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Home My WebLink AboutCOM2002-00011 Sign - COM Permit / Conditions - 2/14/2002 MASON COUNTY DEPT. OF COMMUNITY Inspection Line (360)427-7262 Phone: (360)427-9670, ext. 352 DEVELOPMENT r Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2002-00011 OWNER: QUALITY FOOD CENTE RECEIVED: 1/30/02 CONTRACTOR: DWINELLS VISUAL SYSTEM ISSUED: 2/14/02 SITE ADDRESS: 201 NE STATE ROUTE 300 BELFAIR EXPIRES: 8/14/02 PARCEL NUMBER: 12.3294ZG(8 `_1O0 0 1 LEGAL DESCRIPTION: `TR 10 OF NW SE TR B EX OF SP#591 SEE BLA#89-68 AF#492910 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SIGN STATE ROUTE 3 TO BELFAIR, LEFT OF ST 300 TO QFC General Information Construction & Occupancy Information Type of Use: Insp. Area: No. of Units: Type of Constr.: Type of Work: Fire Dist.: No. of Bathrooms: Occ. Group.- Valuation: $ 335.00 No. of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: 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?: COM2002-00011 Please refer to the following pages for conditions of this permit. 1 of 2 CD V 0.- f,;q z LI I .14 J- A'?!7, L ke IW'. T �j 1; :rr rci�hl!rf"C. L)n, `v fojlw_,�uq 1,� ..;I!v�l !,.,i Em-,Ii 15—a VA or;8 Hit[ru.j L, if 0 al I,.; Z!d:;, h,,sp Hcfi[,-m !0 Et 4 1 Ill ill U;111 Ili :A 2.01 G'r,e, Ic'Ut l'Irr L; m 0 of Fj",C "(I LJ'It Ly ih ILWLhix blem-,i J, —4 perfmom ed or ov, -o val m PLJRSUAhrT TO '14-1 si77 UMFORM SVIILT94�C00E ALL SITES NI LIST HAVE ARCIIGIVEO NUIIABERS ok- N) ADDRESSES 1"MYVIMED IN SUCHA POSIMN AS TO BE-PILAINLY VISIBI.X ANO LEGME FROM THE m L) STREET OR ROAD FRC STING THE PROPERTY Miki&QN COUNTY SUILD04(; IDIEPARTNIM-N! RK)UR1:20 'THAT THISOV OOMPt E-1 ED PRIOn TO CNIJ A N'.0 f OR ANY VrE I NSPEOTI ON'3. AREINSMOTIONFEE, EASED M, RA7E.q AS M)OPTED BY THE JtJRiSQhG'k'M4 AND THE M7 M1FGq.M OUlt-01ILIG CODE VVI[L BE ASSES-S60I Uf OWNFRtCON-1 0. FA'; S TO VC)ST ADDRESS ON SITE PRIOR TO REIDLESTING CONSTRUCTION PROC "E BE FIELD GORREr'JED AS R�=D FER MuN3011 COUNTY BUILD!NG 0 -DEPA-R-IMENTAWD UNIFORM "'WING TiAs permit becames null and void it work or consinict",on authorized 4(commenced%;,.Lh;,n 180 days,or If cAnstniction orwoilk is suspended for a period 61150 days at any fte aftcr-work Is torn menced. Evicteme o!oonftiation of woo i3 a 1migmss k"cdon Wthin tho 100 day pe-lod. Final inspeetion N) I- must,be approved before biAding ow ba owu pled. rta > OWNER OR AGNIT DATE- it N _u N CD N) Z,�v k (�� `r 7;7- z m r r N O CD m m N A J v-,-7,-71 D f�1 W 0 N m O N N 'D L `t C��LFoci r CD N N FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD Y� ` MASON COUNTY 19 PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427.9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION 1 �' Owner_ Qy, r , a �yod C�h�-tr Contractor Name�l„��e-L, < V/ISt,A J ,( Mailin Address Nf✓ 10��, St, N►"7�1 Mailing Address V--e . City v-<-_ State�B Zip Code _fit R Ott`� City Ce_ Stale tV& Zip Code Phone( 42,�) qS, 1761Other Ph.( Ph. Oo 7?- `! (o Other Ph.( 2-04o Lien/Title Holder V e.AJ - llXc ►^c Contractor Reg. # OW I C Va SO-7b 1Z ]-- Address rti o xc-t, CIA Expiration--7—/_(_/ , 7' SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. Z- �_/ q-2 1) o Op O Fire District_ Legal Description Tu c ' O W— c, %x of .Sf Site Address(Please include street name, street number and city) - 300 D1 0,' Directions to site L- cCL r. S o Will timber be cut and sold in parcel preparation? (Yes o)_1)O Is your property within 200' of the following: Body of W er (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Strearn Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt 1/ Repair Other Use of Building Describe Work S{ i 5 tf No. of Bedrooms No. of Bathrooms SCMARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE 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 8 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. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the Stale of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. Date $'Z3 �1 X Date 1— 15-e 2-- FOR OFFICIAL USE BEYOND HIS POINT Accepted by Date Submittal Amount Due Receipt No. fJEPARTMENTA�. RVlW. APPROVED; DENIED CONDITION CODrwS -- Building Department Occ Group Type Constr. Planning Department Environmental Health Department i I Public Works Department QFC FACILITES 206 622 3832 08/23 '01 12:31 N0.184 02/02 rtUU-e6-eUU1 iHU UI:W PM DWINELLS FAX N0, 15092480714 P. 02/02 FORM MUST BE COMPLETED IN INK P5RMIT NO,� BLD PLEASE PRESS nARD MASON COUNTY BUILDING PERMIT APPLICATION 429 W.CedarfP.O.Box 186,Shelton,WA 98584 Shelton 360 27-670 Belfair 360 276.4467 Elma 360 482.5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Ownerl�Lrc . Contractor Name Maili A reds_ Mailin A dress ' City State Zip Code r� City State Zip Code Phoney &,��QOther Ph.