Loading...
HomeMy WebLinkAboutCOM2011-00058 Final Move Sign - COM Permit / Conditions - 8/16/2011 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 i� COMMERCIAL BUILDING PERMIT COM2011-00058 OWNER: KRUEGER & KRUEGER LLP RECEIVED: 7/14/2011 CONTRACTOR: HANSON SIGN CO 360-613-9550 LICENSE: HANSOI*221J1 EXP.. 5/8/2012 ISSUED: 8/4/2011 SITE ADDRESS: 30 NE ROMANCE HILL RD BELFAIR EXPIRES: 2/4/2012 PARCEL NUMBER: 123325000012 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS PCL 1 OF BLA#01-13 PTN TR 5 N 140' PROJECT DESCRIPTION: DIRECTIONS TO SITE: PERMIT TO MOVE THE EXISTING NORTH MASON ST RT 3 TO BELFAIR, LOCATED AT THE CORNER OF ST RT 3 AND CHAMBER SIGN FROM ITS CURRENT LOCATION TO A ROMANCE HILL RD NEW LOCATION AT THE CORNER OF ST RT 3 & ROMANCE HILL RD General Information Construction&Occupancy Information No. of Units: Type of Constr.: Type of Use: COMMERCIAL Insp.Area: No. of Bathrooms: Occ. Group: U Type of Work: ACC Fire Dist.: 2 No. of Stories: Exit Design. Load: Valuation: $ 2,200.00 Building Height: 8 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?: COM2011-00058 Please refer to the following pages for conditions of this permit. Page 1 of 5 1 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee (,MIDI 7Nd/9n11 �71 nn St9niinn Planning Review Fee rWrnn 7/1419n11 IM nn gi9niinn Building State Fee nI r. Riai,?nl a Oa rn qt 9m inn Building Permit Fee nI r. R/anni1 alai nn -,19niinn Total $288.50 CASE NOTES FOR COM2011-00058 CONDITIONS FOR COM2011-00058 1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 64�� 2) Sign shall remain in proper maintenance and comply with Belfair UGA zoning standards. X 3) 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 1-800-647-9982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 4) 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 reinspection fee, based on the current fee schedule, minimum one-hour wj) be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X C,% .% 5) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 6) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. 7) 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 COM2011-00058 Page 2 of 5 8) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA). It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X 9) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements), Build i �mbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. 10) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED 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 Maso�ty Building Inspector shall be made prior to requesting additional inspections. X 11) 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-crli nt with Mason County ordinances and building regulations. X 12) 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 ermit holder have prevented action from being taken. No more than one extension may be granted. X / J 13) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEROR ROAD WAY. X 14) A special inspection of the epoxy grout required and specified on the approved building plans shall be required. The special inspector shall be the engineer of record or their authorized representative, a WABO Certified special inspector, or certified testing laboratory. As an alternative a Mason County Building Inspector may perform the inspection provided holes are prepared in accordance to manufacturer specifications that are available on-site during inspection. Special inspectors shall inspect the installation of grouted construction anchors as stated in the manufacturers specifications. An inspection report shall be prepared and submitted to the Mason County Building Department prior to the framing inspection of the project. X COM2011-00058 Page 3 of 5 15) In addition to the inspections required in IBC, Section 109, the owner, Washington state licensed design professional, acting as the owner's agent shall employ one or more special inspectors who shall provide inspections during construction on the types of work listed under Chapter 17 and as specified by the design professional. The special inspectors duties & responsibilities shall be as specified in Chapter 17. Welding, as specified on the approved plans, performed on-site shall require an inspection performed by a WABO certified welding inspector. Special inspection reports for on-site welding shall be submitted to the Mason County Building Department, PO Box 186, Shelton WA 98584 and available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing and final occupancy inspections. X K,� 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 on County accessio the above described property and structure for a ie nd inspection. OWNER OR AGENT: l// DATE: I Pa e4of5 COM2011-00058 9 n O K CONCRETE MECHANICAL MANUFACTURED HOME C 0 Footings !Setbacks Gas Piping Data By Ribbons 0 o Interior Date By Interior-Date By Date By M 90 Exterior Date By Exterior-Date B Sot-upPoint Load 1 isolated Footings INSULATION Date By T BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT C Foundation Walls Floors Date By 0 Date gy Data BY DECKS FRAMING Walls Date By r Date By Data ay PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Atbc Type. late By Date By Date By D.W.v DRYWALL Type- n Int.Brace Wall O DaIP BY Date B Date By 3C y FINAL INSPECTION Iv Water Line Fire Seperation / 73, Dale By Date By Date — /� v By O Pass or Request Inspect. C) Type of Insp. Fail Date Date Done By Comments co Cn 0 Cn �v APPROVED RECEIVED MASON COUNTY DCD PLANNING JUL 13 2011 \l�U� Q-�P SITE PLAN REQUIRED TO BE ON SITE 426 W, CEDAR ST, ��b / CHA GES SUBJECT TO APPROVAL Clifton Ridge By Date p ty�i _ _ __ _ PLANNING -.Gentarline.of Glass y.cixek... -........_ _ __ _ ��- Stteprdttt:{t6nt>rsting -----'--._-.'---.------- ---------- - - - -- srparate permit. "`• ,�' I Main Access 20 ft Setback line Note:Existing'FH across State Hwy in 80 It of property line r©�� _ .-...Y.. _ Asphalt Vuvn,y 21'-01 mi�verif field to rtioo I 124'-6' New F 4 per Civil Engineering plans•V ily location 14 t¢s .� Additio,of ADA -,lion parkins thn provid d in this area - N \\ I.on SW A, I , :1 i! tenant s••• •• n, 1 sp as Tenant B P O Asphalt P�ving 1 I I I I I M ° ._. Septic Tonks in rkin 3 E 1 Rey'iat lids for hicl loads - •. and watertight a cess ris z - 1.: �nd vel ed rea x'ts�fmg��xcav ted bank Asphalt paving - i Van I I I b I 61.SITC a, 61.31 Be 7 sp ces d 23'- I nas b/ou„-,'s / b"_Verify 60'-0" 11'-0" 19•11.6" 22'0" Site Storm system based on civd pl , 20'•0" � - • Edge of septic protection zone �\ I a To Sorst/Bremerton 5eelspeclflc design American 9nglheering Co p. P11a se 11, Fire m58mt-�] brth Shore Belfair Pro•e ite I - ocation:Belfair,Mason County.Wj NE-i/4,Sect.32,T.23N, IWMM n' 3T Ft i; Assessor's Account No. 12332-50-00007&0002 s p�' Parcel A per boundary adjustment i. c j A b U i lf B Plan: i h Compreensve an: ear ran Area i I, / Project Address: 30 NE Romance Hi om nce Hill Road 9 Clifton Ridge I Site Boundaries: Boundaries and datum based on In I SCh�f11 tic 5i e y Ut 20ft 10— 0 data by Michael Wnek,PE Vicinity Ma f i NTS I I i I I I 1 i. I I 'i III I I {{ k3C, l � j I I 4 III I � i I I } I I I I I; 1' I I i I I � i 1 � I i THIS IS THE EXISTING INSTALLATION AS PER ATTACHED PERMIT THAT WAS ISSUED 6/5/07 I F 94 BUILDING I RECEIVED JUL 13 2011 - 426 W. CEDAR ST. Design h � MOUNTING SADDLE(TOP) o e n a u e ELECTRONIC MESSAGE CENTER 3t- RO.BOX928 9438 WILLAMETTE MERIDIAN RD.NW I 5"STEEL PIPE — SILVERDALE WA 98383 _ LIGHTED CABINET COR PHONE(360)613-9550 o - FAX(360)613-9515 N MOUNIING SADDLE(f3Ul lUM) www.honsonsigns.com I POURED CONCRETE FOOTING CUSTOMER: 3 O"X 3-O' x 3'-O' _ NO VOLUME-1 CU.YD. BELFAIR,WA RTH MASON CHAMBER s i�'1 1111 DATE:7/13/11 