HomeMy WebLinkAboutCOM2005-00003 3 Signs, 1 Monument, 2 Wall Mount - COM Permit / Conditions - 8/25/2005 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
COMMERCIAL BUILDING PERMIT COM2005-00003
OWNER: AMERICAN MARINE BANK CREDIT UNION RECEIVED: 1/12/2005
CONTRACTOR: THE SIGN FACTORY 425-822-1200 LICENSE: SIGNF**0201 B EXP: 10/1/2005 ISSUED: 2/7/2005
SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE A BELFAIR EXPIRES: 8/7/2005
PARCEL NUMBER: 123294100010
LEGAL DESCRIPTION: TR 1 OF NE SE PCL 3 OF BLA#98-58 #671493 23961 NE STATE RT 3 BELFAIR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
3 signs 1 monument 2 wall mount belfair safeway
General Information Construction & Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Credit union Insp.Area: No. of Bathrooms: Occ. Group:
Type of Work: SGN Fire Dist.: 2 No. of Stories: Occ. Load:
Valuation: $ 7,467.04
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?:
COM2005-00003 Please refer to the following pages for conditions of this permit. 1 of 4
m Plumbing Fixtures Mechanical Fixtures FEES
m? T _ype sty }�B O(y, Typr ev Date Amaunl Recsipt
Plan Chozk Fes RTA SN W7.•K15 SGQ fit .111Mir"
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COM200 5-00 0 0 3
o CONDITIONS FOR
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za 1) Approved per dimensions and setbacks on submilted site plan.The sign shall be setback et least 5 feet from arry public right-nf-way. Selbacks are
mjazd arrt4efurthestprojectionofthestruGture,
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2) Aved 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 Teinspeclon fee,based on the current fe-e schEdLila, minimum one-hour will be charged and collected by the Mason Cwnty
Building Department prior to anyfurt4er 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 SFREET OR ROAD FRONTING THE PROPERTY.MASON COUNTY
BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REKSPECTION
FEE, ASED ON RATES AS ADOPTED BYTHE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF
OWN TRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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4) Chan to approved budding plans that affect csornplianre to the current Wash Irigton Slate Energy Code(WSEC), ventilation and Indoor Air
m� Quality Code(VIAQ), 6ullding/Plumbinglf�lechaniGal Codes aridlorMason County Regulations shall be approved prior to GOnstruclion.
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CN 5) COE\ TRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
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m ADOP E B I�Ii�fG CODE,
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6) All bull rig permits shall have a final inspecfion performed and approved by the LU4ason County Building Department prior to permit expiration,The
failur to r, cutst a fin at inspection or to obtain approval will be documented in the IeBal properly records on fir a xvith Mason County as being
+� non lelh Mason County ordinances and building regulations.
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A is suspended for a period of 180 days at any Pru e
Tlas pc r^.it becomes null and void l f Vr�rK orcAnshtir tnn a�horiaad is no I ojrnmenced wtthit 180 d ays,or if mr�strvctlon vrvro r work rs
m 'commerce d. Evidence of co ntlnuation of Work is a progress inspection dthin the 180 da y pa Mod. Flnal inspedion must be approved before buiI ft can t occupied.Pro of cont�uat�n of
work®Lly rnewns of a faogress inspectton The mvreror the agent on the owners behalf, represents that the Inforrnalloc prorid ed is aocuate a nd grams emplopes of Masan County aocess to
w {he above desrrlbed prop ,and strucLae(o:review and Irrspecfmn.
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o Footings / Setbacks Date By Ribbons
o Date By Gas Piping Date By
o Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G I 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 By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By = Date By
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Company:
Page
O ENCLOSED FOR YOUR USE Q FOR APPROVAL
O FOR YOUR REVIEW O AS REQUESTED O OTHER
Fax To: Fax from:425-827-1074
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01/04/2005 12:57 FAA 313U 42'1 '1'1W5 &Abuiv UU YEKN11 U11( r#Jou2
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.CQP1 �005_- 000,03
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W.Cedar•P,O,DgX lee, ftfton,WA OOD64 - RECEIVED
Shelton (360) 427-9670•Belfalr(360)275-4467•Elma(360) 482-5269
On the web www co.mason.wa.us F
APPLIC T INFORMATION CONTRACTOR INFORMATION
Owner t Company Name
Mailirg Addres N"�• Maili�9 Address csn/ �"+�
City tate_�Zip Code City.�kila State
Phone _Sd1.J Zip Code
Other Ph. Phone — 2 �Ofher�h.
Lien/Title Holder Contractor Reg, S P
E mail address _ E Mail Address
Drivers Lic.# DOB Drivers Lic.# pOg
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 I A&P`l,- l- Cnn 1 0i
Site Address(Please include street name,street number and city) AF.
Directions to site
Will timber be cut and sold in parcel preparation?Yes o
111
Is property within 200'of Saltwater Lake River/Creek Pond '
Wetland,_Seasonal Runoff Stream�_Slopes or Bluffs 15% i
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB-New Add` Ali —Repair Other PRI Y �SIDENC6 S
Use of Building 5:� scribe Wor� [ u�t rp ❑ NAL
No.of Bedrooms No.of Bathrooms Square Footage-1st'Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other _
Gara e._.,__ Attached Detached Carport - Attached betached
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. I
OWNER/BUILDER A*nowledges submission of inaccurafe in(omuettion may result in a stop work order or permk revoratick.A mowkick ent of
such is by signature below.I declare that t am the a mm,owners legalpermit and to do the work as proposed in the �,or the contractor.I further declare that I am entitled to receive this-
required from any easement holier or any otl party that I have obtained onthe permission from all the necessary If permission is
percussion from them to apply for this pemut and conduct the work this applir"adon or the work proposed the appfic000n,I have obtained
proposed.The owner or agent on owners behalf,represents that the information
provi accurate and grants employees of Mason County access to the above described property and structure for and irupecdon.
