HomeMy WebLinkAboutCOM2000-00043 Wall Sign - COM Permit / Conditions - 5/1/2000 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
COMMERCIAL BUILDING PERMIT COM2000-00043
OWNER: CIGAR LAND RECEIVED: 04/14/200
CONTRACTOR: YOUNG NEON SIGN CO ISSUED: 05/01/200
SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE H BELFAIR EXPIRES: 11/01/200
PARCEL NUMBER: 123294190021
LEGAL DESCRIPTION: TR 2-A OF NE SE TR A OF SP#423 PCL 1 OF BLA 98-58
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WALL SIGN BELFAIR PLAZA SUITE H
General Information Construction & Occupancy Information
Type of Use: Insp. Area: No. of Units: Type of Constr.:
Type of Work: Fire Dist.: 2 No. of Bathrooms: Occ. Group:
Valuation: 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?:
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CCOM2000-00043 Please refer to the following pages for conditions of this permit. 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type QtV. Type Qty. Type By Date Amoun Receipt
' Plan Check Fee KLW 04/14/200 $48.59 53138
Building State Fee SKM 04/28/200 $4.50 53341
Building Permit Fee SKM 04/28/200 $74.75 53341
Total $127.84
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: /�~ �,� DATE:
CASE NOTES FOR
COM2000-0004
1)
COM2000-00043 Please refer to the following pages for conditions of this permit. 2 of 3
CONDITIONS FOR
COM2000-00043
• 1) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPR. VED CLASSIFICATION. ANY CHANGE OF
USE OR OCCUPANCY WOULD RESULT IN PERM AT ION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x
2) CONSTRUCTION PROCESS TO BE FIELD C ECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
3) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC),
ventilation and Indoor Air Quality Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason
County Regulations shall be approved prior to construction.
X -
4) All approved plans a 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 Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hour) will be charged and must be collected is department prior to any further inspections
being performed or approval granted. X
5) PURSUANT TO 1997 UNIFORM BUILDING , 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/CDNTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS.
X
COM2000-00043 Please refer to the following pages for conditions of this permit. 3 of 3
CONCRFTE MECHANICAL MOBILE HOME '
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date b 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,.._ f-d3 by �, date by
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PERMIT NO.: BL 'L�
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-6269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner CI&A LA MD Contractor Name YofrNel NfON1 SI46AI Cd
Mailing A dress Z I O i Mailin Addr ss I'vo, V -
city state�JA Zip Code S City a %Oo4 State_WA Zip Code
Phone( Other Ph.L___) Ph. 1( S3 ) Other Ph.(
Lien/Title Holder Contractor Reg. # a UACT Onq Kf
Address Expiration t7
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. 1.131 /ALL L/ !00Q Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to �.yto
►`�C_ ��/
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 V Add Alt Repair Other Use of Building
Describe Work A W IN!bN
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 Bedroo ,s No. of Bathrooms
Type of Heat hase Price $ Repla ement Unit ?(Yes/No)
Installer Certification
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-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 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 work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. G first obtaining proval.
X Date ��` X -70e Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by 1 tY Da Submittal Amount D 8 .Sl Receipt Nc5
DEPARTMENTAL REVIEW APPROVED DENIED'' CONDITION CC1pES
Building Department S-S&U
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 ( )
T T F O AL EES
' PERMIT NO.: BLD C"q�
MASON COUNTY
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 CI&Ak LAND Contractor Name yoyid-O Nf0tJ �1!6& eg
Mailing A dress NX. ITAT9 R# i Mailing Add ss ! "0' V
City- " State ?,; Zip Code $ City a 1h1ar State_ti Zip Code
Phone( Other Ph.( Ph.( S3 ) Other Ph.L_
Lien/Title Holder Contractor Reg. # Y DIA O 091 IKE
Address Expiration
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
P CEL INFORMATION-12 di it Tax Parcel No. 3 / '►' / t/ Fire District
Legal Description-1 off-14 n E �E ,TIC I� D��-P�'�a5 Y I s -Sa � ,r
Site Address(Please include street name, street number and c 9L09 nE ,5f t'�3 . 1 U1 tI
Directions to lite
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
Describe Work - W At1, i1 �7P�
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 Naff;t___""T 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-]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 work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtainingOlproval.
rF ��
X Date X Date pv
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt Not o
-:.:DEPARTMENTAL:REVIEW APPROVED DENIEDCONDITION COPES
Building Department
Occ Group Type Constr. + __
Planning Department g j
trim /y
Environmental Health Department
Public Works Department
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 ( )
:;i::4iY:•<:•':r;:::::::::::tii�:isti::i:::•Y.;'•::::'{':y,:;::;i:•::»:•:•:•:•':•':i::•:::':::i{+4$+i:::?:;>:?iii}i'ii>:•iiiii: TOTAL FEES
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