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Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
COM2019-00022 MECH/PLUMB - COMMERCIAL
PROJECT DESCRIPTION: REPLACEMENT OF 2 REFRIGERATED DELI ISSUED: 04/05/2019
DISPLAYS IN BELFAIR QFC
SITE ADDRESS: 203 NE STATE ROUTE 300 BELFAIR EXPIRES: 10/02/2019
PARCEL: 123294290001
APPLICANT: KEY MECHANICAL CO OWNER: QUALITY FOOD CENTER-BELFAIR
19430 68TH AVE SOUTH PO BOX 305103
SUITE B NASHVILLE,TN 37230
KENT,WA 98032
1.253.872.7392
GENERAL CONTRACTOR'S LICENSE: KEY MECHANICAL CO License: KEYMEMC972RU
Expires: 02/02/2020
1.253.872.7392
FEES: Paid Due
Mechanical Base Fee $30.00 $0.00
Mechanical Fees $34.00 $0.00
Final Inspection $80.00 $0.00
State Fee-Commercial $25.00 $0.00
Totals : $169.00 $0.00
FIXTURES
Oty Mechanical Fixtures
2 Repairs or Additions for the repair or, alteration
of, or addition to each heating appliance,
refrigeration unit, cooling unit, absorption unit of
each heating, cooling absorption or evaporative
cooling system, including installation of controls
regulated by the Mechanical Code
REQUIRED INSPECTIONS
Printed by:Nicole Norris on:04/05/2019 09:55 AM
Page 1 of 2
Q i
Mason County
Mason County - Division of Community Development
615 W.Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
MECH/PLUMB - COMMERCIAL COM2019-00022
Mechanical Inspection BLD-Final Inspection
CONDITIONS
" All building permits shall have a final inspection performed and approved by 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.
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 and 14.17.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
" All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
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.
" All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
" All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
1 hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
K\ -
Contractor or Authorized Agent: Date: S"
Printed by:Nicole Norris on:04/05/2019 09:55 AM
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MASON COUNTY COMMUNITY SERVICES PermitNocnmaoflaw
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL `� � RECEIVED
615 W.Alder St-Shelton, WA 9858a
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 FEB 2 0 2019
Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATI69 W �Sit
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: QUAI_cci }-oop cc"-rr=R QFCC� NAME KEy Mc -At_ Co. of WA
MAILING ADDRESS: 1 o I Li V I NE ST `. MAILING ADDRESS:
CITY:G-wc,1NNp�TI STATE: ON ZIP:yS2o2 CITY: STATE: ZIP:
1"PHONE: PHONE:i2s-2Q8T'1.--+3q-,CELL: i(2o6) -+S► -2.o68
2°dPHONE: EMAIL: cvinl�PLceur.+eLhnnicol.Corr�
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 123 2 9 H 2 4 0 0 0 I Zoning: TRA DC - F;, ID lO
LEGAL DESCRIPTION(Abbreviated): T R 10 o f NW S E - L oT EX o f S P tt S q j
SITEADDRESS: 201 t-lE 7--�eLFAig , WA CIRS2RCITY:�eLFAIR
DIRECTIONS TO SITE ADDRESS: ACGEsS v I A.
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER X USE OF BUILDING
+•LOCATION OF FIXTURES/UNITS—IST FLOOR_2�'D FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
{Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATIO
<F----
x r� I q f=eg 2011
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
el
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 1BN