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HomeMy WebLinkAboutCOM2004-00036 Cancelled Sign - COM Application - 2/24/2004 PERMIT NO. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar - P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair(360) 275-4467 - Elma (360) 482-5269 On the Web www.co.mason.wa.us APPLIC NT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name N Mailing Address M< Mailing Address qz City !tit State W4_Zip Code lffs 1? City 5'�� •us State lyA Zip Code ?T3Qk Phone ( 3(60 ) c;r7s— `1 Other Ph. ( Q $b/-on Phone ( (moo ) Other Ph. J�q ) Lien /Title Holder Contractor Reg. # Exp. Email Address Email Address r; #<eLrcn* e ! 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. 1,2.3 3.t. Fire District ct- Legal Description Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparatio ? (Yes/No) Is property IQcated within 200' of saltwater Lake River/Creek 'J Pond !9 Wetland NI Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ TYPE OF JOB - New Add Alt Repair Other Use of Building Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/No) Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor 3rd Floor Loft Basement Deck _Other sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED 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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW: OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there- shall be made without first obtaining approval. with. No ch es shall be made without first obtaining approval. X Date X . Date -2'Z v ` FOR OFFICIAL USE BEYOND THIS POINT Accepted by Planning Pd G Ck# Date Bld Pd. p 1 Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group Type Constr. Planning Department q/ il/�•�'O Environmental Health Department V Cali Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee E C c IVEn Plumbing& Base Fee Planning Review Fee l► Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee State Fee 4826 W. CEDAR ST, Violation Fee Pre-Paid at Submittal TOTAL FEES Hanson Sign Co, Inc. Proposal 19 February 2004 Windermere Attn: Rick Anderson Belfair location We propose to fabricate and install one approximately 41/2' x 9' double faced illuminated sign per approved copy and colors. Cabinets are angle iron and sheetmetal welded and painted. Faces are white solar grade lexan. Copy applied with 3M Gerber Series 230 translucent vinyl per approved layout and colors. Price includes 220 6" reader board letters with storage box. Lighting and workmanship guaranteed for one year from date of installation. For a total of $5860.00 plus tax and permits Base for sign by others. 50% downpayment required to begin all work; balance due upon completion. Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Customer Signature Date Authorized Signature ,4 AV A, 7 Date * EXCLUSIONS City/County/State permits and fees,hidden conditions,engineering fees(if required),Federal,state or local taxes. Neon illumination:Electrician must provide dedicated ground and neutral per Article 600 of the National Electric Code,paragraph 23,which now requires all transformers to have secondary ground fault protection. This is also a UL requirement known as UL2161. Electrical circuit to sign location by others if required. Prevailing wage requirements are not considered as a part of this estimate. Estimate is valid for 90 days. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. Our workers are fully covered by Workman's Compensation Insurance. In accordance with State of Washington laws,a Claim of Lien may be filed if payment is not received within 40 days of invoice date. A Conditional Lien Release will be issued upon payment. Mailing Address: PO Box 928 0 Silverdale 0 WA 0 98383 Street Address: 9438 Willamette Meridian 0 Silverdale 0 WA 0 98383 (360)613-9550 0 Fax(360)613-9515 email:rhanson@silverlink.net gkelstrup@silverlink.net nberg@silverlink.net FILE COPY BUILDING ROVED �l s M ILDING INSPECTOR C. S BJECTTOAPPR VA _--- __ ____...._--- 72 : DATE Windermere C9 D/F ILLUMINATED MONUMENT WITH READER 130ARD CU5TOMER WINDERMERE-BELFAIR PO.BOX SKETCH , OPTION 13 REV1510N 1 � 9438 WILLAMETT MERIDIAN RD.NW PHONE(360)613-9550 J SALES:GARYKELSTRUP' " a ` " ' ' I SILVERDALEWA98383 FAX(3 SCALE 1/2"-1' DATE 2/20/04 60)613-9515 DESIGN:FORRESTMILLER — ©2oo4 THIS SIGN DESIGN IS THE PROPERTY OF RANSON SiGrx INC.a 13 NOT TO BE REPRODUCED IN ANY WAY VNIHOUT P9lll ON OR TRMISFE,ev SUE JOB ORDER# BUILDING Clifton Ridge Propv�ty Line Ctntr.:Iulec(Class Y--k..--_______. —._._.—.�._. ....................... ��. "-"-'sn4yrorc TraV'75 A9 ._._.. _._.,._._.1:-_-.-_:-_:- 'aparata Pcrn,it. S'A L .e.CP_. t&U ` i'. � U Main Acccss • '. - Nota:E.uhns FH acnss State Hwy.p m eo rr of prapely uns ......-. Fha se H Te na nLL B—C N .�. Asphalt Povirg ........._.........._.. 21' min field 1ti. 124'-6- 14 ----Nem per Civil Er9irleering pbru-Verity baarbn _ Additb 1 ADA mpr I parkkg ' provid d'n tha orvo avr Lan c A o �- I ➢y d 0 T.- -tenant C sr••-••• 11, as F:ITenant Asphalt Paving I. 1 I _—Sept rcTankt'n pork n9 I 1 1,- Reou lids(or vehkle bads = I -t '\L and wiertght access ports Ux ea9wvAa�eadbank 1 Asphalt Paw;ng _ � .. =-'_•GU Von 1 1 n 614 17C 6131 BC cis ' \77 .'.' - Site Stains eyst<m dW.J on rvil Plans 6y Plh<•s / 23' s Vss i 6C0 t1'-0• 19'•1L6' 22'HT 20'-0' _ Of sv;tc protation:or�c-----' / roinfield Ar .e To Gorst/Bremerton See specific Design American Engineering Corp. / Fha se u t Leffi�"'°•U� North Shore .l•'� �/ Belfair ^'Pro$o-Site ocotion:Belfair,Mason County,WA m NE-1/4,Scct.32,T.23N,R.IWMM P _ Assessor's Account No. 12332-50-00007 31,)002 N = / Parcel A per boundary adjustment Comprehensive Plan:Belfair Urban Area Project Address: 30 NE Romance Hill Road Belfair.WA 98528 Clifton Ridge / 5ite Boundaries: Boundaries and datum based an .. Layout data by Michael Wnek,PE w i'. N Schematic Site La t 20f1 to ° y l . Vicinity Map NTs 7 , tiAL I 1 r 2/12