #4 Parcel No. -_LCL- (7-_)Ic�l 0 Legal Description C � '(1 ��pULaX*-\ g� J _ #5 Building Square Footage: (existing/proposed) ' 1st FI / 2nd FI / d �/ Loft / Basement / Deck / # e rooms / #bathrooms / Garage / Carpo / ( 'rcle: Attached or Detached?) Other sq. ft. / Q #6 Use of building Describe work #7 Type of Job: New _Add Alt Repair Other #8 MOBILE/MANUFACTURED 14@011F INFORMATION Model Year e6o MakeAZ---/u` Model 1-2, Length l a Width� Serial No. /1-'7 - 86183 # Bedrooms—CI)_# Bathrooms Q Type of Heat :9 Purchase Price $ 7950 00 #9 Indicate by circling the applicable source if any water is on or 'acent to subject property: River Pond Creek Stream Wetland Lake Marsh twa reasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Af Structure Setbacks Driveways l`b Water tines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements 1ti Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLI ANT TO DRAW SITE PLAN BELOW ��RoP 1 v i APPLIC T TO DRAW TOPOGRAPHY PROFILE BEL W f top S pule. �ox - Ct C_ S t+e. �LIM�-v� 5 iah,s i 13a� s k 1a �7. 3 Plumbing Fixtures ($3$3 eachl Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees - Showers Furn BTU Hot Water Htr Heatpumps _Laundry Washer Vent Syste Sinks _ Spot ent Fans Floor Drains No. oilers/Compressors _Laundry Basins HP Dishwasher No. Air Handling Units _Disposal cfm# Urinals No. Fire Protection Systems Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBI $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER `� 6� X BY DATE � �`�3 DATE r � I FOR OFFICIAL USE ONLY: Accepted by: � Date: C DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health:&,-,rxJ �� .fl.�r�u. to 5 V 3 — Building Plan Review ftb6(L A--5 Q;uZA- �,�✓ Occupancy Group:Z=Z Type of Const: Fire Marshal: �I�3 Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Feef�j Other Other Building Valuation: TOTAL FEE