HomeMy WebLinkAboutCOM2009-00108 Sign Gas Station - COM Permit / Conditions - 12/2/2009 {* MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)127-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Phone: (360)427-9670,ext. 352
1pr 14 Shelton,WA 98584
COMMERCIAL BUILDING PERMIT COM2009-00108
OWNER: QUALITY FOOD CENTER RECEIVED: 10/5/2009
CONTRACTOR: LICENSE: EXP: ISSUED: 12/2/2009
SITE ADDRESS: 203 NE STATE ROUTE 300 BELFAIR EXPIRES: 6/2/2010
PARCEL NUMBER: 123294290001
LEGAL DESCRIPTION: TR 10 OF NW SE - LOT: B EX OF SP #591 LOT: 1 OF SP#2938
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SIGNS FOR NEW GAS STATION BELFAIR
General Information Construction &Occupancy Information
Type of Use: Insp. Area:
No. of Units: Type of Constr.:
of Bathrooms: Occ. Group:
Type of Work: SGN Fire Dist.: 2 No.No. of Stories: Occ. Load:
Valuation: $ 5,800,00
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: E 35.00 Ft. Shoreline: Ft.
Rear: W 300.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable
Side 1: S 200.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area
Side 2: N 38.00 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?:
COM2009-00108 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
r
Type Qty Type Qty. Type By Date Amount Receipt
Sign Permit Review TAA1 1Nr,/7nnq 07n nn R19nnQnn
Plan Check Fee TIN 1 n/5/gnna 1�73 nn R 1 gnn4nn
Planning Dept. Permit AHR inononn OFF nn aignngnn
Building Permit Fee i A\A/ 1n1?a19nn A175 gr C1gnngnn
Building State Fee i A\A1 inigannn ra Fn gignngnn
Total $337.75
CASE NOTES FOR
COM2009-00108
CONDITIONS FOR
COM2009-00108
1) Owner!Agept is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28 .
X
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-fiJ $2,,.The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X f
3) Approved per dimensions and setbacks of multiple signs on the submitted site plan. Setbacks are measured from the furthest projection of the
stru
X Jj
4) 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 reinspection fee, based on the current fee schedule, minimum one-hourged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X Y&!
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
MaU_!
y Building Inspector shall be made prior to requesting additional inspections.
X
COM2009-00108 2 of 4
7 All buildingpermits shall have a final inspection performed and P p p approved by the Mason County Building Department prior to permit expiration. The
failure t request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non- I' r}pwith Mason County ordinances and building regulations.
X
8) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
X th it holder have prevented action from being taken. No more than one extension may be granted.
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. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property n 1 stru ure r revi#--ah
% ction. GJJ
OWNER OR AGENT: _ ' DATE:�7
COM2009-00108 3 of 4
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Permit#
MASON COUNTY
BUILDING ll,f 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
C0RiRwECT'10N
Job Location ? -%"" /,T
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK'
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make,corrections, items will be checked on,next inspection regarding possible structural
❑ OK to _ C L -� �1= E r�-''i,` ,' •���� damage incurred by recent
-- r "natural/man made"
❑ This is nota complete inspection disasters.This is NOT a
CORRECTION NOTICE.
/'Date /.�, - `;. Department -
Inspector !i;
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o Date B y _ ___ _ r
co Footings/Setbacks Ribbons
Gas Piping
o Interior Date By interior-Date By Date By
Exterior Data By E171
xtPrinr Pate B �-W O
Point Load l Isolated Footings INSULATION Pate By O
BG/SLAB INSULATION 10
Date By Data By FIRE DEPARTMENT
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Foundation Walls Floors Date By Z
Pete By Data By DECKS �j
FRAMING walls Date _ By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
[late By Date By Type.Dale By
D.w.v DRYWALL Type. O
Int.Brace Walt
vase By Date B Date By
y FINAL INSPECTION N
Water Line Fire separation _ o
Date By Date By Dater By P
0
0
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments Q,
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BCE#1407
MASON COUNTY PERMIT NO(�J(ne 1-COj8
BUILDING PERMIT APPLICATION (SIGN APPLICATION)
426 W. Cedar • P.O. Box 186, 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 QFC c/o Barghausen Consulting Engineers, Inc Company Name
Mailing Address 18215 - 72nd Avenue south Mailing Address
City Kent State WA Zip Code 98032 City t
Phone 425-251-6222 Other Ph. 425-656-1073 Phone Ot
Lien/Title Holder QFC Belfair Store No. 101 Contract r P.
