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HomeMy WebLinkAboutCOM2015-00084 DaVita Wall Sign - COM Permit / Conditions - 7/27/2015 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262 Mason County Bldg. III Phone: (360)427-9670, ext. 352 426 W. Cedar Shelton, WA 98584 1814 COMMERCIAL BUILDING PERMIT COM2015-00084 OWNER: DAVITA INC RECEIVED: 5/19/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 7/27/2015 SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 1/27/2016 PARCEL NUMBER: 123294190021 LEGAL DESCRIPTION: TR 2-A OF NE SE LOT: 1 OF SP#2929 PROJECT DESCRIPTION: DIRECTIONS TO SITE: INSTALLING A NEW WALL SIGN TO EXTERIOR WALL WA ST RT 3 N TO SITE IN BELFAIR `y "DaVITA" General Information Construction &Occupancy Information f" Type of Use: COMMERCIAL Insp.Area: No. of Units: Type of C Group No. of Bathrooms: Occ. G : U roup Type of Work: SGN Fire Dist.: 2 Valuation: $ 1,800.00 No. of Stories: Exit Design. 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?: COM2015-00084 Please refer to the following pages for conditions of this permit. Page 1 of 5 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee IRN 6/1Q/9n95 as cm g99n1Fnn Building Permit Fee IRN 519Q19nt5 O1dt nn g99nt5nn Plan Check Fee ARN enannt1; 197a nn S99n1rnn Sign Permit Review IRN cal ar9nt 1; 4.7n nn s99ni inn Total $288.50 CASE NOTES FOR COM2015-00084 CONDITIONS FOR COM2015-00084 1) Approved per dimensions and location on building on submitted sign plan. X CIA-Z 2) Signage proposed for this land use shall comply with the dimensional standards presented in Mason County Code M.C.0 17.03.200 to 17.03.203 generally; or in Belfair UGA M.C.C. 17.34.010 to 17.34.180. X C-Xll� 3) All construction and demolition debris must be removed from the site area after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X do&-i 4) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Belfair Urban Growth Area General Commercial zone. X 60," COM2015-00084 Page 2 of 5 5) The following special conditions should be made a part of the building permit: 1. Sign Installation: Sign installation shall be in full accordance with the plans approved by the Building& Planning Divisions of the Mason County Department of Community Development. Each portion shall be securely fastened and anchored into place as indicated on the plans. x C4R-.) 2. Address Posting: Numerals for residential and commercial building addresses shall be conspicuously displayed on a contrasting background and shall be a minimum of 4 inches in height with a minimum stroke of 1/2 inch. Property addresses shall be posted prior to requesting any inspections. If property addresses are not posted upon inspection, inspection may not be approved and a re-inspection fee may be charged and must be collected by the prior to any further inspections being performed. X 010-1 3. All Construction: All construction shall meet or exceed all local ordinances and the requirements of the 2012 International Codes as adopted by Mason County and Washington State. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy could result in permit revocation and/or Code Enforcement action. X (' ou_ 4. Field Correct: The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the 2012 International Codes as adopted by Mason County and Washington State. Any corrections, changes or alterations requiredbuilding or fire inspector shall be made prior to requesting additional inspections. X 5. Reinspection Fee: All approved plans are required to be on-site for inspection purposes, and work to be inspected shall be complete and ready for inspection. If an inspection is called for and plans are not available on site, or the work is not ready for inspection, approval will not be granted. In additio�a r pection fee may be charged by the City prior to any further inspections being performed or approvals granted. 