HomeMy WebLinkAboutCOM2000-00108 Final Radio Tower - COM Permit / Conditions - 7/20/2001 MASON COUNTY PERMIT ASSISTANCE CENTER Ione:pec(36 )427-9670, ext. 352tion Line (360)427-7262
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Mason County Bldg. 3 426 W. Cedar P.O. Box 186 «_�
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT
COM2000-00108
OWNER: ALFRED ARDON RECEIVED: 09/13/200
CONTRACTOR: ALFRED ARDON ISSUED: 12/05/200
SITE ADDRESS: 41 NE SALTY DR BELFAIR EXPIRES: 06/05/200
PARCEL NUMBER: 123305300006
LEGAL DESCRIPTION: BEARDS COVE DIV 6 BLK: LOT: 6 NE 41 SALTY DRIVE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
IN STALL AMATUER RADIO TOWER FROM BELFAIR TAKE HWY 300 TO SANDHILL RD, GO RIGHT ON
SANDHILL TO LARSON BLVD, LEFT ON LARSON BLVD TO SALTY DR,
LFET ON SALTY DR YELLOW HOUSE.
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: 1 00
No. of Stories: Occ. Load:
$ 0.00 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: N 100.00 Ft. Shoreline: Ft. Shoreline & Planning Information
Rear: S 30.00 Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: E 26.00 Ft. SEPA?: Comp. Plan Desig. Rural
Side 2: W 10.00 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?.
COM2000-00108 Please refer to the following pages for conditions of this permit. 1 of 3
CONDITIONS FOR
COM2000-00108
1) 'Proposed str ure or any portion thereof greater than 30" in height from grade line, must maintain a minimum
of 5' s o all property lines, easements and 10'from all County arA State Road right of ways.
2) A imensions and setbacks on submitted site plan. X
3) All uplan a disturbed or newly created by construction activiti I eded, vegetated or given an
equivalent type of erosion protection (silt fencing or straw matting).
4) Approved per dimensions and setbacks on submitted site plan. X
5) CONSTRUCTION PROCESS TO BE FIELD CORRECTE PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE,x
6) Changes to approved building plans that affect comp the current non-residential Energy Code (NREC),
ventilation and Indoor Air Quality Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason
County Regulations shall be approved prior to construction.
X
7) F5 fop tur"r portions thereof with an projection over 30" in height from grade line, must maintain a 5'
separation di een adjacent structures and that furthest projection.
X
8) All prop clearly identified at the time of foundation inspection.
X
9) ALL CO ON MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTE AND APPROVED CLASSIFICATION. ANY CHANGE OF
USE OR OCCUPANCY WOULD RESULT I REVOCATION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x
10) The approved plot plan is required to b n- r inspection purposes. If inspection is called for and plot plan
is not on site, Approval WILL NOT be �In , a Re-Inspection fee in the amount of$42.00 per
hour (minimum 1 hour) will be charged and ted by this department prior to any further inspections
being performed or approval granted. X
11) All approved plans are required to be o o ction purposes. If inspection is called for and plans are
not on site, Approval WILL NOT be gran e i i a Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hot;r) will be charged and m by this department prior to any further inspections
being performed or approval granted.
12) PURSUANT TO 1997 UNIFORM BUIL DE, 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
r
COM2000-00108 Please refer to the following pages for conditions of this permit. 3 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty, Type By Date Amoun Receipt
Plan Check Fee KLW 09/13/200 $25.19 54544
EH Plan Review CEW 09/18/200 $25.00 55194
Planning Review Fee AHB 09/28/200 $38.00 55194
Building State Fee SKM 11/29/200 $4.50 55194
Building Permit Fee SKlvl 11/29/200 $38.75 55194
Total $131.44
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.
OWNER OR AGENT: ��r DATE:
CASE NOTES FOR
COM2000-0010
1)
.e.
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COM2000-00108 Please refer to the following pages for conditions of this permit. 2 of 3
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CONC"f-*TE MECHANICAL MOBILE HOME
FooGrgs •S.,tL.ck date by Ribbons
date . l�—' tCC by /C
Gas Piping date b
Fou,7dation Walls date b Set Up
da'e by INSULATION date by
B'a/SLAB Insulation Floors Final
crate by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING
OTHER
Groundwork
Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date Zvi, by T�. date by
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MASON COUNTY I�
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 2754467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ALFRED N. ARDON Contractor Name 1/A
Mailing Address P.O. BOX 171 Mailing Address
City BELFAIR State WA. Zip Code 98528 City State Zip Code
Phone 3( 60 ) 275-0827Dther Ph.( MgNE Ph.( Other Ph.(
Lien/Title Holder NONE Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 12�330 / 53 / WON, Fire District 2
Legal Description BEARDS COVE DIY. 6 BLR LOT 6 41 NE SALTY DR.
Site Address(Please include street name, street number and city) 41 NE SALTY DR. BELFAIR
Directions to site FROM BELFAIR TARE JEW 300 TO SANDHILL RD. G10 RIGHT
TO LARSON BLVD. LEFT ON LARSON BLVD.TO SALTY DR. LEFT ON SALTY DR. YELLOW HOBS
Will timber be cut and sold in parcel preparation? (Yes/No) NO
Is your property within 200' of the following: Body of Water (Name) NO Saltwater NO
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE CY SEASONAL RESIDENCE❑
TYPE OF JOB New Y Add Alt Repair Other Use of Building
Describe Work INSTALL A RADIO ANATUER TOWER
No. of Bedrooms 3 No. of Bathrooms 2 SQUARE FOOTAGE-1st Floor 1570 2nd Floor N/A
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model 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.
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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I 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.
f �
X ' Date Oo'Q X Date
FOR OFFICIAL USE BEYOND THIS POINT
C f/�
Accepted cv ,[. Date j �0 Submittal Amount Due y Receipt No. � 7
DEPARTME N R�VI APPROVED DENIED CDN011 . N CODU
Building Departme /►-z9-
Occ Group Type Constr. l�
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $ OC> t I4N0, unwA-1 SON
am
Building Permit Fee Site Inspection
Plan Review Fee Fs, 77 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 ( )
TOTAL FEES