HomeMy WebLinkAboutBLD93-0089 Cancelled Espresso Bar - BLD Permit / Conditions - 8/9/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
N 4;:e 1=:" N::::: F:: 1'"1 :::1::: "1 FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
BL093-0089 PARCEL : 123294100160 PLA1 : DIV: BLK : lil
JOB ADDRESS : NE 23840 HWY 3 BELFAIR
OWNER : MACE FRENCH 698-7767
CONTRACTOR :
L E G A L : TO 16 OF NE SE FS 15258 SK 164A
C LASS OF WORK . . : NEW BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : COM STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 01t PRAT $ 60.50 D J K 12111193 32012
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 VIO $ 61.51 OJK O2111/93 3 20 12
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 S T F E $ 4.50 0 3 K 12//1193 32012
DWELL . UNITS . . . . : 0 PARKING SPACES : 0 INSP t 25.00 DJK 02101193 32012
INSPECTION AREA : 1 SHORELINE? . . . . : N P L M Z 21.00 DJK 12/11193 32064 TOTAL: 171.50 VALULATION: 6000
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP----- MOBILE HOME--
FRONT . . . ? 0 . 0ft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . . ? 0 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . ? 0 . 0tt SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2) . ? 0 . 0ft WATER HEATERS . . . . : 1 FURN )=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? 0 . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 96sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O '?
GAR /CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTI0M:ESPRESS0 8 A R
PROJECT LOCATION:BEIFAIR HWY 3 NEXT TO SHELL (OLD) STATION ACROSS FROM REID REALTY
THIS PERMIT BECOMES MULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 18e DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 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 B U I L 0 1 N 6 CAN BE OCCUPIED. / 1p
OWNER OR AGENT: — — DATE:___ /�/
BLD PRNT., rev: 03/31/91 ��
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
COMPLAINT UNVESTIGATION REPORT
Date: vx 0(A 9 3 Inspection Area:
Property Owner: A G C 1- 12 Div GE-,I ( ►�-�A Y 3E R.e•N7-1 N v
Mailing Address: 3 I +q 3 u C,V_t,1 1y q t t-L VZ A . M. 0 .
S 11.V E V-04 L.c , WA
Site Address: Q Orti cs Ww s4 3 troy i E D ��Al-T7' t N 3E�l4 tL
Legal-Dese ieW. _s o+-5-J s o
Complaintant Name & Phone SA TA%4- q (.4 Q Ch t ZQ 3
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Details of Complaint: R K 1 L� w�-� El-- bu.►'Q.�►'„�. ��- '�-"'�i o.►
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0��o•��k o�,, �.� E s�r�ss o S�a� o•�.st- o� �i,.s� w�� � .
Details of Investigation: -5)_"G /N-104k-v"iril4l�—
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MASON COUNTY
PRE-INSPECTION APPLICATION
PLEASE PRINT Q1 � r � fe`S`SO Ice
P $25.00 Fee Required
#1 Owner Mace- FrIenck Phone# �cl(P- 776 7
Site Address Ci ty
Owner Address
Ci ty S t -Zip
Applicant Phone#
Applicant Address
Ci ty St Zip
#2 Parcel No. ;-T jam• aZ
Legal Description
#3 Purpose of Pre-Inspection
#4 Use of building x )2 = S7( 2\SZ cJ,! �/'►Ve -
#5 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
Other
Directions to Si to: Iry s,,I xF
Applicant Signature: Date:
���;c�n� did v�J-� fec��eJ-}-- T'fe-�✓����c{,on
P 1, c,,�-� was Iola perMl WC)J 8 0,)4 'Le re ct ����Sv�.►�e�) rr
14 ,t-hviro. �t�.Mh C�SG� /< hiu Leo,, r✓lruhn- i J(
eturn application to: Department of General Services 7)riS ,",e eY,ti , Ae Hqs J
426 W. Cedar/P.O. Box 186, Shelton, pa 98584 427-967011-800-562 5628 p,�Jed ,
Include a $25. 00 check or money order payable to Mason County Treasurer
/11a« ,sf:Il
�1eea(S Jo addiaj.y jame- dt"
W;11*3 rcJ'��eMS
FOR OFFICIAL CS& OBLY: Accepted by: Da to:
APPLICANT TO DRAW SITE PLAN BELOW
Show following on the si to plan
Lot Dimensions
F1ccd Zones
Existing Structures Fences
Structure Setbacks Wells
Wa ter Lines Shorelines
Drainage Plan Easements
Septic Systems
Proposed Improvements Scat e:
Name of Flanking Street Date:
Name of Fronting Street
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Proposal Proposal
Approved Denied.
Planning;
Bui l ding: 3 2 C�` 'P -4 x 2 ta4;-5?- 1.�14�4�- Vzo
Nfi �Lc� tX ATT1G SPAS t�ro7tct „c3e�4�t,� W ift} L THr-A
Other:
STATE OF WASHINGTON
FORM s • r
S.F. 58 r; THINGS TO DO
7
PRIORITY (�U L 7 DONE
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NOTES: � IG4�. _]2 ,�Q
1'"sty}
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Plumbing Fixtures ($3 each) Fee Fee
Nd. Toilets Vent Systems X 6 . 00
Bath Basins Vent Fans X 6 . 00
Bath Tubs No. Boilers/Compressors
Showers HP . 00
L_tHot Water Htr
Laundry Washer '
Sinks 3-no No. Air Handling Unit
Floor Drains cfm.
Laundry Basins
Dishwasher No. Fire Protection Systems
Disposal
Urinals
Other
Permit Basic Fee 15 . 00 No. Other
TOTAL PLUMBING $
Gas Outlets X 6. 00
Woodstove, Pellet 25 . 00
Mechanical Fixtures Other
No. Fuel Types
Furn BTU .00 Permit Basic Fee 15 .00
AVvVLt TOTAL MECHANICAL $
Heat Pumps . 00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCN 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER A QA1 I X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR OFFICIAL ffSE ONLYcCted: by �te
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MASON COU=
BUILDING PERMIT APPLICATION
.. -
PLEASE PRINT
#1 Owner ffia,Ct lk-iff�(A Phone# (09 1
Site Address
City St zip
Directions to Job Site 4�,,
v
Owner Mailing Address
City-CIC St liUa . zip �6? m _
Lien/Title Holder
Address P 0 V204 CC
City S i 121-LAC4 L0 St Aloi zip ct SfE3
Contractor Name_N0 ,o Contractor Reg#
Address Expiration date
City St Zip Phone
If septic is located on project site, include records .
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water may be required)
Parcel NO- i� ?? �il l�l -
Legal Description
Building Square Footage: (existing/proposed)
1st Fl 2nd Fl / 3rd Fl / Lof t /
Basement_ / Deck / #bedrooms _ #bathrooms_
Garage_ / Carport / (Circle: Attached or Detached?)
Other sq ft /
Use of buildin Describe work
Type of Job: New Adder_ Alt - Repair Demolition
Woodstove Re-Roof Bulkhead Other
MOBILE HOME INF .MATION
Model Year Make- Model
Length Width Serial No.
#Bedrooms ##Bathrooms Type of Heat
Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
how following on the site plan
I
t Dimensions Flood Zones
fisting Structures Fences
ructure Setbacks Driveways
ter Lines Shorelines
ter
Plan Topography
ptic Systems Wells
oposed Improvements Easements
me of Flanking Street Scale:
me of Fronting Street Date:
LICANT TO DRAW SITE PLAN BELOW
Ck5
_CAN'T' TO DRAW TOPOGRAPHY PROFILE BELOW