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Home My WebLink AboutCOM2005-00145 Sign H&R Block - COM Permit / Conditions - 2/2/2006 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 totoMason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 o Shelton, WA 98584 o COMMERCIAL BUILDING PERMIT COM2005-00145 OWNER: RON PICKNEY RECEIVED: 12/22/200E CONTRACTOR: LICENSE: EXP: ISSUED: 2/2/2006 SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 8/2/2006 PARCEL NUMBER: 123294190021 LEGAL DESCRIPTION: TR 2-A OF NE SE LOT: 1 OF SP#2929 PROJECT DESCRIPTION: DIRECTIONS TO SITE: H & R BLOCK SIGN FOR SUITE B (LOCATION OF THE OLD ST RT 3 TO BELFAIR, L ON CLIFTON LN, R AFTER THE SAFEWAY GAS QUIZNO'S) GMM PUMPS, TO THE STRIP MALL IN THE SAFEWAY PARKING LOT. THE SIGN IS GOING IN THE OLD QUIZNO'S SUITE. GMM 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 Valuation: $ 4,036.00 No. of Stories: Occ. 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.: Not Applicable Side 1: Ft. SEPA?:No Comp. Plan Desg.: Urban Growth Area 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?: COM2005-00145 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 KKK 19199i9nn 'R79 11 C99nn5nn Planning Review Fee KKK 19/99/9nn (t155 nn g99nornn Building State Fee nl r. 11a19nni; u s;n R19nnRnn Building Permit Fee nl r. 1/R/9nnR 1;111 9F R19nnRnn Total $343.06 CASE NOTES FOR COM2005-00145 CONDITIONS FOR COM2005-00145 1) Approved a imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 2) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plan re not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be d and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 3) PURSUANT TO INTERNATIONAL 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 DEPA MENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED O TES AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF OWNER/CONY CTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 4) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIPAMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OKJOCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 5) 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 isqffectposed 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 m your project. X 6) Changes to approv building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air Quality Code (VIA uilding/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X COM2005-00145 2 of 4 7) - 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 � international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County ng Inspector shall be made prior to requesting additional inspections. X 8) All building permits hall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request anal inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant ason my ordinances and building regulations. 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 ork is pr r ss 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 ins io .The' 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 ru re digspection. OWN ER OR AGENT: DATE: O—Z—06 COM2005-00145 3 of 4 FORM MUST BE COMPLETED IN INK MASON CUUN I Y PERMIT NO. PLEASE PRESS HARD 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 APPLICA INFO TION CONTRACTOR ;�9;ATION Owner ' Company Name ' Mailing-Address f Mailing Address 4 City Rt-/ 6'hTt,! State LA Zip Code k 3i I City,SLwfka&UK- State A A Zip Code !223?3 Phone n • QC -1r_4c Other Ph. Phone -:a- Other Ph. Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address 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 Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. 9 11 Fire District _ Legal Description ;2 A�e 'C LCT- M2cj Site Address (Please include street name, street number and city) & f "— P.. Directions to site Will timber be cut and sold in parcel preparation?Yes elo 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?YesVp TYPE OF JO - ewe AdA Alt Repair____Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Buildin Le ', Y ' Describe Work au— 5is; No. of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORM N - Make Model ear Length Width Seri No. of Bedrooms No.of B ooms Type of Heat Purchase Price$ _ Replacement Unit? Yes o 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 accur and a employees of Mason County access to the above described property and structure for review and inspection. PROOF OF C TI F WORK IS BY MEANS OF A PROGRESS INSPECTION. x Date: Owne Owners Re resentativ (indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: _"A_ti Date tS DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON UUUN I Y PERMIT NO. `0!1 `("5 BUILDING PERMIT APPLICATION GG 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 APPLICAbIT INFO TION CONTRACTOR INFORMATION Owner Company Name Mailin ddress Mailing Address City Z. Aem1'o.3 State &JA_Zip Code QB311 City,gj'LUy u.n,I',c State Zip Code Phone AC IT4cLOther Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB_ SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Fxisting Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit.Parcel No. Fire District Legal Description — Site Address (Please include street name, street number and city) A)i* tr"' t�� oqKti;;g-l. . i- Directions to site e:;;� Will timber be cut and sold in parcel pr paration?Yes Is property within 200'of Saltwater ill A. _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 JOP - Newer Ad Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work T sit ,; a 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. o. 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.)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 CONTI�JUAT OF WORK IS BY MEANS OF A PROGRESS INSPECTION. F X '` Date: Ownef Ownets lie resentative/Con indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department t Environmental Health Department - Public Works Department Fire Marshal FEES Buildinq Permit Fee / .a 7 Site Inspection Plan Review Fee . 3 I EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas /Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal 3 Valuation $ 031� TOTAL FEES MASON COUNTY PERMIT NO. 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 Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address 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 Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description 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 PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work 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. 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: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department I MIX Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES