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HomeMy WebLinkAboutCOM2013-00069 Sign - COM Permit / Conditions - 6/24/2013 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 Irflo COMMERCIAL BUILDING PERMIT COM2013-00069 OWNER: SHUMAKER CHIROPRATIC RECEIVED: 6/24/2013 CONTRACTOR: SHORELINE SIGN AND AWNING 1.360.435.2013 LICENSE: SHORESA981JW EXP: 4/16/2014 ISSUED: SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE,XBELFAIR EXPIRES: PARCEL NUMBER: 123294190021 b LEGAL DESCRIPTION: TR 2-A OF NE SE LOT: 1 OF SP#2929 PROJECT DESCRIPTION: DIRECTIONS TO SITE: INSTALL ILLUMINATED LETTERSET SIGN FOLLOW ST RT 3 TO BELFAIR, TURN LEFT INTO THE SAFEWAY PARKING LOT TO SITE ADDRESS 23969 SUITE B General Information Construction&Occupancy Information Type of Use: CHIROPRATIC Insp.Area: No. of Units: Type of Constr.: No. of Bathrooms: Occ. Group: Type Work: SGN Fire Dist.: 2 No. of Stories: Exit Design. Load: Valuation: 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?: COM2013-00069 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty- Type Qty. Type By Date Amount Receipt Plan Check Fee r KAkA R/9d/2n11 TPA nn C1?n1inn Planning Review Fee rnnnn R/7aI9nt3 a7n nn Gtgntinn Total $143.00 CASE NOTES FOR COM2013-00069 CONDITIONS FOR COM2013-00069 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 - 982, The p 0 signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X lyrcol�� 2) All approved plans are;equired 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 c rged collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 3) Owner/Agent is responsible to post the assigned address and/or purchase and post private road igns in accordance with Mason County Title 14. 4) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requ i rements), Buil /P=bi echanical Codes and/or Mason County Regulations shall be approved prior to construction. X 5) 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 Mas n; u ty Buildi Inspector shall be made prior to requesting additional inspections. X .aG i, yu�--- C 6) 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 ' n with Mn County ordinances and building regulations. Xy '- COM2013-00069 Page 2 of 4 7) 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 th rmit older h prevented action from being taken. No more than one extension may be granted. X 8) Appr r .imens nd location on submitted sign plan. Dimensions are measured from the furthest projection of the structure. X - 9) All const uction and demolition debris must be removed from the site after project completion Proper dis sal,o�nstructi ebris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X j This permft 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 thp above described property and structure for review a d inspection. OWNER OR AGENT: DATE: ti COM2013-00069 Page 3 of 4 BUILDING MASON COUNTY PERMIT NO.VDm 2 C;t 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 _ On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner viyM Company Name �- Mailing Address=-39U 9 /Uc Sk73 ;rc /3 Mailin Address City State LA,' Zip Code 9 aJ- Cityi��>n16TCN State �ti' Zip Code Phone Other Ph. Phone /0 yZ5 - -�1C,`3 Other Ph. Lien/Title Holder Contractor Reg. # Si/C'tEs.9 i'-jj_vJ Email address rr���;�,� " _h ;� -k c o,>.,;/, rc."4 E Mail Address ;ck /c, z%l�G Drivers Lic.# DOB Drivers Lic.# DO SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. 4//- 5 c 0_2 i Fire District O= 7 L^ Legal Description i/' -� �+' /yz 0; Site Address (Please include street name, street number and city) 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 . ;iCrN PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work /N;rAtc /trr-nrt- X71Cc "�Y' 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. 01NNER/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 perm' nd conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants e "of Mason County access to the above described property and structure for review and inspection. PROOF OF.30NTINUATI VWVORK IS BY MEANS OF A PROGRESS INSPECTION. ��-% � _ Date• �� _ i_3 -i_3 Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date I DEPARTMENTAL REVIEW APP OVED DENIED NOTES Building Department 7 S 1 Planning Department (A r1j Yt& Environmental Health Department nb — Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection 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 RECIR PLANNIfT MASON COUNTY PERMIT NO,Lr( JUN 2 4 20131 BUILDING PERMIT APPLICATION - 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 ��Ll�1L U Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 _ On the web www.co.mason.wa.us APPLICANT INFORM TION CONTRACTOR INFORMATION Owner s?SUM. Y[i' Nik'C�i'>C i iC Company Name Mailin Address 39ls 9 /U SR3 ir< /3 Mailin Address i 21611 f/uCAr<t-i3c ea Y City is�-�� 9:n Stated Zip Code 9 �� City State Zip Code Phone_?6.0 7/0 - �7--e 0 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. i'-riTwJ Exp. E mail address�nr Aelzl h'!1,1011e, c Oi,' ,:/, Cr~. E Mail Address ;czt Drivers Lic.# DOB Drivers Lic.# DO SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. /. 3.yz - W1- 2'610-2 I Fire District v �° Legal Description i/ �) --1 '+ iVz- <— ( '/-" Site Address (Please include street name, street number and city) 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?Ye o,: TYPE OF JOB - New Add Alt Repair Other SiGti PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe WorkJ�"%-�L i�«r,ti�y��. �l'TTEnl'c i v Kn'IGc n� 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 peT'Lancl conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants e of Mason County access to the above described property and structure for review and inspection. PROOF OF�'ONTINUAII WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: G--/3 -/-3 Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date IV•� -�0 1 DEPARTMENTAL REVIEW APPROVED DENIED i NOTES Building Department I Planning Department )( (,© n,Yu Environmental Health Department no 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 8'-10' GROUTED CMU WALL 3mm ACM PANEL -- BRUSHED ALUMINUM FINISH ALUMINUM LETTERS HALO LIT PLAN N l NG w/BLUE LEDs ALUMINUM RACEWAY -_ U.L. LABELED ELECTRIC SIGN _ IROPRACTI WEIGHT of SIGN= 551bs AREA SIGN DETAIL SCALE: 1" = V-0" � T1 3/8"x 4" BOLTS INTO J EPDXY ANCHORS JUN 2 4 2013 aty(4) 20'-0" 426 W. CEDAR ST w; ?w cN SHUMAKER W ;w CHIROPRACTIC A %? =•►. W J Zr Q � h D zo J; �-� awa _ ' ' m -nm pmo ¢ n0 —i 0 ~ � =' KD D ` SIGN z (Y j LOCATION O m cn z AlK = m2 33 a� -�/ -I c MPRACT O _ �' m Z � V � C7 z:. W = m Za ¢ '� Cmy Q cn U \' O z m 20'-4" Y r SITE PLAN/AERIAL VIEW Scale: 1 - = 150' Customer Name: Shumaker Chiropractic SHOREL/NE Project Address: 23969 SR 3 Suite B Belfair,WA SIGN&AWNING Date: 6/12/13 Design#: Mick/Shumaker Chiropractic Approved by: Date: SOUTH • Approved by: Date: