HomeMy WebLinkAboutCOM2015-00068 Addition to Chiropractic Office - COM Permit / Conditions - 7/15/2015 ® � £ , ( ) .
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EXISTINb OFFICE BLDG
50. FT.
2-7 DENTI5T
---- -------
NEW GUTTER/FNDTN DRAIN
CONNECT TO EXI5TG I CHIROPRACTOR
ADDITION
o I APFRiCVED
_ C PUBLIC HEALTH /
JUL 10 2015
ALP /
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THI5 51TE PLAN 15 DRAWN BASED ON
DATA 5UPPLIED BY CLIENT AND WIT UT
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> - °�r. Mason County Fire Marshals Office PERMIT#:
Commercial Fire-Flow Worksheet
360-427-9670*360-275-4467 ext.352*PO Box 584*Shelton,WA 98584
FIRE /,,�
T Date of Application: /6 st t ct Phone Number:( O—'2 �6-4� -
_ MAR 94KE :RECEIVED
Na. S' , ��Ca Business Name/Contractor:
�- mil , 3 � 2F�1M CEDAR ST.
Parcel Number: Address: DGAC
Use and Occupancy classification: Building Construction Type: (IBC) V Square Footage:
0 UGA Q Non-UGA Fire flow as outlined in Appendix A: spm for hour(s)
Closest hydrant location from furthest corner of building(as a vehicle would drive) `T' Feet(+400ft mitigation required)
Deduct from fire flow required:
0 Sprinkler system:Non-high pile(-75%) 0 Sprinkler system: High pile(-50%)
2 0 Monitored alarm system(-250 gpm) 13 Off-site water supply(-250gpm)
30 foot setbacks all sides(-250gpm)
GPM required(Appendix A):
Deductions(GPM): -
Total Required:
Do you have sufficient Fire Flow? 13 Yes(stop if yes) 13 No(go to step 3)
*Step 3 may be required in addition to the fire protection requirement set by the International Fire and Building Code.
V0-500 sq/ft:No mitigation needed
501-5999 sq/ft: (one of the following must be completed)
T NFPA 72 addressable fire alarm system or Maximum allowable fire area of 2000 sq/ft with Fire Walls
0 6000-12,000 sq/ft(both must be completed or NFPA 13 automatic sprinkler system installed)
NFPA 72 addressable fire alarm system plus Maximum allowable fire area of 2000 sq/ft with Fire Walls
12,000+sq/ft:
NFPA 13 automatic sprinkler system
Reviewer: Date Completed:
Comments:
# I 3�-�4• 4 o O BLD m 2015-LOO(&
Mason Count.0 U I L D I N G RECEIVE
Department of Community Development APR 2 0 2015
Small Parcel Stormwater Management Application/Worksheet (page g2r,��ry
Based Upon the info=u6on you have provided a Stormwater Site Plan IS Re yuired for this development activity.
Tide 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
http//Www.co-masoiLv.7a—us/codelcomn2issionersfindex.htn
Please follow the links to "Title 14,Chapter 14.48 Stormwater Manageme ".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.4$section 14.48.70).You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist.
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this docum ent will constitute an approved plan if all of the relevant details*are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)—Z The relevant details from Managing Storm Drainage on Shall Lozs, The SrnaII Parcel Stormwater Site Play will be installed
in their entirety AND the system wiIl be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. Section 14.48.130 contact Public� P ( ) works at:
Phone: (360)-427-9670 EXT.450
Mail:P 0 Box 1850,Shelton WA 98584
Physical:415 N 6th St;Shelton WA 98584
If this development has, or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT.352
Mail:P 0 Box 1666,Shelton WA 98584
Physical:426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
OwnerBuilder/A Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Ackna ent such is by signature below.I d tare that I am the owner,owner's legal representetive,or the contractor.I
further owl that the information provid s accurate and employees of Mason County are granted access to the above-
des ed prop for review and' 'on uired.
X Owner/Agent/Contractor(circle one)Dai.;._ 4-10 —7 0 1 S
P 2 oft
Nam�!c , S(29 Parcel T-r �}- BLI#
MaSOII County
Department of Community Development
Small Parcel Stormwater Management ApplicationlWorksheet(page 1 of 2)
Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for resid.-ntial development'or redevelopment',with more than 2,000 square feet of impZvious surface=.
TRedwelanment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance azth t ,and land disturbing activities associated with structural or impervious redevelopment
'Common impervious sorfaees include,but are not limithd to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oBed,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered ret.^ntion/detention farititim shaU not be considered as impervious surfaces.
