HomeMy WebLinkAboutCOM2010-00012 Re-install Flagpole - COM Permit / Conditions - 2/3/2010 1
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360�427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Phone: (360)427-9670,ext. 352
Shelton, WA 98584
Irpro COMMERCIAL BUILDING PERMIT COM2010-00012
OWNER: QFC RECEIVED: 2/3/2010
CONTRACTOR: LICENSE: EXP: ISSUED: 2/3/2010
SITE ADDRESS: 203 NE STATE ROUTE 300 BELFAIR EXPIRES: 8/3/2010
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:
Re-install flagpole
General Information Construction &Occupancy Information
Type of Use: Insp. Area: No. of Units: Type of Constr.:
Type of Work. ACC Fire Dist.: No. of Bathrooms: Occ. Group: u
No. of Stories: Occ. Load:
Valuation: $ 1,200.00 Building Height: 40
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?:
COM2010-00012 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
Plan Check Fee ni r gri/9nin STD nn q1?nlnnn
Building State Fee ni r griontn sd rn qi?mnnn
Building Permit Fee ni r. 9/signln ;1a1 nn _qi9ninnn
Total $218.50
CASE NOTES FOR
COM2010-00012
CONDITIONS FOR
COM2010-00012
1) 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. 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 reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X G '
3) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X ._i �..
4) 3000 PSI CONCRETE WILL REQUIRE SPECIAL INSPECTION IF THE QUANTITY EXCEEDS 50 CUBIC YARDS< LESSER AMOUNTS WILL
REQUIRE AN APPROVED CONCRETE SUPPLIER TO PROVIDE YOU WITH A BATCH TICKET THAT WILL BE REQUIRED TO BE
SUBMITTED TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. X
5) 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 reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
colle�cte�d by the Mason County Building Department prior to any further inspections being performed or approvals granted.
6) 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 USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
7) Changes to approved building plans that affect compliance to the current code shall be approved prior to construction.
X _ L,
COM2010-00012 2 of 4
8) 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
Mason County Building Inspector shall be made prior to requesting additional inspections.
X
9) All property lines shall be clearly identified at the time of foundation inspection. X
10) 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-compliant with Mason County ordinances and building regulations.
X 11��1
11) 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
of the permit holder have prevented action from being taken. No more than one extension may be granted.
X
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 and structure for review and inspection.
OWN ER OR AGENT: DATE:
COM2010-00012 3 of 4
o A
9 CONCRETE MECHANICAL MANUFACTURED HOME n
C) Date By
o Footings !Setbacks Gas Piping Ribbons
o interior Date By Interior-Date By Date By
N Exterior Date By Exterior-Date By
Set-
up
Point Load!Isolated Footings INSULATION Date By
BG!SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Wails Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Date By Type-
Date B Y Date By
D.W.v DRYWALL Type O
Int Brace Wall Date By 0
Date By
Date By INSPECTION
p
Water Line Fire Separation FINAL
Date By Date By Date By 7T C
Pass or Request Inspect. o
Type of Insp. Fail Date Date Done By Comments
0
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. (SUM ;010 -"
PLEASE PRESS HARD BUILDING PERMIT APPLICATION 0� Z
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 �j� _C. t K-�ogu Company Name s a� aLAGrs
Mailing Ad ress 11-A N it?- lP. r2c�tA, n06 Mailing Address 4-)c, CAn Tt:� `4- C�I—'
City a: State %--->A Zip Code G��� City i a�'cti�na State A Zip CodeQ1bL 1CU9
Phone'3(_',L- 12)c)?p 0�)� Other Ph. PhonO 1"�)/ ' %;6i -Zjtiy Other Ph.
Reg. b
Lien/Title Holder Contractor # rCi D 7j2,L1 Exp.
E mail address E Mail Address `�atrbr .
Drivers Lic. # DOB Drivers Lic. # DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. - — Fire District
Legal Description
Site Address (Please include street name, street number and city) 03 �30
Directions to site
Will timber be cut and sold in parcel preparation?Yes/ No
Is property within 200' of Saltwater Lake River/ Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
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 PIRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work .2L- aa.I,�
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 Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ 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 for this permit and conduct the work proposed. 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 structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Date: �;L G`11 1 j l C-
- Owner wners Representa rve 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
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
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FLAG POLE E BASE
iE BY OTHERS
4-1'0 H.D.GALV FI554
(GR. 36J THRD'D RODS
tll/z' NON
SHRINK GROUT I' CHAMFER
D5L SPIRAL 6
a TOP OF CONC
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AN' Ile
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THRD'D RODP�
3' CLR 6-"5 EQ SPACED
TYP AROUND PERIMETER
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"4 SPIRAL REINF �
24'0 CONC POSt FTG R
F'c=3000 PSI . ` °
F9=60 KSI
JI1/2'=1'-m°
TCHANGES+CAR APPROVAL
H. Project—Files USERS\Scott—J Lightpole PRIOR TO PERFORMING WORK
PROJECT QFG BELFAIR1 FLAG POLE FOOTING
CLIENT 5ARGHAUSE`
KRAMER Consulting Engineers—Structural Civil DATE DESIGN
GEHLEN 400 COLUMBIA ST. 360/693-1621 12-08-09 STJ
SUITE 240 503/289-2661
VANCOUVER WA. FAX: PROJECT NO. SHEET
ASSOCIATES 98660-3117 360/696-1572 09-361 1/51
r
V
FILE
COPY
Documents attached to approved plans:
APPROVED Site plan:
Plan review checklist:
MASON BUILDING INSPECTOR Engineering: y
CHA GES SUBJECT TO APPROVAL Later
Numb ..
DATE
4 0 3 /\/E oST r- �3 C>