HomeMy WebLinkAboutCOM2011-00061 Change Use Storage to Decontamination - COM Permit / Conditions - 10/26/2011 r
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
� Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
Shelton, WA 98584
i�
COMMERCIAL BUILDING PERMIT COM2011-00061
OWNER: MASON COUNTY FIRE DIST#3 RECEIVED: 7/27/2011
CONTRACTOR: NORTHWEST GENERAL CONTRACTING 1.360.275.3860 LICENSE: NORTHGC900DU EXP: 3/< ISSUED: 8/25/2011
SITE ADDRESS: 4350 E GRAPEVIEW LOOP RD GRAPEVIEW EXPIRES: 2/25/2012
PARCEL NUMBER: 121082160041
LEGAL DESCRIPTION: PCL 1 OF BLA#03-09 PTN TR 4 G.L. 1
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE USE OF EXISTING STORAGE SPACE TO DECON ST RT 3, R ON GRAPEVIEW LOOP RD, FOLLOW TO FIRE STATION,
CENTER CORNER OF ECKERT RD AND GRAPEVIEW LOOP RD.
General Information Construction&Occupancy Information
Type of Use: FIRE STATION Insp.Area: No. of Units: Type of Constr.:No. of Bathrooms: 1 Occ. Group:
Type of Work: ALT Fire Dist.: 3
Valuation: $ 12,936.00 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?:
COM2011-00061 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Clothes Washer 1 Ventilation Fan 1 Plan Check Fee rnnnn 7/97/9n11 aldr, 11 g19n11nn
Laundry Tray 1 Building State Fee I aIn/ R/91/9n11 as c;n S19n1inn
Showers 1 Building Permit Fee I aw R/9v9n11 9993 95 R19rN1nn
Mechanical Permit Fee I Aw R/7t/9n11 To nn C19n1inn
Mechanical Base Fee I aw R/9v9n11 Q9R Fn S19n11nn
Plumbing Permit Fee I a%n/ R/93/9n11 �9R 1n R19n11nn
Plumbing Base Fee I aw R/93/9ni 1 19d 7n S19n11nn
Total $461.16
CASE NOTES FOR
COM2011-00061
CONDITIONS FOR
COM2011-00061
1) Change existing smoke detector to heat detector.
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2) 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 �:c 4--
3) 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. Xt-
4) 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.
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5) 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.
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6) 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 �;2'4-1
COM2011-00061 Page 2 of 4
7) 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
X non-compliant with Mason County ordinances and building regulations.
8) 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.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection. The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason County access to the above described property and structure for review and inspection.
OWNER OR AGENT: ,-Z—,S� —tom.��I/1 DATE:
COM2011-00061 Page 3 of 4
Of
N
CONCRETE MECHANICAL MANUFACTURED HOME D
Date
Foot�rtga ISetbat� Gas Piping By Ribbons Z
o Interior Date By Interior-Date By Date By n
0) Exterior Date By Exterior-Date —"—"—,—By Setup C
INSULATION Z
Point Load J isolated Footings Date By z
BG!SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Wails T
Floors Date By Z7
Date By Data By DECKS m
FRAMING Watts Date By 0
Date By Data By PROPANE TANKSN-I
PLUMBING vault Date By __ w
Date By OTHER
Groundwork Attic
Type-
Date By Date By Dade By
D.W.v DRYWALL Type- n
int Brace Wall 0
Date g Date By ic
v Date By N
FINAL INSPECTION
Water Line Fire Soperation
Date By Date By Date /(�` . ��� Byr
Pass or Request Inspect, o
Type of Insp. Fail Date Date Done By Comments
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MASON COUNTY PERMIT NO.
U i LD I N G BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner l ���^, r_ �_._ ,{ 1.r-e , ���_tv , Ct' Company Name Voy�N-�w �'s (�eh 1 Tn 2ti rc
Mailing Address_ Mailing Address _���
City mat Vie-A-D State JA Zip Code ' (,° City_a�"e, State 1WA Zip CodekSZ'�
Phone 3 0-L'-15- 44k 3 Other Ph-Ao0-(�2-7 - foLf 21 Phone:2,o o-`Ll S-'b�-Io O Other Ph.
Lien/Title Holder N )(A Contractor Reg. #No0L-TH& ,q Q) Li. Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.#tOrF,tVP, 4�0O N DOB Ct o
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well. -/ Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No,_i2_I o k 2_( to O� 4 t Fire District
Legal Description
Site Address (Please include street name, street nurrlber and city) �� n�rc 'z-��c-4,.o 00.2 („t-,- „1 ,i,c4,.>
Directions to site 'I t__i S t-� C L rc Dist-, t.LA-1 k-3 EN, S im , 1a1`A
Will timber be cut and sold in parcel preparation? Yes I
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs ) 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt_-_Repair OtheJ PRIMARY RESIDENCE [] SEASONAL ❑
Use of Building EC1. -D, Describe Work �S�>W U/ W t�S�tr � ,c i ti�-,, -gip
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accu to and grants e ploye96 of anon County access to the above described property and structure for review and inspection.
PROOF O, CO NUATION OF; O 1 Y IVjEANSIX A PROGRESS INSPECTION.
Date: z.t'
Owner/Owners Re esentatwe 4nntractor - indicate which one
FOR OFFICIAL USE BEYOND POINT Accepted by: j3ei - Date � --7
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department 71
Planning Department n6 PW nn( - ( p-0
Environmental Health Department
Public Works Department
Fire Marshal
FEES RIM '
Building Permit Fee Site inspection
Plan Review Fee EH Review Fee NO 011
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other 426 W. CEDAR St.
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ e-� TOTAL FEES
BUILDING PERMIT NO.lr/�m 20I1 " C.ou
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar-P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670-Belfair(360)275-4467-Elma (360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION _ CONTRACTOR INFORMATION
Owner ► �o L -I I��Y�C�� 3 Company Name � JAI_ Gel^c'_ZA �^ G
Mailing Address o i,3o 1Z`1 _ Mailing Address
City Cori Q State_W", Zip Code c1kJ�-tC� city . ram—State-L-Jy�'r—Zip Code cj�'SZ 1
Phone O Other Ph.3QL-K LD- k4 U Phone?pl,0 -3 e(eo Other Ph.
Lien/Title Holder A Contractor Reg. #No2THC c, dDu Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.#FtaT--1=XVJ4yzo N DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No I Z I OR Z! (a Oy'f I Fire District 3
Legal Description
Site Address(Please include street name, street number and city)
Directions to site �i+� �C 1ti.� r�so•. y D+S�r�'� +�'� � � �'h�, '�.14 - Proms -
Is property within 200' of Saltwater Lake Niver/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt"� Repair Other Use of Building
Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG_Natural Gas_Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers — Spot Vent Fan /
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other try
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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties. If permission is
required from any eFsement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from thelm to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of M son,tounty access to the above described property and structure for review and inspection.
PROOF OF rONTINUATION OF WOR IS NS OF/_PROGRESS INSPECTION.
X - — Date: 0
Owner/Owners Represent�ve l ntract r (indicate which one)
��
FOR OFFICIAL USE BEYQjID THIS P INT
Accepted ba- "nning Pd Ck# Dat � tBld Pd Receipt No.
DEPARTM NTAL REVIEW APPROVED DENIED NOTE$
Building Department
Occ Group—Type Constr. A1161 0 12011
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
BUILDING
General/Specialty Contractor ED
A business registered as a construction contractor with Lltl to perform construction work within the scopp�c-�,,
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignmrr2 0 1 2011
of account and carry general liability insurance.