6. Permit Expiration: 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 circumstcnc�yond the control of the permit holder have prevented action from being taken. X (rl 7. Final Inspection Required: 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 failure to obtain final approval prior to expiration will be documented in the legal property records on file with Mason County as being non-compliant with the County's ordinances and building regulations and may be referred to the CounVttorney for action. 8. Permit Validity: IBC 105.4/IRC R105.4: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code, or any other code or ordinance of Mason County. Permits presuming to give authority to violate or cancel the provisions of the building code or other ordinances of the jurisdiction shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring correction of errors in the construction documents and other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of this code or of any other ordinances jurisdiction. X 9. Electrical Permit Required. The electrical system shall be installed under a separate electrical permit issued by the Washington State Department of Labor& Industries (L&I). Electrical "final" inspections must be approved by L&I prior to requesting a building final. COM2015-00084 Page 3 of 5 X 121 10. Sales Taxes: This work is being done in Mason County. All sales tax for materials delivered to, or work performed in the County shall be sourced to Mason County. Prior to final approval, a completed supplier/sub-contractor list may be requested by Mason County to identify suppliers that delivered materials to the project site, and sub-contractors who performed work on the site. X ((! 6) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X 7) 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 d4ft-i 8) 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 cafn=1 9) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is 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 8 . 10) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X elm_J 11) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WSEC), ventilationrequirements), Building/Plu Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. ego 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) 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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. � 7A Signature Date /tM2,61 to OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2015-00084 Page 4 of 5 t "- PLANNING Davita Belfair Dialysis 23961 NE State Route 3 4 Belfair,WA 98528 , .. w Davita �. r a Ch r RECEIVE. ) P { MAY 19 2015 426 W. CEDAR ♦A .f, NA 4 u.� z I"yi,m IG it MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE Rev. Date 0cocril9rion 6 CHANGES SUBJECT TO APPROVAL 11750LomaAle. � • DATE: 5-7 15 Wamen,MI48092-3930 PROJECT: DaVita Dialy5i5 BY Date GEES ER 586I574-1800 TITLE: Site Plan a J.L Geisler Corp. Faz5861574.1805 E-Mail:lemmy@jl eislercan 5CALE:nt5 FILE: Davita Belfair.cdr J�N ��j «.i j.1.geisler corp.2015 4l Certified DRAWING BY: A5 ��'�V�' .I6N i'4.0.)F�T,`-• 1�\:�?vitaV� _.ita elf iir Kris i di&' t;,�giir r:i,dr Davita Belfair Dialy5i5 9'-0" Lease 5 ac 25961 NE State Route 5 Belfair,WA 98528 Now