P OF CONTINUQON OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date-
or Owners R eserrt 5w/Contractor indicate which one
F R OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL�REVIEW APPROVED- DENIED NOTES
Building Department G
Planning Department
Environmental Health Departmen 7 �D
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
01/04/2005 12:57 FAA. 3130 427 'IYU5 RAaUN W FEMNIT VIR IgJUUL
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.COPI 7100S-- O0003
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W.Cedar-P,O,WX 186, Shelton,WA 06564 , RECEIVED
Shelton (360) 427-9670•Belfair(360)2754467 a Elma(360) 482-5269
On the web wwvrco.mason.wa.us 1
APPC
T INFORMATION CONTRACTOR INFORMATION
Own t Company Name
Mailddres N 1=. Maili Address 8/ 7w
City tate W i+Zip Code City ✓ IjAf State�,�e2_ Zip Code�
Phone Other Ph. Phone — ��OtheE h.
Lien/Tide Holder Contractor Reg.#5Af14
E mail address— E Mail Address
Drivers Lic.# DOB Drivers Lie.# �Og
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 i
PARCEL INFORMATION-12 Digit Parcel No. Fire District
Legal Description ;.
Site Address(Please include street name,street number and city) 7A IIDIrections to site
Will timber be cut and sold in parcel preparation?Yes o
1s property within 200'of Saltwater_I ake__River 1 Creek. nd
Wetland Seasonal Runoff Stream Slopes or Bluffs> 15% i
Is fhis permit SUWM ta0 the result of a Stop Work NWce,CWWUon Notice or other enforcement acdon?YeslNo
TYPE OF JOB-New Add` Aft •_Repair Other . PRI =SIDENC SO
❑ NAL
Use of Building j� r Abe Wo u H4
No.of Bedrooms No.of Bathrooms Square Footage-1st'Floor _2nd FIdor
3rd Floor.,Basement Deck Covered Deck Other ttached
ft.
ra
Ga e., ` Attached Detached Carport Attached
MANUFACTURED HOME INFORMATION-Make Model I Year
Length Width Serial No. No.of Bedrooms No.of Bethrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
0VVNER/BU1DER AdawMedges submission of inaa;urafe mbmtation may result Ina-"- work order or permit mwcad4i.pduowledgernerrt of
such is by sigr>alure below.I declare that 1 am the owner;owners legal rpmserrfaiiue,or the contractor.I further dedare that I' entitled to remive this permit and to do ft work as proposed in appricadon�lvd I have obtained the �yu `
required from a easement holder or Permission from all the necessary;. "ff Permission is
pemdssiort horti Ifrern b apply for this re9g this appr�adort or the'work proposedn the "Few obtained
permit conduct the work proposed The owner or agent on owners behalf, that the information
WOF accurate and gra s ernployees of Y ISK BYMEANS rit A PROGRESS I ow described
pityand sfix�ureand inspection DateOWnars Qse_fativa!Contractor gacate which one i ,
FJYR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTACREVIEW APPROVED- DENIED NOTES
Building Department G I
Planning Department j
Environmental Health Departmen �0
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Plannina Review Fee
Mechanical&Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES
Mason County Permit Assistance Center
Planning Intake Checklist
Owners Name: I y r`c A a Date: Of-
Project:
s �, Reviewed By:
e
Commercial De t: NO Comments:
Planner: GBM RAM TSCCMM
Site Plan: PLANNING RECEIVED
A North Arrow 'JAN 2
CI Property Dimensions: X 1 2005
Streets and Driveways Shown.Road name: t'J 3 426 W. CEDAR ST.
o All Existing Structures shown with setbacks
o Well Location,Septic and Drain-field Shown with setbacks
o Identify all surface water(streams,ponds,shoreline,wetlands,etc.)
o Topography(slopes)
A Proposed Structure Setbacks(Direction/Setback):
F: S / 6 `R: / S1: / S2: /
o Utility and Drainage Easements: Yes No (if yes enter condition#5022)
o Other Easements
o Accessory Appurtenances
o County Access Permit Needed(add condition#0010)
o State Access Permit Needed(add condition#0020)
Standard.Conditions to be added to all Building permits that planning reviews:#5019 and#0700
Are there any impediments that may restrict access to your site? (dogs/gates)
Shoreline and Planning Info
i
Setbacks: Shoreline: Slope:
Shoreline Designation: Comprehensive Plan: Rural Zoning:
0 Not Applicable ❑ Agricultural ❑ RR 2.5 5 10 20
❑ Urban ❑ In-holding 0 RW
0 Rural ❑ LTCFL 0 RC 1 2 3
❑ Conservancy 0 Rural. ❑ RI
O Natural O RAC ❑ RNR
O Unknown ❑ RCC Hamlet ❑ RT
Urban Growth Area ❑• WR
❑ Unknown 0 Unknown
Water Body( e of water if unnamed):
SEPA: Yes o nknown
Flood Plain: YES NO nkno Map#
Aquifer Recharge: YES NO U own leap#
Tags/Cases:
RLC/SPI Case: '16-Year Dev.Moratorium:YES O
Eagle Nest Tag: YES O er YE NO
Addressing: Check box if needed ❑ Reviewed by:
Revisod:i 1-05-04 INPLANNINa CHARELL&RENEEIPLANNING INTAKE