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HomeMy WebLinkAboutCOM2016-00026 Cancelled Revised Change Tenant, Remodel - COM Permit / Conditions - 3/12/2021 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Peox °p�^T Phone: (360)427-9670, ext. 352 t Mason County 615 W Alder St Shelton, WA 98584 1854 COMMERCIAL BUILDING PERMIT COM2016-00026 OWNER: KELSEY'S ALL NATURAL DRIVE--IN RECEIVED: 3/4/2016 CONTRACTOR: LICENSE: EXP: ISSUED: 3/16/2016 SITE ADDRESS: 21391 N US HIGHWAY 101 SHELTON EXPIRES: 10/17/2017 s PARCEL NUMBER: 422262390080 LEGAL DESCRIPTION: TR 8 OF IND LOT 2 TR 1 OF SP#1963 PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT LONGSHORE'S DRIVE-IN TO FOLLOW US HIGHWAY 101 NORTH TO SITE ADDRESS ON THE LEFT KELSEY'S ALL NATURAL DRIVE-IN. THIS CHANGE IN SIDE TENANT ALSO INCLUDES SOME NEW CONSTRUCTION General Information Construction&Occupancy Information Type of Use: DRIVE—IN Insp.Area: No. of Units: Type of Constr.: VB Type of Work: TRA Fire Dist.: 1 No. of Bathrooms: Occ. Group: A-2 Valuation: $ 104,528.16 o. of Stories: Exit Design. Load: 49 ng Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: 1,750 Year: Serial No.: Basement: Parking Spaces: Setback Information OR Shoreline&Planning Information Front: Ft. Shoreline: 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?: Y Standpipe?: ? Auto Fire Sprinkler System?: ? Access Road?: Y Fire Extinguishers?: Y Fixed Fire Suppression System?: Fire Hydrants?: ? Fire Lanes?: COM2016-00026 Please refer to the following pages for conditions of this permit. Page 1 of 8 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT iiibpecuUn une ��ov�4ci-�coc Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 IRSd COMMERCIAL BUILDING PERMIT COM2016-00026 OWNER: KELSEY'SALL NATURAL DRIVE—IN RECEIVED: 3/4/2016 CONTRACTOR: LICENSE: EXP: ISSUED: 3/16/2016 SITE ADDRESS: 21391 N US HIGHWAY 101 SHELTON EXPIRES: 9/16/2016 PARCEL NUMBER: 422262390080 LEGAL DESCRIPTION: TR 8 OF IND LOT 2 TR 1 OF SP#1963 PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT LONGSHORE'S DRIVE—IN TO FOLLOW US HIGHWAY 101 NORTH TO SITE ADDRESS ON THE LEFT KELSEY'S ALL NATURAL DRIVE—IN. THIS CHANGE IN SIDE TENANT ALSO INCLUDES SOME NEW CONSTRUCTION General Information Construction&Occupancy Information No. of Units: Type of Constr.: VB Type of Use: DRIVE—IN Insp.Area: No. of Bathrooms: Occ. Group: A-2 Type of Work: TRA Fire Dist.: 1 Valuation: $ 104,528.16 No. of Stories: Exit Design. Load: 49 Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: 1,750 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?: Y Standpipe?: ? Auto Fire Sprinkler System?: ? Access Road?: Y Fire Extinguishers?: Y Fixed Fire Suppression System?: Fire Hydrants?: ? Fire Lanes?: COM2016-00026 Please refer to the following pages for conditions of this permit. Page 1 of 7 V Plumbing Fixtures Mechanical Fixtures r«a Type Qty. Type Qty. Type By Date Amount Receipt Hosebibs 1 Gas Outlets 6 Plan Check Fee nnnnn 'lAignln ,tRRd 1d G1?n1Rnn Water Heaters 1 Propane Tank 3 IFC Plan Check Fee nnnnn .imign1R ,tAAq n7 C19n1Rnn Ventilation Fan 1 EH Plan Review nnnnn A/Ann1A a.9nA nn C1?n1Rnn Building State Fee ('nnnn A/R/9nis Oa rn S1gn1Rnn Building Permit Fee rnnnn A/Ai9n1R o1 M1 75 S19n1Rnn Mechanical Permit Fee rnnnn AiA/9n1R OAA An C1?n1Rnn Mechanical Base Fee nnnnn AAA/7n1R -9A sn g1?n1Rnn Plumbing Permit Fee rnnnn A/Ann1R It1a 4n C17n1rnn Plumbing Base Fee rnnnn A/A/?n1R �7d 7n C17n1Rnn Total $2,530.96 CASE NOTES FOR COM2016-00026 CONDITIONS FOR COM2016-00026 1) PER TITLE 14 MASON COUNTY BUILDING CODE -CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS- 14.17.110: A fire apparatus access road in excess of 14% grade and more than 150' to new residential or commercial structures will require an automatic fire 741 s sste Ins ed. Contact the Mason County Fire Marshal at(360)427-9670, extension 352, for further information. / ! 2) On 3/14/2016 th -foltowing was discussed on site with owner Clayton Longacre. The discussion is in relation to opening under a temporary occupancy. The following was agreed. 1. Install (2)ABC Fire Extinguiishers in locations discussed (2A: 106C rated) 2. Install Class K extinuisher prior to final inspection (after hood suppression system is installed and approved) l 3. Place a"DO NOT USE" signs on fryers, grills and flat top ranges under the hood until the approved UL 300 listed suppression system is permitted, installed and acceptance tested. 4, Do not use any appliances for cooking grease, grease producing foods, or grease latent vapors until a UL 300 listed and approved hood suppression system is installed and acceptance tested (A separate permit is required) 5. Post"Maximum Occupancy 49" in a consipicous location. These ar c ndi, s o. Temporary Occupancy of 60 days, no extentions will be available. �,.. x COM2016-00026 Page 2 of 7 3) Contractor registration laws are governed under KUVV I b.11 and enforced by the WA t-tate uept or Labor ana inausrnes, t,unuacrur Uurrrpuance 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-OP8?. T}�Vert6ri signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 1, " 4) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans ar not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will e -_ar ed and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X - 5) Owner/.Ag ntfi responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.��,�" X l� 6) Existing roof deck shall be insulated to a minimum of R-38 if: The roof is un-insulated or existing insulation is removed to the level of the sheathing, OR All u tion in the roof/ceiling was previously installed exterior to the sheathing or non-existent. X �- 7) Single rafter joist roof repl ment shall be insulated to a minimum of R-38 allowing for a minimum of one-inch continuous vented airspace above the level of insulation. X e--'" 8) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason Countyy is 8 MPH X . C%L// 9) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip ed e sh al be provided at eaves and gables of shingle roofs. (I RC 2012 R905.2.8.5) X 10) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and colle by the Mason County Building Department prior to any further inspections being performed or approvals granted. X ' 11) 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 CHANGQf USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x kk 12) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements), BuildingF pmbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X VV�� 13) 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 C,Q fty Building Inspector shall be made prior to requesting additional inspections. X �i� COM2016-00026 Page 3 of 7 14) If the tank size is between 125 and 500 gallons you must follow these guidelines: 1. Tank is to be 10 feet from any buidling, public way or property line. 2. If the tank is exposed to probable vehicular damage, provide prote V ollards. 3. All weeds, grass, brush, trash and other combustible material shall be kept a minimum of 10 feet away from LP containers. X 15) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think su eatures exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X 16) New and replaced heating equipment shall meet the requirements of the Internation Energy Conservation Code as amended Washington State Energy Code (WSEC), and applicable sections of the IBC and IMC. All new or replaced heating equipment shall meet the efficiency requirements of WSEC C403.2.3. Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code (WSEC), Section C101.4.3.2. When a space-conditioning system is altered by the installation or replacement of space conditioning equipment(including replacement of the air handler, outdoor condensing unit of a split system air conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger), the duct system that is connected to the new or replacement space-conditioning equipment shall be installed and sealed in accordance with C403.2.7. All new and replaced heating equipment shall comply with WSEC Section C403. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Provide design calculations during inspection. Referencing WSEC C403.2.7 and IMC Chapter 6, all new ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any new duct systems. When new ducts are located in unheated spaces the ducts shall be insulated to R-8 X 17) 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-c J ,liant with Mason County ordinances and building regulations. X 18) 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 eKtion for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the holder have prevented action from being taken. No more than one extension may be granted. X COM2016-00026 Page 4 of 7 19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fastene Bonn ctors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 20) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area shall be desig to ee t the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and haulers.X � 21) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTIEPR ROAD WAY. X ; 22) LEVER ACTIONA4ARDWARE REQUIRED AT DOORS. X 23) 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) �6:sible parking in accordance to approved standards. X 24) Minimum of(2)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 minim ire and life safety requirements as adopted by Mason County and Washington State may be required. X 25) Every room or space that is an assembly occupancy, such as a restaurant, bar, or meeting room, shall have the occupant load of the room or space posted in a conspicuous place, near the main exit or exit access doorway from the room or space. Posted signs shall be of an approved legible p manent design and shall be maintained by the owner or agent. (IBC1004.3) (max occupancy 49) X _ 26) All kitchen hood systems shall be installed and maintained as required by the International Fire Code, Building Code and Mechanical Code. Inspection nd maintenance records shall be available for inspectors during all inspections. X AN APPROVED GREASE INTERCEPTOR SHALL BE CORRECTLY SIZED AND PROPERLY INSTALLED IN GREASE WASTE LINES LEADING FROM SINKS AND DRAINS AS REQUIRED IN THE 2006 UNIFORM PLUMBING CODE, CHAPTER 10. COM2016-00026 Page 5 of 7 23) This permit is for a Change in lenant ana ienant improvements. aee t_ngineers aocurnerns rar gun scope ul WUM NU ruluiCl IIIIPIVVCIIICIIW CIIC lV be done pri r to permits and approval from Mason County Community Development. X 29) A final instifrom the Mason County Fire Marshal must be completed prior to calling for a final from Mason County Building Department. X Temporary occupancy with limited use has been agreed upon by the Mason County Fire Marshal for 60 days. See Fire Marshal conditions. At such time as the ho d surpression has been installed, approved and tested satisfactory, a Final Inspection for full Occupancy from the Building Departure 1 ay be completed. X (J 30) A report dated Febuary 29, 2016 is included in the submittal. The engineer Matthew Zawlocki, PE, SE of N.L. Olson &Associates, Inc. has submitted a "after the fact" report addressing the structural upgrades and changes. Included in his review is the almost complete replacement of a covered st(Lcture, now inclosed. If any further remodeling or change of use to this unheated section, you may be required to have engineer do further r iew of the structure. x 31) GROUPA . ATE. YSTEM MUST BE APPROVED BY 7/1/2016. 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 structur (s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if constr�udio work is suspended,\for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMLI`A P�ICATlb;4 FI801DAYS WILL INVALIDATE THE APPLICATION. J I V I Sign ture i Date Lonjacre- OWNER REPRESENTATIVE _ CONTRACTOR Print Nbme (Circle one to indicate) COM2016-00026 Page 6 of 7 0 0 A K m N) CONCRETE MECHANICAL MANUFACTURED HOME C) r- rn Footings I Setbacks Date By Ribbons Cl) Gas Piping m o Interior Date By werior- Date By Date By CD 0 Exterior Date By Exterior-Date By Set-up > Point Load I Isolated Footings INSULATION BG I SLAB INSULATION Date E3v r- r- Date By Z Data 13Y FIRE DEPARTMENT > Foundation Walls Floors Date By _q C Date BY Data By DECKS FRAMING Walls Date By Date By Date By PROPANE TANKS 0 PLUMBING Vault Date By Date By m ro Gundwork Attic OTHER Brace Wall Date By Date By Type7,6-,/- Ocx-- DRYWALL Date 311 1y/.;_10)-4 a y 0 0 .W.V Int. Type- 0 Date By Date By Date By FINAL INSPECTION Water Line Fire Seperation Date By Date By Date By CD Pass or Request Inspect. (Z)40 Type of Insp. Fail Date Date Done By Comments 11'.0 _711-9 VIA '?4 5 J7?