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Home My WebLink AboutCOM2012-00134 Change Tenant Bistro - COM Permit / Conditions - 11/19/2012 loloMASON 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 t Shelton, WA 98584 t COMMERCIAL BUILDING PERMIT COM2012-00134 OWNER: DUBSEYZ BAKERY& BISTRO RECEIVED: 10/31/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 11/19/2012 SITE ADDRESS: 18327 E STATE ROUTE 3 ALLYN EXPIRES: 5/19/2013 PARCEL NUMBER: 122205073006 LEGAL DESCRIPTION: ALLYN BLK: 73 LOT: 5-10 &VAC SULLIVAN &VAC ALLEY ADJ PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT, FROM FLOWER SHOP TO BISTRO FOLLOW ST RT 3 TO BELFAIR, L ON LAKELAND DR, LAT THE STORE, SMALL RENTAL SPACE WITHIN THE SAME BUILDING AS THE GROCERY STORE General Information Construction &Occupancy Information No. of Units: Type of Constr.: VB Type of Use: BISTRO Insp.Area: No. of Bathrooms: 1 Occ. Group: B Type Work: TRA Fire Dist.: 5 No. of Stories: 1 Exit Design. Load: Valuation: Building Height: 16 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: 312 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?: COM2012-00134 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 Dishwasher 1 Ventilation Fan 1 EH Plan Review KKK 11/q/gn1q -tF7 nn gagn19nn Kitchen Sink 1 Tenant Review Fee MARA 11/5/9n19 !t1d1 nn C19n1,?nn IFC Plan Check Fee I AW 11/Rnn1q R7n s;n R9?ni9nn Building State Fee I AW 11/R9n1q cta rn C?7n19nn Mechanical Permit Fee I Aw 11/R/9n1q RQ nn C7gnlgnn Mechanical Base Fee I AW 11/R/9n1q tqR rn C97n1?nn Plumbing Permit Fee I AW 11/R/7n1 q �17 An C79n1 qnn Plumbing Base Fee I AW 11/Ri7n17 T,7d 7n G77n19nn Total $352.60 CASE NOTES FOR COM2012-00134 CONDITIONS FOR COM2012-00134 1) Install a knox box on the front of the building per section 506 of the 2009 International Fire code, please contact the local fire district for more inforMo�a d inspection. X 1J� Install one 2A10BC fire extinguisher at the main entry, mounted no more thah'60 inches above the floor to the top of the unit. Also install 1 type K fire ext' u her in the kitchen, no closer than 10 feet to the appliance and further than 30 feet. X M2 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 risksrisks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0992. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X Vz 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 wAbe charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X '' h 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. X�L� 5) 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 CHAN O SE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x COM2012-00134 Page 2 of 4 6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements), Building/Plu in chanical Codes and/or Mason County Regulations shall be approved prior to construction. X 7) CONSTRUC ON 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 it(img Inspector shall be made prior to requesting additional inspections. X ! 8) 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-com pliant with�� County ordinances and building regulations. 9) 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 M �aave prevented action from being taken. No more than one extension may be granted. X `7 10) No occupancy until a food permit has been issued by Public Health. X () c'�? 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 y means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees QLMason ount ess to th bove described property and structure f r rev ew and inspection. r OWNER OR AGENT: DATE: COM2012-00134 Page 3 of 4 o v CONCRETE MECHANICAL MANUFACTURED HOME W Footings/Setbacks Date Gas Piping By Ribbons m o Interior Date By Interior- Date By Date B "< y N Exteror Date By Exterior-Pate _ By Sot-up W Point Load I Isolated Footings INSULATION Date By A BG!SLAB INSULATION rn PAP By Data By FIRE DEPARTMENT X Foundation Wails Floors Date By < Pate By °eta _ By go DECKS Im FRAMING Walls Date By N Date By Data ByPROPANE TANKS X PLUMBING vault Date By O Date By OTHER Groundwork Attic Type: Date By Pete By Dale By D.W.v DRYWALL 0 Type: O Date B Int.Brace Wall pate By 0 y Date By N FINAL INSPECTION Water Line Fire Separation Date By Date By Date ? By 2 N O Pass or Request Inspect. w Type of Insp. DFail Date Date Done By Comments �Oh TI u-.( ,"C' CA v A , Permit# MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location / 07-ArF rJ W// This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance e 70 c-a-77 an r j,r hzj' r- •) 14, o ram- 1'Okfieu4 ClAzZ ✓ �_� _� r� 5 / e a Ll j re- e-0-- 1-m ea v s /') .5 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural damage incurred by recent OK to (/7i � �,��v; ,�✓ �„l Gr�mld11 T'� �— "natural/man made ❑This is not a complete inspection ,( WY. disasters.This is NOT a Date T� Department [3l,--O CORRECTION NOTICE. Inspector - v* v NOT , infi ' THPh, TAWM * MN Pbr*mit# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance r s-�r1 ✓ n 14. O �^ h t 0.4�el-) e� z7` J I t-t_'-04 f 1 !7 L> - You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact.our office ❑ Make corrections, items will be checked on next inspection regarding possible structural damage incurred by recent ❑ OK to "naturallman made" ❑This is not a complete inspection disasters.This is NOTa Date Department CORRECTION NOTICE. Inspector ■ 10* 0 1 ��T , i-�1��. ,, THIN%h, T' * nr, r