HomeMy WebLinkAboutCOM2000-00044 Install Sign - COM Permit / Conditions - 5/8/2000 t MASON COUNTY PERMIT ASSISTANCE CENTER 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
i
COMMERCIAL BUILDING PERMIT COM2000-00044
OWNER: TERIYAKI WOK RECEIVED: 04/17/200
CONTRACTOR: TERIYAKI WOK ISSUED: 05/08/200
SITE ADDRESS: *9N ROUTE 3 SUITE E BELFAIR EXPIRES: 11/08/200
PARCEL NUMBER
LEGAL DESCRIPTION: TR .STATE
11T1'l 'OF SP#423 PCL 1 OF BLA 98-58
PROJECT DESCRIPTION: DIRECTIONS TO SITE: -'•`�t xp�aa�\�N
INSTALL CHANNEL LETTER SIGN ON FACE OF STORE MAIN HWY IN BELFAIR Q By
FRONT J�,y' gy
General Information Construction & Occupancy Information
Type of Use: Insp. Area: No. of Units: Type of Constr.:
Type of Work: NEW Fire Dist.: 2 No. of Bathrooms: Occ. Group:
Valuation: $ 3,604.30 No. of Stories: Occ. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
odel: 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?:
COM2000-00044 Please refer to the following pages for conditions of this permit. 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amoun Receipt
Plan Check Fee KLW 04/17/200 $143.96 53137
Building State Fee SKM 05/04/200 $4.50 53389
Building Permit Fee SKM 05/04/200 $87.25 53389
Total $235.71
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.
OWNER OR AGENT: s�� �..- - ( DATE:
Do
CASE NOTES FOR
COM2000-0004
1)
COM2000-00044 Please refer to the following pages for conditions of this permit. 2 of 3
CONDITIONS FOR
COM2000-00044
1) Approved per dimensions and setbacks on submitted site plan. XT
2) CONSTRUCTION PROCESS TO BE FIELD CORRECT $ REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
3) Changes to approved building plans that affect compliance a current non-residential Energy Code (NREC),
ventilation and Indoor Air Quality Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason
Count egulations shall be approved prior to construction.
X )
4) ALL STRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF
USE OR OCCUPANCY WOULD RESULT(VERMIT REVOCATION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x
5) 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 Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hour) will be charged and must be/rAlected by this department prior to any further inspections
being performed or approval granted. X VO
6) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES
THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE,
BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL
BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPE T O
X 4�� '�
COM2000-00044 Please refer to the following pages for conditions of this permit. 3 of 3
I CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
6�.
J
r
PERMIT NO.: BLD
MASON COUNTY 000�l�
BUILDING PERMIT APPLICATION �?
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Tlef%A4kf Wop—, Contractor Name L,0u-sC`OST 'it icis IuC
Mailing Address 3il%►414 1 y:, Mailinq Address SColo-1 Sc, -T-b ,,,.•
City. StateLOA Zip Code City A-c� & State W Pr Zip Code qS O$'
Phone( ^ 4cT.-n Other Ph.( ) Ph.( S3 )i17,V- 60990therPh. 2( 53
Lien/Title Holder Contractor Re # L-0L.3C-os1 033 t-1 P
Address Expiration ) = / 5001
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. la 3 xl / /—q 66C9 I Fire District
Legal Description
Site Address(Please include street name, street number and city) e:23ITZE U VIR - 3 8
Directions to site MAA. .-- t4 V-4 A ,
Will timber be cut and sold in parcel preparation? (Yes/No) 1Jo
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building CtyrwMerr� A----
Describe Work �stRtL C� r��., ! i T-yTcR a-t= STpRt P a-
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other
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-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 State of Was ton 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 rk for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in confo ce ther No changes shall be made without
approval. first 9btaining a al.
X Date X Date
FOR OFFICIAL USE BEY HIS POINT
�j�
Abcepted by --, .. Date Submittal Amount Due/yz Receipt No. )3
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
gin,.... TOTAL FEES71
:. �,:
GaM�f/
PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION 7 /
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 L.!]c,�s�+ !�7 t,.t► .-r s UC
Mailing Address i Mailing Address 5u o"t
City State Zip Code City -. #g n State;,,","} Zip Code < (.4
Phone( ) Other Ph.( j Ph. :�< a ?> ci-j 5-- Ots9 Other Ph. "?( 5.3 )f.cy� 7=ram
Lien/Title Holder Contractor Reca. # i»o4aa e(xc t ia' 3 tLt f
Address Expiration l t l yD 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
PARCE INFORMATION-12 digit Tax Parcel No. / Fire District
Legal escription7r ;Z-14 op np--4»E,—I ot: 4a3. I D -i�L.;k'T8- 58
ddress(Please include street name, street number and city)
erections 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
TYPE OF JOB New Add Alt Repair Other Use of Building e . A--.—
Describe Work TtA:sifl-tt 0..t4A�AjNe,t.-. Le,,,c�t�r R Iic,03 0 ov-, �`.,.r� ca-t _ S-M)?* tr RJA"["`
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 who k for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in confor rice therewith. No changes shall be made without
approval. first obtaining ap I. t�
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Ies, Date - !y Submittal Amount Due /� Receipt No.
pEPARTMENTAL..REVIEW APPROVED DENIEp CONDITION eOpE5
Building Department
Occ Group Type Constr.
Planning Department Ltj/
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FENS
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee I Other
Violation Fee Pre-Paid at Submittal ( )
T OTALFEES