HomeMy WebLinkAboutCOM2013-00031 Cancelled Relocate Sign - COM Permit / Conditions - 9/27/2013 goMASON CCUNTY DEPT. OF CO NIMUNITY DEVELOPMENT ,ection Line(360)427-7262
Mason County BK19. 3 426 W. Cedar P.O. B,� k '86 (360)427-9670, ext. 352
Shelton, WA 98584
t$ COMMERCIAL BUILDING PERMIT COM2013-00031
OWNER: DAVID FISHER RECEIVED: 3/5/2013
CONTRACTOR: PLUMB SIGNS INC 253-473-3323 LICENSE: PLUMB SIGNS INC EXP: 11/10/2013 ISSUED: 3/27/2013
SITE ADDRESS: 23211 NE STATE ROUTE 3 BELFAIR EXPIRES: 9/27/2013
PARCEL NUMBER: 123325000027
LEGAL DESCRIPTION: SAM B. THELER'S HOME &GAR TRS TR 12-A
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RELOCATE SIGN WITH NEW DESIGN FOLLOW ST 3 TO BEL R TO SITE ADDRESS ON THE LEFT SIDE (
3-D BU IN
General Information I Co ruction&Occupancy Information
o. of nit Type of Constr.:
Type of Use: CPA BUSINESS Insp.Area: No. Bath o s: Occ. Group:
Type of Work: SGN Fire Dist.: 2 o tories: Exit Design. Load:
Valuation: $ 13,000.
uilding Height:
Pre-Manufa ured U it Informa 'on Square Footage Information
Make: Length Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setbac Informativ
Shoreline& Planning Information
Front: Ft. horeline: 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?:
COM2013-00031 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type _ Qty. lvp i ly. Type By Date Amouni Receipt
Plan Check Fee rnnnn sisnnts g< ,i g19msnn
Sign Permit Review r,nnnn six;nms s,n r,n g19msnn
Building State Fee I A%nr ar9s11)(11 ea tin ,99n1,inn
Building Permit Fee I AXni I/9snni A 9F g99ni inn
Total $442.86
CASE NOTES FOR
COM2013-00031
CONDITIONS FOR
COM2013-00031
1) Appr d per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
2) 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 pote tial risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
3) 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 wi/�i: a charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
4) Owner/ nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
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 granted In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
County BuildiAM
epartment prior to any further inspections being performed or approvals granted.
X
6) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE IE .NT TIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANG 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), ventilation requirements),
Buildi I mbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
COM2013-00031 Page 2 of 4
8) _ONSTRUCTION PROCESS O BE FIELD CORRECTED?,S REQUIRED PER MASON CC.. NTY BUILDING DEPARTM;FN T AND THE
;'DOPTED BUILDING CODE.
The construction of the permiri (I project is subject to inspecticns by the Mason County Builo !:c Department. All construction: must be in
'-onformar,Ke with the internailonal codes as amended and adopted by Mason County. Any co-rections, changes or alterauor-is required by a
Mason ty Building Inspector shall be made prior to requesting additional inspection
X Vp
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 toe est a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-co li nt 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
of the peg it holder have prevented action from being taken. No more than one extension may be granted.
X 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. Proof of cont inuati n 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 M on County access to the above described property and structure for review/and inspection.
OWNER OR AGENT: DATE: �,Z7
COM2013-00031 Page 3 of 4
_n
0
9 FA
N) CONCRETE MECHANICAL MANUFACTURED HOME
C) =
W Footings !Setbacks Date B y Ribbons M
Gas Piping ;0
0 Interior Date By Interior-Date By
data By
Exteirao( Date By Exterior-Date By
Set-up <
Point Load/Isolated Footings INSULATION Date By
BG I SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Dnte By Data By DECKS
FRAMING Walls Date By
Date BY Data PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type
Uate, B Date By
By
Dale By 0
0.1W.v Type 0
Date By Inc Brace Wall Date By 9
Dale By
FINAL INSPECTION
Water Line Fire Seperation
Date By Date By Data By Ca
CD
Pass or Request Inspect. Q
-Type of Insp. Fail Date Date Done By Comments
cn
(D
-N
0
UXYT.E84383-Signs http://database.ul.com/egi-bin/XYV/template/LISEX'T/IFRAME/sho...
ONLINE CERTIFICATIONS DIRECTORY
UXYT.E 84383
Signs
Page Bottom
Signs
5e.e GemP_Lal_1nfgrmat4on for Signs
PLUMB SIGNS INC E84383
909 S 28TH ST
TACOMA,WA 98409 USA
! I nSt l inrlarrsd on 1994-04-15
Questions? Print this Daoe Terms of Use Page Too
i
i 0 2013 UL LLC
When the UL Leaf Mark is on the product,or when the word"Environment"is included in the UL Mark,please search the 1tL Fnvimnment database
for additional information regarding this product's certification.
T`ie appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured
under UL's Follow-Up Service.Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow-Up
Service.Always look for the Mark on the product.
UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1.The Guide
information,Designs and/or Listings(files)must be presented in their entirety and in a non-misleading manner,without any manipulation of the data
(or drawings).2.The statement"Reprinted from the Online Certifications Directory with permission from UL"must appear adjacent to the extracted
material.In addition,the reprinted material must include a copyright notice in the following format: "o 2013 UL L-C".
ll:o" CABINET WAEXAN FACES-ATTACHMENT DETAIL O
Aluminum
cabinet f-'b"x 1 h" LISTED
angle iron '" = .1 q r 7 Washington Association of Building Officials
sign frame/socket ',''��� P O.Box 7310.CNympta,WA 98507
J- 8ab664-9515 • YAwv wabo,org
Lexan face Certified Welder Card
Sched 40 Fluorescent BRANDON A POWELL
steel pipe illumination PO BOX 53
y
UL approved WAUNA WA 98395
WABO cart. C] power supply
welds- � OCT 1.2013
Connect to existing ` '�On/off �na
power source-- toggle switch R`enew on or before expiration date
c
IL This sign intended to he installed in accordance with the requirements of
YL Article 600 of the National Electrical Code and/or other applicable local codes.
1
i
3/26/2013 7:55 AM
7 VP
MASON COUNTY PERMIT NO. 2J)1:72
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 741 14n
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICA T INFO MATION CONTRACTOR INFORMATION
Owner � }icN �r���-f Company Name 1;-4r1;j,6 C4iZ"Vs
Mailing Address f�' 5la- Mailing Address 9D9 5 • a " .-'i;r
City _State W 0, Zip Code City 7-4e-ve d State %^jA Zip Code 9,f Ya
,0V_ Phone Other Ph. Phone as3-V 73 -3 3a3 Other Ph.
Lien/Title Holder Contractor Reg. a7> Exp. // ic.AA
E mail address C-�L -O E Mail Address war fen C i k a_- h�'teirl�� . e 4 1
Drivers Lic. #IA 1 tSM WM DOB Drivers Lic.#W 15SMv�1 M.3q I �i t� DOB I
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Sep ti Existing Septic
Connect to Water System Name of Water System �� S
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) ' NF Sfl- A a S'
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- 1st 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 a urate 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. tt
X Date: a (291 9-01
caner/Owner Re resent /Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date.�3- _D I
DEPARTMENTAL REVIEW A ROVED DENIED OTES
Building Department 11 U-3—Z_j /3
Planning Department
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
Valuation $ TOTAL FEES