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COM2012-00155 Final Change in Tenant - COM Permit / Conditions - 4/24/2013
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (3(jU)4.11-/2tSL Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext.352 Shelton, WA 98584 Irflo COMMERCIAL BUILDING PERMIT COM2012-00155 OWNER: ROSAJUNG INC RECEIVED: 12/27/2012 CONTRACTOR: PHOENIX SIGN CO INC 1.360.875.1595 LICENSE: PHOENSC923TG EXP: 2/7/2014 ISSUED: 2/7/2013 SITE ADDRESS: 23880 NE STATE ROUTE 3 BELFAIR EXPIRES: 8/7/2013 PARCEL NUMBER:_123294100000 LEGAL DESCRIPTION:' PCL 1 OF BLA#06-54 PTN OF NE SE S 32/192 PROJECT DESCRIPTION: DIRECTIONS TO SITE: INDEPENDENTLY OWNED GAS STATION IS CHANGING TO FOLLOW STATE ROUTE 3 TO BELFAIR TO SITE ADDRESS ON THE CHEVRON. PERMIT IS TO UPGRADE ALL SIGNS TO MEET RIGHT SIDE THE CHEVRON COMPANY COMPLIANCE FOR SIGNS. General Information 4' Construction &Occupancy Information Type of Use: GAS STATION Insp.Area: No. of Units: Type of Constr.: Type of Work: SGN .'.; Fire Dist.: 2 No.:of Bathrooms: Occ. Group: No. of Stories: Exit Design. Load: Valuation: $ 7,504100.. 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?: COM2012-00155 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee MAKA 17/77/7n1 R44 R1 q,9nvAnn Planning Review Fee MMA I907ign1 -M nn C97n1 Ann Building State Fee I AIN 1/1Ai9n13 OA Fn G97n1,Ann Building Permit Fee I AIN 1/1A/9n1 A $1ri�7F C97n1,inn Total $327.36 CASE NOTES FOR COM2012-00155 CONDITIONS FOR COM2012-00155 1) : App ov d per dimensions and noted signs on submitted site plan. Setbacks are measured from the furthest projection of the structure: X 2) A.plication acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Mixed Use (MU) in 6Beir GA. 3) nstruction and demolition debris must be removed froFn.the site after project completion. Proper di osml of construction debris must be on n such a manner that debris cannot enter or cause wafer:quality degradation of State waters. X C 47 4) '`Appro verer dimensions and setbacks on submitted site plan. Setbacks are measured from the furth t projection of th6 structure. X 5) Co tr ictor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries;_Contractor Compliance Divi n. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800 77 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 6) All approved plan re required to be on-site for inspection purposes. If inspection is called forfir d plans are not on site, Approval WILL NOT be granted. In additi a reinspection fee, based on the current fee schedule, minimum one charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 7) Owner/Agent is responsible to post the assigned address and/or purchase and post private Ud signs in accordance with Mason County Title 14.281 X 8) AL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS L ITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHAN E (R USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x At G�- (J COM2012-00155 Page 2 of 4 5� Changes to approved building plans that affect compliance to the current Washington State Energy code (VVbLU), ventilationrequirements), Build'ng lumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 10) CO TRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE AD TED 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 the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Ma o V. ounty Building Inspector shall be made prior to requesting additional inspections. X 11) A I uilding permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The fa re to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non o liant with Mason County ordinances and building regulations. X 12) AlI, ermits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the ti for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of tl e P60mit holder have prevented action from being taken. No more than one extension may be granted. X This permit b comes null and void.if.work or construction authorized is not commencedWthin 180 days, or if construction or work is suspended for a period of 180 days at any time after w k is commenced. Evidence of continuation of work is a progress inspectidhi 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 M s .County acgossito the above described property and structure for reviie7w and inspection. OWNER OR AGENT: . DATE: ( 7- 9 COM2012-00155 Page 3 of 4 O N CONCRETE MECHANICAL MANUFACTURED HOME 0 Date > tv Footings /Setbacks Gas Piping d; By Ribbons o Interior Date By Interiot-Date " _. ` By Date By C Z Cn Exterior Date By Exterior-Date By CT1Set-up Point Load l isolated Footings INSULATION' Date By z BG i SLAB INSULATION n Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING walls Date By Date By Data By PROPANETANKS PLUMBING Vault Date By Date By OTHER Groundwork Attic Date By Date By Type. Date By D.W.v DRYWALL Type_ n Date 8y int Brace Wall Crate By 0 Date FINAL INSPECTION N Water Line Firm Seperstion L Date !3y Date By Dat© Z By IV O Pass or Request Inspect. O Type of Insp. Fail Date Date Dane By Comments w sv m 4h. 0 -„ .A MASON COUNTY PERMIT Ndr� I I `ZQIA -00►y5 BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 1 1A4/L,, Shelton (360) 427-9670- Belfair(360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION . CONTRACTOR INFORMATION I Owner 6!S (i ( (QL Company Name Mailing Address lb iti Mailin Address D 0 7 City YLtiL State _Zip Code 2 3 Z City�CW State /;4_Zip Code Phone Other Ph. Phone �l y'S'?Z--I I 1 1 Other Ph.3/4-J75-Zak Lien/Title Holder Contractor Reg. # P1M&WZ'7_3C6 Ex . 2 ?-/ E mail address E Mail Address elf.86!!k �//llC�'f- -C�e 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 z - el/ - i'o 0 Fire District Legal Description Site Address(Please include street name,street nurriber and city) lhdjl Directions to site r3. Will timber be cut and sold in parcel preparation?Yes/ 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?Ye TYPE OF JOB - New Add Alt Repair Other PRIMAF Y RF�ID�NCE ❑ SEASONAL ❑ Use of Building 62i si U TI 0; D sc 'be Work IWJS77t2� P S/��i�/J //..47%9L�� PO Lr 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 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 � ON OF WORK IS BY MEANS OF A PROGRESS DateE / Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b ' Date DEPARTMENTAL REVIEW APP OVED DENIED !NOTES Building Department C; -/ Planning Department Environmental Health Department ew I L 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 ty,� ,� tic•' ��, �. ,� � i ..�r� v �G���': g, c- �- u � .� .` � _. x _Y'� �.'+•L i -'r�-'� '�� ,�'e �'i`� ��°�' '�. 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