HomeMy WebLinkAboutCOM2013-00033 Cancelled Moving Sign - COM Permit / Conditions - 9/27/2013 MASON COUNTY DEPT. OF COMMUW i-Y DEVELOPMENT Inspection L; - i360)427-7262
Phone:(360),.'.' 3670, ext. 352
Mason County Bldg. 3 4,C. ,/V. Cedar P.O. Box 186
Shelton, WA 98584 '
i
COMMERCIAL f3UfLDING PERMIT COM2013-00033
OWNER: E & M LEVEL 5 LLC RECEIVED: 3/5/2013
CONTRACTOR: PLUMB SIGNS INC 253-473-3323 LICENSE: PLUMB SIGNS INC EXP: 11/10/2013 ISSUED: 3/27/2013
SITEADDRESS: 23160 NE STATE ROUTE 3 BELFAIR EXPIRES: 9/27/2013
PARCEL NUMBER: 123325000031
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS LOT: A OF SIP#424 (R) PTN TR 13-A
PROJECT DESCRIPTION: DIRECTIONS O SIT
MOVING SIGN TO NEW LOCATION WITH NEW DESIGN FOLLOWS R 3 T B F TO SI A ESS ON THE RIGHT SIDE-
EHRESMA FA ILY HI O QRTIA AND E CLINIC
General Information NstructjDtvArCrccupancy Information
o. of n s: Type of Constr.:
Type of Use: CLINIC Insp.Area: N of athroo Occ. Group:
Type of Work: SGN Fire Dist.: 2
Valuation: $ 12,000.00 o. of Stor' s: Exit Design. Load:
Bui ng H ' ht:
Pre-Manufactu d Unit Inf matio Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback In mation Shoreline&Planning Information
Front: Ft. e: 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?:
Please refer to the following pages for conditions of this permit.
COM2013-00033 Page 1 of 4
Plumbing Fixtures Me�;hanical Fixtures FEES
Type _ Qty. Type _ Qty. Type By Date Amount Receipt
Plan Check Fee =RAM A/rugni A �1 RR m c,>m snn
Sign Permit Review -KAM wsonvi 4t7n nn Ri?nt'lnn
Building State Fee aw 4ta rn �,?�minn
Building Permit Fee i a%nr vonci)r, s9?n1,Ann
Total $419.76
CASE NOTES FOR
COM2013-00033
CONDITIONS FOR
COM2013-00033
1) 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 po ential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-64 9 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) Owner ent is resp nsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
3) Approv per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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 w ll charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X il
Vv-
5) 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 grajFd. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
County B itg Department prior to any further inspections being performed or approvals granted.
X
6) ALL CON TRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANG O USE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
7) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Buildin Ll
mbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
COM2013-00033
Page 2 of 4
8) CONSTRUCTION PROCESS TO BE !-.IELD 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 it
conformance with the international codes as amended and adopted by Mason County. Any corrections changes or alterations required :_y a
Mason Co u Building Inspector shall be made prior to requesting additional inspections. r
X
9) All property lines shall be clearly identified at the time of foundation inspection. X
10) 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-c y
ant with Mason County ordinances and building regulations.
X
11) 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
Xthp�rmit holder have prevented action from being taken. No more than one extension may be granted.
�
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 Mas County access to the above described property and structure for review and inspection.
OWNER OR AGENT. — DATE: I
COM2013-00033 Page 3 of 4 f
n
O r,
N
CONCRETE MECHANICAL MANUFACTURED HOME 90
o __--- Dale By
w footings J Setbacks Gas Piping Ribbons r
OInterior Date By interior- Date BY Data By m
w E.xteror Date BY Exterior-Date By Set-up m
r
Point Load J Isolated Footings INSULATION Date By tJ1
BG I SLAB INSULATION
Date By Data B}y FIRE DEPARTMENT r
foundation Walls Floors Date By n
Date By Data By DECKS
FRAMING__ Walls Date try _
Date_ By Data By PROPANE TANKS
PLUMBING vault Date By
Date By__. _ OTHER
Groundwork Attic
Date By Type
Date BY Date By
D.w.v DRYWALL Type. O
Date B int.Brace Wall Date By 3
y Data By N
FINAL INSPECTION 7Water Line Fire Seperation I CD
Date By Date By Date L y
Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments C4
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UXYT.E84383-Signs http://database.ul.com/egi-bin/XYV/template/LISEXT/1FRAME/sho...
J11. 1 ONLINE CERTIFICATIONS DIRECTORY
UXYT.E84383
Signs
Page Bottom
Signs
Gee General Information for Sans
PLUMB SIGNS INC E84383
909 S 28TH ST
TACOMA,VJA 98409 USA
Last Undated,on 1994-04-15
Questions? Print this page Terms of Use Page Too
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When the UL Leaf Mark is on the product,or when the word"Environment"is included in the UL Mark,please search the uL FnyJmnment datahase
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ILLUM.CABINET W/LEXAN FACES-ATTACHMENT DETAIL O
Aluminum e`
cabinet f—'/."x 1 'b" LISTED
angle iron 'a""`� I` Washington Association of Building Officials
9 sign frame/socket P O.Box 7310.07ympta,WA 98507
885a84-9515 • vvwwabo.orB
Lexan face Certified Welder Card
Sched 40
steel pipe- —Fluorescent BRANDON A POWELL
illumination PO BOX 53
UL approved WAUNA WA 98395
WABO cert. power supply
weld
Connect to existing `�On/off
OCT 1-2013
power source —• toggle switch "'�`� Renew on or before expiration date
11L This sign intended[o be installed in accordance with the requirements
quireents of
Y Article E00 of the National Electrical Code and/or other applicable local codes.
i
1 of 1 3/26/2013 7:55 AM
MASON COUNTY PERMIT NO.'l_r0M 2-00
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 A(,.--
Shelton (360) 427-9670• Belfair(360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATIOV CONTRACTOR INFORMATION
Owner 5�M 5 �4--C- Company Name
Mailing Adqress 'FZ Mailing Address 9D9 .S adf` .--tjr
City State-U`A Zip Code City State v jA Zip Code 9d'Yo 9
Phone 253 24D I309, Other Ph. Phoneas3•V 73 - a-5..36-3 Other Ph.
Lien/Title Holder Contractor Reg. # �a S�o77 Exp, // io •�
E mail address rlt, W k SS C4 Cz o •C4 C� E Mail Address WAr rer" u r"h
Drivers Lic. # DOB 1 Drivers Lic.#1,;I55MW M.3q•t ,;k DOB I
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 Fire District
Legal Description
Site Address(Please include street name, street number and city) 6 N
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No
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 Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
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
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement 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 INUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date• g!lZ� 201 -z'
wrier/Owner Re resent /Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date -
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department 315-43
Planning Department y
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee 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
Valuation $ 1 TOTAL FEES