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Home My WebLink AboutCOM2012-00152 Water Machine - COM Permit / Conditions - 12/12/2012 IrPMASON 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 4 COMMERCIAL BUILDING PERMIT COM2012-00152 OWNER: QFC GROCERY RECEIVED: 12/12/2012 CONTRACTOR: OLYMPIC PLUMBING 1.360.877.5549 LICENSE: OLYMPP'889DO EXP.. 3/20/2014 ISSUED: 12/12/2012 SITE ADDRESS: 201 NE STATE ROUTE 300 BELFAIR EXPIRES: 6/12/2013 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: ADDING A GLACIER WATER MACHINE FOLLOW ST RT 3 TO BELFAIR, L ON ST RT 300 TO SITE ADDRESS ON THE LEFT SIDE General Information Construction&Occupancy Information Type of Use: WATER MACHINE Insp.Area: No. of Units: Type of Constr.:No.of Bathrooms: Occ. Group: Type Work: PLM Fire Dist.: 2 No. of Stories: Exit Design. Load: Valuation: Building Height: Pre-Manufactured Unit Information jr.. 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?: COM2012-00152 Please refer to the following pages for conditions of this permit. Page 1 of 3 " Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Drinking Fountain 1 Plumbing Permit Fee ('4nnnn 1wi9/9ni 0.8 7n gi9ni9nn Plumbing Base Fee MAMA i9/19/9ni 104 7n gi9lN9nn Total $33.40 CASE NOTES FOR COM2012-00152 CONDITIONS FOR COM2012-00152 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 0 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 US OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF-USE,MUST BE APPROVED PRIOR TO CHANGE. x� G> 3) All building permits shall have.aJinal 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 4_� 4) 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 p rmlt ho der have prevented action from being taken. No more than one extension may be granted. X L l 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 ounty access to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: COM2012-00152 Page 2 of 3 o A N CONCRETE MECHANICAL MANUFACTURED HOME n o Date By N Footings /Setbacks Gas piping Ribbons G) o Interior Date By interior-Date By Date By O -' N Exterior Date By Exterior-Pate B $et.t�p 0 Point Load/isolated Footings INSULATION Date By X BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS F RAM I NG Wails Date By Date By Data By PROPANE TANKS PLUMBING Vault Date By Date By OTHER Groundwork Attic Type: Date By Date By Date By 0.W.1v DRYWALL Type- O Int.Brace Wall Date By Date By ry - ic pate By FINAL INSPECTION N Water Line Fire Sops ration Date B Date By Date By N y O Pass or Request Inspect. c Type of Insp. Fall Date Date Done By Comments CA m co cu w 0 w PERMIT N01,_JU Y�� 1 L— V/ MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION ()0 i5a 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (36 427-9670-Belfair(360)275-4467-Elma(360)482-5269 On the web www.co.mason.wa.us APPLICA NFOR ATION CONTRACTOR INFORMATION Owner_ 0 I'G)C_ _ Company Name Ol4rv�Pt C PL�In�Bl NU Mailin Address aaA N 'P l2WV D12 W MailingAddress_ 1L n � ppS T )�t�Zip 1`�,�-lg City State�Zip Code City State p Code l 55 q Phone �(D8`1-5q0� Other Ph. �(oU'6Z155�q Phone �. OI0Ibg9J 7l ther Ph. Lien/Title Holder Contractor Reg. # Exp 2 ,. t E mail address 0��tuw'bW�Atn�r� 4 1'c°vr� E Mail Address�y �� ' W�� Drivers Lic.# Lk)LLS0A1tg`i DOB Ct- 66 8 l Drivers Lic.# I 00'SoAk-n9 DOB ( �110 SEPTIC INFORMATION - Connect to New Septic., Existing Septic Connect to 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) n Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB -New Add Alt Repair Other Use of Building Location of Fixtures/Units-1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS T_voe of Fixture No.of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas_Heat Pump_ Toilets lype of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs -� Dryer Vent Other Other /„ Base Fee 2A. Base Fee ' TOTAL PLUMBING TOTAL MECHANICAL 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.1 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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group Type Constr. Planning Department Environmental Health Department FEES Plumbing& Base Fee Site Inspection Mechanical& Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES 1 I w64v,- Lw-,) -