DAR S i
Business and Licensing Information
Name NORTHWEST GENERAL CONTRACTING, UBI No. 602698163
Phone 3602753860 Status Active
Address 5038 E Grapeview Loop Road License No. NORTHGC900DU
Suite/Apt. License Type Construction Contractor
City Allyn Effective Date 3/31/2010
State WA Expiration Date 3/31/2012
Zip 98524 Suspend Date
County Mason Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
HOFF, PERRY DONALD Partner/Member 03/31/2010
HOFF, VANCE ANTHONY Partner/Member 03/31/2010
HOFF, MARK ROBERT Partner/Member 03/31/2010
HOFF, SANDRA LEE Partner/Member 03/31/2010
Bond Information
Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received
Name Number Date Date Date Date Amount Date
1 AMERICAN 6701864 03/30/2010 Until $12,000.00 03/31/2010
STATES INS CO Cancelled
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received
Name Date Date Date Date Date
MONTPELIER
2 us INSURANCE MP0036002000467 03/30/2011 03/30/2012 $1,000,000.0004/06/2011
COMPAN
Montpelier
1 US Insurance MP0036002000171 03/30/201003/30/2011 $1,000,000.0003/31/2010
Compan
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 8/3/2011
MAC 296-305-06505: Sanitation, disinfection,cleaning, and storage areas. PJALD I N G Page 1 of
ch RECEIVED
Inside the Legislature WACs>Title 296> Chapter 296-305> Section 296-305-06505 AUG U 3 2011
* Find Your Legislator 296-305-06503 « 296-305-06505» 296-305-06507 426 W. CEDAR ST
* Visiting the Legislature
* Agendas,Schedules and WAC 296-305-06505 Agency filings affecting this section
Calendars
* Bill Information Sanitation, disinfection, cleaning, and storage areas.
* Laws and Agency Rules (1) Fire departments shall provide facilities for disinfecting, cleaning, and storage.
* Legislative Committees
* Legislative Agencies (2)A designated cleaning area shall be provided for under the fire department's exposure control plan for the
* Legislative Information cleaning and disinfecting of protective equipment, portable equipment,and other clothing.
Center (a) Fire departments that engage in emergency medical operations shall provide or have access to
* E-mail Notifications disinfecting facilities for the cleaning and disinfecting of emergency medical equipment.
(Listserv)
* Civic Education (b)Disinfecting shall not be conducted in fire station kitchen, living,sleeping,or personal hygiene areas.
* History of the State
Legislature (c) Disinfecting facilities in fire stations shall be vented to the outside environment, and designed to prevent
contamination of other fire station areas.
Outside the Legislature
* Congress-the Other (d)The disinfecting facility shall contain a sink with hot and cold water faucets.All surfaces shall be
g nonporous surfaces.
Washington
* TVW (e)Handwashing facilities shall be readily accessible to members. Handwashing facility means a facility
* Washington Courts providing an adequate supply of running potable water, soap and single use towels or hot air drying machines.
* OFM Fiscal Note Website When provision of handwashing facilities is not feasible,the employer shall provide either an appropriate
antiseptic hand cleaner in conjunction with clean cloth/paper towelettes or antiseptic towelettes.
`�bs,,,� I�C.Q:E55
I■iWashingtone (3)Protective clothing or equipment that needs to be decontaminated and/or disinfected shall not be allowed
4lncbl Nor Gm.enmsnt W.Pvr in any kitchen, living, sleeping,or personal hygiene area.
(4)The designated cleaning area shall be physically separate from areas used for food preparation, cleaning
Aof food and cooking utensils, personal hygiene, sleeping, and living areas.
14lt`S4 Q LW
r (5) Drying areas for protective clothing shall be well ventilated.
(6)Storage areas: Emergency medical supplies and equipment stored in fire stations, other than that stored
on vehicles,shall be stored in a dedicated enclosure and maintained per manufacturer's instructions.
(7) Reusable emergency medical supplies and equipment, protective clothing, and protective equipment shall
not be stored in kitchen, living, sleeping, or personal hygiene areas, nor shall it be stored in personal clothing
lockers.
[Statutory Authority:RCW 49.17.010,149.171,050 and 149-171.060.96-11-067,§296-305-06505,filed 5/10/96,effective 1/1197.
Statutory Authority:Chapter 49.17 RCW.88-14-108(Order 88-11),§296-305-06505,filed 7/6/88.Statutory Authority:RCW 49.17,040
and 49.17.050.83-24-013(Order 83-34),§296-305-06505,filed 11/30/83;Order 77-20,§296-305-06505,filed 10/18f77 and
Emergency Order 77-24,filed 11/17/77,effective 12/17/77.1
ittp://apps.leg.wa.gov/WAC/default.aspx?cite=296-305-06505 7/25/201