( Ph. Cher 0h.L2j Llen/Title older_ Contractor Reg # /Vfi V Address Ex iraiion Q 2— /0 1 / SEPTIC/W TER SYSTEM INFORMATION onnect to New Septic N Existin Septic Co�n��ct to Sewer System N m of Sewer System WeUater SysteR�V/ft Name of Water S em 7� r PARCEL INFORMATION-12 digit Tax Parcel No. JC9 I / Fire District Legal Descriptio W Site Address(Please include street name, Street number and city) Q Directions to site p Will timber be cut and sold in parcel preparation? (Yes/No)_a_0 _ Is your property within 200'of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE[) SEASONAL RESIDENCE❑ TYPE OF JOB ew Add Alt Repair pthpr Use of Building Describe Work fl) No. of Bedroom$ No, of Bat rooms S UARE FOO AGE•1st oor 2nd Floor 3rd Floor Oft _Basement `I Deck 14 Other it sq, ft IUD' Garage Attached_Oetached� arport Attached J�Detached MOBILE!� E INFORMATION-Make Model Model Year Length_�Wid h Serial No No. of Bedrooms No. of Ba hroo Type of Heat Purchase Price $_ Replacem t Unit?(Yes/No) Installer Name Certification NOTICE: TMM PERMIT BECOMES NULL i VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF ISO 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 owners 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 intpatt.lon of this project. Acknowledgment of such is oy signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 Certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the Stets of Washington and that!am aware of the ordinance requirements for which this permit is Issued and that ail work win be done in requirements regulating the work for which this permit is issued and all work conformance therewith, No Changes shall be made without first obtaining shall be done In conformance therewith. No changes shalt be made without apnrrnril first obtaining approval, bate g i �..�..� FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No, Y �' ... „ ��<r':�"T`',.'.lrr. F.}'/':...,K,v�.'."w"i.:A'i '7" '�''l.:n.T.(7GF'. F%. ,•>, ,GV`^�r�""^'�Yyro.w Building Department Oor Grauo Toe Constr, Planning Department Environmental Health Departmem Public Works Department Fire Marshal Valuation $ — �.Q:��r;.:�iR., � .S. '.h•.�ifi. ns«� F:i:,iw.i 9s ��«� Building Permit Fee Site Inspection Pion Review Fee EH Review Fee Plumbing&Base Fee Planning Fluview Fee Mechanical&Bass Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( } 'rN'.,.'P:a,F ,a�a�rv ",. TOTALF$ES nef✓F:ice;<S.Y�1, < PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner_ , i� (",: ". .: - Contractor Name_Lyu-Il ykEik s Mailing Address_1D 11 L t,)E '":, ,#. Mailing_Address g/y L.'i. m y City State Zip Code City t..:. State WA Zip Code Phone(_) S - 7ta, Other Ph.( ) Ph. 00 T)- �4t(c. Other Lien/Title Holder W.g;14�, a ci Contractor Reg. # ,,W i h1 C, y& SO- Address u .k PR) ;, + r IL ; Ex iration / I / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. / G- -3 D O o o O Fire District Legal Description : C> ,,e 1W -;, r-, � , or- Site Address(Please include street name, street number and city) 300 1 Directions to site 7�3 {-* t3 Eau't r, t ---4 -�- of Sf , 3oo WIII timber be cut and sold in parcel preparation? (Yes/N-O ` t` 50 Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work r,9-+ No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE 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. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work ^--f.,rmonn thnru ijK hln.,Kin ch,l do m 4.—ithn,�f_F—: --n___.-challhc.rinoo in ntnnfnrrn= rc thcrclnlith._Nn_cl+?_c.S1,�11 ti m2r{p __ WM PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address Mailing Address City State Zip Code City State Zip Code PhoneC Other Ph.( Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District 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) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE 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. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work cnnformance therewith.-No chanaes_shall_he made_withoutfirst ohtaininn sha"e done in conformancetherewith. No changes hall be made without _