E 21.5 E � Center racew��.,� � ;over CMU bare,; w "N West Elevation Scale: 1i8"=1'(1:96) Rev.I Date I Peocription 18710 L.,Aw DATE: 5-7-15 GE/SEER Warrea,MI48092-3930 PROJECT: DaVita Dialy5i5 5881574-1800 TITLE: Exterior Elevation J.L Geisler Corp. Fax586/574-1805 E-Mail:tammy@ogeisler.can SCALE: See notes FILE: Davita Belfaircclr U j.l.geisler Corp.2015 ® Certified DRAWING BY: A5 SIGN PROJECT5-2015\Davita\Davlta Belfair-Kristin VidetcTavita De faircdr Davits Belfair Dialysis 121.5" ------ ---- 23961 NE 5tate Route 3 Junction Box --- , with switch&lockout Belfair,WA 98528 cover by GC,mounted 19.25 Machine Screws behind the wall ______��__ I - ----� - i O j Paint to Match Building I I - Photo Eye/Toggle Switch I I!`j I CV Mount behind letter' I li I so its not visible I If I 3116"Acrylic"R" r I on.040"Alum.Tab -- __ 1110"Raceway Length - ----- - i I I I i I 7.5"x 3"x.060" ' I TOTAL 40.5 SG�, ft. (2)Piece Raceway Return with Slide Out I_ `________ Face 5ervice Panel Exploded View(nt5) Trim Cap' Elec.Specs j (1)120 V 5" • 5"- = i Jewelite Trim Cap --- f \ 20 Amps FT I) Circuit 3/16"Acrylic Face will Custom Fabricated ' Aluminum Channel Letter 1 ( f". *All electrical to be ran through back of raceway" / Primary No visible conduit allowed" white L.E.D. Liehtiny -- ► Polder II / External Switch 1 1► J Box "This sign is intended to be installed in accordance I i Photo Eye - - I I with the reauimment-o of Article 000 of the I National Electrical Code and/or other mWicable I s local codes s. This indwie roper grounding and i Neutral Low Volta bondlnq of the sign" Voltage L.E.D. Line Transformer I v 'The Photo cell will function as the on\off switch I Ground once the letters are installed and the power is on" `- Non-Corrosive 1/4"Drain Holes - - Wall Anchors (tzo be determined) Internally Illuminated L.E.D. Channel Letters Faces: 3/16" #7328 White Acrylic w/ Arlon #2940 Blue Vinyl 1 Inlay to Create White Outline&3/16" #2016 Yellow (Flex!) Star *� 5ection View(5cale=1:12) Trim Cap: 1"White and Yellow (star) WNCTF096; T DRAW HOLES Returns: ,040" Fre-finished Coil Heron Blue I Rev.1 Date I PcSC;ription ey Backo: .063" Fre-finished Bright White Aluminum 28750 Loma Ave. DATE:5-7-15 GEISLER" Warren,MI4BO92-MO PROJECT: DaVita Dialysis Illumination: White LED586/574.18DO TITLE: Channel Letters J.L.Geisler Corp. Fax 5861574-1805 gCALE: 3/8"-1'(1:32) Raceway: Painted to Match Building (Kelly-Moore 1240, 00-399-LYN) E-Mail:gary§jlgeislerxom - FILE: Davita 5elfaircdr Register Mark: Non-Illuminated Flat Cut Out Acrylic C)j.l.geisler corp.2014 © Certified DRAWING BY: A5 SIGN PROJECT5-2015\0avita\Davits Belfair-Kristin Videto\Dsvita Belfaircdr ----------— 117.0" --------------------------- — ----- -- -- Davita Camden Dialyoie 166 W.Main 5t. Camden,TN 38320 I 7.5- �—Endcap -Transformer with Front View slide out Service panel location Notch for Notch for photo eye Notch for Endcap and toggle wires --� Endcap • • . I c,,,I4..I �—_--Endcap Top A55emHy View •—�, — � 040"Alum. 1.0" t 0 1 �_- (3�1 J / DO NOT FORGET DKAIN HOLES .375" -o-� �—Low Voltage LLED Transformer Rev. Date DeScri ion By Front View Side View 28750 Loma Ave. DATE: 5-7-15 GEISIER Warren,MI48092-3930 PROJECT: DaVjta Dialysis 51ide Out Detail-5cale 1:4 5961574-1000 TITLE: Channel Letters J.L.Geisler Corp. Fa5861574-1805 E-Mail:qary0jl eislermm SCALE: 1/2"=l'(1:24) FILE: Davitabelfair.cdr 0 j.1.geisler core.2014 © Certified DRAWING BY: A5 SIGN P90JECTS-2014\Davita\Davita Camden Dialyeie-Kent Galbreath,FA\Davita Camden.cdr MASON COUNTY Permit No: l O` ✓— DEPARTMENT