HomeMy WebLinkAboutCOM2003-00209 Cancelled Sign - COM Permit / Conditions - 7/6/2006 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)127-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2003-00209
OWNER: GREGG GRAHAM PERMIT EIVED: 12/31/200:
CONTRACTOR: LICENSE: EXP: LL IQ BY EXPIRA11" i SUED: 3/8/2004
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SITE ADDRESS: 6181 E STATE ROUTE 3 SHELTON � BY f EXPIRES: 9/8/2004
PARCEL NUMBER: 321361300040 4 tom----
LEGAL DESCRIPTION: TR 4 N OF HY OF SW NE, EXC TR 8 &W 373' 6181 E STATE ROUTE 3 SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SIGN SR3 NO TO INTERSECTION WITH AGATE RD TURN NORTH LEFT ONTO
POPERTY FROM SR3
General Information Construction &Occupancy Information
Type of Use: COMMERCIAL Insp.Area: No.of Units: Type of Constr.: V-N
Type of Work: SGN Fire Dist.: 5 No.of Bathrooms: Occ. Group:
No.of Stories: Occ. Load:
Valuation: $ 1,090.00 Building Height: 10
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: 25.00 Ft. Shoreline: 165.00 Ft.
Rear: Ft. Slope: Ft. Water Body:Deer Creek Shoreline Desig.:
Side 1: 10.00 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?:
�. COM2003-00209 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
1
f Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee N.IP 1?/,A1/9nn .097 17 S99nn'tnn
Building State Fee KART. 1lgignna #.a c;n gg,nnAnn
Building Permit Fee KAPr: 1igi9nnd Rat An c99nnAnn
Total $73.47
CASE NOTES FOR
COM2003-00209
CONDITIONS FOR
COM2003-00209
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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the
approval of the Mason County Fire Marshal. X '((o
3) All property lines shall be clearly identified at the time of foundation inspection. X
4) 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-compliant with Mason County ordinances and building regulations.
X V L-
5) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
6) 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 .VL
7) 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
OWNS�3/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X I�[i
8) 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 Vill be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X �v
t COM2003-00209 2 of 4
9) The proposed project is 165'east from a Type I stream (Deer Creek). Type I streams require a 150 foot setback and a 15' building setback for a
total of 165'. No structure may be forward of this setback without additional permitting and planning review.The proposed project location is in
` compliance with this regulation. No disturbance to the buffer and vegetation is allowed.
X
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10) Approved per dimensions and setbacks on submitted site plan. X VL-P
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 Mason County access to
the above described prope and structure for review and inspection.
OWN ER OR AGENT: �� — DATE: b�zo
COM2003-00209 3 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME
o Footings / Setbacks Date By Ribbons `
`'`' Date B Gas Piping Date B
o y �� g Y
o Foundation Walls Date B y Set-up
`° Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
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TOPOGRAPHY POFILE:
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Building Permit number: Direction: Scale Approval: for office use
Building:
Owner/Applicant: Date of Planning:
Parcel Number: application: Env. Health:
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MASON COUNTY PERMIT N
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
On the web www.co.mason.wa.us
APPLICA T INFORMATION CONTRACTOR INFORMATION
Owner 4 ra ev ra ow Company Name >Y
Mailin ;.Add_r s � a t Mailing Address
City � State (-vP Zip Code City State Zip Code
Phone_5 , W& 31,. 3 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address 75 (e E Mail Address
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 S stem
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city) J
Directions to site _3 <' l ✓;>���r ,;,�r1�;,�f� kz,- -Iz2 rw
i,_,_d -
ill timber be cut and sold in parcel preparation?Yes'/No
Is property within 200'of Saltwater �' Lake 1 ` —River/Creek s S 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 'It Repair Other R ARY RESIDENCE ❑ SEASONAL ❑
Use of Building f escribe Work. -M�'101'�' f. /
No.of Bedrooms No.of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor BasementI 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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed.
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X Date:
/a/3//c3
caner wners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APP VED ENIED NOTES
Building Department 6
Planning Department 2983
Environmental Health Department 426 W
Public Works Department
Fire Marshal
FEES
Buildinq Permit Fee Site Inspection
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 $ TOTAL FEES