HomeMy WebLinkAboutCOM2012-00005 Final Sign - COM Permit / Conditions - 7/13/2012 V 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
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COMMERCIAL BUILDING PERMIT COM2012-00005
OWNER: MASON COUNTY FIRE DIST#2 RECEIVED: 1/23/2012
CONTRACTOR: HANSON SIGN CO INC 360-613-9550 LICENSE: HANSOI*221J1 EXP: 5/8/2012 ISSUED: 4/25/2012
SITE ADDRESS: 460 NE OLD BELFAIR HWY BELFAIR EXPIRES: 10/25/2012
PARCEL NUMBER: 123291160050
LEGAL DESCRIPTION: TR 5 OF NE NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SIGN NORTH ON OLD BELFAIR HWY FROM HWY 3
General Information Construction&Occupancy Information
Type of Use: Insp.Area:
No. of Units: Type of Constr.:Type of Work: ACC Fire Dist.: 2 No. of Bathrooms: Occ. Group:No. of Stories: Exit Design. Load:
Valuation: $ 0.00 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?:
COM2012-00005 Please refer to the following pages for conditions of this permit. Page 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee TVN 1i7 A/9n19 ItTl nn ci,)nl?nn
Building Permit Fee TAN 1n,ii9niq ot1d1 nn C1gnl?nn
Building State Fee T%N 1/ginm,2 as rn Rlgnlgnn
Planning Review Fee T1N 1i91n(11? 't7n nn signignn
Total $288.50
CASE NOTES FOR
COM2012-00005
CONDITIONS FOR
COM2012-00005
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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law.
2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
X.28.
3) Approved per di ensions and locations on submitted site plan. Proposed signs are attached to the front facade of the existing building structure.
X (7/l�J
4) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Belfair UGA
Residential 4 zone; land use is a community essential public facility.
X
5) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on
land in such a manner that debris cannot enter or cause water quality degradation of State waters. 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 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 the above described property and structure for re iew an inspection.
OWNER OR AGENT: / DATE: 5
COM2012-00005 Page 2 of 3
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CONCRETE MECHANICAL MANUFACTURED HOME D
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N Footings !Setbacks Date
Gas piping By Ribbons Z
o Interior Date By Interior-Date By Date By 0
0 Exterior Date By Exterior-Date BSet-up C
Point Load/Isolated Footings INSULATION Date By Z
Bt3 1 SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walla Floors Date By n
Date By Data By DECKS m
FRAMING Walls Date By 0
Date By Data By N
PROPANE TANKS
PLUMBING vault Date By N
Date By OTHER
Groundwork Attic
Date By Date By Type:
Date By
D.W.v DRYWALL Type- n
InL Brace Wall 0
Date By Date B Date By ic
y FINAL INSPECTION IN)
Water Line Fire Seperation
Date B Date By Date —Z$` By N
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Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments v,
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MASON COUNTY PERMIT NObonl �ol-(�
BUILDING PERMIT APPLICATION .
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670• Belfair(360) 275-4467• Elma (360) 482-52
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION d
Owner n - rf Company Name C >
Mail' Add ss Z Mailing Address -.o.
City State JQ LCL Zip Code r City S,l y rda I State W v, Zip Code
Phone Other Ph. Phone . .0 > - Other Ph.
Lien/Title Holder Contractor Reg.# �� ► Exp.�ZE L(�
E mail address E Mail Address rr . ;MC,,IQ2 r-C�Xt0CCU'_L^.�c %1
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(Pleas include s eet name str n r a d 'ty)_ !� L
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?YesiNo
TYPE OF JOB- view__ Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square F tage- 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.
OVVIVER/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 app!ication,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.
PROCFRF CONTINUATION OF ORK IS BY MEANS OF A PROGRESS INSPECTION.
X / / Date' q_!
Owner/Owners Re res nt ti /Contractor indicate which one
FOR OFFICIAL USE BEY D THIS POINT Accepted by: ^ ate
DEPARTMENTAL REVIEW PP OVED DENIED N ES
Building Department
Planning Department
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$ ,�; Q TOTAL FEES
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APPROVED
® MASON COUNTY DCD PLANNING
Qi e/ SITE PLAN REQUIRED TO BE ON SITE
CHANG S SUBJET TO APPROVAL
N B y l Date
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