E mail address ihowitt@barghausen.com E Mail Ad UP
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM PFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System North Belfair Community water Company
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No. 123294290001 Fire District Mas°n County FD p2
Legal Description See attached Legal Description
Site Address (Please include street name,street number and city) 201 NE State Route 300, Belfair, Washington
Directions to site See attached Directions to Site
Will timber be cut and sold in parcel preparation?Yes No
Is property within 200' of Saltwater No Lake No River/Creek No Pond No
Wetland No Seasonal Runoff No Stream No Slopes or Bluffs > 15% No
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width 0 Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ 41s° Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provide s-agcurate and grpn'ts e ployees of Mason County access to the above described,property and structure for review and inspection.
PROF CONTINUAT N WO BY MEANS OF A PROGRESS INSPECTIO
X �_ Date' 9 /y
Owner Owned Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
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
Valuation $ TOTAL FEES
14079.029-Sign Permit App.pdf
/; BCE#1407
IX MASON COUNTY PERMIT N �0
i—
BUILDING PERMIT APPLICATION (SIGN APPLICATION)
426 W. Cedar• P.O. Box 186, 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 QFC c/o Barghausen Consulting Engineers, Inc Company Name
Mailing Address 18215 - 72nd Avenue South Mailing Address
City Kent State WA Zip Code 98032 City t
Phone 425-251-6222 Other Ph. 425-656-1073 Phone Ot
Lien/Title Holder QFC Belfair Store No. 101 Contract r Exp.
E mail address ihowitt@barghausen.com E Mail Ad S
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM�/NFORMATION - Connect to New Septic_ Existing Septic
Connect to Water System Name of Water System North Belfair Community Water Company
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No 123294290001 Fire District Mason County FD #2
Legal Description See attached Legal Description
Site Address(Please include street name, street number and city) 201 NE state Route 300, Bel fair, Washington
Directions to site See attached Directions to Site
Will timber be cut and sold in parcel preparation? Yes No
Is property within 200' of Saltwater No Lake No River/Creek No Pond No
Wetland No Seasonal Runoff No Stream No Slopes or Bluffs > 15% No
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
0
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ s° Replacement Unit? Yes/No
Installer Name W Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provide s-a,ccurate and gr is e ployees of Mason County access to the above described property and structure for review and inspection.
PR F OF CONTINUAT N WO BY MEANS OF A PROGRESS INSPECTIO /
Date
X q7
Owner Owne Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
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
Valuation $ TOTAL FEES
14079.029-Sign Permit App.pdf
� BCE#1407
MASON COUNTY PERMIT NOF',,_ ,' I
BUILDING PERMIT APPLICATION (SIGN APPLICATION)
426 W. Cedar• P.O. Box 186, 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 QFC c/o Barghausen Consulting Engineers, Inc Company Name
Mailing Address 18215 - 72nd Avenue South Mailing Address
City Kent State WA Zip Code 98032 City t
Phone 425-251-6222 Other Ph. 425-656-1073 Phone Ot
Lien/Title Holder QFC Belfair Store No. 101 Contract r Li Exp.
E mail address ihowitt@barghausen.com E Mail Ad S
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM/NFORMATION - Connect to New Septic Existing Septic
Connect to Water System � Name of Water System North Belfair Community Water company
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No. 123294290001 Fire District Macon county Fr) #2
Legal Description See attached Legal Description
Site Address(Please include street name, street number and city) 201 NE State Route 300, Belfair, Washington
Directions to site See attached Directions to Site
Will timber be cut and sold in parcel preparation? Yes No
Is property within 200' of Saltwater No Lake No River/Creek No Pond No
Wetland No Seasonal Runoff No Stream No Slopes or Bluffs > 15% No
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width 0 Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ e° Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties. If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provide '�a�c urate and g is e ployees of Mason County access to the above described property and structure for review and inspection.
PR F OF CONTINUAT N WO BY MEANS OF A PROGRESS INSPECTI
X O /
\ `— Date
Owner Owned Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department . v
Environmental Health Department
Public Works Department
Fire Marshal
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 I I Pre-Paid at Submittal
Valuation S TOTAL FEES
14079.029-Sign Permit App.pdf
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