HomeMy WebLinkAboutBLD95-00580 Final Espresso Stand - BLD Permit / Conditions - 5/22/1995 MASON COUNTY
NiMason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
N 0 P E R M I T FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD95-0580 PARCEL :321363800010) PLAT : D I V : BI-K : LOT !
JOB ADDRESS, : F 5960 STATE: ROUTE 3 SHELTON
OWNER : BUCK CLARK 426-4726
CONTRACTOR : SHAFFER
LEGAL : T1 1 Of 124 A. OF J.O.ECLE1'S A.L.C. S Of 11W SEE S81VEY 213
CLASS OF WORK . . :NEW BEDR : 0 BATH : 0 TYPE AMOUNT BY DATE RFCFIPT TYPE AMOUNT BY DATE AFCFIPT
TYPE OF USE . . . . :COM STORIES . . . . . . . :O = � •��
OCCUP . GROUP . . . s? BLDG . HEIGHT . . : O .Oft PRINT ; 16.96 1JP 05102195 38939 �
TYPE; OF CONST , . :? FIREPLACES . . . . : 0 STFf 1 4.511 NJP 0102195 38939
OCCUP . LOAD - . : 0 WOODSTOVES . . . . : 0 fHCP ; I#.®8 NJP 05102195 38939
DWELL .UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 0 SHORELINE? . . . . :N TOTAL: 3f.58 VALULAIION: 11T611
SETBACKS---._-... ____---__ _ TOILE'TS . . . . . . . . . . 0 FUEL TYPES------- ---- BOILERS/COMP----. MOBILES HOMF= -
FRONT _ O .Oft BATH BASINS . . . . , . : 0 01 -3 HP . : N
REAR . . . . O .Oft BATH TUNS . . . . . . . . : 0 3-15 HP . : 0 MODEL :
SIDE ( 1 ) O .Oft SHOWERS . . . . . . . . . . : 0 FURN <, 1091K BTU : p 1 5-:301 HP . : 0 MAKE--._. .,
SIDE (2 ) . O .Oft WATER HEATERS . . . . : 0 FURN >-100K BTU : A 30-50 HP . : 0
SHRLINE . 010ft CLOTHES WASHERS . , : 0 FURN - FLOUR . . . : 0 50+ lip . : 0 -YEAR-----__..-
AREA -- -------- - -- KITCHEN aINKS . . . . : 0 HEAT PUMP . . . . . . . 01
LOT S17_E . . : FLOOR DRAINS . , . . . : 0 VENT SYSTEMS . , . : 0 EVAP COOLERSj 0 I.FNGTH : 0
BUILDING . . . : 96sf DRINKING FOUNT . . . : 01 VENT FANS . . . , . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES , INCIN :O --SE:RIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN:O
GAR/CARE 0 Osf GARB DISPOSALS . . . : 0 -- 10000 afmn t 0 RELOC/REPA I R r 0
AT/DT - t? URINALS . . . . . . . . . . : 0 > 10000 cfn . : 0 OTHER UNITS . : 0
MI SC P!_M FIXTURES : 0 GAS; OUTLETS . : 0
PROJECT DESCIIPT1011:ESPRESSO DRIVE TN11 STAN1
PROJECT LOCATION:APPRO.1 1 NU ES FAST 01 HWY 3 DIRECTLY ACRORS THE STREET FR3M ]HE DEERK CREEK STOR[, SITE OF THE 019 CEIIAR MILL
'US PERMIT BECOMES AVIL AND VOID IF WORK OR CONSTRUCTION AUTHORIZER IS NOT CONNENCE; WITHIN 184 DAYS, O1 If CONSI1UCHON OA WORK iS SBSPENDEO FOR A PERIOD
OF 180 DAYS AT ANY ]IMF AFTER WORK IS COMNFNCED. EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS 11SPfCTION WIT;11N IN[ ISO DAY PERIOD. FINAL INSPFCTIOI MUST BE
APPROYFO BEFORE 60119116 CAN BE OCCUPIED.
QWq OR ►.GENT; i! � '.� � t% ._._. DA I�
BLO_JRMT, rev: 031311/1 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/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
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date, --Z�6 b date by
I
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
I
P.O. Box 186 Shelton, Washington 98584
PERtA i T C.: C> N0 I -r I C3N !5!
Case No . : BLD95-0580
For : SUCK CLARK
Page : 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 , 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 i
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPE:CT I ON FEE BASED ON RATES IN TABLE 3A OF THE '1991 UNIFORM BUILDING CODE WILL Elf'
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
2 ) Proposed structure or any, portion thereof greater than 30" In height from grade line
must maintain a minimum of 5 ' setback from all property lines , easements and right off`
3 ) A Road Aocess Permit or Approval must be granted by the Washington State Department of
Transportation . For more Information contact Paula Hammond, Transportation Planning
Engineer , at (206)357-2620, ext . 630 .
4) 1 . PROVIDE ONE ( 1 ) ,?A 1OBC RATED FIRE EXTINGUISHER LOCATED NEAR THE EXIT DOOR
2 . ANY COOKING THAT EMITS GREASE-LADEN VAPORS WILL REQUIRE THE 114STALLTION OF A CLASS I
HOOD AND A FIXED FIRE PROTECTION SYSTEM .
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PA
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 l
PLEASE PRINT
#1 Owner _ liC,1C, 4 'sti&LR cLAP1g� Phone# (j3&o y o2 —!4 7z4a
Site Address Fire District#
City St W1A- Zip 6-8
Directions to Job Site cJl Ce
Owner Mailing Address - ;L L C.orr yY\014 Ci l� 52 CLU3 f Z�
City �VVe c, -row.( St1U)6_Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City v St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.55)60 - ? - � �� C%
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. / Va(/02
#6 Use of b ilding 07S 9DSO *-'D E Describe work
SEA
#7 Type of Job: New_ C Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms T e of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
`'
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
_Hot Water Htr _ Heatpumps
Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
_Dishwasher No. Air Handling Units
Disposal _ cfm#
_Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER, X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
[Approved Cond. Hold
Approval
Planning: lqz
Environmental Health: CaVW_( r W-L4� �z
�iSOa'�eci o� M Pro pr1. vR�..�• `�
Building Plan Review �C.G
� 2
Occupancy Group: 8—�-- Type of Const: S
Fire Marshal:
Other:
Special Conditions: FE
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE