HomeMy WebLinkAboutCOM2025-00008 Signs - COM Application - 2/5/2025 MASON COUNTY Permit No:
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning FEB 0 5 2025
BUILDING PERMIT APPLICATION 615 W.AkIerBkat
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r
NAME:Dean Morrill NAME:City Sign Service&Lighting
MAILING ADDRESS:150 N Lake Cushman Rd MAILING ADDRESS:Po Box 607 ::it
CITY:Hoodsport STATE:WA ZIP:98548 CITY:Spanaway STATE:wa ZIP:98387
PHONE#1:509.993.5703 PHONE:206.250.7446 CELL:
PHONE#2: EMAIL :left@citysignservice.com
EMAIL:dmorr@acehardware.com L&I REG#CITYSSS815QR EXp. 01/02/202,
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER 0
NAME JEFFCHRiST EMAIL JEFF@CITYSIGNSERVICE.COM
MAILING ADDRESS PO BOX 607 CITY SPANAwAY STATE WA ZIP98387
PHONE 206.250.7446 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 4221250100#!q L� ,��-5�-- / ' ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 150 N LAKE CUSHMAN RD CITyHOODSPORT
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 0 SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑
TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER Q SIGN INSTALLATION
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)COMMERCIAL BLDG
IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[sI-/Bldg) ❑ NO❑
DESCRIBE WORK INSTALLATION OF ILLUMINATED WALL SIGNS
SQUARE FOOTAGE: (proposed)
1ST FLOOR sq.ft. 2ND FLOOR sq. ft. 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING❑
PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that 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 and I further declare that 1 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 legal
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MASON COUNTY Permit No: C 0M 20;5_-WJQ2�
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning FEB 0 5 2025
BUILDING PERMIT APPLICATION 615W'AlderSkeM
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Dean Morrill NAME:City Sign Service&Lighting
MAILING ADDRESS:150 N Lake Cushman Rd MAILING ADDRESS:Po Box 607
CITY:Hoodsport STATE:WA ZIP:98548 CITY:Spanaway STATE:we ZIP:98387
PHONE#1:509.993.5703 PHONE:206.250.7446 CELL:
PHONE#2: EMAIL :jeff@citysignservice.com
EMAIL:dmorr@acehardware.com L&I REG#CITYSSS815QR EXP. 01/02/421
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER 0
NAME JEFF C HRIST EMAIL JEFF@CITYSIGNSERVICE.COM
MAILING ADDRESS PO BOX 607 CITY SPANAWAY STATE WA ZIP98387
PHONE 206.250.7446 CELL
PARCEL INFORMATION: �I�I,�-� ��
PARCEL NUMBER(12 Digit Number) 4221250100#� "��--5�J�ptry- ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 150 N LAKE CUSHMAN RD C1TV Hnnr+----
DIRECTIONS TO SITE ADDRESS
L �� /IS THE PROJECT WITHIN 300 FT OF S OPE(S) /' v W LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLON
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ 1 / \/ ❑ STREAM ❑
TYPE OF WORK: NEW❑ ADDITION [� 1 / Z �O )IGN INSTALLATION
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,E l
IS USE: PRIMARY ❑ SEASONAL❑ NUME 'HROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pa S
DESCRIBE WORK INSTALLATION OF ILLUMINATED WALL: /y
SO ARE FOOTAGE: (proposed) n
1ST FLOOR sq.ft. 2ND FLOOR sq. /z, sq.ft.
DECK sq.ft. COVERED DECK sq.f sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ _.—. v m 1 sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that 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 and 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 legal
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SIGNSiUNLIMITED Purchase Order
Icommunicate your identity
6801 Mount Hermon Church Rd., Bldg.C Date P.O. No.
Durham, NC 27705
12/23/2024 22439
Vendor Ship To
City Sign Services ACE Hardware-Hoodsport,WA
10422 224th St E, 150 N Lake Cushman Road
Graham,WA 98338 Hoodsport,WA 98548
United States United States
Item Description Qty Rate Amount
LP-Wall Signage LP-Wall Signage 1 4,000.00 4,000.00
Installation of Wall SignageNOTE INSPECTION OF
SHIPMENT REQUIRED AT TIME OF RECEIPT-One
(1)set of illuminated channel letters,stud mounted(ACE
Hardware)-One(1)set of illuminated channel letters,
stud mounted(Hoodsport Lumber)-Six(6)illuminated
cabinets,stud mounted
LP-Power Conne... LP-Power Connection 1 0.00 0.00
Electrical Connection If line or J-box is within 6 of
Electrical,connection to be handled by installer.If not,
electrical handled by Owner or GC.NOTE-All wiring
should be clean with no wires hanging loosely.If J-boxes
are not available,whips should be put through and
secured to be used by electrician.
LP-Engineering LP-Engineering 1 0.00 0.00
If necessary,Signs Unlimited will provide engineered
drawings.
LP-Permit Procu... LP-Permit Procurement 1 350.00 350.00
Permit Procurement One time flat-rate fee.Not a
per-permit pulled or per-trip fee.NOTE-Do not include
engineering in this cost.NOTE-This fee must include
calling for inspections,and meeting with municipality on
site for inspection after installation is completed(if
applicable with municipality)
LP-Permit Fees LP-Permit Fees 1 0.00 0.00
Permitting FeesPermit fees to be billed at cost when
known.NOTE-A copy of the permit and the receipts
must be submitted to Signs Unlimited at actuals.
PLEASE E-MAIL ALL INVOICES WITH PURCHASE ORDER TTotal
NUMBER TO BILLSQUISIGNSUNLIMITEDUSA.COM
Page 1
SIGNSiUNLIMITED Purchase Order
Icommunicate your identity
6801 Mount Hermon Church Rd., Bldg.C Date P.O No
Durham, NC 27705
12/23/2024 22439
Vendor Ship To
City Sign Services ACE Hardware-HoodspoM WA
10422 224th St E, 150 N Lake Cushman Road
Graham,WA 98338 Hoodsport,WA 98548
United States United States
Item Description Qty Rate Amount
LP-Survey-Stan... LP-Survey-Standard 1 500.00 500.00
Survey-Straight-on photos and overall dimensions
(height and width)for the front,sides,and rear of the
building.Please take photos of the entire lease space,
clear and as high quality as possible.The photos you see
in the attached design package are old Google Maps
images.We need to see what the actual existing
conditions are.-Overall height and width of sign bands
(front and rear)within the lease space:Wall color
matches for raceways.If there are multiple colors,please
get a match for each.Please use PMS or Sherwin
Williams color chart.-Photos and information of any
applicable signage that was not addressed in the package
(potential blade sign,a second monument sign,
directional panels,etc.).-Photos and information of any
details that may need to be addressed prior to installation
(building elements such as gooseneck lighting in the way,
damaged sign band,no electrical access,different
mounting required,etc.).
LP-Tax LP-Tax I 533.50 v3.50
TaxesPlease calculate taxes for each line item and sum
them here.IF YOU DO NOT INCLUDE TAXES,WE
WILL NOT BE PAYING THEM.
PLEASE E-MAIL ALL INVOICES WITH PURCHASE ORDER Total
NUMBER TO BILLSP-SIGNSUNLIMITEDUSA.COM
Page 2
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SIGNS!UNLIMITED Purchase Order
Icommunicate your identity
6801 Mount Hermon Church Rd., Bldg.C Date P.O. No.
Durham, NC 27705
12/23/2024 22439
Vendor Ship To
City Sign Services ACE Hardware-Hoodsport,WA
10422 224th St E, 150 N Lake Cushman Road
Graham,WA 98338 Hoodsport,WA 98548
United States United States
Item Description oty Rate Amount
LP-Notes LP-Notes 1 0.00 0.00
NoteCompletion Pictures must be received before
payment is released.If signs are illuminated,Completion
Pictures must show they are able to light up at night.If
signs were not installed completely or connected,then
provide a written description with corresponding photos.
If everything is working properly then note that the signs
were installed completely and wired.Ground conditions
around the pole/monument must be in the same condition
or better than prior to installation.Any damaged sod or
grass must be replaced or repaired at subcontractor's
expense.Pictures of all wiring and connection to junction
boxes must be submitted and a sign off letter from the
client must be submitted as well.If an installer is
unresponsive and does not complete the scope as required
by the issued purchase order then Signs Unlimited will
not be liable to pay out any part of the purchase order as
issued and the job may be awarded to another
installer.Include the PO number on the invoice to prevent
any delays in payment.Upon delivery of signage the
contracted installer is responsible for checking the
contents for damage/missing signage and reporting it to
SU within 2 business days.SU will not be responsible if
an additional trip charge is incurred due to the contractor
not completing this inspection.
PLEASE E-MAIL ALL INVOICES WITH PURCHASE ORDER Total
NUMBER TO BILLSASIGNSUNLIMITEDUSA.COM $5,383.50
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