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COM2012-00091 Cancelled Concrete and Statue - COM Permit / Conditions - 2/16/2013
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 t COMMERCIAL-BUILDING PERMIT COM2012-00091 OWNER: MASON COUNTY PARKS RECEIVED: 8/1/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 8/16/2012 SITE ADDRESS: 220 NE STATE ROUTE 300 BELFAIR EXPIRES: 2/16/2013 PARCEL NUMBER: 123294100050 LEGAL DESCRIPTION: TR 5 OF NE SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: Concrete and statue corner of 4 way QFC at Sea Beck Pizza General Information 11on struction&Occupancy Information N of nits: Type of Constr.: Type of Use: statue Insp.Area: No. f B t o ms: Occ.Group: Type of Work: NEW Fire Dist.: 2 0. f t ies: Exit Design. Load: Valuation: Biig Pre-Manufacture Unit In ation Square Footage Information Make: Length: ly Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking,Spaces: Setback In ormation Shoreline&Planning Information Front: Ft. S eline: 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?: COM2012-00091 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 r1mm Ri9n(119 lt7,4 nn g19n19nn r r Building Permit Fee r1um Ri9nm? mAi nn -q19n19nn Building State Fee r.mm Rigoniq .ta sn gi9ni9nn Total $218.50 CASE NOTES FOR COM2012-00091 CONDITIONS FOR COM2012-00091 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. X 2) A structural observation report, as defined in Chapter 17 of the International Code, shall be provided to the Mason County Building Department. Reports shall be prepared by the engineer or architect of record responsible for the structural design or another engineer or architect designated by the engineer or architect or record. Per conversation with Mr. Peterson an Engineers stamped letter will be on site at time of final verifying that support footing and attachment of structure meet all current IBC requirements. Reports shall be submitted to the Mason County Building Department within 2 weeks following each structural observation. A final observation report shall be submitted prior to the final inspection of the structure. Written statements shall indicate the permit number, type of inspection, and identify any reported deficiencies. Structural observation is defined as the visual observation of the structural system by a registered design professional for general conformance to the approved conformance to the approved construction documents at significant construction stages and at the completion of the structural system. X 3) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 4) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WSEC), ventilation req ui rements), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 5) All property lines shall be clearly identified at the time of foundation inspection. X COM2012-00091 Page 2 of 4 6) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure 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-compliant with Mason County ordinances and building regulations. X 7) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X 8) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 9) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Belfair UGA Mixed Use zone; use is pedestrian-oriented area. X 10) 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 review and inspection. OWNER OR AGENT: DATE: COM2012-00091 Page 3 of 4 0 3 N CONCRETE MECHANICAL MANUFACTURED HOME N N Footings !Setbacks Date Gag Piping By Ribbons Z o Interior Date By Interior.Date By Date By 0 m Exterior Date By Exterior-Date Bar Sot-up O INSULATION a Point Load llsolated Footings Date By z BG 1 SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Data By D Date By Data By DECKS X X FRAMING Walls Date By N Date By Data By _ PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Type. Data By Data By D.'W.V DRYWALL n Type: O Int.Brace Wall Date By 0 Date 8y Date By FINAL INSPECTION N Water Line Fire Seporation Date By Data By Dale By N O Pass or Request Inspect. c Type of Insp. Fail Date Date Dane By Comments tO cD .N 0 h 427-9 70 MASON COUNTY No EXT. 2�dlo BUILDING DEPARTMENT j405?2 ALL PERSONS ARE HEREBY ORDERED TO AT ONCE 'e- -* rm�f�plo� . U TOP Face► ��� S� ��,6R OR , dc� 5arne-.- On these Premises at -&t, &kf4 eu c f Co f► Pt d� N 1 hw4 4 , TOO GNP old 4w This order is issued because Oe%2!t C),Jev,, W.Ad"-t R41A I^e�i E Posted 2:30 4 � 20Lz- By The failure to stop work, the resuming of work without permission from the WARN1 N G Building Official, or the removal, mutilation,destruction or concealment of this Notice is punishable by fine and imprisonment. L. Jul 23 2012 4: 54PM PETERSEN CHIROPRACTIC 3602758695 p. 3 a ke i 1VAOHddv Ol 13P9 S ONVHO �J ��, 31IS NO 38 Ol O3UII3?J NV-1d 3-US F-�Jr� -a-�qa7,-�,,.�,,4..r, JNINNV ldcloa Ano3 NOSVW a3AOHdd . -�,) Qi;;�7 _ i i� .:{•ram, .-C � __ �. d— Map .! Traffic Project Area .: 300 kN ' RY f. . E- ,, v T . ,r• ��i-- ���r...� Y = �4 � � - �- .� ..ram`... a - z t. s �, _ .M , _a :� .T" ,.�' ,: •` - ! .ems ''� _ Y;,., } ■ { y is P_ �.�'. „� �'�1 �, , r Edit in Gaoglz Map Maker Report a prableri, �, :Zt' ':ry •. %e' psi. :J' i'' fL* i � �* , ,4 f.•e: :� V ge\. - e. - ~I�tK� , •S • .�'i� % " ` _ ems,, ..r-.._. _ ... ..: �- .. - �s_. - �, .,. _ _ ,.._ :,, _, _. �, �. R°! Y< a . _ .. .. ... '�- r. .- , . _'F vw�� V �•� 4 y �fr �' d � • �'� t �u. Kt.• .. '4e 'v. � �f • f ,h. 4:- 4 _ � .� `, • `. � t„yr _ _ ._,v ��`2� f i� 'if�w'� - �t'-"/��,e a�J u``X� �,�! A, }3 > '�t ' .' - _5. - v..t' FH ��4:.r�.x+�' ...�"A'`°J ..��•,4. f - .r+i�.'�` *��-`� �¢x. „` ,may. � � Y�.. M Yx' P ) _r ;tt r b 0i. w 1 .10 j1 A •a � 4 � �;t �. . ( .., t ��5 � A 1 �� � �L���T� f � ----_ c __ ��� _-. ��� :� -� r I -_ � � �.�-.� �_. �� �,-� � � f - �� -� �� � � �- �' ' �� �� -�; ,- � :.;�--� ' �� �.� �0 6 n��� S x� --� ire -' � w� �,e 6-a-� .'oP �, l �'z�` �E6� rR� s � � I �f�� Q61,SS��S "' �+ � �r �o f�-s - Y �gXo���/�S� OPTION C him C CU„ PAINTED CUSTOM WOOD EAP . 6X6 PAINTED POST sww • 10 DIBOND PANEL WTIN VINYL COPY PO.BOX998 8 DIGITALLY PRINTED BEIfAIRLOGO 9438WIUAMETIEMERIDWIRO.NW - SIIVER041 WA98303 PHONE(360)613-9550 FAX(360)613 9515 xwv.ho�renvprs.can CUSTOMER: S • • BRIANPETERSEN WAUAMXUNTERPARR BEIFAKWA DAIE:9/LS/IR SCA1F OPTNIN REV610N D SAIES:GARYNELSTRUP OESWII:NAYIFEflullo 11 SINGLE SIDED NON ILLUMINATED SIGN MOUNTED TO4X4 POSTS EDiY1FRTS: ©2010 THIS SIGN DESIGN IS THE PROPERTY OF HANSON SIGNS INC.8 IS 401 TO RE REPRODUCED IN ANY WAY WITHOUT ITRMSSION OR TRANSFER BY SMF. MI •. - .`.� _ -�__ � _ �� .. � �ram _ - `_~ .a :r ;L �t = w 1 „- 3_. �.�1_ Y '_♦dam, � � �� � �� '��� -.. - . t .i1xY 1 � 1,4�y S .� a♦a 1 � n s t a.,.4..-"} ,tea ww ? fib .' ..004 �,�y, ✓. w $ Al ^:'d.� 7 +.a[,' v,. I. ^I,�ul , .IV IIr I VUIVI�� �iPyrn�.lOf V V+ ' - c '.:rtu„rVI.I�luantlVul am acxuuVPumn�V tidy' VGVUUVuiV�hw`W �VVpuauutiw.,..c�,..,.:.,r c-L r10 Cons-" WMA r 5 Bch"- rY: •v � �}v ,` � � Y' . ,. r .- .� +'' _-_ yX �,w ra .' ._.w,,,,»....�� w ice. _. �._ w,� ._ - .,r._ -. T.., � •i 4r - - i -T � � 1 _ '�` y '��' � ,, _ �.. • ' `• � # # �. '� �� ^:' ,�� y�$.. ^� � tip, - �� f ' < �,' Hunter Park Beautification Proposal Includes: • Renovated corner at Old Belfair Highway and Old Clifton Road. • Proposed public art piece • Lighting for public art piece • New concrete and colored concrete under and around the public art piece • New Park sign "Hunter Park." • Expanded and improved bus shelter in cooperation with Mason Transit. 07,123/2012 11:56 FAX 360 427 7798 MASON CO PERMIT CTR Z 001 MASON COUNTY PEFUArr NO L Do Za 12- BUILDING PERMIT APPLICATION <000� � 426 W.Cedar•P.O. Box 186,Shelton,WA 9$5M Shelton(360)427-9670• Belfair(360)275-4467•Elma(360)482-5269 On the web www.co.rnasonma-Us APPUCAN'IT N�P0�.4MAnoN /� CONTRACTOR INN RMA110N "T/ Omer--� L '�1�it/Ty 5 Compwr y Nams l G—l�� MaEiin Addrp s Majling Address_/67,-�5 7— City, 7�l ;8 Zip Code eay � .i StGi Zip Code Phone Other Ph. Phone s-.v io n'?sOther Ph. Ue.iV I-Ma Hotder_422 Contractor Reg.tf - E mail addrsss E Mail Address Drtvers Lic. DOB I Drivers Lic.#-e--- SEPTIC/WATER SYSTEM INFORMATION-Connect to New Sept1 E)dsting Septic Connect to Water System Namelof Water System. Well Water Sy.;tBm Name of Water System PARCEL INFORMATION-12 Digit Pap9l No - — Fire District Legal Description__ - Ile Srfs Address(Pleas:e inr.lude street name; eat num er and city)— �'� Z/2- Si<2i Dire„^tions to site Will timber be cut aid sold In parcel pre aratron?Yes o Is property withi B70'o.'Sattvvater Lake River/Creek pond - weriand ea oral Rrnoif Stream Slopes or Buffs> 15% Is this permit submftl al the result of a Stop Work Notice,CDrreebon Notice or other enforcement action?Yesmo TYPE OF JOB- Nev:(,(,,._Add Alt_Repair Other PRIMARY RES ENCE❑ SEASONAL ❑ Use of Building 1Ote Describe Wo c `!:' - No.of Bedroom, -"?No,of Bathrooms Square Footage-1st Floor—and Floor 3rd Floor _B;sement Deck Covered Deck Other Sq.fL Garage _ Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION-Make Model Year Length Width—Sene.1 No. No.of Bedrooms No.of Bathrooms Type of Heat _ Purchase'Price$ Replarzme;rt Unit7 Yes/No installer Name--_ Certification No. 0AtP"'"t•/6UILDi3R a4mov,tadg2s abrnission of ina=xale irdorna6❑n may rm-A k in a ct:ip vmrk order orpeim►t revocafiorL A:ieiowtedgemertt d such is by sgnatr m td xc I declarm tt-d I am the owner,ovmors IC_C3l rapresent8va,or 1hh9 coniraor.I further declare that i am mi tied to moeive Lois pwr4 arcs to do the wfk as*proposed inthe appli a ion.I declare that I hava obtained Ilia pan �s ission ka-n all the nsary partim— If P%n ss on is rm7'�tram arty sasenim nJiJer.or any other party in it tErest regarcling this appricalion or the work proposed in the apa�icatixt I have obtained paTru$zion tan them h)app!(far fh5 permit and condur4-te work proposal.The ovmer or ar-1 on a mem baW.repmm-ft tat the u d awdon provid .as e. opes of Mason Cosily awm io the above dembad roparty and shv to tm reviecw and¢�at CONriN J- 3 OR 13YNEANS APROGRESS INSPECTION. Owneirf-bwv:s Ru ,�xtad,.FCarttrdct�r rmicata vhf:h one FOR OFFICIAL USE:BEYOND THIS,POINT Accepted b Date DEPARTMENTAL.REVIEW APPROVED DENIED NOTES Building Department Z ups Planning Departmeln_ Emironmertal HSalGh Dr•partrnent Pubilc Works Depait^ner•d Fiie Marshal FEES Bwidlng Permit Fes Site Ins oation Plan Review Fee EH ReviewF99 Plumbing&Basa Frye Planning Review Fee Mechanical&Base fee OLher Wood/Gas/Pellet Stova Fee State Fee Violatinn Fee Pre-Paid at Submittal Valuation 5 TOTAL.FEES