The URL can be used to link to this page

Home My WebLink AboutCOM2003-00097 Final Diesel Dispensers - COM Permit / Conditions - 6/13/2003 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)327-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352 Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2003-00097 OWNER: SAFEWAY STORES, INC. RECEIVED: 5/9/2003 CONTRACTOR: JOE HALL CONSTRUCTION LICENSE: JOEHAC*259RT EXP: 4/1/2004 ISSUED: 6/10/2003 SITE ADDRESS: 141 NE CLIFTON LN BELFAIR EXPIRES: 12/10/2002 PARCEL NUMBER: 1232941WO22 cf00,Q3 LEGAL DESCRIPTION: TR 2-B OF NE SE LOT: 2 OF SP #2929 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DIESEL DISPENSERS CLIFTON RD & STATE ROUTE 3 General Information Construction &Occupancy Information Type of Use: COMMERCIAL Insp.Area: No. of Units: Type of Constr.: of Bathrooms: Occ. Group: Type of Work: ACC Fire Dist.: 2 No. Valuation: $ 10,000.00 No.of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: new tank gals: 20,000 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?: COM2003-00097 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Fuel Tank 1 Plan Check Fee N.IP sioi9nn.A 41 <�99nnlknn Planning Review Fee N IP r,i4nnns T,9rn no g99nnznn Building State Fee nnRrr, 5P1R/9nn8 'a Fn R17nn3nn Building Permit Fee hAP 5l1RI7nn'3 01A1 95 C19nn.nn Mechanical Fee NAP( F/1R/9nn3 U9 nn C1?nnAnn Mechanical Base Fee AAR( F11R/9nn.12 Q9�An cz1gnwinn UFC Plan Check Fee qa.q Fi97i,?nn..i .0rA Q1 C1gnn,inn Total $687.07 CASE NOTES FOR COM2003-00097 CONDITIONS FOR COM2003-00097 1) Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland sediments from entering shoreline waters. Erosion control measures must be in place prior to any clearing, grading, or construction. These control measures must be effective to prevent soil from being carried into surface water by stormwater runoff. Sand, silt, and soil will damage aquatic habitat and are considered pollutants. Any discharge of sediment-laden runoff or other pollutapollutants to waters of the state is in violation of Chapter 90.48 RCW, Water Pollution Control, and WAC 173-201A, Water Quality Standards for Surface Waters of the State of Washington, and is subject to enforcement action. Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior authorization from the Department of Ecology pursuant to WAC 173-201A-110. A short-term water quality standards modification may be issued if the proponent agrees to a number of specific construction practices and techniques designed to minimize water quality impacts. All areas disturbed or newly created by construction activities must be revegetated using bioengineering techniques, clean durable riprap, or some other equivalent type of protection against ion�n other measures are not practical. X_ 2) 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$52.30 per hour (minimum 1 h, 'll c arged and must be collected by this department prior to any further inspections being performed or approval granted. X 3) 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 OWNIF11=1 CTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are removed, approval will not be granted. In addition, a re-inspection fee of$47.00 per hour 1 our)will be charged and must be collected by this department prior to any further inspections being performed or approval granted.X COM2003-00097 2 of 4 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 C NCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 6) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality • Code", ode i rm Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 7) CONSTRUCTION PROC Q FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 8) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-comp son County ordinances and building regulations. X 9) All work is to be done by an IFCI certified licensed Washington State Contractor. X Written documentation confirming all pneumatic or hydrostatic tests of the tank/tanks or piping, s b er ified contractor, shall be provided to the Mason County Fire Marshal within 15 days after the test was performed and certified. X_igned — 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 can be occupied. It -72A)IL-OWNER OR AGENT: DATE: U - 2oJ3 C0M2003-00097 3 of 4 C3 , CONCRETE MECHANICAL MANUFACTURED E N o Footings /Setbacks Date B y Ribbons oDate By Gas Piping Date By CD Foundation Walls Date B y Set-up V Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By 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 INSP�ECT .jQlg Fri Water Line Date By 772 Date By .. �,, .. Date By t� -/-7-cZ' - G 12 �-- v�y 121 �f�'•� s�- G/^'� f� G��'i�7/}c�o�J Y�c./T Tom'/c cf�/,Q l 1 O � 0 � o y o 0 J 0 MASON COUNTY PERMIT 1\100(1h4 BUILDING PERMIT APPLICATION r 426 W. Cedar• P.O..Box 188, Shelton, WA 98584 Shelton (360)427-9670 • Belfair(360)275-4467 • Elma (360) 482-5269 On the Web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ;/��1��, 1h�G AicTt4 . lZrl -Mg Contractor Name Mailing Address - Mailing Address 1--?17 5446 AVM IF City 8tate>4A Zip Code_jb0o5 City r-jE-� State tg&Zip Code'�l%= - 24 Phone ( c" ), '7 p ozAther Ph. (� )q_ff{ o Phone (50C>)777.to�61 k Other Ph. (2o&) Lien /Title Holder Contractor Reg. Email Address .�J.-) r I- A� 1. ��. f Email Address SEPTIC /WATER SYSTEM INFORMATION -Connect to New Septic_Existing Septic �I A Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION - 12 digit Tax Parcel No. ►2?.2_ - Fire District 1 _ 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 WcG Is property located within 200' of saltwater —Lake River/Creek �,17 _ Pond yL Wetland.N-) Seasonal Runoff�J Stream Slopes or Bluffs_ PERMANENT RESIDENCE ❑ SEASONAL RESID NCE ❑ TYPE OF JOB - New Add Alt X Repair Other Use of Building Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action? (Yes/No) b10 Describe Work IyAfw At , ►2t �1=1�� ,��,l�S �Z� - A�j'� T_ Lit No. of Bedrooms Q A No. of Bathrooms 1;jA SQUARE rOTAGE - 1st Floor WA 2nd Floor W_ 3rd Floor_QA Loft KJA —Basement oN Deck I�A Other jj A _sq. ft. IJA Garage _Attached JW,& —Detached±,�Carport Attached Jam—Detached hjA MANUFACTURED 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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION.ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW: OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this that all work will be done in conformance therewith. No changes permit is issued and all work shall be ��^^`` ° f there- shall be made without first obtaining approval, with. No changes shall be made withoREM STV97roval. X Date X MA16-49 2003 FOR OFFICIAL USE BEYOND THIS POINT 426 W. CEDAR ST. Accepted by Planning Pd Ck# Date Bld Pd. Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group Type Constr. Planning Department Environmental Health Department r F �1 c Public Works Department V �GtV_to Fire Marshal �7 Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ) TOTAL FEES