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HomeMy WebLinkAboutCOM2000-00105 Equipment Rentals - COM Permit / Conditions - 10/18/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 1� COMMERCIAL BUILDING PERMIT COM2000-00105 OWNER: A+ EQUIPMENT AND RECEIVED: 09/11/200 CONTRACTOR: PETTIT OIL ISSUED: 10/18/200 SITE ADDRESS. 23611 NE STATE ROUTE 3 BELFAIR EXPIRES: 06/15/200 PARCEL NUMBER- 123294300230 LEGAL DESCRIPTION. TR 23 OF SW SE P`."!.•"BAIT NULL A VO:D BY EXPIRATION PROJECT DESCRIPTION: DIRECTIONS TO SITE: GATE ('n '"Y "U A+ EQUIPMENT AND PARTY RENTALS FROM SHELTON ON HWY 3 INTO BELFAIR TO 23611 General Information - Construction & Occupancy Information Type of Use: Insp. Area: No. of Units: Type of Constr.: Type of Work: ADD Fire Dist.: No. of Bathrooms: Occ. Group: Valuation: No. of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: odel: Width: Building: Year: Serial No.: Basement: Parking Spaces Setback Information Shoreline & Planning Information Front: E 10.00 Ft. Shoreline: Ft. Rear: W 25.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: N 25.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area Side 2: S 25.00 Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: i Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: L� COM2000-00105 Please refer to the following pages for conditions of this permit. 1 of 3 10/18/2000 Conditions Associated with Case #: COM2000-00105 3:58:18-PM Cond. Stat. Changed Updated Code Title Hold Status Changed By Tag Updated By 0200 Site Plan 0 Not Met 09/22/2000 AHB Appro e per dimensions and setbacks on site plan with proper setbacks from structures and from property lines. X J 0046 Buffer Landscaping Requirements 0 Not Met 09/22/2000 AHB This application is Lf bject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X a 1 5025 Sideyard Setback 0 Not Met 09/22/2000 AHB Proposed structure or any portion thereof greater than 30"in height from grade line,must maintain Iminimum of 5'setback from all property lines,easements and 10'from all County and State Road right of ways X L 5026 Structure Setback 0 Not Met 09/22/2000 AHB Proposed structure or portions thereof with an projection over 30"in height from grade line,must maintain a 5'separation distance between adjacent structures and that furthest projection.X L J 0260 Fire Protection Requirements 0 Not Met 10/1 /2000 DLS 10/11/2000 DLS 1.TANK IS TO BE LOCATED AS FOLLOWS:25 FEET FROM CLOSEST BUILDING;25 FEET FROM PROPERTY LINES, 10 FEET FROM PUBLIC ROAD RIGHT OF WAY. 2.PROVIDE AN EMERGENCY POWER SHUTOFF WITHIN 75 FEET OF THE TANK AND LABEL: EMERGENCY SHUTOFF. 3.INSTALL A 208C RATED FIRE EXTINGUISHER ITHIN 75 FEET OF THE TANK. 4. LABEL TANK: PROPANE 5. PROVIDE NO SMOKING SIGN 6.CLEAR ALL COMBUSTIBLE MATERIALS AT LEAST 10 FEET FROM THE TANK. 7. PROVIDE PROTECTIVE BOLLARDS AS FOLLOWS: A.4 INCH DIAMETER STEEL POSTS,CONCRETE-FILLED,ON 4 FOOT CENTERS,SET 3 FEET DEEP, IN CONCRETE FOOTINGS 15 INCHES IN DIAMETER. B.TOP OF THE POSTS NOT LESS THAN 3 FEET ABOVE GROUND, LOCATED NOT LESS THAT 5 FEET FROM THE TANK. 8. FINAL I SPECTION REQUIRED BY FIRE MARSHAL BEFORE THE SYSTEM IS PUT IN SERVICE. X Page 1 of 1 Lk2vv FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFO ATION , Owner t i- J GN : i - .1n Contractor Name (�u 1 Mailing Address if 6 E 5 . 1� Mailing Address _ -� t City xelF",;r S a 'WA Zip tode 4M 19 City How, State" Zip Code 9 �S Phone(360 ) her Ph.( Ph. SSW 1 Other Ph.(_� Lien/Title Holder Contractor Reg. # Address Expiration [SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer SystemName of System PARCEL INFORMATION-12 digit Tax Parcel No. �,.3.a ") / 4 00 a250 Fire District Legal Description Site Address(Please include street name, street number and city) � Directions to site t ti.% �3z t l F . c rby f, Is your property within 200' of the following: Body of Water(Name)— Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane TankII�L , Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other _ Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: L FFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance ts for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work ce therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without first obtaining approval. Date X Date FOR OFFI IAL USE BEYOND THIS POIN _ Accepted b Date in Submittal Amount Due Receipt No. .. DEPART(NF1dT lj RE1/fE1tV.:. RPPR0V D DVNIEt3 GOR[DITION CO[J S Building Department O t) Occ GroupType Constr. 431 FM i Planning Department Other Other FEES Permit Fee _ Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES PERMIT NO.: ��ZL MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATIONg �29 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 $ ¢ Shelton(360)427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 i ? APPLICANT INFORMATION F CONTRACTOR INFORMATION Owner �c�: tier ' Pa►r '' Contractor Name Mailing Address 13A It Mailing,Address City 4Ph"o State Zip Code City !'-r State Zip Code Phone(_) 44i Other Ph.( Ph.( Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digi Tax Parcel No. / / Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site Is your property within 200' of the following: Body of Water (Name)" 1 ' Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet -] PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater _ Propane Tank Laundry Wsher Gas Outlets �} Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other _ Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X -Date i X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. #7EPARTh!f NT11E tt VtElfNf. APPROVED DENIED 0QNR>�IQN:�dDES Building Department Occ Group Type Constr. Planning Department ',�.� /�iA121, LI tLt 1 4.ev / Other Other ....::.::...... FEES ... Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee f Plumbing&Base Fee Other -f�- f Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES MASON COUNTY PROJECT SITE INFORMATION Case No. Name PARCEL NUMBER Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 t I <-adjacent property line I I yi I I I I I I I I I gig prap�s� I r I I to �'ro•�"' �o� I'N adjacent property line- ' f-adjacent property line SAMPLE SITE PLAN adja t property line-) aio' _ _ E-adjacent property line D 30 F RE-,Rv& so-,l .SEA.So w/At_ I fi L CREE{G I' C I HOM E \ G n3.tN HOu.S Ci I j PrLo Pas a0 sP-PrtC- 1 bo' I w VAGn,T ArtAca 30 1 i I P0..P. I \ \ 7 A&R=LLLTLLAAL 50 I I I � �---eo'—mot I I I \ I I � I � c....eLL I I 1 I I L.arGLL I adjacent property lined ; I r \i <-adjacent ro erty line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtsta„cm to St ruLfiLa.YG dis'tav,LL. to dis+snag to a ! /n/ Signature Date FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION J{,� Case No. Name -� `I- PARCEL NUMBER Date ...-co SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELO Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- I f-adjacent property line I I I I I I I I I I I I I PrePc�sF a'r �� I I �0 o�9+q k N adjacent property line-> ' E-adjacent property line SAMPLE SITE PLAN adja t property lined - _ _ 3io Fadjacent property line I � 30' r1�SCRvE !- !`QaF{G I C MOM t I I r% G4aEN I HOusG_ I Prio PostD I 1 , I I VAGn,T I fi c..�rtAa6 I o I i I P0.oPoj T A&R=LLLru-MAL 50 I I 80, I RS /00" 1 \ I t.._.eLL I \ I I L tee_!/ I adjacent property line--.,* ; t ~, c \; Fadjacent properfy line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d1 S+Ar.ca. to ru.Ltl.a.Y� �iS•t'a"Le- *G stop'. -fo¢ to a Leo S nature Dat