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