OF COMMUNITY DEVELOPMENT &ECEIVED BUILDING-PLANNING-FIRE MARSHAL (360)427-9670 Shelton ext. N. http-//www.co.mgson.wa-us/communily dev/ (360)275-4467 Belfair ext.352 1&NER 426 W Cedar Street,Shelton WA 98584 (360)482-5269 Elma ext.352I�If11 J7 j 2015 BUILDING PERMIT APPLICATION ANA 426 W. CEDAR ST. INFORMATION: CONTRACTOR INFORMATION: t CV GI NAME: - C- SS: MAILING,ADD S:STATE: ZIP: Cl'- I STATE: ZIP. PHONE: CELL: PHONE: - ( - ELL: EMAIL: EMAIL L&I REG EXP. / / CONTACT: OWNER❑ CONTRACTOR k BELOW❑ NAME: ' ✓ AILING ADDRESS:PD&x 908 _ CITY . ATE: ZIP: :S PHONOW-IsfiAMCELL: EMAIL Oh iP eCn /e,COfVZ PARCEL INFORMATION: ' �Q 1 n E S E ' 3 PARCEL NUMBER(12 DIGIT NUMBER) I oR 3� Iq -`fI I- IC�O U;2-1 FIRE DISTRICT LEGAL DESCRIPTION(A B EVI D kta SITE ADDRESS C; - DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STRI;AM DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT•GREATER THAN 14% YES[] NO)gz TYPE OF JOB: NEW [X ADDITION [f ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE.GARAGE ETCA IS USE: PRIMARY❑ SEASOqNAL Q NUMBER OF BED OOMS NUMBER OF ATHROOMS DESCRIBE VligtK ��7:S tQ 1 1��.�� 11�Day >14'�O � �C T t V 1 C�✓ IIU OL l 1 t 1) SQUARE FOOTAGE: I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.0. COVERED DECK sq.ft.STORAGE sq.G. OTHER sq.ft. GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT _sq.ft. ATTACHED❑ DETACHED❑ MANUFA TURED E INFORMATIO •4 COPIFS O E FLOOR PLM REQUIRED MAKE MO EAR LFNG WIDT BEDR MS BATH SERIAL 'V R OWNER acknowledges that submission of inaccurate in ormation may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.1 declare that 1 am the owner or owners legal representative.I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permiVapplication 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 OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X l��Ls: Signature of OWNER Date DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL FEESS TOTAL VALUATION: BUILDING PERMIT FEE _ FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE -- - -- - - -- - - - — - - , PLANNING RI-\[E�1' FF.F VIOLATION FEE: `_ s BUILDING PpM 015- O008 r, MASON COUNTY Permit No: / DEPARTMENT OF COMMUNITY DEVELOPMENT DL �T'C 7L�71 BUILDING•PLANNING•FIRE MARSHAL (360)�427-9670 Shelton ext.UC 1 Y LijD httR./ W( mazon wa y�1communiry dev/ (360)275-4467 Bclf dr ext.352 426 W Cedar Street,Shelton WA 98584 (360)482-5269 Elma ext.352 MAY '7/ 2015 BUILDING PERMIT APPLICATION tTf 1A 426 W. CEDAR ST OPERTY OWNER INFORMATION: . CONTRACTOR !_ i INFORMATION MACTIOO N eY L C NAAEiNAME: 6_41 Y � FM1AILIN A DRESS: : A4A1L1Nlti ADD E�SS: CITY: C STATE. ZIP: 2. CITY: )t l 1 STATE: ZIP: 3 PHONE: CELL: i PHONL-: I - ELL: EMAIL:_ EMAIL: L&I RECII�57I oZ/ I EXP.S ll_L(p CONTACT: OWNER 7, CONTRACTOR 1 BELOW❑ NA ME:60 ✓ MAILING ADDRESS:I'nn D Q x 9,RP> CITYJrIJP►cJr1.0 . ATE: ZIP: 38 PH0NF3J?Q-bf3-J%=CELL: EMAIL OM11 1'e—med /e.COf V� PARCEL INFORMATION: (� �/� PARCEL NUMBER(12 DIGIT NUMBER) 1—�1.! 1S!4�_.�±L_—_--.._RRE DISTRICT LEGAL DESCRIPTIONIA B L-VIVI D :_ SITE'ADDRESS — DIRLCTIONSTO SITE ADDRESS _ IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREFK[ POND] WETLAND❑ SEASONAL RUNOFF❑ STRF�AN7 DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN I-f i YF.S,D NO)gZ TYPE OF JOB: NEW X ADDITION [J ALTERATION_� REPAIR; OTHER '_� USE OF STRUCTURE(RESIDENCE.GULNGEETC)_.�.�_--___._._.