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HomeMy WebLinkAboutCOM2015-00168 Change Tenant I-503 Business - COM Permit / Conditions - 2/10/2016 (\ § \ \ \ \ CD e ( \ > - ! \ } g § .. .. \ \ g 0 ® § z 7 4 / { � z { 0 (D E - ) � k � k _ / { ) x 00 IL LL - ¥ _ E _ ) 0 E - o \ \ w I ) § i \ t k ( ) ! _ u 2 § ) { ( § § - O , - ` = f k 0 z B ! � L) _ � \ _/ d Ix } ) - U ■ 2 b o q % / _ w j \ \ � m \ a. .. .. 2 ® } kaCL * y2G = ± _ - u / ) ) / w k - - � & \ / 32 & 2G j _ to \� \ - ) % 2 Q /\ @ u k \ r - m ; ® j / \ / \ \ \ / / \ 2 - E) U \ 2k \ k U ) \ uz ) & § ) ) / G6 k ) ) \ \ 0 yj ( & j - ( % L) § ) / 5e _ z ° U } : Q % e » § ) e zE } J ) z \© b § C \ } » - . ) \ \ ` � � � ° ° a ) : _ % { / \ 7 \ / } \ \ k \ co -6 \\ a � t � CD \cu ) x ! \ / ! 0 \ \ \2 ° f ) � n ) }) w : co M_ ( z - { f 2e 22 \ - - � ( c_ § § § W \ 0 _ - 2 � � ° \ \ ^- a ) : \ / \ \ \ \ \\ \ E 2 2 = \ - { # E ) ) E z / Eu - ) ) \ \ _ ! « / _ } \\ \ e _ \ 9 = \ }® �} & §»® §} z/ \ k »#\ m \( 5 EL{ ƒ2 \ \ = o o / � 5 } j ) 22 � , e [ @a g § { , ! 33 Z .-- { c � , 2 - \/ / 2 \ ± / < - « \ / ? \ I ` \ \ + ! \ \ \� ) / � \\\ « ® h EL z ` E / ] ? _ : - » , 5 / 2 ! \ \ \ } x \ / & x ( }/ x S / x / E ) T } ~ a) 0 v c US� L c U F am- m c >. ° c m rn p G U z C w C S a) XIL 'p m F m a � � U Opp aa)) C) � � axi m m °. w c zcn z N cr y E � a o Qw o Q ° � E c m N z� H � c Z c U t W o Ooc a°i 3 g 0 2 m `o_ y _ CO A O a) I a) Q C } > a � -0 m DU - w � 0 � - m 'u 0 wQ W O Qd E3 LL c U rn C v U Z) >> z c m w ~ rn m N c 0 U �_ N U 01 O N C N nL 0U m .. 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N 0) W O m r R ... J R (n N E N d E m U C Q>> Q I� M N O O 7 N ° M >. M Z O ¢ > 0 N � � w C T O C (n _ E c 000 U� N C dad CL p > OW O n W U m (n 0 Z Fw m ZCNsM , 3: Uxna °- w w d� CQ) (D n O cr 0Z QO U) yNa D E (n z w w N a ZQ a � K f < 0 ° w N O L t 0 � Q � N � � o 0 o a ¢ m co w a w o ? w o D o �o J H W F N O W d N 'O _ ~ ~ O } w K co IL U O U 0 N K CONCRETE MECHANICAL MANUFACTURED HOME D Date By cn Footings l Setback$ Ribbons Gas Piping C p Interior Date By interior-Date By Date By n MExterior Date By Exterior-Date BSet-up Point Load I Isolated Footings INSULATION Date By __ D Date By DaGta SLAB INSULATION ey FIRE DEPARTMENT ____.. m Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Date By PROPANE TANKS PLUMBING vault Date By Date e OTHER Groundwork Attic Type Date By Data By Dale By DRYWALL Type O D.W.V 3 InL Brace Wall Date BY Date By Dale By FINAL INSPECTION IN) Water Line Fire Separation —� Date By Date By Date 2 /y By Pass or Request Inspect. Type of Insp. Fail Date Date Done By Comments 0O10 9 M pyr✓ rc+b lwc V N 6 sel h C�1 Vl CNa t ( -to-(b Z- tz-r6 G z tr 0 1 1 Mari Meds P.O. BOX 1468 Allyn, WA 98524 (360) 275-1181 Belf air October 16. 2015 REF: February 18 2015 letter Mason County Department of Community Development Director: Barbara Adkins 426 W Cedar St Shelton WA 98584 (360) 427-9670 ext 286 (360)427-7798 FAX. Dear Barbra Adkins: I am writing as per our conversation this week. I am trying to CLARIFY that I am a Mason County "MEDICAL DISPENSARY", as per YOUR classification as such. (SEE COPY OF ATTATCHED) In February of this year, 2015, I moved my Medical Dispensary up the street Z mile. A location YOU authorized in writing, AT THIS TIME, we would like our "GREEN SHEET" better known as the "CERTIFICATE OF OCCUPANCY." WE ARE A LICENSED MEDICAL DISPENSARY SINCE 2/9/ 2011. ALL WE DID WAS MOVE MY BUSINESS. We "TRIED" to comply with the"Collective Gardening Model" and have had NOTHING but obstacles put before us over and over again. I understand that we were detrimental to the development of the Collective Gardening Model. I have applied to the County to be one and were denied. This fact "pigeon holed" me. IF YOU NEED FEES AGAIN or FORMS, please let me know. THIS IS WHAT THE LIQUOR CANNABIS BOARD needs for the Bio-Track to be placed with Mari Meds. We have been left in the precarious position of not having said "CERTIFICATE OF OCCUPANCY." This fact is impeding me from becoming compliant with the State Authorities. We have let enough time for ANY INSPECTIONS to be done. I await your call, I am , Very Truly Yours, Robert W d Jr. c : Kevin Cure Attorney/ Randy Netherlan Commissioner WMASON, COUN�`Y Departrner of Community Development INSPECTION CARD and CERTIFICATE 3F OCCUPANCY* I PO SOX 186, 426 VV Cedar ST, Shelton WA 98584 General Questions: (360) 427-9670 ext 352 Inspection Requests: (360; 427-7 262 Permit Number COM2011-00002 Cate 02iM2011 }sued By.,/ , Project medical dispien"ry 4. SMAddiess 23720 NE STATE fifliJTE 3 BELFAIR Appltcant" BOB WfiJdD Contractor License Nurnber Con. crone Expiraticn Date Occupancy Division Primary Code Type Disc retails T e of Conssructon Exit Design goad ' § Pubitc Works Access lDriu+ewaY 4 t er H+ tth Dept Septic deli Plartnir g t3ept 5it6jrispection Fire Sprinkler l=itsrmarrshal: Fire gpparatus Access _ Aut+3 Fire Alarm Hood�r cl Diic -- Other ,ram Budding-Dept �uud�no O`{iciai: Community Development Designe Concrete Setbacks _ Slab Foetin r erimeter Ret.Wail I Bulkhead i ootin 1n#eri©r Footin Decks r Porches Found a on Stem Other Rough-in Groundvvui Plurrb,ng Plurnbino Groundwork eqPan.ical Other" " Groundwork Gas Pipe �t Gas Piping Fram Ina Mechanical Insulation Slab Ceiiing Floor Vaulted Ceiling ': Walls _ _ __Vapor Barrier Otfler Wal('baard Nai}ing Inferior Wa1[ Brace Panes rrre dual?s Other Final_Building Manuf'. Horne Setbacks Setuc Concrete Foot/Runners F}na[ Oth sr APPR0VF_V,PLANS°MJ T:BE 0NSITE FOR ALL INSi'EGTiONS TFt1S STRUCTURE NIAY NUT.BE 135`b FOR OCCff NCY UNITE ALL APPLICABLE FINAL INSPECTIONS ARE COMPLETED 00WOT ROCEED;BI=YONC3 EACH Si•AGE flR CCJUER WORK'UM IL APPROVALS ARE GIVEN. POST THIS t:ARt3 IN PtC}1 GO.NSl30 iiS..ACE t3N TliE`FRONT OF THE PREMISES CONVENIENT FOR MAfi4NG REQUI RED lTR}ES ^.LL.PERMCTS CPIRE"180!C)AYS ASTER PERMIT ISSUANCE.OR'180 DAYS AFTER LAST INSPECTION ACTIVITY IS PFRFCR,0_..1 ::>WNER/AGENTIS RESPOt StBIEF,OR<CALLING FOR ALLIfVSPECTIONS PRIOR TC3GALLING FOR FINALl1aSE'I=CT}ON,ALL CONb1Ti©.t�LS OF THE PERMIT MIDST BE MET. is -------------- 2 7 .. 1 t,^0 OQ t•-�c�Y� 1(`jk\� L��t� 1-}.L�.�l� �'t� �t lam_ ��:�i�� t�S ��t.-- ��' P��.� ': CQ—> ?,IbIA 5 -TI-01 . i 45ZC l ^ coo C MASON COUNTYEXT NoO J � a27-ss�o BUILDING DEPARTMENT ALL PERSONS ARE HEREBY ORDERED TO AT ONCE TOP WORK On these Premises at � ` t ` {' `" ,E.�-r 1-�f-4 i This order Is issued because A.M.' �A ►_.A Posted P.M. 201S By WARNING The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation,destruction or concealment of this Notice is punishable by fine and imprisonment. Permit# MASON COUNTY �-. 2 I 2-9 BUILDING III 426 W. CEDAR Z SHELTON, WASHINGTON 98584 2-9 r�� (360) 427-9670 oCaw CORRECTION NOTICE Job Location 5712 U '-P �_ C�`s, c�a 1 0 1� �� This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance 6 S You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent This is not a complete ins "natural/man made" ❑ inspection P P disasters.This is NOT a Date Z� '�'�, I's Department CORRECTION NOTICE. Inspector NO 01 N�"T , iml�, O4 ' THImlh, T`-*AW MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262 Phone: (360)427-9670, ext. 352 Mason County Bldg. 8 615 West Alder Street Shelton, WA 98584 IRs4 COMMERCIAL BUILDING PERMIT COM2015-00168 OWNER: GABE SHATTUCK RECEIVED: 12/7/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 2/10/2016 SITE ADDRESS: 23720 NE STATE ROUTE 3 BELFAIR EXPIRES: 8/10/2016 PARCEL NUMBER: 123294300270 LEGAL DESCRIPTION: TR 27 OF SW SE SEE SURVEY 10/16 PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT, PROPSED BUSINESS NAME: CLUB IVIED PATIENT TO PATIENT General Information Construction&Occupancy Information Type of Use: DISPENSORY Insp.Area: No. of Units: Type of Constr.: Type of Work: TRA Fire Dist.: 2 No. of Bathrooms: Occ. Group: Valuation: No. of Stories: Exit Design. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2015-00168 Please refer to the following pages for conditions of this permit. Page 1 of 6 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Tenant Review Fee IRN 19170MF (R141 nn S99ntFnn IFC Plan Check Fee IRN t 9nnm 1; 07n rn q?9m rnn EH Minor Plan Review IRN 19ni9ntF �tnn nn s99ntrnn Building State Fee TXA1 vFnniF ,�a rn q»niAnn Total $316.00 CASE NOTES FOR COM2015-00168 CONDITIONS FOR COM2015-00168 1) 1. Post exit signs on all exits. 