SCALE 1 OPTION REVISION 1/2"=1' I A I 0 I I SALES:RANDY HANSON - DESIGN:HAYLEE HERDMAN ~. COMMENTS: VZI 4o(L N R11-4 t o -F--X 1'5� ►'1 G l D ca:h(112, li ©2010 ELEVATION THIS SIGN DESIGN IS THE PROPERTY OF i HANSONSIGNSINL8ISNOTTOBE EXISTING FOOTING GENEKAL 51ZE&PLACEMENT OF 5IGNAGE. HANREP ON SIGNCED N NC&IS OTTOB SCALE ACCURACY 15 NOT IMPLIED. PERMISSION OR TRANSFER BY SALE. 94" W-�JSITOR INFORP Aerjo.W-- T EXISTING MONUMENT SIGN WITH 24" I� 24"X 24"5/8 THICK STEEL PLATE EXISTING 5"STEEL PIPE&SADDLE ATTACHMENTS(PIPE WILL BE HOLES FOR 1/2"X 4"LAG BOLTS, CUT OFF AT BASE OF SIGN) ° ° ° MINIMUM 6 EA. i 4"WIDE BY 5"TALL GUSSETS 5"STEEL PIPE WITH CONTINUOS WELD I CONTINUOUSLY WELDED TO 5"TALL BY 4"WIDE GUSSETS Design:-Sa. o NU -.�-- ., 5"STEEL PIPE-4 EA. _ GUSSETS&PIPE HAVE CONTINUOS " N _ WELD TO STEEL PLATE P.O.BOX928 24"SO E"THICK STEEL ATE 9438WI TTE IANRD.NWMBE BOLED OXISTINGCEMENT SILVERDALE WA98383 �Seppn.o,.�Brumecs-auddae Co in FOOTING BY USING 1/2"X 4" PHONE(360)613-9550 LAG BOLTS INTO EXPANSION FAX(360)613-9515 ' 0 0 www.nansonsigns.mm f SHIELDS MIN.6 EA.AS REQUIRED CUSTOMER: GUSSETS&PIPE WILL BE CONTINUOUSLY PLATE DETAIL NOT TO SCALE NORTH MASON CHAMBER { WELDED TO STEEL PLATE BELFAIR,WA s DATE:7/13/11 SCALE I OPTION i REVISION EXISTING CEMENT FOOTING 5"STEEL PIPE WITH CONTI NUOS WELD 1/2"=1' { A 0 �`t` DEEP 120" LONG 36" WIDE5"TALL BY 4"WIDE GUSSETS? I SALES:RANDY HANSON GUSSETS&PIPE HAVE CONTINUOS DESIGN-HAYLEEHERDMAN j 1.85 CUBIC YDS WELD TO STEEL PLATE COMMENTS: 24"X 24"5/8 THICK STEEL PLATE 120" n-E ui 1/2"X 4"LAG BOLTS, ORIGINAL SIGN(NO LONGER THERE) REMAINING 24"X ' POURED CEMENT FOOTING PROPOSED NEW INSTALLATION OF EXISTING SIGN MINIMUM 6 EA.] ONLY 24"X 120136"POURED CEMENT FOOTING REMAINING I ©2010 THIS SIGN DESIGN IS THE PROPERTY OF DI ATE WIN T G DRA G5 ARE 0 IN ELEVATION HANSON SIGNS INC.8 IS NOT TO BE C F I E. REPRODUCED IN ANYWAY WITHOUT - GENERAL 51ZE&PLACEMENT 0 5 GNA G fi-: SCALE ACCURACY 15 NOT IMPLIED. PERMISSION OR TRANSFER BY SALE. Property one terJm Sepamte m.»�:.. mw:w.,w-:w";iw':';' ....:.......;1��IF �l.;.JW�Ya MIMMM i ��}� :lY� '-.w 9F..'!S> �,+.+.•M w..w.;Cana.w.�ra,,w.!w.+w•�;s+w..•r...•r..». w:aw•a•:.." sa ,;� � YiYns.r;;f .«rrr �. :.wwwwo. »: } 'Q APPROVED I verify MASON COUN"r', !'arD PLAN7TE AWNING ADD SITE PLAN RED j� rr "0 B ON ' CHANGES SUBJIErT 1`0 APPROV 67(� Meter-verify location By Da>� 20 ft Setback Im'e AREA OF TES S � oiiveyt : as # ; 1 4. !. '-0 rain<v r'i f c pan f � � over . rr / {y{ J ff +�»��ss 33 , - at ca , 3 ,•v/:\vJi:»%.>�ii`>iar i;}::!: �?:�y:�/:�,,rr:i-)• 3 s v,:,i i�?!i .%n;/;��yin : ti \y/s\ //,.,/+:•f..\tiy , }!,ar.:tay y.•xyy f�. �: •:;•%r Ri..•.;M ;; yrri. � '�'••;r<"�` \�:%,.•j,y;/,, u•J r1.•.x�.; 1 r� vl.;rf ✓�:+:r% �'%i ,lf-�+i�`4t'rJ9.p� �rr1+.c/!i6\,r�Jnutr�rh+:/i. 3 t i %/<Z. rr rh,;:i:%:i� r ,%ir+,/ii. %��!%}/ %U/,�f�;1�:%r\ //.../ f'•% ,?:' }f �1:,/•��'+•:!r r}�% "•Yi J{iy• � / \Ji. r,� r/?�:/ice./..o?\ r\� 3. ..r....... //e.�r'•�. #k •�/:�%!,+'•' 1}.;. ,•f::.v..'•+!r 9'r' •s%a):•'!Y:, ;r:: x;u/ �U/'+Si �/r ::��!/rai/r��\ . \\/- . ::•.rr.., r! o > r/ ./J`:.!n!!4Z;t�lY;y!�}tir.4rv,•<// + ` > •>!:r. /AY{ira\, #S \`%I �H\?'h�,iJ.: ,f\;/.>%/s� l^i.o3y ,. r Y:.,r.•:::,rrJ..,•rrrh,•rr Hal,„•rr.;4 i §,§,! r,}1Sf>,+`.:,'�" t 3 is��,•rr.» .,!!.rr:s`.r: !!/ !%�:/ :• \•%�v:a{Ui't:r%`;Sj/.;•;ri/)�vr/��},iiiy\�!f/, y>r!�{�say/.4.'11. ��, ; t! ..�:: •/: '//4f /:> :?i% ? l!: .:ih``'/•.iY: rY.:f! . Y/ >r �!/A,:,/ry!//.•�y<'%f. �.. f _ ,,ii.;\//\�s••;./.• �. � ` •l ,.. r ./�:• './.i'%��; •;•:/.;>yf9{, �.r>:%�i,'j+'Y-a;•a•>:.:a>/hx; '%a\ /�,i , 1 } !! u.,G,.y+% r/.}.r \+'/ ;i��%r�{//ii ri.)S•Jfi,�,�\%,,/r;\K/i%i:;:/!r��?��Yr./?;,;J/�.:.fi?!•r:;.rJ:��rr.•av'!i �• h;!./ia•;�Jia.. ?s/y`t •//,.\-%�} i / ,✓ Y:y !: ') i~.;:!Y%/1i+': !' r •, r:,}' ?:!i;:}% ;r/r:\1%.,\Jr/ \\x!/.}y!rrn\\ /h1y i/, }atiA. �`))/r. ;•{. ,,.,C3/r:..•i "�"1 t 3 {. . n ..r. / \ ../r. /;a•1/.,, r, /n,..,s. r.. `S;f:.,.;�u/?: rJ.{+•/.,� �.r ,>;�; Ji;. !r,.;�.? • ,.d.' \i'i �o � ?�{•:U,'•:✓/i;./rA`:!! .:�">:.Y f:: ,;ri:��i;;:%i:;•!y•,:��%•�i.li y)k%ii:\%%%•:$L�ir.�:,•f:a�'!/ayn,,r,�,r : rr.:r•r.:a.• } \- ,� /.�.: •, ,bir )Y •s�!i //:\'i .\;% �iir>`!,�'.�.!/?!lri�i'1./n�Y%�;:}�r.��/�2>;i�r•�:,+y:u�YZr;�:•:o{ �•y:•?:'r ):;/:!,r/•';•: x;%ii:,,•;:%/:.x!i �? �! !;:�� . �.,;`r�r5)\�::t✓x�%,r;/•�:::J,,:.y::; ,•.,y. :r.f:s ...Y:;y!.y;air:r�!i �}�!%:a`:u//s�aYJ��v%ii�,?/i,�)`.{�x;c;}ix�/ +s):v::v.,,;?;Ys:y: }-' iha:��si ,.�� ,. ,. ;r; ".• ''�:•>/ /r/,.� / /,r/i \,•, {rrf;+r .\/•:��f.�a..• ,;V , r 1✓.�,4�.;�,/.•,::?r:+}: •rr!.}r•r,: r'•:;.1'•+.%isfi;�%•.;;:yY'y;�;>`'Sl:�:j'{'•!?i:�:�i�.'•:\i:ji:v.:•�i\•Y/r\/ '1/q.,`• \.�r'•Z5',',l'• I i.//• /. >�, �.'���•y; /� i { r / + / +� +. , ,.hr. .rr.;•r�:�•i{.lUY�: :/y;y�y':a•ir{v.! .•� �: ! - •f.<,\ ns:,w ! ;/.,��.,;�J , r �,3 r!;o:ri,i :y/..;.y/.rig r•+;;.J• +s�f:•.�;�'•?ka .,;.i•s;r ,;r.{r:;,> ;<r/., r%.,.:rx i:,; :'/ ?:/h}:;1.;.•. r.J•Y. y% ,r/:x ;J/.`/i\vi✓%:o)?/:.', �::X a Y}:/. ::n•„/•%. • ; F� y •%/�\v rti:/ ..yir.y y.ti Jr; j• J,. ;. Ci,Y,. ,f \• 1<�\�,wi/y4�r.r 1..•:::/.,:... r. ./.` �h: 'l1r,l,�ci i"•::Y) � %> ! r.;yf/.f.•r :• r � r 'r,.� ; •'ri%U'J"Y,r.;r'C�•�•%' •`> % j''t(!'I't', •!"S•. ... }t }' #s :f••• , ••/{./ ,•+/ //.•;%//..f%:ti/,:•?.' :r�'' :;%?�{,*�.;i.;r':+.li,;�\�i✓J%l,�``'.�ii,••s'v.y/�\,!,.,•k io:•Ysr�.yY:.: ry ;;:}: ,',•J•%;�,;,%< s� r •.� •/: '� i1 \\!, / . ; ,. .J)•.,�i .r;,, t:'•�'•r. : <.y;!}•rf?•:•. r.•?,..!J.,�;;ri;;y.;%/};�;%J )x/r,'i:y:6fi>�ir,; ;:fx;!i%.ss?: +.+► 3, i ';,.� /fir /+4 ,! r`?:•%>S%is:' .v!i. ^f :!� r >`% //','y,;/�/>::/r..y:://i\ �, :J.�Y;y!/+ado /p•:l�;r :>\!/�{\*{��J. • ,}��/,. / •� //� /,; O ,. BAN / :rim.y/ Jr•\/ ,•... _ f �:�•,f .;�r , .�•,�•,`r \� �`%i.:+!rf;r ,:%:�;:� ,{�•',r/�Nar!i;,,.r . d•' \,/ �{ .+ }..:. ? / \ j/ r/Ji•�: /.,:; Y' r/: > y:•�.!.•y{<Y+s'•. Y` t�c� ,\� :.7/;. +i / r,\•i// ,ry': :Zy:/r.. 1 {>at { p / .4/. /•'Y. / , �• y Y/\4' Yr!•}. tip;/..,:. r:. r�V:OI% /j+.:}', ?4>#. v».{�, / \/':G, \Yr7 )vr: rA:'v, :� Y% ', f .• �'{ s >.J,,..,s/:yy;%/„' !� ,, / r//;i•} NI/}:Y�fr�Y ., ,o'�+J: ::/r,;j! ''f•. r'G'r >Yi'�:\ /: ";ii •.y/.;:•r,i,• %"� •:. //r)::{ '�'r�,or ., /2\�h\+Y ,•\y ++%/x.. .,� l d' ..., ,r. /r.,,,/ / �1. z9��:r:'.•.i,r•.;,ri :. r :r � {: � T. :,r'>.)irr%aY.� Y r..,.,/J.:: y:'• •,:'•iv 1 f4 j f ;:i n„r/r /J;y�!�,\,• ar. Tray:l/. fir. +!:>1/. ;•!:..^. � �/ �, ::,,4/: {:y%r.,J/ \.y r \•:% %%/J :i� :l::.• y..r;.:/ry!• G rr:;:.y.. %• ;s.�.Y+'. '�: s?'.%/i; lr,K�s:yir ul/rr c%J/.!•y\./�)�,1:. �.,}r�i,r! yy-•. .,}c: , {r:.�y s:� y,,i;:•>.r. ;f /f:•• :;f o.:+:•c•:a.;r!.,x;)% :YY. .ayx%r\ y. %, 7i %/f Agr,, ,\:Jlr,•r.,r.,:;;•:::.: r y:!{�a•r.. r r../,..:.f�� r. lo:r.s r .\w {;i F :•,/!r!:;;�•h\Y/r.a.)J�;•%.,a, yYi,�.%/�)'JI��y/ !I�.rr. ,,�,�•. .' ::;��,;�r•,•rrr<;:i �J•'.•'i:.,,. :;;•//r%:•/j�`.,, ! .. }; : : :;%!+'!:fyilf�+:f,}•.?�y+y:•. :,•r >/!�i.'. : .;./. !�e's� �r�+.�r:+'•%f;�?��,;!/r.�+`•r.!►Ya4:be•,: ..M.. .,�i3f: :-•f" :::�•;•:rr.,y.•:.� {�:y:,?a> r.:'% .�;yi: y:y.,r:r•+:�>%• : vy% yy.;•r/f.\\vy% ,(�.:•.% o):/il•.\q!i•,°j �, }+r/n 1 '�""' - ;`'': ,�C•{iyw+?3r ti+� ,+r r '% f .i., Jr•:%y�rfi' rr•�fr�.y.!��4%i�.:a.;.�ti,:i•)yY:•!,+ f :/ ros•r: :�a�s• ;+.•.:+%':;, '+:rlr.o%fi, f:..r/:: Sra...,,•..,;•:r•:..,-.,'r rJ..:r .,,%i.+�.}y :r a: r,v/ vl/r..•. } •,f.: ..:•r»::a:�r `?.y/: J��yJ• •rr `Gu'':riyY.:;/,.✓�. '�-., h \!/ i{!.uli.••:<.�1 r;'4'� �f (%/,�`Yf /,src> r v�:�;,•� <��5: f y" `::fix,?'�ira�,):•�:r '•.: •;. , r ui%9,o).J�y. J. :� rl,+•.fy:rrr�•. \''•r:,�r, ,;.�,... s� S„� /,,•s3`�,v/j,•o.•.tr;a•:�.d9>••;%•.,}•. `rGi�•:!:':}:;,;.'%. % w"• •i:/r %i+��j%i.':+.%,�ra'y�::}�^x^.,c�i;?�:�y ;\j�^i,`% }��:iz!r.xGr};: 'ki,!�iMa/fi.• 3 .�i 3 �!Jr\r/!..a!J��i/��/f..} .^?\Y..;/ � • :,.%.,.rJ/.•)Y�r.`•:llr.�;f}ay.•,Y:>%�<%S??!r.;::.,?,,%'?y\v:/;�>:;�,�,\r,Y�;; f�.,. •%,?Y•:.!<„a)::% ;;..J..•/ ..:irir+r•r f rf„ rY:;,. •.:.,rr;yr r C/r ./i... 3 / r ;✓ J.;\!rf`.) ...r .,. rj.?./J•.,✓l�:!, :!J+\:: .•ri/ /. ..• ;y:•-.. i�:;;p;.•:r ,,r'Y'•,\ff.Y••. .G•y. �%/�,',•%;��/r.Ylv`x.x�jr;�\rY•:J%r,',;::i�lr.:�'r///is•��;/n. fr,��;'� �;/:�::)h.,a, a:.Cra::,�:!•:,�c•. 1, `1%' fr:+ ,\/Y.; % , a:/j�.J•....ri?' ?% yr;•�•::n,�� ' hr Y r:,,:r ry`S!?', , :.' •/ ..\!n\\%//��///et•/�. r/ rf..+' J,.. J\./ / �•.{.r:y� /✓~:,+::rr.'�,::�;�•:�%�.y.: rr�,y)� ?. / , a ;,-r<„r`,�%•. f } '.�'°" ,,} s' ,,!J.;;//.\'/• ` �.. .\��•as.G;)!/.;�•%;�i,.;\v��:,1»::•:af:?�%/n:;y:!•x?•xo:.o:aya./r.\:•r`�`�rir.;?>V,�/+./��i•.�i::J } ;:fs•!{/.;.rri !;xar/ ?rj r? /\.. % /r;,; ,,. /iy. , i # ;::J•tir�/.ayx!•,r.,11.•.y\•. a>:>:�Sr' •:•::!^'•% .' a,: y{`J ./ ,a/..ti,;r \?�,•.,�qi/x;:J//�}�,rti�riJ.t;�i:/�/r.�S:!/x\d F?;:%r::.,+:Y! :'%r.�;Y:•'.��.y>:: i � 1' '•%;i��.,\rJ.�Y>• ',,:,/'\?;/y.Y/�•.:ryY•.>f,\J:;.tr.?�•Y>.!Sy.,�>xr n):+Yr.•s:•s .:a:rrasr:,rosr Y:•):L•9r:•r:,u. ):✓i+.,/,''i,;+:r rx.Y%' +••y,;a:•r r%'•:• i _ %;;k... •-�% .�rifY'Sl/.\•1/�.r!.,:/ •Y{r,, ,r.y{: �;r%h!::r••:�r�i>�;;%�•,.%J.ax./.yy::•rr;•s%y,:;/n�:fr•�/,/.,,.,�:?i; Y/.,, s{r`>L�. .:�.; :r..;:!J' •>/r,\;•..• ,��,r �'in+±!r..R.,�,,�:��v�tir fx\%n�:✓'/r.�:�..�/k.%�!aY!l.\:,r/xaf/. r::nr•%•/,• �:r,'••:, r. : .>,•';r:�qr:.:.;.;. • � ( .+ ,..r,;.9 :•'' xrk•`� ;:�;;: k:%r/•� 'rry;,••:::;o::;a•.,,,,!\f,, ::,1.�.../,•'. .;a•.o,•,,,y„r,ya..;�:.iy/;+: `�i% i y`.:�>::'�ry\• 3.!.h/ ,.y ,, r{. • -sY%c../ . J r,, ar...,//:r;•:r'.•,yti1�,\%r::+:J%/a\i ley/r.�tJ..y.t/%.,.fn\r... ;";,,r..f.,�.,•rr,.!;.,} �t }: .� 7 .• •l/,r.!f' i /, ':// /r.)://:\U',r:,/.>yi:Sj;;Y;/,',,,! //�:a!`v.,.. .,..�J:.,l?.,r V/�.1/•,• ;v/�l v,,r' 'f /,: /s.{f/r•:••u.:?�!•,.;..': -MIN ,li:1•\y , J:'.'.' r{+.•y.r.+::�:.<�r}.,.!.r ..ty ;k. .^car:},. ,,/x;• \�J.;;r\✓;sax:r ..rrs:?•Y�!:?r:,a::•:Sr.;„!. }.r/: +;% �,;r ...•/ r a1/r,.:)J..y :;::rr�A>o /y 3 S ;o \• rar ;ria\+ri.\;%ems :? �?/.,, ;'+\\:nY cl':? ; a +Y%:•:•; /i. 4 `..;:. 1/r? ,�� ,,i�:Y;:'�J�<,:Yy/r, :Yrlr,.:: >r,:y:�n:!;f\/Ci y,<:•'+/'.•''�•' Y r% r3 • \f��%�?�y..r{,� rr / J! ,;.;l<••:/Ji r:j'•:;;n +•rrr�,rtiY:�.�rr% t\r ');/.:. r/ ,!�,tifi;yy \Z/ }" ../ax�:;'/i.:xG:?�r;,� :a-::� >:t/ .(•'T ;:••..4r � � t /,•``::;�/ •Sy �/:, %\\' / •' r1,..://�;�;.;... r, ;,!„r vr.;;..-J.•rr:;;•y,..r+'!rs>,r :�f., r'\!'.,ri:y✓y �%';'f;-bra co!a.i t t{ +\�// S s i < YO )'%/' t. /,+Sf;,•/Ja)% >�/!';�! :` ':%�J/\++ ,+.•}fh\h•7✓//}`Y/1{1\o 4?y'�,; rYg 15014 J, •, ,j`;!,.;y. .,i, !/\'Ji•��.;; ; i `r cicN, w " \>/. /.\4 ' r i�.'��::�r^r `•r.�i%"•r�.!>:�;%,'r:�r�tij/.`�:?:;�lf.;:•i.•rh',% ra�;; MOM Yr }r%J >' sy://<•) 3 :K•/{r>. ✓5• !�:!.Js 'f..)Y%�: Nr%rixr r/a•Y \+% .,u/�i!\\!J/•\\uJlr c%%;!/a/e'+:�rrsxrJ/,tiyj i? T.+.! r.! r: ,; i , r ''�ti�%r\�!.,/!l/,•��fo:�%1.!a�\%•. : y`h�+ ,%i :,yi.'. 3=r: '��j•!,'•'•:ti%`'r'��fi:�;��Y! �f•� >:r:>'��'�#lJfr.:=•;!%�:'''• >=, ?:;.f: W;Y/\: w Y .'r+�. .? �s!/•?s../,r3:�%/r,.•y J/tfx{,tl. //{+Y+,�a):r: rR' /'" \+ %\3// \;.1 v:r j ;•.',li:\v. r$ .thy'.•fr % ,, .✓!J �:;/J;•1!x rr;•r.r raY. a a? f+3: >. �.,• ti f :% , r y,:;!%i:? Z ! 3 t i %�,k\y \�:�../rat)'rl)x;!/s`.k 7 /+3' ) •s::', YY::?3:!C;YY+:ra`r{.s%:.}:# .v;: y'.\;• , 6`„1f'\;' :/? rf{r n.':v.4 X ;%nts%rn:i/.`;n,,)%Jjaf.:;j:�iS:,;%r� F.�:+'Rkx: {�f�: i ly+•?.}'jr; !;,,•'a r..yx!r:. .iJ..y.: K}+%r + Yifrr,.+•f: {k!�';rrr f +•,�•�,y.+rl J, ,. :,/ %;!{. /Sy :t.ar.: +•:.r, •. } :•'/.•y:,..,;%•+;1,;y;{i•y:•.l ;.:f•>y):!JJ.y;::h,;.; y.,.,%''; ;!.iyr:!!+.':r!rra Y x )'1/ !iii�.u{ s }; ! ! sf f i �s S MASON COUNTY PERMIT NO.1 'bill 2-C j I BUILDING PERMIT APPLICATION A426 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner e �' u Company Name CN-V) L) Mailin A dress ' �-A t e Mailing Address C�. c- - .��-� City State Ud E_Zip Code City 5 1 r;l�t State Zip Code ` 3 Phone Other Ph. Phone C� - ' Other Ph. Lien/Title Holder Contractor Reg. Ex E mail address E Mail Address eg , e. : :v1cj,4-r_ t-q 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 - c Fire District Legal Description r T 't - PT ' Site Address (Please include street name,street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes/ o11 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 pdtice or other enforcement action?Yes/No TYPE OF JOB- New Add Alt Repair Other PRIMARY R SIDEgCE ❑. SEASON L ❑ Use of Building Describe Work _ + r [,L -1 No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make Model Year ength id Serial No. No. of Bedrooms No. of Bathrooms e of t Purchase Ph Replac ? Yes/No Ins r Name i ication No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Admowledgement 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 Of-WORK IS BY MEANS OF A PROGRESS INSPECTION.. X Date: 711\3 ! / Owner/Owners Represent 4k/Contractor (indicate which one) ` FOR OFFICIAL USE BEY ND THIS POINT Accepted by: Date ) DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department -11 ('q Planning Department i K_ Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site inspection Plan Review Fee EH Review Fee Plumbing& Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal 42GLIL MMI5 Valuation$ TOTAL FEES 4 2 r t/,/ ^F I1 L, C