-
-
this'--
_ - -
Surface Type Length X Width = Area *All dimensions in feet
8uildin s X
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X = I
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
PatiosJWa[ks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X
X = tf.the total impervrous area of the proposed site
X = oevelopcoq r is.igsater€flan_2DD0�•square feet a.
Small Parcel:Stormwater.SiEe.Plan;iS Required.:.
Tom ira° 'oirs.Sruta�f��:�t:iri�i-bfia`6 areas - - -
If the Total Impervious Surface Area is LESS TELAN 2000 Square Feet, pi se read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Ran IS NOT required for this development activity.
0vrner/Btu1 /Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Ackn S ent of such is by signature below.I declare that I am the owner,owner`s legal representative,or the contractor.I
ac wledge that the informatio .ovided is ac,-urate and employees of Mason County are grated access to the above-
de: be for revi and' on as may be required.
Own er/Agent/Contractor(circle one)Date:
the Total Impers-ious Surface Area is GREATER TELA_N 2000 Square Feet; please read,ac owledge and sign
the information provided on page 2 of 2.
Paee I of 2
Co
-� MASON COUNTY Permit No: D ��t (OCj
aa" i DEPARTMENT OF COMMUNITY DEVELOPMENT
�ry
BUILDING•PLANNING•FIRE MARSHAL (360) 427-9670 Shelton ext. 352
_--- http://www.co.mason,wa.us/community dev/ (360) 275-4467 Belfair ext. 352
185411, 426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352 -
I L D I N G BUILDING PERMIT APPLICATION -NIA
U4iA - 610
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME:
MAIL SS: MAILING ADDRESS:
CITY: - STATE: ZIP: CITY: ATE: ZIl':
PHONE: �-.- ���'L L: --------' PHONE: CELL:
EMAIL: Cde ra &444EMAIL :
L&I REG# EXP.
CONTACT : OWNER CONTRACTOR ❑ BELOW ❑
NAME: 141 MAILING ADDRESS: RECEIVED
EL
EIM�AII,. STATE: ZIP: PHONE: APR
PARCEL INFORMATION: 426 W. CEDAR
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT /
LEGAL DESCRIPTION(ABBRE D :
SITE ADDRESS I CI y LIW
-
DIRECTIONS TO SITE ADD
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STRE ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO
le
TYPE OF JOB: NEW ❑ ADDITION ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) C IDA ,C
IS USE: PRIMAR OFY SEASONA ❑ E EDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK t'*r0
SOUARE FOOTAGE: 0
I ST 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 REOUIRED
MAKE %MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
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 or owner's legal representative. 1 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
representative, 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 TINUATION OF WORK I BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPL TIO OF 180 DAYS WILL CA SE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
X "A—
/gllakbre of OWN e
D ARTMENTAL REVIEW APPROVE 94TE,, DENIED DATE TAGS/NOTES/CONDITIONS
UILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH
REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
r�. t :�
CO V
1 h = PERMIT NO -d
� �AA8ON COUtJTY � . 60E
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.35RECEIVED
Mason County Bldg. III,426 West Cedar Street (360)275=4467 Belfair ext. 352
1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 APR 2 0 2015
PLUMBING & MECHANICAL PERMIT APPLICATION 426 W. CEDAR ST
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME: ';(` _
MAILING ADDRESS:. MAILING ADDRESS:
CITY: STATE: ZIPG' $ CITY: STATE: ZIP:
PHONE' o = CELL: PHONE: CELL:
EMAIL: i I C EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABB MATED . Q �'"( �'
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRE S:
TYPE OF JOB
NEW ADD ALT OTHER USE OF BUILDING
LOCATION OF FIXTURES/U —lsr NIT FLOOR 2'FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW OF EACH) MECHANICAL UNI)�3
Type of Fixture No. of Fixtures Fees Fuel Type:Electric 1/LPG Natural Gas ctless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater 1 Propane Tank
Cl asher Gas Outlets
- e13"77s i I wpm Wood/Gas/Pellet Stove
is was er Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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/appII on b omes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspen d for a p iod of 180 days. PROOF OF CO INUATION OF WORK IS BY MEANS F INSPECTION. INACTIVITY OF THIS
PE T APPLI TION OF 180 DAYS WILL INV IDATE THE APPLICATION.
ignature of Applicant V Da e
X Q wle d Own r/Owne Re resentative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL