HomeMy WebLinkAboutCOM2016-00071 Plumbing - COM Letters / Memos - 5/11/2016 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
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Mason County Phone: (360)427-9670, ext. 352
615 W Alder St
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2016-00071
OWNER: SAFEWAY STORE BELFAIR RECEIVED: 5/4/2016
CONTRACTOR: PLUMBING PROS 1.360.829.6539 LICENSE: PLUMBPL947PL EXP: 10/13/2016 ISSUED: 5/11/2016
SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE A BELFAIR EXPIRES: 11/11/2016
PARCEL NUMBER: 123294100010
LEGAL DESCRIPTION: PCL 3 OF BLA#98-58 PTN NE SE SURVEY 32/67
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
PLUMBING TO BE CHANGED/ADDED TO THE NEW CUT SAFEWAY STORE BELFAIR,
FRUIT ROOM ( SEE COM2016-00046 & COM2016-00065)
General Information Construction&Occupancy Information
Type of Use: GROCERY Insp.Area:
No. of Units: Type of Constr.:
Type of Work: PLM Fire Dist.: 2 No. of Bathrooms: Occ. Group:
Valuation: No. of Stories: Exit Design. Load:
Building Height:
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?:
COM2016-00071 Please refer to the following pages for conditions of this permit. Page 1 of 3
FEES
Data Amount Receipt
Mechanical Fixtures Tye By ���mFnn
Fixtures __� �ranniF Sze m
Plumbing — Q. �^"M
T Special inspection SR zn �izniFnn
Q 2 (:MM FfannlF
T c Ga$putleis Plumbing Permit Fee Srannis Sza 7n GixiiFnn
r;bf M
M
Kitchen Sink Plumbing Base Fee Fra�niF SF sn RigniRm
41�niFtM
Mechanical Permit Fee (:M FfanniF
Mechanical Base Fee (SMM Total $141A0
CASE NOTES FOR
COM2411 6-00071
�— --- --"� CONDITIONS FOR
COM20i 6-00071
ement of such is by
_-_._—=-------- permit revocation.Acknowledgement 5
to information may result in a stop work order or p t regarding this project The
t I am entit
OWNER t BUILDER acknowledges subm fission of inaccurate ve or contractor. I further declare thaorParties of interest
this perms and�property
parties,including any easement holder access to the above de s or if
rants employees of Mason County
Signature below. I declare that I ed then sson from all the necessary
ro � ss legal teccurate and g lot commenced
.INACTIVITY
cedwithin
OF THIS
s proposed, i have obtained permission
information p uil&Vold if work o! authorized FANS OF INSP of�mmenced within i 80 day
work a p po age*
represents that t WORK
IS BY MEAN
owner or authorized ay
bcation becomes n
and structure(s)for review and inspection.This permid s.
ended for a period of 180 days.PROOF OF CONTiNUAT1ON OF
construction work is suspended r /
ssus en 18Q DAYS WILL INVALIDATE THE
PERMIT APPLICATION
r L ------ Date
,.r CONTRACTOR
Signature OWNER ` REPRESENIOVE} l
t (Clrels 9tte rt��s
Print Name
Page 2 of 3
cOM2016-oD071
$op coU "1/ CS/-e- / Ax S
MASON COUNTY PERMIT NO. -cool
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATIO
NAME: Y rj NAME: t✓m 5ia -
j MAILING ADDRESS: 4. a �/2 MAILING ADDRESS:
CITY:*U-14d 1hum G'Lg-6TATE: e-.4 ZIP:_Q JjS�JC CITY: 6v40 sTA E: Lx-; ZIP:
PHONE: CELL: PHONE: rap-�2 S-S&3 ELL:
EMAIL: EMAIL : Ui1-4 "o-k
L&I REG# P cJ)K Aj 01 9c/7tXFXP AO ,;il
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):_ /v�Jsa�`! �_�/--OGC> /0
LEGAL DESLKIPTION(ABBxBf,"iAT D).
SITE ADDRESS:_ CITY: j" ✓
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS- Is"FLOOR_�C2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas mp
Toilets Type of Unit No.of Units t
Bathroom Sink Fumace /
Bath Tubs Heatpump
Showers Spot Vent Fan 6'� I�b
Water Heater Propane Tank
10J6+
Clothes Washer Gas Outlets
Kitchen Sinks Z Wood/Gas/Pellet Stove
r.�►
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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 contractor.I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
i accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
I permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMIT APPLICATION OF 180 AYS WILL INVALIDATE THE APPLICATION.
I _
'I x2 _
ignature of Applicant Date
X L4e-" — �'�' Owner/Owners Representative/Contractor
Print Name (indicate which one)
11�1 ART1�. PW"l E ? _ I I1 N r.. .. TAGS%NOTVW—C-CAN T16
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL