HomeMy WebLinkAboutCOM2000-00025 Final Mechanical - COM Permit / Conditions - 8/4/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
IP14 Shelton, WA 98584 g � _
COMMERCIAL BUILDING PERMIT COM2000-00025
OWNER: US WEST COMMUNIC RECEIVED: 03/22/200
CONTRACTOR: US WEST COMMUNICATIO ISSUED: 04/07/200
SITE ADDRESS: 23650 NE STATE ROUTE 3 BELFAIR EXPIRES: 10/07/200
PARCEL NUMBER: 123294300200
LEGAL DESCRIPTION: TR 20 OF SW SE (OPER PROP)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MECHANICAL
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
Front: Ft. Shoreline: Ft. Shoreline & Planning Information
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?:
C,-k)M2000-00025 Please refer to the following pages for conditions of this permit. 1 of 3
CONDITIONS FOR
COM2000-00025
1) Approved per dimensions and setbacks on submitted site plan. X
2) All property lines shall b225_��
arly identified at the time of foundation inspection.
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3) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQU PON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x_ 'V'FFFMAS
4) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC),
ventilation and Indoor Air Quality Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason
County Regulations s all be approved prior to construction.
X
5) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5'
separation distance!nE�tia
cent structures and that furthest projection.
X 6) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum
of 5' setbackm II roperty lines, easements and 10' from all County and State Road right of ways.
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7) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF
USE OR OCCUPANCY WOULD RESULT IN PER�AN' RR ATION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x �GL/
8) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason
County Building Department prior to construction. All engineering documents are a part of the approved set of
plans and must remain attached thereto. If engineering documents are removed, approval will not be granted.
In addition, a re-inspection fee of$42.00 per hour (minimum 1 hour) will be charged and must b e by
this department prior to any further inspections being performed or approval granted.X .�
9) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan
is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per
hour (minimum 1 hour) will be charged and must be colleVlt�
partment prior to any further inspections
being performed or approval granted. X_
10) All approved 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 Re-inspection fee in the amount of$42.00 per hour
(minimum 1 hour) will be charged and must be collected Whi d rtment prior to any further inspections
being performed or approval granted. X
11) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES
THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE,
BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL
BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS.
X_ �02
COM2000-00025 Please refer to the following pages for conditions of this permit. 3 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Typ*e Qty. Type Qty. Type By Date Amoun Receipt
Additional Fixtures 1 Plan Check Fee KLW 03/22/200 $212.00 52934
Additional Fixtures 1 Building State Fee SKM 03/31/200 $4.50 53090
Building Permit Fee SKM 03/31/200 $42.00 53090
Mechanical Base Fee SKM 03/31/200 $22.00 53090
Mechanical Fee SKM 03/31/200 $22.75 53090
UFC Plan Check Fee DLS 04/03/200 $106.00 53090
Planning Review Fee AHB 04/03/200 $3&00 53090
Total $447.25
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This permit becomes null and void if worts 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.
OWNER OR AGENT: DATE: l 7 o c�
l/vi G G� mti..5 1Ae4iG7 S
CASE NOTES FOR
COM2000-0002
1)
COM2000-00025 Please refer to the following pages for conditions of this permit. 2 of 3
i
CONCRETF MECHANICAL MOBILE HOME
Fovftngs-Setback date by Ribbons
date by Gas Piping date b
{ Foundation Walls date by Set Up •
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date L/ by -- -, date by
�o
1
PERMIT NO.: -�fan 2az AbR.5-
MASON COUNTY -3/ZL
PLUMBING/MECHANICAL 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 INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name I.Uick 1VS7fVC_ dAC 5- -�%✓�
Mailing Address !6 a o -7-`- ,a vir 2 To 3 Mailing Address /,U. BO-k -2 7/Yc.
City SE., . c State l/A Zip Code /�/ City ��� ,�c Statew.4 Zip Code
Phone 2( o� )��N� 7U�6 Other Ph.(___) Ph. )o�-._V./Sso Other Ph.c
Lien/Title Holder Contractor Reg. # /✓/CKc=*o V4Dk
Address Expiration U b / a!5� / oe t o
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-1?digit Tax Parcel No. ! A 3 / 3 / a o coFire District
Legal Description SW /4 -or SG /c/ v- a ,a 29 7'P .23 N / IV or,b M4Sow Ca
Site Address(Please include street name, street number and city) NE ?3 6 Sv M w Y 3 . _8Cz9, 140 L.a4
Directions to site
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
Location of Fixtures/Units 1st-Floor_._2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Outlets _
Sinks Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other A N V
Other Other c-1 v v oc, 1 ,t- ! 13.7S
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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-1 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 requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date X Date ) O u
3_17-ao FOR OFFICIAL USE BEYOND THIS POINT
d6 �.
Accepted byAAC-1 Date �i7 Submittal Amount Due��� Receipt No.
£3EP11RTfiAEPIi�1Eiilil��lf: APPROVED DENIED CON ICf1U.i'.L�CtS>
Building Department
Occ Grou Type Constr. U-
Planning Department
Other
Other
..
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name U.S l r/E.S `T e0A4"1uw'ca`Ti—PARCEL NUMBER 12 3a9 - u.3--00Z-- Date •3 /7 ca
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
11 Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I , Fadjacent property line
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adjacent property 1ine4 I ' Fadjacent property line
SAMPLE SITE PLAN
aCdjRaErEKt property line4 2Lo'
adjac.Glei Gn c6to.EspA Gr1
_o perty line
sE � 30- rRZ-s rA v's.
�so nu AL.. L
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adjacent property line-. ; 1/a'- c \; Fadjacent ro ert' line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
diston�t to
ru�tl.a.Y�
d�a�'�►,cG ro
S�opm -fo¢
Ilk
dis+a�ca
Y o f.
3 / ba
Signature Date