�..._ ----- IS USE: PR►NIARY❑ SEAS9N�AL Pa NL FIBER OF BE OONIS-�_ NUMBER OF BATHROOMS DESCRIBE 1 K I rI,TK(t /I (�5� k` V l� —--- II)a- If SOUARE FOOTAGE: I ST FLOOR _sq.ft. 2ND FLOOR—._—sq•fi. 3 RD FLOOR —sq.fi. BASEMENT__—sq.ft. DUCK sq.ft COVERED DECK sq.ft.STORAGE Sq.It. O"fHER ,q.li. GARAGE--sq.ft. ATTACHED P_ DETACHED❑ CARPORT____sq.ft. ATTACHED�] DETACHED r1 LNII,ANUFA TURF,D IE INFORMATIO • •1 C PIES O " E FLOOR PL RE UIRED E MO EAR �R_ BEDR NI BATH _ SERIAL _ OWNER acknowledges that 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 or owner's legal representative.I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14-08.42) Sign7ofER Date DEPARTEVIEW APPROVE DATE DENIED DATE TACSNOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL FEES TOTAL VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOODIGAS/PELLET STOVE VIOLATION INVESTIGATION FEE —----------------- ---- VIOLATION FEE PLANNING RE\IF\1 FEE MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Phone: (360)427-9670, ext. 352 Mason County Bldg. III ''\ 426 W. Cedar Shelton, WA 98584 1&54 COMMERCIAL BUILDING PERMIT COM2015-00084 OWNER: DAVITA INC RECEIVED: 5/19/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 7/27/2015 SITEADDRESS: 23961 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 1/27/2016 PARCEL NUMBER: 123294190021 LEGAL DESCRIPTION: TR 2-A OF NE SE LOT: 1 OF SP#2929 PROJECT DESCRIPTION: DIRECTIONS TO SITE: INSTALLING A NEW WALL SIGN TO EXTERIOR WALL WA ST RT 3 N TO SITE IN BELFAIR "DaVITA" General Information Construction &Occupancy Information Type of Use: COMMERCIAL Insp.Area: No. of Units: Type of Constr.: Type of Work: SGN Fire Dist.: 2 No. of Bathrooms: Occ. Group: U No. of Stories: Exit Design. Load: Valuation: $ 1,800.00 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: 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?: COM2015-00084 Please refer to the following pages for conditions of this permit. Page 1 of 5 x 9'Ar .2 10. Sales Taxes: This work is being done in Mason County. All sales tax for materials delivered to, or work performed in the County shall be sourced to Mason County. Prior to final approval, a completed supplier/sub-contractor list may be requested by Mason County to identify suppliers that delivered materials to the project site, and sub-contractors who performed work on the site. X ((! 6) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are requiredor this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X 7) 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 (iyLCJ 8) 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 of wn2 9) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is 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 el_wI 10) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. XJ 11) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WSEC), ventilationrequirements), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. c� 7� Signature Date CO/0 Al/� l/ OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2015-00084 Page 4 of 5 i n N CONCRETE MECHANICAL MANUFACTURED HOME cn Footings /Setbacks Gas Piping C) Date �y Ribbons o y �' date _.._._..._............_ t3Y Z Interior to B Interior B co Exterior Date By Exterior-Date �+� Set-up0 m.Point Load!Isolated Footings INSULATION Date SY BG f SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date BY Date By DECKS FRAMING walls Date By [sate BY Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date B Date B y Type-- y Dale By D.W.v DRYWALL Type_ 0 Int.Brace Wall O Date By Date f3 Dater - sY � FINAL INSPECTIONN Water Line Fire Seperation ) � [late By Date By Data D H /� By IJiJ�, O Pass or Request Inspect. Q Type of Insp. Fall Date Date ©one By Comments 1 �5 "'7 zy Cn 0 Cn