2. Fire extinguishers (minimum rating of 2A:10BC) shall be mounted not more than 5' above the ground. 3. Travel distance cannot exceed 75' 4. Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED WHILE THE BUILDING IS OCCUPIED". X �- 2) SITE PLAN & INTERIOR PLAN Approved per dimensions and setbacks on submitted site plan and interior plan; fence at entrance shall meet the ordinance standards. Setbacks are measured from the furthest projection of the structure. X ZONING ACKNOWLEDGEMENT Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Belfair UGA Mixed Use (MU)zone. X L� �- 3) LCB RULES & REGULATIONS This business is ub to the up coming new rules and regulations effective July-2016 by the Liquor and Cannibus board. 4) Parking shall be sufficient for 3 standard parking stalls (9 feet by 20 feet) and 1 handicap shared parking stall (12.5 feet by 20 feet)with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the building entry and shall be signed with the International Symbol of Access. Screening from adjacent residential properties is required. X -!:5 COM2015-00168 Page 2 of 6 5) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will a charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 6) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. Xn 7) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x AO-S. 8) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements), Buildi/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X � 9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Maso County Building Inspector shall be made prior to requesting additional inspections. X ao 10) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X L 11) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the rmit holder have prevented action from being taken. No more than one extension may be granted. X -5 12) Accessibility- Existing Building (IEBC Section 310) This project is approved subject to the following requirements: 1)At least one accessible building entrance. 2)At least one accessible route from an accessible building entrance to primary function area. 3)Accessible signage. 4)Accessible parking in accordance to approved standards. X 'e�S COM2015-00168 Page 3 of 6 13) ACCESSIBLE PARKING Accessible parking spaces shall be provided in accordance the 2009 International Building Code Section 1106 and constructed in accordance with Section 1101.2/ICC A117.1. Accessible parking spaces shall be provided in accordance with Table 1106.1 as follows: 1 to 25 total parking spaces requires not less than one accessible parking space 26 to 50 total parking spaces requires not less than two accessible parking spaces 51 to 75 total parking spaces requires not less than three accessible parking spaces 76 to 100 total parking spaces requires not less than four accessible parking spaces See IBC Section 1106 and table for more than 100 parking spaces. Construction and design shall be completed in accordance with ICC All 7.1, Section 502. Accessible parking spaces shall be located on the shortest accessible route of travel from adjacent parking to an accessible building entrance. Car parking shall be not less than 96-inches wide and access aisles not less than 60-inches wide shall be properly marked. Parking surfaces shall be firm, stable, and slip resistant material and shall not be steeper than 1:48. Accessible parking spaces shall be clearly identified by signs containing the International Symbol of Accessibility placed not less than 60-inches above ground surface, measured from the bottom of the sign. X A5Z& 14) EXISTING BUILDINGS This project is approved as an existing building. The occupancy classification has not changed, and no alterations are proposed. No change shall be made in the use or occupancy of any building that would place the building in a different division group of occupancies, unless the building is made to comply with the requirements of this code for such division or group of occupancy. X /✓-. 15) STORAGE RACKS Storage racks greater than 59"and up to 8'0" in height shall be installed in accordance to manufacturer specifications for seismic attachment. When seismic attachment is not provided by the manufacturer an engineered design and attachment details shall be required. Installation specifications or engineer's design shall be available during inspections performed by the Mason County Building Department. Storage racks greater than 8-ft in height shall require an engineer's design addressing seismic conditions and attachment. In addition, storage racks 8-ft tall or more shall require special inspection performed by the design professional or an approved representative. The special inspection report tp and engineered design shall be provided to the Mason County Building Department for approval prior to the final occupancy inspection. X zC/ 16) SCOPE OF PROJECT The scope of this project is limited to that shown on the approved plans and does not include installation of new plumbing, mechanical fixtures or new signs. Installation of excluded elements listed shall require approval from the Mason County Building Dept. prior to making changes. X COM2015-00168 Page 4 of 6 17) Minimum 2A10BC rated fire extinguishers shall be permanently installed, unobstructed, and located in a conspicuous location not more than 75-feet travel distance in approved locations mounted not more than 48-inches from the finished floor to the top of the extinguisher. The structure is subject to inspection by the Mason County Fire Marshal. All corrections deemed necessary by the Fire Marshal, to assure the minimum fire and life safety requirements as adopted by Mason County and Washington State may be required. X 18) LEVER ACTION HARDWARE REQUIRED AT DOORS. X OWNER/ BUILDER acknowledges 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, owners legal representative, or contractor. 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 authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 171 Sign uat re' Date - t� c� /F �/ VG'L OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2015-00168 Page 5 of 6 BUILDING �1101\ 4� cot MASON COUNTY (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352 BUILDING• PLANNING• FIRE MARSHAL RE CEIv 360)482-5269 Elma ext. 352 Mason County Bldg. III, 426 West Cedar Street DEC O 7 1! 1Rs PO Box 279, Shelton, WA 98584 2015 www.co.mason.wa.us 26 W. CEDAR STCOM 20):��j W W CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: ld- M Assessor's Parcel Number: 2 a 9- 70 Legal Description: Building Site Address:A-7 72.E k 17�4 ff_ GA APPLICANT INFORMATION Name of Applicant: <f c Mailing address: (Cq® 11 City: State: (,� Zip: Day phon Contact Person: 7 Message phone: ROJECT INFORMATION Proposed business name: Clv le4 4 lb -` 'f Proposed use: z= -} yv�i) ! 4 a I Number of employees: 2— Previous business name: <' Describe previous use: �. STRUCTURE DETAILS Check one: 4 Detached single level/single tenant O Single level/ multi tenant O Multi level/ single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? ' occupied? No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: footage: Is the structure Type of Heat: Circle one: Furnace Heat Pump Electric wall Radiant heated? Circle one' es - o Fuel type: Circle one: Elec Liquid Propane Natural Gas Oil Will there b any changes to the following? C e yes or no, if applicable: Floor lay-out: Yes No Lighting: Yes Heating: Yes No Exterior Finishe Yam ' Lj,-fTnterior Finishes: Yes o `� Parking: Yes Qb Number of restroomvided: Number of fixtures in . ater Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: es :�No Restroom(s): Ye No Is the structure equipped with a fire sprinkler system? Yes o Fire alarm system? Yes No Monitoring Station Name: Phone number: APPLICATION WILL NOT BE ACCEPTED:WITHOUT: Floor Plan (5 sets): • Draw the floor plan to scale • Use of rooms • Room Dimensions s Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (1): Note scale used • Property lines, easements, & right of ways (D Location of all existing structures & dimensions • Distance, in feet, from property line & structures e Location of all existing structures & dimensions On-site sewage tanks and drain fields, &reserve ® Landscape buffer yards • Location of fire hydrants & vehicle access roads . s Well location • Parking areas (number & arrangement) Continued on back If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is complete, schedule an inspection by calling 360.427.7262 or 360.427.9670 ext. 352 OWNER/ BUILDER acknowledges 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, owners legal representative, or contractor. 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 authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of y tN.9YzQ,A,-- -ate X 'r. .>64 Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only 1 Accepted by Date �� S Submittal Amount$ 3)I. Receipt number 52 Zo)�- 1Z Department Review Initials Date Comments Building Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction PLANNING 41101\ �o cot, MASON COUNTY (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352 BUILDING. PLANNING•FIRE MARSHAL RE CE I V J360)482-5269 Elma ext. 352 Mason County Bldg. III, 426 West Cedar Street DEC0 7 L PO Box 279, Shelton, WA 98584 2015 www.co.mason.wams 26 W. CEDAR STCOM 20I IW CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: , f Assessor's Parcel Number: 2 a 9- 70 Legal Description: Building Site Address: A 7Z<;) ' -E APPLICANT INFORMATION Name of Applicant: f:�111n Gib Mailing address: (C170 i S 19, City: State: (,�� Zip: Day phon Contact Person: Message phone: ROJECT INFORMATION Proposed business name: -f- Proposed use: LpV SL) ! Number of employees: 2— Previous business name: PWC6Describe previous use: STRUCTURE DETAILS , Check one: Detached single level/single tenant O Single level/ multi tenant O Multi level/ single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: foota e: Is the structure Type of Heat: Circle one: Furnace Heat Pump Electric wall Radiant heated? Circle one' es! o Fuel type: Circle one: Elect~ Liquid Propane Natural Gas Oil Will there b any changes to the following? C" eyes or no, if applicable: Floor lay-out: Yes No Lighting: Yes Heating: Yes No Exterior Finishe . Y 2PL«"fT'nterior Finishes: Yes o Parkin : Yes CNo Number of restrooms ided:v Number of fixtures in . -.Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: es 'No Restroom(s): Ye No Is the structure equipped with a fire sprinkler system? Yes & Fire alarm system? Yes No Monitoring Station Name: Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: Floor Plan (5 sets): • Draw the floor plan to scale • Use of rooms • Room Dimensions • Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (1): Note scale used • Property lines, easements, & right of ways a Location of all existing structures & dimensions • Distance, in feet, from property line & structures • Location of all existing structures & dimensions • On-site sewage tanks and drain fields, &reserve • Landscape buffer yards • Location of fire hydrants & vehicle access roads . a Well location • Parking areas (number& arrangement) Continued on back If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is complete, schedule an inspection by calling 360.427.7262 or 360.427.9670 ext. 352 OWNER/ BUILDER acknowledges 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, owners legal representative, or contractor. 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 authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Applicant Date X Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted b Date Submittal Amount$ cc P Y Receipt number Department Review Initials Date Comments Building Fire Marshal Planning ` G�C a Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction 'Ve44,- Mavls- Qo/w PL. .w N NG APPROVE® MASON COUNTY DCD PLAN '9NG SITE PLAN REQUIRED TO BE ON CHAN ES S BJECT TO AP PROV L Date 4 �- ' -�_ � j �^ ; C raOt o yV �� e 5� �< < C RECEIV D DEC 0 7 201 426 W. CEDAR ST. M 20J- 00 RECEIVED DEC 0 7 2015 \5- 426 W. CEDAR ST. CoVs4/1 Lay -4►1 Axe De 5 cf on rz Ov *f�2 2-9 Fe--e-�-- Jv- F 4W 1/11/2016 Conditions Associated With 4:02:28PM Ir Case #: COM2015-00168 flo Permit Condition Status Updated item 4 Code Title Status Changed By Tag Date By 1) 270 Fire Marshal Comments NOT MET 1/4/2016 TW 1.Post exit signs on all exits. 2.Fire extinguishers(minimum rating of 2A:1 OBC)shall be mounted not more than 5'above the ground. 3. Travel distance cannot exceed 75' 4.Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED WHILE THE BUILDING IS OCCUPIED". X 2) 1 SITE PLAN&ZONING CONDITIONS NOT MET 1/11/2016 AHB SITE PLAN&INTERIOR PLAN Approved per dimensions and setbacks on submitted site plan and interior plan;fence at entrance shall meet the ordinance standards. Setbacks are measured from the furthest projection of the structure. X ZONING ACKNOWLEDGEMENT Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel.Zoning is Belfair UGA Mixed Use(MU)zone. X 3) 1 LCB RULES&REGULATIONS NOT MET 1/11/2016 AHB LCB RULES&REGULATIONS This business is subject to the up coming new rules and regulations effective July-2016 by the Liquor and Cannibus board. X 4) 1 PARKING NOT MET 1/11/2016 AHB Parking shall be sufficient for 3 standard parking stalls(9 feet by 20 feet)and 1 handicap shared parking stall (12.5 feet by 20 feet)with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry,located closest to the building entry,and shall be signed with the International Symbol of Access. Screening from adjacent residential properties is required. X 5) 1001 PLANS REQUIRED ON SITE NOT MET 1/4/2016 TW All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site,Approval WILL NOT be granted. In addition,a reinspection fee,based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.X 6) 1002 ADDRESS/ROAD SIGNING NOT MET 1/4/2016 TW Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 7) 5003 ALLCONSTRUCTION NOTMET 1/4/2016 TW ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 8) 5030 Changes to Approved Plans NOT MET 1/4/2016 TW Page 1 of 4 CaseConditions..cpt 1/11/2016 Conditions Associated With 4:02:28PM 1rfr4 Case #: COM2015-00168 Permit Condition Status updated item# Code Title Status Changed By Tag Date By Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC),ventilationrequirements),Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 9) 5045 FIELD CORRECT NOT MET 1/4/2016 TW CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections,changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X 10) 5600 FINAL INSPECTION REQUIRED NOT MET 1/4/2016 TW All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X 11) 5610 PERMIT EXPIRATION NOT MET 1/4/2016 TW All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days,upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X 12) 1 ACCESSIBIIdTY-EXISTING BUILDING NOT MET 1/4/2016 TW Accessibility-Existing Building(IEBC Section 310) This project is approved subject to the following requirements: 1)At least one accessible building entrance. 2)At least one accessible route from an accessible building entrance to primary function area. 3)Accessible signage. 4)Accessible parking in accordance to approved standards. X 13) 1 ACCESSIBLE PARKING NOT MET 1/4/2016 TW ACCESSIBLE PARKING Accessible parking spaces shall be provided in accordance the 2009 International Building Code Section 1106 and constructed in accordance with Section 1101.2/ICC A117.1. Accessible parking spaces shall be provided in accordance with Table 1106.1 as follows: 1 to 25 total parking spaces requires not less than one accessible parking space 26 to 50 total parking spaces requires not less than two accessible parking spaces 51 to 75 total parking spaces requires not less than three accessible parking spaces 76 to 100 total parking spaces requires not less than four accessible parking spaces See IBC Section 1106 and table for more than 100 parking spaces. Construction and design shall be completed in accordance with ICC A117.1,Section 502. Accessible parking spaces shall be located on the shortest accessible route of travel from adjacent parking to an accessible building Page 2 of 4 CaseConditions..rpt 1/11/2016 Conditions Associated With 4:02:28PM Case #: COM2015-00168 i� Permit Condition Status Updated item# Code Title Status Changed By Tag Date By entrance.Car parking shall be not less than 96-inches wide and access aisles not less than 60-inches