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
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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?:
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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
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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
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SAMPLE SITE PLAN
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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
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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
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adjacent property line-> ' E-adjacent property line
SAMPLE SITE PLAN
adja t property lined - _ _
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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
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