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Home My WebLink AboutCOM2000-00026 Suite E Sign Permit - COM Permit / Conditions - 4/12/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262 Phone: (360)427-9670, ext. 352 t Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 i COMMERCIAL BUILDING PERMIT COM2000-00026 OWNER: BLOCKBUSTER VIDE RECEIVED: 03/22/200 CONTRACTOR: BLOCKBUSTER VIDEO ISSUED: 04/12/200 SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE E BELFAIR EXPIRES: 10/12/200 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: P611fAIT SIGN PERMIT NE 23969 SR RT 3 r ULL & VOID 13Y EXPIPAT'ON_ DATE 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: 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?: COM2000-00026 Please refer to the following pages for conditions of this permit. 1 of 3 Plumbing Fixtures Mechanical Fixtures FEES Typ& QtY. Type QtY. Type By Date Amoun Receipt Plan Check Fee KLW 03/22/200 $97.34 52920 Planning Review Fee AHB 04/07/200 $38.00 53145 Building State Fee KS 04/11/200 $4.50 53145 Total $139.84 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/vyork is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before b I ing c n be occupied. OWNER OR AGENT: DATE: t/-12—Ud& CASE NOTES FOR COM2000-0002 1) COM2000-00026 Please refer to the following pages for conditions of this permit. 2 of 3 CONDITIONS FOR COM2000-00026 1) Approved per dimensions and setbacks on submitted site plan (two signs on building and additional sign on large pylon). X COM2000-00026 Please refer to the following pages for conditions of this permit. 3 of 3 i C,ONCRETlback MECHANICAL MOBILE HOME Foc;ngs date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up i date by INSULATION date by BG/SLAB Insulation Floors Final date aRAMING by date by date by Walls FIRE DEPT. date PLUMBING by date by date by 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 &� PERMIT NO.: $LD MASON COUNTY `t -j / - 0 v � BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 3I Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION -.7tA14vl) CONTRACTOR INFORMATION Owner i..iL dfi�NktiN Contractor Name i'i -i s> .�Iiw Mailing Address M 611Lf-wAr FlaMailing Address 1755 t„1f571Akf , City '4rl E!bJVl13 Stated Zip Code / City ,5� 1�� State Zip Code !Q_ Phone( ; `;" ) Other Ph.( ) Ph.(�2C. ) 792-0;&00ther Ph. Lien/Title Holder Contractor Reg. # A1411,VXV m Address Expiration I /73/ 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. _ st ct _ Legal Description Site Address(Please include street name, street number and city Directi ns to site ill timber be cut and sold in parcel preparation? (Yes/No) 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 JO �' Use of Building Describe W 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-]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 requiremeegulat g the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall bed gfin co rmance therewith. No changes shall be made without approval. first obtai utg pp 1. F X Date X Date FOR OFFICIAL USE BEYOt4b TFAS POINT Accepted by Date:'. Submittal Amount Due Receipt No. - DEPARTMENTAL REVIEW APPROVED DENIED`! CONDITION CODES Building Department Occ Group Type Constr. Planning Department y 44&"vi, , f 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 ( ) :.:::::................:::::::::: TOTAL FEES PERMIT NO.' Bt�ZLI)o MASON COUNTY 0240 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 INFOR ATION � �✓ CONTRACTOR INFORMATION Owner 9L4&fJ N` Contractor Name 1'6f l4kt— 516r4 0'64 Mailing Address 01 Mailing Address - n E City Qi( &W0 a State—, Zip Code City f EA7YtE State w_ Zip Code Phone( :an Other Ph.( ) Ph.( 2#6 ) 7$2-09e00ther Ph.C__ ) Lien/Title Holder Contractor Reg. # n/A70X0 311►1 Address Expiration 2 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. / _/ Fire District Legal Description -,I - E Site Address(Please include street nam , street number and city) iVC a? T M 7- Directions 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 Describe Work _L S1 lCnn No. of Bedrooms No. of Bath oms 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-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 requiremen egulati the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall bed in co rmance therewith. No changes shall be made without approval. first obtai X Date X Date FOR OFFICIAL USE BEYOr4b T S POINT Accepted by I' ( Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEVn1 APPROVED DENIED'' CONDITION CODES Building Department -zv 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 ( ) < > TO TAL