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MIS97-0373 Final Sign - MIS Permit / Conditions - 5/1/1998
MASON COUNTY Mason County Bldg, III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 M i �E-;C1 F L. L_ /1 N F- C'1'tJ p E Tt M I -IF FOR 1 NSPFt; F i UN • CAI.I- 4z-1 -967t1► MI597-0373 PARCEL : 123294100160 PLAT a DIV 3 BI.K : LOT JOB ADDRESS: 23940 NE ;T"ATE: HOUTF 3 REL.FA I R APPLICANT : I.AWRENCE EVANS 275-4`156 OWNER : I A'►RVNCF= CVAN4 275--4166 LFOAL : 11 16 Of NE IF NE 13141 NMY b3 T PROJECT DESCRIPTION - SIGN 0 PROJECT LOCATION : ADJACENT TO RISE AND SHINE COFFEE CO . , ACROSS FROM HVID REALTY, DOWNTOWN i1EI..FAIR ON ST . fii I PPOJECT NOTES ; 1 YF'F AMOUNT BY DATE' RECEIPT �wtt•.-,:s:xa- ::c. gas-,;.-.a-:e�.,a�caam,:carma,.-.rmi-:H-,u.:T.�m,-_:,�za::. PRMT $ 35 .00 TMJ 12/ 17/97 REIF'AIR PLCK * 14 .00 TKI 12/17/97 BF-L.FAIA STFE $ 4 .50 TMJ 12/ 17/97 RFUFAIR TOTAL : F►3 .S0 7WNER ON AGENT D A T V NIS P111, rev: 14iAi112 COMPI... IANCE TO ATTACFfE© CONDITIONS IS FIF6U 1 RE D 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 by date by date by FRAMING 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 I I II I I I I ------------ ---- --— MASON COUNTY 1- Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE RM i -T` r: 0NV') 1 T 1 CJNc; Case No . s MI s97-03 I3 Fort L.AWRENCE rVANS Pages 1 1 ) Proposed ntructure or any portion thereof greater than 30" in height from tirade line, must maintain a minimum of 5 ' setback from all property lines and easement lines and 10 ' from all County and State Road right of ways . X 2 ) Approved per dimension of b fit . 31n , tall and 8 ft , wide and the location of sIQn sin property and meeting 10 Beet sethtar.,k from road right-of way . 3 ) All approved plans are required to be on•-s i to t of Inspection purposes . 1 r i nspoct i on is called for and plans are not on site, Approval WILL NOT be granted . 1n addition, a Re- I nspeot i on fee In the amount of 032 ,00 per hour (minimum 1 hour ) will her charged and must be collected by this department prior, to any further inspection:3 being performed or, .approval granted . X MASON COUNTY Mason County Bldg. 111 426 W. Cedar RO, Box 186 Shelton, Washington 98584 HAVF APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS 1`0 BE PLAINIY VISIBLE AND IEGIBLE FROM THE STAFFr OR ROAD fRONTING THE PROPERTY . MASON ',,OONTY Btl I L D I NG DEPARTMENT AFOOIRES THAT THIS BE COMPI.ETED PRIOR TO CALLING FOR ANY SITE INSPEC'TIONS . A RFINSPUCIION FFF , BASED ON RATE S I N f ABI E 3A OF I 1-1f: 1994 UN I FORM (ill I I P I NG CODE W I I I lif ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X At L CON ";TRUCT I ON MIJST MEET" OR EXCFED At 1. 1 OCA1 CODE c, AND UBC REOUIREMENTS X Changes to approved bul Iding plant. that of rect comes ifince t the 191.41 Wash inqton Stnie Energy Code, 1991 Ventilation and Indoor Air Quality Code, the tan ifctrm Fait Idincl Code and/ or Mi.,son Cmintv Rego lgat fonr; mu:;t t-e approyod by Mason County prior to construct i o n X CONSTRUC f I ON PROLE S,� 1'() FIE F I F. I It CORRE C, 11'.1) AS RLOIJ I RUD 111F R MA,.()N ",01)NTY B1111DIN(I DEPARTMENT AND UNIFORM BUILDING CODE .x r Paqe No. 1 CASE HISTORY FOR CASE NO.: MIS97-0373 LAWRENCE EVANS NE23840 STATE ROUTE 3 BELFAIR 04/28/98 Action . Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- MISA010 Application received 06/18/97 / / 06/23/97 DONE KW 06/23/97 KW MISA015 Waiver in File / / / / 06/23/97 DONE KW 06/23/97 KW MISA050 Approved For Issuance / / / / 11/06/97 DONE KS 11/13/97 KS MISA500 (F) Issue permit / / / / 12/17/97 Sent to Belfair DONE TMJ 12/17/97 NJP MISB110 Structural Plan Review 06/25/97 / / 11/06/97 File back to Alan Borden to process DONE WLC 11/06/97 WLC change of use permit which was overlooked MISB127 Planning Pre-Review 06/23/97 / / 06/25/97 DONE MMS 06/25/97 MMS MISB128 Addressing 06/23/97 / / 06/23/97 DONE GMM 06/23/97 GMM MISB130 Planning Review 06/25/97 / / 06/25/97 NEW COMMERCIAL USE: ONE PARKING STALL DONE MMS 07/16/97 AHB PER 300 SQ. FT. AREA IS NEEDED, SO AT LEAST TWO STALLS MUST BE PROVIDED NEAR THE ENTRY POINT. AHB MISB135 RLC Checklist Review / / / / 06/25/97 SEE RLC96-0330 FOR NOTES ON STREAM ON DONE AHB 07/16/97 AHB PROPERTY. AHB V Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 0 PLEASE PRINT #1 wner _L� �k f JLL�o� Q - L oo-f,5 Phone# CNoo� 225 - 4154z In,, ite dress nc . 40 Fire District# 01 ity St WA Zip 98 iC'?'-8 Directions to Job Site -e,4- e t LAC-r'05 P-i aj r -A-, Owner Mailing Address_ Lv\ . City 610- ram, r St WA Zip 9g5�2$ Lien/Title Holder IA J• Lac-l-e_y Address N . _ Ile as Fcas r Rc� . City n Y,a.r\e St lWA Zip (AGE #2 Contractor Name N(A Contractor Reg# Address Expiration Date City t Zip Phone# #3 If septic is located o ect site, incl records. NJA Connect to Septic? ater Supply Well Connect to Sewer System? Na stem (If residential, proof of table water is required) #4 rcel No. t 2.3.29 - L41 - on I(oo 6�iLgal Description yy-11 #5 Building Square Footage: (existing/proposed) NIA 1st FI / 2nd FI / 3rd FI1-oft Basement / Deck / # edrooms / #bathrooms / Garage / Car (Circle:Attached or Detached?) Other_ #6 Use of building Co Describe work Cus�oef- SecVtce �hnn'n4 #7 Type of Job: New Add Alt Repair Other #8 MOBILE/M UFACTURED H FORMATION Model Year a Model u U Length �idth Serial No. L� J # Bedr s # Bathroom Type of Heat JON 181997 Purchase Price$ t #9 Indicate by circling the applicab urce�anywat r adjacent to subjecf pro6THS�RVICES River Pond Creek Stream Wetlan Marsh Saltwater Seasonal Runoff Other � I Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street 011- APPLICANT TO DRAW SITE PLAN BELOWt. ' ` arr- o 6vp r� NCB- to Sca.l e- Z '�-�`'�F 0. O. Srci Q% �oF 9 Z0 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW L e V _ Lr bo v c- D�1,li 2 T 3 ___ Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 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 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ [AnA 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 16.75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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 DEPARTMENT. DEPARTMENT. X OWNERLI'L,44— X BY DATE &�e fq-7 DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval A Planning: �T�YI�.(�� — � S (�Jc�n 6A - Environmental Health: Building Plan Review (,J� Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES y O?c to o = �{c 2_ Building Permit $ - cc • 3 Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee �. Other Other Building Valuation: TOTAL FEE �,