-- 61A0 MASON COUNTY (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352 BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352 Inspection Hotline (360)427-7262 -t Mason County Bldg. 8, 615 West Alder Street 1854 Shelton, WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER Doc)Z(p d - OCQ l ADDRESS/LOCATION: 3I FINDINGS• PleogvD�6- VCR �r -T-Peaft,noN AerUvo &.aL pod Ph,oa- rKs Q Q6� .rrcrr� M u-,r-oi- Se. tea -koPa � l.Ave ,1C rc•�L �,J �QOIJJD� A�CGEPrav P/O ZI.t�ULfC s WiM 60% UNtJ Ave—4�14—tyZo ce- � �PP�+�v Pco�s /►luc�i�� cr�csr� �-� T»rE S c-cJ �,rT L'.�r-�D a Items listed above must be corrected to fain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed ove are in VIOLATION of Mason County laws and/or ordinances. :Caa- ke ll for re-inspection when corrections are made before proceeding with any further work. corrections, items will be checked on the next inspection. ❑ OK to Date: Of'R' o Please contact our office regarding possible Department: —Owwst4, hak structural damage incurred by recent Inspector: t "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 r ri O o CONCRETE MECHANICAL X Footings 1 Setbacks Date MANUFACTURED HOME m By — -- r o interior Date Gas Piping Ribbons —.__.-- ---_ � o BY Interior-Date M o Exterior Date By Date By Exterior-Date lay Point Load/Isolated Footings INS Cn ULATION ""p D Date By BG J 3LA8 IN3ULATIDk Date By Foundation Wads Data By FIRE DEPARTMENT Z Floors D Date By Date Date By --I FRAMING Walls By DECKS --- -- Date By Data B Date By r— PLUMBING VaultY PROPANE TANKS Date Date By Groundwork By OTHER m Attic Date t By Date By Type; Z D.w.V DRYWALL Date By Date By Int.Brace Wall TYPe. 0 Dale Date By O Water Line { Fite Separation ray FINAL INSPECTION z Date PQ By Date C By Data By V Pass or Request Inspect. - o T of Insp. Fail Date CD Done By Comments c f� ( r a u -C = O IN-W5T11)6� �l Q,Co2 � �--�L_✓�L b W 0 W JQB41TE COPY INDIVIDUAL OWNER 4` ELECTRICAL.WORM PERMIT# EP2800273 %u:Vsscto+.n+ure a.icarnelW,mpgr - kssaNerdarr Dacn7,tlot,.. ",5 Putting in a 3 amp fan/]l.5vlsingle phase in attiPLC;ft {� ,1291 U Kvbwawv ay 0 N c-for make-up air(intake air) Shettnn WA 98584 ' ' Sery aes m w•r,x �ttru t FAX Number �sP�Gt"���}�����' "�n�.�a,,�.� {}- Description Quantity Amount ircuits per panel-Number of aram;ses owners nanw - .:.�... irGUits AddedlAlte;_ �1 7S.UO Longacre. Clayton Inspection fee $79 00 The department will perform 1 inspection for .4[laress pf msoeCion ro �. 21391 US Highway 101 N * permits where total fee paid on permit is less SKOKOMISH NATION i* ; than S89.79. For more than I inspection. additional fees are rcquired. P—eMason County Mason County PUD 3-SHELTON Additional Fees Afat-•Be Assessed Upon Field `- Inspection This permit expires one(1)year after the date of purchase. Applied: 2J2l2017 Expiration. 212/2018 WALLS Date Approved By Date Approved By Ensulatcn Only SERVICE j Cover i FEEDER CEILING Insulat;on Only THERMOSTAT _ Cover DITCH Inspection Date Area,Building or Equipment Inspected Action Taken Electrical Inspector -;Oh 7 P10 { Property Ovvner: Retain Permit Number for your records Attention Applicant! The Department will not conduct this inspection if there are unrestrained anirna15 tin the premises. Failure to comply ,N ith this requirement may result in additional Inspection Serbice fees and delay in senzce. FILE < � §arrar: tFx k $€ a 4 � a " :. G Py 'http.r'field-services.afps- inside.ltu-tea- av/ �� pairspemut,rptPermit.asPX?ApplD=10) �G 4. E g 7 55+. 1F i �g 1, lot 2 11 r� �f Yins MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 PSG, CUU~T + ' Mason County Phone: (360)427-9670, ext. 352 615 W Alder St Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2017-00001 OWNER: KELSEY'SALL NATURAL DRIVE-IN RECEIVED: 1/5/2017 CONTRACTOR: NEW CASTLE MECHANICAL LLC 1.253.509.7390 LICENSE: EXP: ISSUED: SITE ADDRESS: 21391 N US HIGHWAY 101 SHELTON EXPIRES: PARCEL NUMBER: 422262390080 LEGAL DESCRIPTION: TR 8 OF IND LOT 2 TR 1 OF SP#1963 PROJECT DESCRIPTION: DIRECTIONS TO SITE: KITCHEN EXHAUST HOOD FOLLOW US HIGHWAY 101 NORTH TO SITE ADDRESS ON THE LEFT SIDE General Information Construction&Occupancy Information Type of Use: RESTURANT Insp.Area: No. of Units: Type of Constr.: Type of Work: MEC Fire Dist.: 9 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 Front: Ft. Shoreline: Ft. Shoreline&Planning Information 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?: COM2017-00001 Please refer to the following pages for conditions of this permit. Page 1 of 3 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Exhaust Hood 1 Total CASE NOTES FOR COM2017-00001 CONDITIONS FOR COM2017-00001 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 permitlapplication 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 Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2017-00001 Page 2 of 3 tA- �Tf MASON COUNTY PERMIT NO.. `m 1 DEPARTMENT OF COMMUNITY DEVELOPMENT I BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 Jxsr PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: rL.S'Y%c�.J �/� /L,s i NAME:,�I�t.J GQSit� Gf/.P.ydG.d MAILING ADDRESS: QZ/39/ Z/w/a, /4"I MAILING ADDRESS: nT r CITY: rZ,/�L.i- STATE: t-c/AZIP: CITY:R_ eiLl+P STATE: t ZIP: 7 PHONE: CELL:Jj��- - C4 -31Y'7 PHONE: EMAIL: CL�S'YTcr /L--S; g2Z,&7' EMAIL L&I REG PARCEL INFORMATION: ` PARCEL NUMBER(12 DIGIT NUMBER): :� � � c -•�� - �l Tl� ^ i LEGAL DESCRIPTION(ABBREVIATED): SITE ADDRESS: OW 9/ /U f CITY:,$�/�,G D j DIRECTIONS TO SITE ADDRESS: ' i �RL L it/�1,c�-_r�,fL /JyScl:�.�./�,�/11��L�c'_-'_.t�R� G��S E•r�t�/ir.�orS. � TYPE OF JOB i NEW ADD ALT REPAIR vl OTHER USE OF BUILDING _ LOCATION OF FIXTURES/UNITS-IsT FLOOR 2N°FLOOR BASEMENT GARAGE_OTHER _ PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas Heat Pump_ Toilets Tyne of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pcllet Stove Dishwasher Kitchen Exhaust Hood (3.2 Hosebibs Dryer Vent Other Other - 3 Base Fee Base Fee 1 lc;•`�L^' TOTAL PLUMBING TOTAL MECHANICAL r( 1 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 1 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 fo riod of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTMTY OF THIS i PERMIT LI TION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 4' Si ature of Applicant Date X � ' r Owner/Owners Representativedontractor I Print Name (indicate which on(i) DEPARTMENTAL REVIEW' APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL NEW CASTLE MECHANICAL LLC Page 1 of') Hunte ti p.uiui Contact Search L&I r , A/.Indr� Help 31) IX-1 Safety&Health Claims&Insurance Workplace Rights Trades 8 Licensing Washington State Department of "Labor & Industries NEW CASTLE MECHANICAL LLC Owner or tradesperson 9823 160TH ST E Suite A PUYALLUP,WA 98375 Principals 253-603-7390 GIVENS.JAMES DONALD PIERCE County JR,PARTNERIMEMBER GIVENS,TAMERA S,PARTNER/MEMBER (End:09/09/2014) Doing bOSiness as NEW CASTLE MECHANICAL LLC :A E'No Business type 602 858 734 Limited Liability Company Governing persons JAMES DONALD GIVENS JR TAMERA SUE GIVENS; License Verity the contractor's active registration I license!certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. icense specialties Heating/VenVAir-Conditioning and Refrig (HVAC/R) License no. NEWCACM9240D rfeclive--expiration 09/04/2008-1010712018 Bond WESTERN SURETY CO $6,000.00 Bond account no 24801593 Received by L&i Effective date 09103/2010 09103/2010 Expiration date Until Canceled Insurance Colony Ins Co $1,000,000.00 Poitcy no. GL-4185067 Received by L&I Effective date 06/10/2016 06/1012016 Expiration date 06/10/2017 Insurance history Help us improve https:;/secure.Ini.wa.gov/verify/Detail.aspx?UBI=602858734&LIC=NEWCACM924OD&SAW= 1/30/2017 NEW CASTLE MECHANICAL LLC Page 2 of 3 savings. No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations EMABQ03990 Satisfied i55�c Date RCW WAC 01/1612013 19.28.271 RCW V,oianon City Violation amount TACOMA $250.00 Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work.(GARY MCLEAN) ;ntractioNMc EMABQ03988 Satisfied Issue date RCWAIVAC 01/15/2013 19.28.041 RCW V10L,111;:n city Violation amount TACOMA $600.00 Type of urolation ELECTRICAL CITATION Descr ipnon Offering to perform,submitting a bid for, advertising,installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. infraction no. EMAB003989 Satisfied Issue date RC1't1RVAC 01/16/2013 19.28.101 RCW VIolatlon city Violation amount TACOMA $250.00 ype::ri Violation ELECTRICAL CITATION Descrio:itm Failing to obtain or post an electricaUtelecommunications work permit prior to beginning the electricalftelecommunicatlon installation or alteration as referenced in WAC 296-46B-900 (3)(6),effective after 12/30/2008 see WAC 296- 46E-901. Workers' comp Do you know if the business has employees?If so,verily the business is up-to-date on workers'comp premiums. L&i Account iD Account is current. 884,166-01 Doing 1usiness as NEW CASTLE MECHANICAL LLC F:,t,r:sated VJUrhefS reported Quarter 3 of Year 2016"11 to 20 Workers" Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602858734&LIC=NEWCACM924OD&SAW= 1/30/2017 NEW CASTLE MECHANICAL LLC Page 3 of 3 8;an,,punt representaiwe T1 i DESTINY ADAMS(360)902-4873-Email:ADAF235@ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Yaastangton State Dept of Latmi&IndistfieS Use of this Site Is Stlhted tC the Taws of 1hP State 0'VVBShingion Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602858734&LIC=NEWCACM924OD&SAW= 1/30/2017 IS �1 T r"1p '•' IVP 1 4 __ - ���•� -T__.. gYlagMR... !�11�,���«.,� EKHAUST FANS - � - --- 1 I I 3.]7 to, IB' IB' / RnL.Mu"l rNld luX _ ---.1V0 HDIT FIRE - RAT HOAR FIRE IVD HDIIR FIRE "R• Ill.Llama L55 c napY --- RATED DUCT VRAP RATED glCi VRAP RAZED DUCT VRAP ,erka E26 to PI•wr LIDNt n.Nw•-Ixd,T•rp n111"ar _.._. -.__ ..-- Is,Li _TYPE I 11IF—I{.. EX UST HOURS ._— , .._.._.. _____..... �+..._.. d jrl— - - EXHAUST MODS I 1 i3• SA• ,• ._._. __._ _ I •/ Illl l'l +ill �'- —B 10p•Ibr..fi o0o DD.. �.- . 000•IA>".n•oPe•DD 'yI 6• s• 0 '• � III I I I � eo PLAN VIEW - HUULI�H-_I. RLA.N.VIEW _Hoo4 fH_2 I F __-- _--- e�_. _40NG-..4�24yl3 4�Q,Od 1 t.IQ 48l4ND I --... 1 kF .. 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VIM"'YI°4"J.JwM LNawW.l 0 �O IIpUWrV"V]gwuulU _ C (1 au1191 aulall.Ig Na4 a1w0 Y>9>IIN Prylawwul yGlq a+LN lYln np11tl a.yd.,WP i i D p i 1,1 aanaitamilAa 114 1. aa1V aAl1JVD'IVJWAI .0-.1-.9/1 ol%S �.0-A-AK+I-S 4 9 r s AT ,1� I ,.. ` HOIL��S — NOTIVAT19 F •• 1m3 JMl IN3HdIM] 3NIlNU03 3w lMYl] II Z-H3 POGH - M31A NTIZJ l=Fly H - MIA N d '0° dP � SOOorI 1103e 1 •9,r SOIYJH 1111"dA%3 J- Yd I�lillll �.Cou-3 Ou11 all- M-L413 9x3>M++s csl P+a%1 Al dYan 17119 031ra dvnn IJM 631va 3Y9A L3aO o71 va 3 a>^'^I•J .6> 3diJ dnUH Una 3a11 WIN OI1L—� 3YIJ dM4 .1 an]PI>IJ >s .tll .BI .BI a h>4 dl Y.21dl .00 00 Or Ina PI%J •G SNYJ Lsn"3 - 1 3dA1- -- ��----ll SNYJ Is. • 6 �1 1 3JAL j p �'��-r�c� iltb �f�/G'�'S a� 3J�I=r.�a�.�° ��u L�4S��' .J'�//�r..ur2✓Xt'' ->�o l� rr�' aryl 12.�i��'G� �xisTi.�%f .�r�c�i .�c-�fi ��Ss 1 r���' S�Si�1 �Xj,�i�1�S%�it?�c/S J�/�LG >..sJG�N� �i9� ��.1G ��G I /�d� COMPLETE Certification Given: RED❑ YELLOW❑ WHITE FIRE PROTECTION CONFIDENCE TESTING RANGEHOOD R -High Pressure Hood Cleaning SYSTEM TEST REPORT &T Hood and Duct Services,Inc. Fire Suppression Installation&Service CONFIDENCE TEST r REPAIRS❑ Fire Extinguisher Sales&Service 6100 12th Ave.S. Phone(206)726-09Z Range Hood and Fan Service&Repair 7 Seattie.WA 98108 Fax (206)767-2607 •Filter Sales&Service DATE: t Occupancy Name: Occupancy Address: City,State.Zip: Responsible Person: Phone Number: Building Owner: -'l' Phone Number: City,State,Zip: Building Owner Address: SFD Certification Number: SCP- Testers Name(Please Print): System Alarm? Yes❑ No Central station monitoring? Yes❑ No❑ Monitoring company name: Control Panel manufacturer. Model Number. Location of Alarm Panel: / ? / t3 Extinguishing System Manufacturer �' System Size r - U.L.300 System?Yes i�No❑ U.L.300 Compliant?Yes U No❑ Chemical Type:Wet[} ry❑ Location/Height of Range hood: Is pressure gauge indicator in operable range? Yes No'_ 12 year hydro date of cylinder. Is there chemical inside of the cylinder? Yes.`a No Were hand portable extinguishers property serviced? NA',_.: Yes No Weigh CO2 or nitrogen cartridge. NA!• Were all cooking surfaces protected?If not,give owner full Yes r y No No visible signs of a system fire or system tampering(if signs check no). Yes - No information. Check all piping and conduit.Are all piping and conduit immobilized with Yes 1 No;-- Was operating procedure verbally given to restaurant personnel? Yeses No P p g proper hangers and brackets? Was UL 300 compliance explained to owner or manager? Yes No_ Are all protective covers present on nozzles? Yes No Gas shuts down upon system activation? NA Yes i� No• Are all nozzles checked in the proper position? Yes 1 No Electric power shuts down upon system activation? NA Yes _ No Does system have adequate volume and/or nozzle coverage? Yes �No_ Range hood tied to building alarm panel? ' NA Yes __ No Are all appliances inside of the hood protection area? Yes / No Range hood activation signal received at buildingalarm panel. NA Yes -No Have fuse links been replaced? ` ° '� Yes V, No Class K extinguisher present? Yes No, Was system operational from terminal link? Yes ✓ No' _ Grease builduyIn group: Was system operational from manual remote? Yes v/ No Light_.._1_ Medium Heavy,recommend cleaning Was system and micro switch operational? NA Yes -� No, _ Date of last cleaning GJIA_._..._ Is system visible and tree from obstruction? Yes No _ Are cleaning intervals within NFPA standards? Yes No Is the inspection and service tag on the cylinder? Yes No I Previous Confidence Test Company&Technician i L_____ -- - o . r. 1• +: Problems Found:(If additional room is needed,please add a separate sheet) Customer has declined repairs X Corrections Made: Date Corrected: Corrected By: SFD Certification Number: This certifies that this fire and Life safety system has been properly inspected for reliability to cover the items listed in this report and is consistent with Seattle Fire Department Fire Code standards.Discrepancies ire noted andpaVe been repotted to the Milding Owner/Responsible Person for corrective action. Signature of Tester: Phone a (206)726-0940 Testing Agency: R&T Hoo and Duct Services,hit. Mailing Address: 6100 12th Ave.S. Seattle WA 98108 The owner is to perform and keep +written record of th-3 following"quick check"fire system inspection to verify the following: t. The extinguishing system is in its proper location.The extinguishing cylinder is in 6. The nozzle disc caps and their seals are intact,undamaged and tight. place and has not been removed or tampered with. 7. The inspection tag or cerlitioate is in place and current. 2. The manual pull stations are unobstructed and in Gear view and are labeled for 6. If any deficiencies are f6und,appropri ve action shall be taken immediately. intended use. 9. A record of the mooly ins eCtion s to kept re cling the date inspected,inititals of 3. Insure that ail tamper seals are intact and that system is in a ready condition. person performin the ms�ecflord anyorreetion 4Ulretr -�` 4. Observe system,checking that no obvious physical damage or condition exist; iy! 111 L UTHORIZED that might prevent operation. A 5. The pressure gauge reading on the cylinder shall be in the green operable range. SIGNATURE _ i'- - ,;T HOOD =;LE CORY ` 8/1/2016 Conditions Associated With 3:45:42PM Case #: COM2016-00026 i� Permit Condition Status Updated item# Code Title Status` Changed By Tag Date By 1) 260 Fire Protection Requirements NOT MET 3/14/2016 TW PER TITLE 14 MASON COUNTY BUILDING CODE-CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS-14.17.110: A fire apparatus access road in excess of 14%grade and more than 150'to new residential or commercial structures will require an automatic fire sprinkler system installed. Contact the Mason County Fire Marshal at (360)427-9670, extension 352,for further information. x 2) 270 FIRE MARSHAL COMMENTS NOT MET 3/14/2016 TW On 3/14/2016 the following was discussed on site with owner Clayton Longacre. The discussion is in relation to opening under a temporary occupancy. The following was agreed. 1. Install(2)ABC Fire Extinguiishers in locations discussed(2A: 1 OBC rated) 2. Install Class K extinuisher prior to final inspection(after hood suppression system is installed and approved) 3. Place a"DO NOT USE"signs on fryers,grills and flat top ranges under the hood until the approved UL 300 listed suppression system is permitted, installed and acceptance tested. 4,Do not use any appliances for cooking grease,grease producing foods,or grease latent vapors until a UL 300 listed and approved hood suppression system is installed and acceptance tested (A separate permit is required) 5. Post"Maximum Occupancy 49"in a consipicous location. These are conditions of Temporary Occupancy of 60 days,no extentions will be available. x 3) 700 RCW 18.27 NOT MET 3/14/2016 TW 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. X 4) 1001 PLANS REQUIRED ON SITE NOT MET 3/14/2016 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 5) 1002 ADDRESS/ROAD SIGNING NOT MET 3/14/2016 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 6) 1008 ROOF REPLACEMENT/EXPOSED DECKU NOT MET 3/14/2016 TW Existing roof deck shall be insulated to a minimum of R-38 if: The roof is un-insulated or existing insulation is removed to the level of the sheathing,OR All insulation in the roof/ceiling was previously installed exterior to the sheathing or non-existent. X 7) 1009 ROOF REPLACEMENT NOT MET 3/14/2016 TW Single rafter joist roof replacement shall be insulated to a minimum of R-38 allowing for a minimum of one-inch continuous vented airspace above the level of insulation.X Page I of 5 CaseConditions..rpt 8/1/2016 Conditions Associated With 3:45:42PM Case #: COM2016-00026 Jjjjp Permit ,Condition Status Updated item# Code Title Status Changed By Tag Date By inspections. X 27) 1 GREASE INTERCEPTOR NOT MET 3/14/2016 TW AN APPROVED GREASE INTERCEPTOR SHALL BE CORRECTLY SIZED AND PROPERLY INSTALLED IN GREASE WASTE LINES LEADING FROM SINKS AND DRAINS AS REQUIRED IN THE 2006 UNIFORM PLUMBING CODE, CHAPTER 10. X 28) 1 SCOPE OF WORK NOT MET 3/14/2016 TW This permit is for a Change in Tenant and Tenant Improvements. See Engineers documents for full scope of work.No Further improvements are to be done prior to permits and approval from Mason County Community Development. X 29) 1 FIRE MARSHAL FINAL INSPECTION NOT MET 3/14/2016 TW A final inspection from the Mason County Fire Marshal must be completed prior to calling for a final from Mason County Building Department. X Temporary occupancy with limited use has been agreed upon by the Mason County Fire Marshal for 60 days. See Fire Marshal conditions. At such time as the hood surpression has been installed,approved and tested satisfactory, a Final Inspection for full Occupancy from the Building Department may be completed. X 30) 1 ENGINEER OF RECORD NOT MET 3/14/2016 TW A report dated Febuary 29,2016 is included in the submittal. The engineer Matthew Zawlocki,PE, SE of N.L. Olson&Associates,Inc.has submitted a"after the fact"report addressing the structural upgrades and changes. Included in his review is the almost complete replacement of a covered structure,now inclosed. If any fin-ther remodeling or change of use to this unheated section,you may be required to have engineer do further review of the structure. x 31) 1 WATER SYSTEM NOT MET 3/16/2016 CEW GROUP A WATER SYSTEM MUST BE APPROVED BY 7/1/2016. X Page 5 of 5 CaseConditions..rpt 8/1/2016 Conditions Associated With 3:45:42PM lot$ Case #: COM2016-00026 Permit Condition Status Updated item# `Code Title Status Changed By Tag Date By 8) 1500 ROOF WIND LOADS NOT MET 3/14/2016 TW WIND LOADS -Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. X 9) 1510 ROOF COVERINGS REQUIREMENTS NOT MET 3/14/2016 TW REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall be provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5) X 10) 5002 ENGINEERING NOT MET 3/14/2016 TW Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are removed,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 11) 5003 ALL CONSTRUCTION NOT MET 3/14/2016 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 12) 5030 Changes to Approved Plans NOT MET 3/14/2016 TW 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 13) 5045 FIELD CORRECT NOT MET 3/14/2016 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 14) 5090 Propane Tank NOT MET 3/14/2016 TW If the tank size is between 125 and 500 gallons you must follow these guidelines: 1. Tank is to be 10 feet from any buidling,public way or property line. 2. If the tank is exposed to probable vehicular damage,provide protective bollards. 3. All weeds,grass,brush,trash and other combustible material shall be kept a minimum of 10 feet away from LP containers. X 15) 5100 Tips for Propane Tank Placement NOT MET 3/14/2016 TW The placement of small propane tanks are not normally subject to a permit review by the Planning Department; Page 2 of 5 CaseConditions..rpt 8/1/2016 Conditions Associated With 3:45:42PM Case #: COM2016-00026 i� Permit Condition Status Updated item# Code Title Status Changed By Tag Date By however,propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas(streams,wetlands,slopes,etc.) If you think such features exist on or nearby your property,please contact the Planning Department so that exact setback requirements can be determined.X 16) 5300 WSEC ALTERED MECHANICAL SYSTEM NOT NET 3/14/2016 TW New and replaced heating equipment shall meet the requirements of the Internation Energy Conservation Code as amended Washington State Energy Code(WSEC),and applicable sections of the IBC and IMC. All new or replaced heating equipment shall meet the efficiency requirements of WSEC C403.2.3. Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code(WSEC),Section CIO1.4.3.2. When a space-conditioning system is altered by the installation or replacement of space conditioning equipment(including replacement of the air handler,outdoor condensing unit of a split system air conditioner or heat pump,cooling or heating coil,or the furnace heat exchanger),the duct system that is connected to the new or replacement space-conditioning equipment shall be installed and sealed in accordance with C403.2.7. All new and replaced heating equipment shall comply with WSEC Section C403. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice,including infiltration and ventilation. Provide design calculations during inspection. Referencing WSEC C403.2.7 and IMC Chapter 6,all new ducts,air handlers,filter boxes,and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics,liquid sealants,gasketing or other approved closure systems.Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape.Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181B and shall be marked 181B-FX for pressure-sensitive tape or 181B-M for mastic.Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened.Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181B and shall be marked 181B-C.Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches(38 mm)and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any new duct systems. When new ducts are located in unheated spaces the ducts shall be insulated to R-8 X 17) 5600 FINAL INSPECTION REQUIRED NOT MET 3/14/2016 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 18) 5610 PERMIT EXPIRATION NOT MET 3/14/2016 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 Page 3 of 5 CaseConditions..rpt 8/1/2016 Conditions Associated With 3:45:42PM lrf,, Case #: COM2016-00026 Permit' Condition, status updated; item W. Code Title Status Changed By Tag Date By 19) 5700 PRESSURE TREATED LUMBER NOT MET 3/14/2016 TW Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors,and flashing. Install metal connectors approved for contact with the new types of pressure treated material.X 20) 5710 SOLID WASTE STORAGE NOT MET 3/14/2016 TW Recyclable materials& Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area shall be designed to meet the needs of the occupancy,efficiency of pick-up,and shall be available to occupants and haulers.X 21) 7500 SURFACE WATER CONTROL NOT MET 3/14/2016 TW ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAY. X 22) 1 HARDWARE NOT MET 3/14/2016 TW LEVER ACTION HARDWARE REQUIRED AT DOORS. X 23) 1 ACCESSIBILITY-EXISTING BUILDING NOT MET 3/14/2016 TW 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 24) 1 FIRE MARSHAL NOT MET 3/14/2016 TW Minimum of(2)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 25) 1 POST OCCUPANT LOAD NOT MET 3/14/2016 TW Every room or space that is an assembly occupancy, such as a restaurant,bar, or meeting room,shall have the occupant load of the room or space posted in a conspicuous place,near the main exit or exit access doorway from the room or space. Posted signs shall be of an approved legible permanent design and shall be maintained by the owner or agent. (IBC1004.3)(max occupancy 49) X 26) 1 COMMERCIAL HOODS NOT MET 3/14/2016 TW All kitchen hood systems shall be installed and maintained as required by the International Fire Code,Building Code and Mechanical Code. Inspection and maintenance records shall be available for inspectors during all Page 4 of 5 CaseConditions..rpt S4P L � MASON COUNTY PERMIT NO Om 26 1 to bDo2-1f DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING• PLANNING• FIRE MAR HAL _ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext-352 = Mason County Bldg. 111,426 West Cedar Street (360) 275-4467 Belfair ext. 352 185- Shelton,WA 98584 (360)482-5269 Elma ext.352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CO CTOR r1 -FORMATION: NAME: I!. I o-,I bn L- GjCi c(c'- N MAILING ADDRESS: �; 13 q' 10 I MAELING ADDRESS: CITY: 6— 6eihn STATE: ey CITY: STATE: ZIP: PHONE:36;0-6,W-3i9 7 CELL: PHONE: CELL: EMAIL:,4on er f)e5t-,'7 C' CAM+'1, GcSm E : L&I REG# EXP. PARCEL INFORMATION: _ PARCEL NUMBER(12 DIGIT NUMBER): - ���FO LEGAL DESCRIPTION(ABBREITIATED):' ,f- 16,�Sh4v+ Na t9q&311 SITE ADDRESS: Q!3Glf HilwfiLi /i?/ CITY: Stijl� n DIRECtTIONS TO SITE ADDRESS: rl r» Sites/h z A n - �" TYPE OF JOB NEW ADD ALT__Je,/1REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS- IT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) ME HANICAL Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Duc esi— Toilets / EX16 t rt T of Unit No.of Units Fees Bathroom Sink % iri<s's t Furi ace —' Bath Tubs Hew Pump _ Showers G Spot Vent Fan - Water Heater I Pro ane Tank Clothes Washer Gas Outlets _ Kitchen Sinks Wo d/Gas/Pellet Stove_ Dishwasher Kitc aen Exhaust Hood Hose bibs / n E -) 1 ,'/ ) Dryer Vent Other Solar Panel I <` Oth r Base Fee Base Fee ` TOTAL PLUMBING �3 r TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information m y result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the own r, owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I ha obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner r authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above descr ped property and structure(s)for review and inspection. This permitlapplicatio ecomes null 8 void if work or authorized construction is n t commenced within 180 days or if construction work is suspen fo peri of td .PROOF OF CONTINUATION OF WOR IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER PIL CAT OYS WILL INVALIDATE THE APPLICA ION. X ` 1- 11,E '�/;; Sig ature Ap pant Date X -f.�'1'� Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Tp. MASON COUNTY Permit No:(2 �¢ DEPARTMENT OF COMMUNITY D, LOPMENT BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Sheltoii ext. 352 htt : www.co.mason.wa_us commu i de R r (360)275-4467.Belfair ext. 352 426 W Cedar Street, Shelton WA 98584 (360)482-5269 Elora ext. 352 MARSHAL � BUILDING PERMIT APPLICATIONJ PROPERTY OWNER INFORMATION: CC iNTRACTOR INFORMATION: NAME: K r �; ��` ire NAME: '� MAILING ADDRESS: 0 13C1''1 MAILING ADDRESS: CITY: STATE: ZIP: "3-6` C STATE: ZIP: PFIONE:,'(0 try-'319iCELL: PHONE: CELL: EMAIL: ; d ,n e rnc-�t 9'7Ce- C�=mf`-Vi L ��r EMAIL : L&I REG# EXP. CONTACT : OWNER" . C NTRACTOR ❑ BELOW ❑ NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: CELL: EMAIL: PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT LEGAL DESCRiPTION(ABBREVIATED) : i r A J- 7 04 Sh, (oft ��[� re 6`'r ��' (a r{U 4,1,d�'l �"", SITE ADDRESS Q 1 0/1. H kh 1 fE'1 CITY E >A: ! S `/ D CTIONS TO SITE ADDRESS e4 l � f/ IS PROPERTY W1TIIIN 200 FT: a SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ TLAND ❑ SEASONAL RUNOFF( jSTREAM El DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF TIC PR ACT-GREATER THAN 14% YE NO ❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATI REPAIR OTHER ❑ �j t USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) I ��- IS USE: PRIMARY SEASONAL❑ NUMBER O BE NUMBER OF BATHRi00MS DESCRIBE WORK v'�t - ��t� 6 a St-�f r f P �( ,• � c`t'� `�!�� i�'i-�L'a?' Lug��:,t,v �...r�� • -r- .�� .) i���E�_ °:. �2 S UA.RE FOOTAGE: 1 ST FLOORS sq.ft. 2ND FLOOR,sq.ft. 3RD LOOR P�/v sq.ft. BASEMENT sq.ft. DECK )Sr, sq.fL COVERED DECK. �H sq.ft. STORA E�_sq.ft. OTHER 4 4 sq.ft. GARAGE sq.ft. ATTACHED ❑ •DETACI-ED ❑ CARP DRT sq.ft. ATTACHED ❑ DETACHED ❑ MANUFACT D HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN ZXEOUIRED • I 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. 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 ir terest regarding this project.The owner or legal representative, represents that the information provided is accur ate and grants employees of Mason Cou ty access to the above described property and structure(s)for review and ins ection. This permit/application becoCnes�null 8 void if work or authorized construction is not commenced within 180 da Vs or if construction work is suspended for a period of 180 days. " r vtrCOt PROOF OF CONTINUATION OF WORK IS BY MEANS OF IN PECTION. INACTIVITY OF'T4S%- APPLI 10 OF 180 S WILL CAUSE THE APPLICATI N TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) f X Signa4�ireiof OVhftR Date =- MASON COUNTY (360)427-9670 Shelton ext.352 a DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Beffair ext 352 BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352 Mason County Bldg. III, 426 West Cedar SIFIRE rasa PO Box 279, Shelton, WA 98584 www.co.rnason.wa.us COM CO - 000-2-� CHANGE IN TENANT APPLICATION PROPERTY INF011V IATION _ - Date: V i i y Assessor's Parcel Nu bec Legal Descri ion: ."f i,-d,(h 1 h e�rk (a4 o,19 b 3 As re c0x�Ee, 61 19 4 v A"-14 by-FIle Building Site Address: 13 C1 I 1—h hcc r / ! e, �aq W A RS W 41 �iPPLICANT IlYFO -rioN Name of Applicant: O�IaH4vn L-v^t C-cv-e Mailing address: ,� !D ( �h�1 City: 6h&1Aty< State: ip: q Fs7 e Day phone: &4q.