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HomeMy WebLinkAboutBLD25396 Pole Bldg - BLD Permit / Conditions - 4/3/1990 BUILDING PERMIT APPLICATION Pt-&AsF PHoN�^ MASON COUNTY W N eN DEPARTMENT of GENERAL SERVICES -743 -155 SIC' P.O. BOX 186 SHELTON, WASHINGTON 98584 -S' `/— 3. 90 26-559 DATE ISSUED 1{-z7-IL7C PERMIT NO &n 3� OWNER NAME MAILADDRESS CITY SSTATE ZIP PHON CLwroN MuNS SE 51 ARAi3iW RD, SHaL o WA 9 13 DIRECTIONS TO JOB SITE J$CC T GACd aV I r�74D F'' c.rio 2- ZZ LE AL T9 22 OF C6-' SEGTiO/V (-rg"12- OF St � /G7Sj -143-1 555 NAME MAILADDRESS CITYBSTATE LICENSE NO. ZIP PHONE CONTRACTOR PL"RMA &ILT]�)D, (6521 Wr3() LYAmwmp moi 13r 173JR 9037 USE OF BUILDING GAr;zAGE WORK ✓ CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE CON S TR VGT A POC.L G V!i-, /N G O AJ SJ r[- /°RrP�9 n L f> WORK B7 0 wA�Lz- -BA5ic- Pl-AAJ NL).Mac� /24 '95 BEDROOMS DECKS CARPORT NOTICE O/ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE 7z CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERSA IDAVIT CONTRACTORS AFFIDAVIT I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF CERTIFY LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREW TH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE IL ING DEPARTMENT. X W ER DATE X BY DATE 9 FOR OFFICE USE ON L DEPARTMENT YES SPPROVENo DEPARTMENT YES NoBUILDING VALUATION Zt� `�= HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT Z CJZ D.O.T. BUILDING PLAN CHECK S C0 SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING } lca MECHANICAL STATE BUILDING FEE l� STATE SURCHARGE LIGATION ACCEPTED BY PLANS CHECK BY A O R�SSUANCE PERMIT VALIDATION `' BY CASH CK MO TOTAL 9��Qv -- ®® Tow iL &Count t � Suite B • 16521 Highway 99 • Lynnwood, WA 98037.3161 STEEL BUILDINGS Everett Line:(206)258-4171 Toll Free: 1-800-824-9552 r Administrative Headquarters:(206) 743-1555 DIVISION OF w Contractor's Lia #: PERMABI 179JR Quality: Our Future Depends On It' DIRECTIONS TO SITE JOB NAME: C t,l NTON M U 645 SHIP TO ADDRESS: _5.�. �I ARA151AN jQ> S t�XL-rpN i uj A TELEPHONE #AT JOB DROP: "G-14 2-6- Z 56 41 THOMAS BROS. MAP LOCATOR Fes—/A _ /� Can our truck` turn around at the job drop, or will it have to back-in, or back out of the job? RACK ( IV Can our truck* get into the job drop? ye-5 Directions N a Tr4 ,�- 2 t! KA-,vl I LC-1 6-X IT- _ Y►eCe.E19R -_/4SL'�D8'Z'll� �N•�- (RIGkT rniLc r RNA o .. >( ``� PFaX ,�(Z_rvi��cs �av �►41�d7�D _S -.� _--� � KJ� P 7v N�'N 3 yZ VI i LE-5 uP _T I L.__ _ ��C�5_kD► e+ M .� r-a F - !L�-� 1 _ r I--- — — I h — O'C N � I 1 'Truck Dimensions: 65' long, 8' wide, 121/2' high, and it weighs 35,000 lbs. empty. 5 01989 Permasill Irld-liras 7189 1. Office—White 2. Construction Cffice--Canary 3. Concrete Crew—Pink FR35 To Count Suite B • 16521 Hl ay 99 • Lynnwood, WA 98037-3161 STEEL BUILDINGS Everett Line: (206) 258-4171 Toll Free: 1-800-824-9552 Administrative Headquarters: (206) 743-1555 DIVISION OF Contractor's Lic. #: PERMABI 179JR Quality: Our Future Depends On Its" Site Plan P ASE CHECK: roperty dimensions /Septic and drainfield 4.,ot ccess to proposed building L xisting buildings ❑ wer lines size froposed building ASetbacks of proposed and QElevation of property ❑Ease ments pxisting buildings []Bodies of water Main road with name ❑Floorplan n Job name: �zogwul M V-N S _ _ Job Site Address: 5eE• IA14 B21 W LT tof{ Legal Description 1R .Z2 OF E 1 S 'r1g�� �_ ;7, 72 IT 319to tie 902zo 1 � _ _ - -- -- - --� I T- F L _ _ e N rr 4. _ 10 I - -- — i - - - — i - I" Su #EV al - - I i —i— --1- I !— Owner has verified and approved the location of accessories,orientation of the building to d v ; ) I items specified in paragraph B of the contract are shown on this drawing and vice versa. Customer signature: ��f-. -V" ©tga9 PurmaBdl Industries office(white) production(canary) production(::ink) customer(goldenrod) 7/69 BuildingDesi g n FLOOR PLAN F:Fl- all fiti I S not fs y N /tnmD ty !lam _ T I ; -� -_t F . E SE CHECK: B I DI G L V I N Of itch_ Immu CI arances ; ; I rl -t_ 4 T7j� __t+_4t I f j I I PWAA 7!RO x Tow1,:&Count Suite B • 16521 Highway 99 • Lynnwood, WA 98037-3161 STEEL BUILDINGS Everett Line:(206)258-4171 MM To//Free: 1-800-824-9552 Administrative Headquarters: (206) 743-1555 DIVISION OF A Contractor's Lic. #: PERMABI 179JR Quality: Our Future Depends On It' PLEASE PRINT LEGIBLY WITH BALLPOINT PEN: PRESS HARD. Standard Form of Agreement Between Owner and Contractor A. Parties.This Agreement is entered into between Town and Country Steel Buildings("Contractor")and I AqW4`o Ya-- /`10 NS ("Owners"),whose address is_G r I-r S I A ISM I ft M City 50<;L`EQ i I ,State V A _,Zip`:�/T SF 51,The address of the property upon which Contractor shall construct the building is 4 M P—: a-, .&$t7 V The legal description of the property upon which Contractor shall construct the building is s follows: E 1 S r-ECTI M TR 2 Wi t= !2 P 10 70 -- --— - 7M)� T-AaCIE 1--4�- 31 '1 10 N 2 q o220 - --- — -- ----The legal Owners of the above-described property are C 1-/hjnx1.l 9t \10yeM An L&1S whose mailing address is q 1A M J A5 Am Usz— telephone number (u— 25fP`� B. Scope of Work(Residential).Town&Country Steel Buildings will install the following building on the Owners'Property,together with all necessary labor and materials. (Specify quantities and location where applicable.) t Basic Building(model) width— 0 length 2 height upstairs clearance I A downstairs clearance_9 T Accessories: Ventilation:- PS-3to Garage Doors: -1�o t X a 6 P U Siding:,2 1C� (o ff/A(o����O dtDb P.S,Z , S'rE6 4_ Sliding Doors: color 61M �L­20;[ GRAY Windows: trim color LIA F W a rck Horse Stalls: Roofing: •S 1 L color Roof Fasteners: Wall FastenersIfR SC&A-05 Walk-in Doors: �tx g _,/tj�TYq� INSVI,/41`RA Roof Insulation: r� �' Wall Insulation��ON� Eavelites: �' Z� Y,o.LN Concrete:y"k �o)xy 2 1 ru j r 1 j5M 15Sn Other or Additional Work(or special construction notes): &I N� C. Scope of Work(Commerical).Town&Country Steel Buildings will install the building and perform all labor and materials necessary to complete the work identified in the specifications, dated— A and the following approved drawings: D. Work to be Performed by Owners. The Owners shall perform all work not specified in paragraph B or C above, including: Clearing, excavation and site preparation(owner acknowledges teceipt of site leveling requirement FR38) Delivery of power/electricity to site ❑ Other In the event owner does own site work and contractor uses more than_[a yards of concrete,owner shall reimburse contractor according to paragraph 2 of General Conditions. The Owners may clear, excavate, and prepare the site for installation of the building. In the event that Town&Country Steel Buildings performs all or a portion of such work, the Owners agree to pay Town&Country Steel Buildings on a time and material basis plus 30%. In the event that the Owners perform all or part of the clearing,excavation and site preparation work,the Owners shall complete such work in an expeditious manner in order not to delay or interrupt the construction schedule of Town&Country Steel Buildings. ©1989 PermaBilt Industnes 7189 In he event that the Owners perform such worlumbing,electrical, insulati ►t commence performance of such lwrk until Ttywn&Country Steel Buildings has co, kd its work and the building I r' ble building department:provided, if the Owners desire to install plumbing or electrical work within the concrete slab. 0 • ajc `'Ibwn&Country Steel Buildings of its intention,and arrange for this work to be accomplished by the Owners in order nc of Town&Country Steel Buildings. E. Price. The price is as follows: 7,0 76 • 0 0 X 7�s Description Dollar Amount Price of Building $ x 7 5 Lifetime Warranty $ 5 3 0 • 7 0 �k Weatherization Warranty -� $ Washington Sales'Pax' Rate r• $ CodeZ-300 SUBTOTAL $ 5 3 0 • 7 0 + Less$300 Deposit2 $ Unpaid Balance3 $ 0 7,6 0 6 7 0 �k id Total $ 'Fs"ted.upon current rate.Adjustment(increase or decrease),if arty,will be made upon final-payment. rPayable at time Agreement 6'signed by Otvneri.` — ... 37b.be paid 50%prior to commencement of the work,or upon completion and issuance of the completion certificate and 50%upon occupancy or issuance of the completion certificate,whichever occurs first.Amount may increase or decrease if Owners request changes in the.work after.Agreement is signed. The price includes all work identified in paragraphs B or C above, and also includes: (plans, 'permits, ❑ sanitation clearance fees. Explained below as necesssary. Any amounts of money owing and unpaid under the terms of this Agreement shall bear interest at the rate of 1t/2% per month. Any changes or additions to the work performed by Town&Country Steel Buildings at the Owners' request shall be paid for by the Owners to Town&Country Steel Buildings by cash, rather than additional financing or refinancing, payable upon occupancy or issuance of the completion certificate. F. Payment of Price. The price will be paid by the Owners to Town&Country Steel Buildings as follows(check appropriate block): ❑ Purchasers shall pay the price in cash or from financing which they have or will arrange through their own lender. od �Q Purchasers intend to pay the price from financing arranged by Town&Country Steel Buildings on the following basis:��QQ r B!� Al-Ml® ` b F_U1QCH4SL WITH Rr=J&Al ftbA k I kin Nr&D A:T BEST 14U141LAIVU-M K4--1P— If Town&Country Steel Buildings is not able to arrange financing as described above,then the Owner may elect to seek alternative financing or cancel this Agreement and be returned the$300 deposit. G. Deposit.Upon signing this Agreement,the Owners shall pay a$300 deposit to Town&Country Steel Buildings.The deposit shall be fully refunded in the events that(1)Town&Country Steel Buildings does not accept and sign the Agreement in the space provided in Section"K," below,or(2)in the case of a credit sale, upon completion of the project, final inspection and approval, and final payment to Town&Country Steel Buildings, or(3) upon mutual Agreement of the parties. In the event of a cash sale, the deposit shall be credited, but not refunded, to the Owner upon completion of the project, final inspection and approval, and final payment to Town&Country Steel Buildings. The deposit will not be refunded in the events that(1)financing is arranged by Town&Country Steel Buildings as per Section"F"and the Owner is either unwilling or unable to sign the necessary loan documents within 10 days after such financing has been arranged, or(2)Owners decide not to proceed with the project before commencement of construction, through no fault of the Contractor, or(3) upon mutual Agreement of the parties. H. Contingencies. This Agreement is subject to the following contingencies: The Owner shall notify Town&Country Steel Buildings within_days of the date of this Agreement that all contingencies stated above have been satisfied or removed. Otherwise, Town&Country Steel Buildings, at its option, may cancel this Agreement and refund the$300 deposit to the Owners. I. In the event this contract has not been started(by no fault of contractor)within 2 _months from date of signing,the contractor shall be able to renegotiate the purchase price to reflect any market increases or decreases. J. Time of Commencement.Town&Country Steel Buildings will promptly schedule the commencement and completion of the building upon receipt of the building permit(residential)or approved plans (commercial), receipt of the Owner's payment of 50% of the price, and completion of site work by the Owner, if any. K. Signing of Agreement.Owners acknowledge that they have read and understood the provisions of this Standard Form of Agreement,including the General Conditions of the Contract,and have been provided a copy of the same.This Agreement is not binding on Town&Country Steel Buildings until Town&Country Steel Buildings receives and approves this Agreement signed by the Owner,and a corporate officer of Town&Country Steel Buildings then signs this Agreement in the space provided below. When signed by a corporate officer of Town&Country Steel Buildings,this Agreement becomes a valid,binding,and enforceable contract. There is no right of rescission. Owners acknowledge that this Agreement contains the complete understanding of the parties. There are no prior or oral Agreements or understandings other than those which are stated in this Agreement.The Owner acknowledges that all blanks have been filled in,and this Agreement states the complete Agreement of the parties. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN XPL TI OF THIS RIGHT. Q Sales Rep Date- Purchaser Date p / Print Name B R IT ryN Dateiz,I q A3,q Purchaser Date [ o Co ate cc ptance Date /` 77 7ly�y Purchaser Date by Da[9 ��" 5 f pt9a9 PermaB1n Industries 7IB9 4 copies: 1.office file copy—white 2.production copy—pink 3.accounting copy—canary 4.customer copy—goldenrod FR-33 PLOT PLAN ADDRESS PERMIT NO. f o J I n D LEGAL DESCRIPTION (, LOT BLK ADDITION " " SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION Al SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. f� INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' ire i 1 �y I , C � I/We certify that the proposed construction wi 4-0- own above and that no changes will be made without first obtaining approval. N AM6(al OF OWNER(D) OF 311E 6 51RUCTUREl3) (PRINT) 5 TURE O WN R(5) OR A TH IZE REPR 8ENTA IVE DO NOT WRITE BELOW THIS LINE APPROVED \ DISTRICT AS NOTED DATE 6MCLTON PRINTINi MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex I N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 1 (206) 427.9670 building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water CHECKLIST FOR PROPOSED CONSTRUCTION No/ Yes Wit`+in 200 feet or designated shoreline or wetland LProposed construction on/over/in wetland '7`'"" Proposed construction within f loodp lain ® © Commercial Development (Parking Standards , Sign Ordinance, Public Works Review, other applicable agencies) QMobile Home and/or R.V. Park �� Qul�.niNG What Type Of Construction Is Being Proposed? Q Exempt from building permit application Q Q Exempt from S .E .P .A , process (WAC 197-11-305 , WAC 197-11-800 ) QMeet all requirements (Which section ( s ) of S .M.P. does proposed construction pertain to? N ) QQ variance or Conditional Use Permit required ® Exempt from S;.creline Substantial Development Permit process ( WAC 173-14-040 ) DExempt from Substantial Development but within Army Carp . jurisdiction (WAC 173-14-115 ) 1NT0-1 .3189 / q CC) DATE i t Town &Country' =;1 a 7 Suite B • 16521 Highway 99 • Lynnwood, WA 98037-3161 STEEL BUILDINGS Everett Line: (206)258-4171 Puyallup Line:(206)840-9552 • FAX: (206)840-9553 To//Free: 1-800-824-9552 = DIVISION OF Administrative Headquarters:(206) 743-1555 • FAX: (206) 742-1691 Quality: Our Future Depends On It' f4A, I 1ti2��