HomeMy WebLinkAboutCOM2000-00035 Final Sign - COM Permit / Conditions - 5/1/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262
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• Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352_27
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2000-00035
OWNER: J BAR D MINI STORA RECEIVED: 03/30/200
CONTRACTOR: J BAR D MINI STORAGE IN ISSUED: 04/21/200
SITE ADDRESS: 23270 NE STATE ROUTE 3 BELFAIR EXPIRES: 10/21/200
PARCEL NUMBER: 123325000020
LEGAL DESCRIPTION: SAM B. THELER'S HOME + GAR TRS TR 9 + N 10' OF TR 11 EX'
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PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SIGN BELFAIR BETWEEN DOCTOR CLINIC AND THE BAPTIST CHURCH
General Information Construction & Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Insp. Area: No. of Bathrooms: Occ. Group:
Type of Work: NEW Fire Dist.: 2 No. of Stories: Occ. Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
odel: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information Shoreline & Planning Information
Front: W 10.00 Ft. Shoreline: Ft.
Rear: E 300.00 Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: N 20.00 Ft. SEPA?: Comp. Plan Desig.
Side 2: S 7.50 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?:
. COM2000-00035 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
,Type QtY. Type Qty. Type By Date Amoun Receipt
Plan Check Fee KLW 03/30/200 $56.71 53017
Planning Review Fee AHB 04/04/200 $65.00 53240
Building State Fee SKM 04/07/200 $4.50 53240
Violation Fee SKM 04/07/200 $87.25 53240
Building Permit Fee SKM 04/07/200 $87.25 53240
Violation Investigation Fee SKM 04/07/200 $42.00 53240
UFC Plan Check Fee DLS 04/11/200 $28.36 53240
Total $371.07
it I
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: `�'7��'�121/ u S �; L �� L— DATE: `7 ' Z < ' Zc,c, y
CASE NOTES FOR
COM2000-0003
1)
COM2000-00035 Please refer to the following pages for conditions of this permit. 2 of 4
CONDITIONS FOR
COM2000-00036
1) Approved per dimensions and setbacks on submitted site plan. X
2) All upland areas disturbed or newly created by construction activities shall b eeded, vegetated or given an
equivalent type of erosion protection (silt fencing or straw matting). X
3) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum
of 5' setba from all property lines, easements and 10'from all County and State Road right of ways.
X
4) This application is subject to BuJpT and Landscaping requirements as established under Mason County
Ordinance 1.03.036.X
5) Approved per dimensions and setbacks on submitted site plan. X
6) All prope lines shall be clearly identified at the time of foundation inspection.
X /
7) CONSTRUCTION PROCESS TO BE FIELD CORRECTED �,S REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x _
8) 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 shall be approved prior to construction.
X
9) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5'
separation distance between adjacent structures and that furthest projection.
X ,
10) 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�N PERMIT REVOCATION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x �,
11) 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 mus be collected by
this department prior to any further inspections being performed or approval granted.X
12) 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 0#collected by this department prior to any further inspections
being performed or approval granted. X � �
13) 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 bq collected by this department prior to any further inspections
being performed or approval granted. X
COM2000-00035 Please refer to the following pages for conditions of this permit. 3 of 4
14) 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 A--
COM2000-00035 Please refer to the following pages for conditions of this permit. 4 of 4
CONCRETE- S MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date -/ Cd by /"�" Gas Piping date b
Foundation Walls date b Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date
aRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date /rc C ; by �-� date by
CA
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f
FORM MUST BE COMPLETED IN INK
.P4EASF,PRESSHARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
/ 1 /7c oo URo
Namet` �D �/� c s Cg"C" ,.PARCEL NUMBER j.4334-5o'` Dater d
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
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 lined I I Fadjacent property line
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adjacent ro ert I' a I ' <-adjacent property line
SAMPLE SITE PLAN
adjacent property lined E-adjacent property line
D 30' rw`—SC RvE gel
SEa.n,j Al_ 1 a L
CREEK I' C I MOM 6 j
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VACANT i I C AMAG6
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adjacent property lined ; I \; E-adjacent property 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
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Signature Date
• PERMIT NO.: BLD
MASON COUNTY 313�
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 Seattle 206 464-6968
AFPLICAf�TT�NFORMATION CONTRACTOR INFORMATION
Owner 61 0 /)�! vi i S y✓c SL /H C� Contractor Name v1 Jc Put
Mailinq Address Mail iru� Address 3
I City Stat Zip Code City�Q a / Statet(l►9 Zip Co e
Phone ? Other Ph.0 Ph"tractor
Other Ph.L�
Lien/Title Holder Coeg. # O o
Address Expiration__ :-7-5/ oZOv
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System i Well Water System Name of
Water System V
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Descriptions C
Site Address(Please include street name, s eet number an c't
Directions to site )d tZ. C/-
7 C
Will timber be cut and so d in parcel preparation (Yes/No) NO
Is your property within 200' of the following: Body of Water(Name) NG Saltwater f' ,1
Lake River/Creek Ponder Mtland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JO Alt Repair Other Use of Building
Describe r
No. of Bedr Bathrooms SQUARE FOOTAGE-1st Floor 2nd FlooJ
3rd Floor Loft Basement Deck Other Coal s k� 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.
X Date X DO
FOR OFFICIAL USE BEYOND THIS POII/N
Accepted by f Date 1 "`�Submittal Amount Due Q�Lo� Receipt No. V(J�
DEPARTMENTAL REVIEW APPROVED , pENIED CONDITION COpU
Building DZtz
nt
Occ Grou Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
...
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
>>:;:::::>..r TOTAL FEES