@�f Contact Person: j [V41 t Message p one: -PRQ T.INFC) ` 'ION Proposed business name: p.(/s S &.4 ►l41- Proposed use: %\Je '"n ,n6y Number of employees: Previous business name: Describe previous use: S.T'RUCTLTRE DE AILS Check one: Detached single level/single tenant O Single level/ mu ti tenant O Multi level/single tenant O Multi level/mufti tenant Age of structure: I Is structure currently If not occupied, how log has it been vacant? rt (oDje&-(j occupied? es No Yr. Mo. Square l ,a' Basement: First: ° Mezza in Sec rid: Third: footage: ! 1 b ViN Is the structure Type of Heat: Circle one: Furnace Heat Pump lectric wa Radiant heated? Circle one: 6a No Fuel type: Circle one: Electric Liquid Prop ne Natural Gas Oil Will there be any changes to the following Circle yes or o, if applicable: Floor lay-out: Yes No Lighting: No Heating: Yes s Exterior Finishes: es No Interior Finishes: No Parking: Yes No Nf ber of restrooms provided: / Number of fixtures in E ach: ¢�;'l; f j /5 , k ater Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: es No stroom(s): Yes No 1-L Is the structure equipped with a fire sprinkler system? Yes o I Fire alarmsystem? Yes No Monitoring Station Name: Phone number: APPLICATION Wn L NOT DE'A CEPTED OUT;- Fioor Plan (5 sets): • Draw the floor plan to scale • Use f rooms • Room Dimensions v f• Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counlers, tabl , shelving, benches, fire exits ? • interior doors with swingradius VA- and xit si ns Site Plan (9): Note scale used • Property lines, easements, & right of ways • Loca ion of all existing s i�FIX o s • Distance, in feet, from property line & structures • Locat n of all existing structu esnsions • On-site sewage tanks and drain fields, &reserve • Landscape buffer yards MAR 0 3 2015 • Location of fire hydrants &vehicle access roads • Well l cation Parking areas (number & arrangement) 615 W. Alder Street • Continued on ack w � If construction or remodeling is proposed an addit onal Building Permit and construction documents/drawings ma be required. After permit issuance and compliance t all conditions is complete, schedule an inspectior by calling 360.427.7262 or 360.427. 670 ext. 352 OWNER / BUILDER acknowledges submission of inaccurate i formation 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 age t 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 INVA (DATE THE APPLICATION. X \ ` Signkur—e,&Applicant Date x { iA Lc, ck Owner/Owners Representative/Contractor j Print Na a (circle to indicate which one) Official Use Only Accepted by Dat&3 0')Ot ubmittal Amo nt$ Receipt number i Department view Initials Date Comments BuildingQ_ Fire Marshal I F i`annMg occupancy Change? (circle one) Yes No Land se Designation: Occupancy classification change from to New Jccupant load calculated: persons existing occupant load design persons. Type f construction i FIRE ARSHAL vv) -� G9-- E-D �- MAR 0 3 2010 615 W. Alder Street ,� rS vVi�C��'�+ i l 3'In' ck� �'��'o` c LAI t� R7 :J� �fc J a EE \ G6r w c r 4 / cw C G 12 Cf r. s. VOt�i� IL UD\\\ 47- —7D IDP I-, ell JfJ L VII K S: r7It --'r. l yfto \ x ul- (VII I 3 F J / L}Q;- 1� rFr � � Y jo s c� V\ h (AD � ZP!17 Co IA S i -ree Al vk 06 Lq Li �� i � ~`i��;I^= 1./'Si*'S` �.LI �t i�'�*eli w.� s .-._ .7t- �'-i# �"r` - - - -�.---'T ----`--` "_=•'!-�Y ----...-���_-_'- , - r 'r $ z E `' 17 I m -- - - - - — -�� — — — w � ' '��1 ' ' 45tP ✓,� 'fr-°�i ` — - f - y �;�5, (IIOiY� ,�1 .i 7�c SyR� 6�1 Lee hL 601 t(-e crCci, ry rn 'rr €r 3 ' €, , 1r w h�, �->� 51 , , _ i' n , F►^�8Z e,r 23 v 2 �3: ir C A ti � � 1 6 k.N It S ls R `I �v t � i _ � ; 1 r t, T ram'�' �.✓�i� �'�C' �_t. � �j l/'�l t �•j` lfv J v ti J Cl - ------------ ► 77Ut=e t hi a" -�e�.-'-.k A-, cs � I ' w L 7 1 w .� Pi CK) � t � T f rn 4A 222.to MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FAM FIRE MARSHAL TM �� Ell Mason County Bldg. III, 426 West Cedar Street, Shelton, WA 98584 ,A-kv",.co.mason.Wa.us Shelton (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 November 28,2016 Fire Marshal Notes/Comments: Re: Permit of Temporary Occupancy Permit: COM2016-00026 Name:Kelsey's All Natural Drive In Phone: 360-649-3187 Dear Owner, You have recently requested an extension of your permit rela d to Fire Code issues. At this time we are not able to allow any further extensions to the permit as no changes have been made to your equired hood and duct system,nor has a Fire Suppression System been installed as required by F re Code. We have attempted to assist to the best of our ability. No si ibmissions indicating any type of progress have been made. We have, on two occasions identified, on site the basi for the fire code violations and offered some possible solutions. Originally identified in March of 2016,no progres has been initiated at this time relating to the hood and duct system and the fire suppression system. Until further progress is made,permit applications submitted, and the work has teen completed we must uphold the fire code for the safety of your customers,employees,and yo . Once permits are obtained,we may be able to revisit a tempo occupancy status. Please let ow if there is anything further that we can do o assist. Submi Jeromy icks,DFM Mason unty Fire Marshals FIRE MARSHAL '� Cog xi•� �/ > ... e ♦60.00 �. d 230.00 ol = oyez m m z %/� D f 6' (Jf = a „`y N £ o o f *` 0 z z ? e e \ D + d — ✓/ A D. rn - Z o y Z v , ' s • � � N N. a \ N `n 3 c s a 2 ' IIT 1 W O o » rm = ? 0 3 m Ri c z i m z 1 3e 3 m D a=6.03'16" m Q - - L.23o.e2 i LO 21.00 230,00 22 E z30.00 co < e r to I C e T - 3 m u { cn OD U 'B v OD