The URL can be used to link to this page

Home My WebLink AboutBLD98-0340 Final Remodel for Drug Store - BLD Application - 6/15/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar 1�?` P.O. Box 186 Shelton, Washington 98584 l FOR INSPECTIONS CALL 427-9670 00I dq0 BETWEEN 5pm AND Sam 427-7262 BL.D98-0.340 PATICEL : 12329420 O PLAT : DIV : BLK : LOT JOB ADDRE:S;, : 43 NI1= STATE ROUTE 300 BELFA I R OWNER : KKI_D 851 -6686 CONTRACTOR : LEGAL : TR 2.2 OF NO SE 1.�x--�sc-.ran•_...ye:.rxa-�s:�=•a..c_��T.,cacasm<�-air -��.�r�Ssmax:z:sm+aa:•ma�.a�..=arxrzsarz- -.xr_�:rm�xz.:_.:;- CLASS OF WORK , . :NE:.IAF BELIP 0 BATH . 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF' USE . t C OM STORIES . . _ . - I �.�x� ,,x x:��.�� .:�..v•:�. �:�, �x�M,��_s�::��•z��-.�� OCCUP . GROUP . . zM BL.DG . HE I GHT . . : O .Oft PRMT $ 475.60 NJ? 95104/98 46968 I TYPE OF CONST , . :5N F I REPLACES . . . . : 0 PICC $ 309.00 NJP 05104198 46956 OCCUP . LOAD . : 62 WOODSTOVES . . . . . 0 PIN $ 24.15 NJP 05104198 46958 DWE I I.. .UN ITS . PARKING SPACE S : 0 SITE $ 4.50 NJP 05104198 46958 INSPECTION AREA : 1 SHORFLINE? . . . . :N EHCP $ 511-86 NJP 05104198 46958 _10TAl: 863.23 VAIUTATION- 71027 TOILETS . . . . . . . . . . : 0 FUEL TYPES----------- BOILERS/COMP----- MOBILE HOME-- -- FRONT . . . O .Oft BAT14 BASINS . . . . . . . 2 a /EI_E/ % % : 0-3 HP . : 0 REAR . . . . 0 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODF.I_ : SIDE ( 1 ) , 0 .oft. SHOWERS. . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 --MAKE--._.. . ._... S I DF (2) . 0 10f t WATER HEATERS.. . . . : 0 FURN >-1.00K ETU. 0 3050 HP . : 0 .s1ipL E NE . 0 .0f t CLOTHES WASHERS . . t 0 TURN -- FLOOR .. : . : 0 504• HP . : 0 YEAR AREA __._,__.__ ___,_._. r-._ KITCHEN SINKS . . . . : 0 HEAT" .PUMP . . . . . . : 0 LOT S I LE . . : FLOOR DRAINS, . .. . _ 0 VENT SYSTEMS . . > : 0 I^VAP COOLERS : 0 I..ENGTE•I : 0 BUILDING . . . x 2102sf DRINKING FOUNT .-- : 0 VENT FANS . . . . . . 0 HOODS . . . . . . . . 0 WIDTH . : 0 BASEMENT , . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INC IN -0 SER I AE.,#.... ... DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS- - COMML . INCiN :O GAR/CARP :? Osf GAPS DISPOSAL$ . . . : 0 <- 10000 cfni . : 0 RE'(:.00/REPAIR : 0 A1"/DT . i? URINALS . . . . . . . . :-. : 0 > 10000 ctm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS own-ETS . c 0 ep:oc,.wa^'etas-,.�'••^�---.caaaes�az�a.::..�rr�^:�fe.�sx•.x*;r.-•as..�^zas::c.�-»:�yc��:tsRAstr:'.w�:xc:Xzm.�s=:��s�::.:r.-�:a�zs:.-vaaa+�•....sa.-.x.�t.�:.*.�•mms� S��s=r�s�a�:.��:aaz.x+s:-�:c.�r: PROJECT DESCRIPTiON:RENOBEI f0R ORUO STORE. PROJECT 14CATIO11:0I0 BEN fRANk1IN STORE IN IifI.FAIA THIS PERMIT BECOI{ES NIE1l AND VOID if WORK OR CONSiRUCTf4N,RUT:H(1pIZED 15 NOT COIINENCED WITHIN i89 DAYS, 'OR IF CONSTRIICTION OR WORK IS SUSPENDED FOR A PERIsOD Of 180 DAYS AT ANY TINE AFTER WORK IS CONIFICE.$, EVIDEMCE .OF CONTINUATION Of 1011 IS A P3001 SS INSPECTION WITHIN THE 180 DAY PERIOD, fINAI INSPECTION MUST RE APPROVED BEFORE BUIII)ING f.AN BE OCCUPIED. OWNER OR AGF T Dr;TE: 810_PRNT, rev: 03101191 COMPLIANCE_ TO ATT ACIICD (30ND I T I ONS IS REQUIRES) CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date V114by Gas Piping date b Foundation Walls date by Set Up date Y INSULATION date by BG/SLAB Insulatio Floors Final date by date by date by FRAMING Walls FIRE DEPT. date -5--W Z by /_ date by PLUMBING date -Z by OTHER Groundwork �> Attic date 16 I 1 h 1-r 3 by A date by D.W.V. WALLBOARD NAILING _ date by date -2 7- by Water Line FINAL INSPECTION date by date ��S by date by IYY.�J C_I � g 1�6 SDP 1 LeInL> VA 1 q-1-7 A Permit No'. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 Owner $KLD, Inc. (Lessee) Phone# (253) 851-6688 Site Address Fire District# City Belf air St WA Zip 98528 Directions to Job Site Owner Mailing Address P _ 0- Rnx 444 City Gig Harbor, St WA Zip 98335 Lien/Title Holder Address City St Zip #2 Contractor Name xxT.n', Inc- UBI # h 01 797 9 2 4 Address P. 0. Box 444 Contractor Reg # KKLD I**0 3 3 DR City G; 7 Ha rhnr St IjA Zip g R i-j r; Phone#Z r,-j-R r,1 -(;6gff xpiration Date�g_/_pL/mac g_ #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable wat=* ired) 12329- 42- #4 Parcel No. 12329 - 42 - 00220 Legal Description Tg.-l9- NE NW 9 9-2 3-1�. MR 2 2„f NW SR #5 Building Square Footage: 1st FI 2/0Z, 2nd FI 3rd FI Loft Basement # Bedrooms #bathrooms Deck Other Garage Carport (Circle: Attached or Detached?) i #6 Use of building Remodel for Drug Store Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW r�ny V ' APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 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 Systems Sinks _ Spot Vent Fans _Floor Drains No. Boilers/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 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ 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 17.25 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 OFTHE 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 D TMENT. DEPARTMENT. X OWNE X BY DATE I DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other Other Building Valuation: TOTAL FEE Plumbing Fixtures ($3.45 each] Fee Mechanical Fixtures ($7.00 each) No. jY 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 Systems =Sinks _ Spot Vent Fans _Floor Drains No. Boilers/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 17.25 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ =`t ' 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 17.25 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 OFTHE ORDINANCE REQUIREMENTS REGU- DRDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED AIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE DON FORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING FHE BUILDING D TMENT. DEPARTMENT. K OWNE X BY DATE 3I DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group:_ Type of Const:_ FFirearshal: Other: FEES Special Conditions: `o� Building Permit Zc 5-0 ZkaZ - A-3 '7 710Z6.58 Plan Check Plumbing Fee Z . /S Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee 4. Other Other Other Building Valuation: TOTAL FEE l8.ZL