wide shall be properly marked. Parking surfaces shall be firm,stable,and slip resistant material and shall not be steeper than 1:48. Accessible parking spaces shall be clearly identified by signs containing the International Symbol of Accessibility placed not less than 60-inches above ground surface,measured from the bottom of the sign. X 14) 1 EXISTING BUILDINGS NOT MET 1/4/2016 TW EXISTING BUILDINGS This project is approved as an existing building. The occupancy classification has not changed,and no alterations are proposed. No change shall be made in the use or occupancy of any building that would place the building in a different division group of occupancies,unless the building is made to comply with the requirements of this code for such division or group of occupancy. X 15) 1 STORAGE RACKS NOT MET 1/4/2016 TW STORAGE RACKS Storage racks greater than 5'9"and up to 8'0"in height shall be installed in accordance to manufacturer specifications for seismic attachment. When seismic attachment is not provided by the manufacturer an engineered design and attachment details shall be required. Installation specifications or engineer's design shall be available during inspections performed by the Mason County Building Department. Storage racks greater than 8-ft in height shall require an engineer's design addressing seismic conditions and attachment. In addition,storage racks 8-ft tall or more shall require special inspection performed by the design professional or an approved representative. The special inspection report and engineered design shall be provided to the Mason County Building Department for approval prior to the final occupancy inspection. X 16) 1 SCOPE OF PROJECT NOT MET 1/4/2016 TW SCOPE OF PROJECT The scope of this project is limited to that shown on the approved plans and does not include installation of new plumbing,mechanical fixtures or new signs.Installation of excluded elements listed shall require approval from the Mason County Building Dept.prior to making changes. X 17) 1 FIRE EXTINGUISHERS NOT MET 1/4/2016 TW Minimum 2AIOBC rated fire extinguishers shall be permanently installed,unobstructed, and located in a conspicuous location not more than 75-feet travel distance in approved locations mounted not more than 48-inches from the finished floor to the top of the extinguisher. The structure is subject to inspection by the Mason County Fire Marshal. All corrections deemed necessary by the Fire Marshal,to assure the minimum fire and life safety requirements as adopted by Mason County and Washington State may be required. X 18) 1 "CUSTOM CONDITION" NOT MET 1/5/2016 TW Page 3 of 4 CaseConditions..rpt 1/11/2016 Conditions Associated With 4:02:28PM Case #: COM2015-00168 Irprio Permit Condition Status updated item# Code Title Status Changed By Tag Date By LEVER ACTION HARDWARE REQUIRED AT DOORS. X Page 4 of 4 CaseConditions..rpt MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FIRE MARSHAL j Mason County Bldg. III, 426 West Cedar Street, Shelton, WA 98584 www.co.mason.waus Shelton (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 January 4,2016 Fire Marshal Notes/Conditions: Permit:COM 2015-00097 Name:Northwest Canna Connection Phone:360-620-3061 Requirements: Note these requirements are also subject to field inspection,and possibly corrections,additions,or subtractions. • Means of egress o IFC 1008.1.9.3 Locks and Latches o Isle widths o Common path of travel to exit access shall not exceed 75' IFC 1015 o No exit shall be more than 200'of travel from any one point in the building. IFC 1016 • Exit Access o IFC 1014 ■ "Egress shall not pass through adjoining or intervening rooms or areas..." ■ Install additional exit doors to comply with above • Provide Fire Extinguishers per IFC 906 • Occupant load shall not exceed 13 persons,and be posted. • Exit door shall be labeled"This Door To Remain Unlocked When Occupied". • All wiring must meet NFPA 70 and be inspected by WA State L&I • Walls must meet IFC Chapter 8"Interior Finish" • Fire Access per Mason County Title 14 FIRE Reviewed by:Jeromy HicksX- ARSHAL 11-0 BE KEPT IN THE PA C E L FI LE