Ab m -�- 5 r A. ® 60 � �, w saZ) C;t WQ From: Julie Walker To: Coker, Debbera Date: 9/18/2012 10:43 AM Subject: New food establishment in Allyn Hi Debbera, If you need address information for the placed I emailed you about in Allyn, this is what I found. The address they gave me was 18327. But the address on their business license is 18323. Julie Walker, MPH Environmental Health Specialist Food Program Mason County Public Health PO Box 1666 Shelton, WA 98584 Phone: 360.427.9670 ext: 361 5 From: Julie Walker To: Coker, Debbera CC: Woolett, Trish Date: 9/17/2012 3:16 PM f I Subject: Re: FYI Sendingout an inspector may be helpful. I can also notify you when the turn in their food application? I P Y P fY Y Y d PP drove by last week and there was paper on the doors, so I couldn't really see in. My big concern would be the plumbing, because I can't imagine that the floral shop had all of the sinks that they need. The sign on the door said "bakery" so I am not sure what type of food they will be cooking. Julie Walker, MPH 3 Environmental Health Specialist Food Program IS Mason County Public Health PO Box 1666 Shelton, WA 98584 Phone: 360.427.9670 ext: 361 >>> Debbera Coker »> Do you think we ould send an inspector out now or wait for a while? Thanks for the update. >>> Julie W r 9/17/2012 2:40 PM >>> Hi Larry, is opening a food establishment in Allyn. The food establishment will be iIrlb where the floral shop used to be up by the Allyn Market. I told him that he n oak to thebuilding department about a change in tenant and possible a plumbing permit ( I know they are putting in some sinks, but I don't about anything else). He told me he wanted to open in about 2 weeks. I reiterated that he needs to speaks with you guys. I haven't seen anything in Tidemark, so I am assuming he hasn't. But I wanted to give you a heads up. I haven't received a food permit application from him either, so I can't provide you with too much more information. Julie Walker, MPH Environmental Health Specialist Food Program Mason County Public Health PO Box 1666 Shelton, WA 98584 Phone: 360.427.9670 ext: 361 notes Dubseyz Hours loam to 6pm Cold sandwiches: Tomato Brie Basil Chicken Pesto Turkey HUMMUs Chicken Waldorf Turkey spinach Aioli chicken Caesar Ham on rye, provolone California style, sprouts, guac, tomato Roast beef Big Boy Club wraps: Turkey Ham Appetizers: Potato salad Bruschetta with Tomato and Basil Pasta salad Coleslaw Tomato, MOZ, Basil , Olive Oil Soups: Have one main soup, and then one in rotation. Clam Chowder chicken Noodle zuppa seasonal/specialty Chili Fridays Pastries: For the pastries, have muffins, brownies, cinna rolls all time, and then have 1 seasonal item. Cinna Roll Cheesecake Muffins Turnovers Menu inlay table, pastries written on chalk board on wall behind counter Cup & Kettle / coffee, teas. Schedule Danielle: sat, sun, Mon = 9am - 7pm Lewis: Tues, wed, Thurs, Fri = 9am - 7pm Page 1 COM_ 2-612. - 60 l 2j`f MASON COUNTY CHANGE IN TENANT APPLICATION Complete the Change in Tenant Application and return with a floor plan, site plan, septic pumpers report, septic records and fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices who will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule an inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the premises. PROPERTY INFORMATION Date: L) 3 t Assessor's Parcel Number: + �� , 1 -1 300 4- Legal Desc iption. Building Site Address: 1L o' Method of sewage disposal: O Septic Se er—name of district: Water source: O Individual Well O Community Well P,Public System, name of system: : PEOPLE INVOLVED IN THE PROJECT Name of Applicant: Mailing address: City: State: 4t Zip: Day phone:• �ntact Person: i TMessage phone: PROJECT INFORMATION Proposed business name: " 1; � � .- 0 1 d ' `%�<, Number of employees: Proposed use: Previous business name: n - - Describe previous use: STRUCTURE DETAILS Check one: O Detached single level/single tenant Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? Yes o Yr. Mo. , Square footage: I Basement: I First: Mezzanine: Second: Third: Is the structure heated? Heating type: Circle one: Circle one: e ' No ec Li uid Pro ane Natural Gas Oil Type of heat: Circle one: Furnace Heat Pump Electric baseboard or wall mount dian Will there be any changes to the following? Circle yes or no,if applicable: Floor lay-out: Yes Lighting: Yes Heating: Yes �NV Exterior Finishes: Yes Interior Finishes: Yes LIM Parking: Yes jC0 Number of restrooms provi ed: I Number of fixtures in each Is structure handicap accessible? tircle one <Kq No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes ,,No , Monitoring Station Name: I Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: 1. Floor Plan (5 sets): • Draw the floor plan to scale Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2. Site Plan(5 sets): Note scale used • Property lines, easements, &right of ways • Location of all existing structures&dimensions • Distance, in feet,from property line&structures • Landscape buffer yards • On-site sewage tanks and drain fields, &reserve • Well location • Location of fire hydrants&vehicle access roads • Parking areas number&arrangement) 3. Septic records,pumper's report or O&M report. 4. Fees will be collected at time of submittal Official Use Only Accepted b Date - Submittal Amount$ L4 I Receipt number Department R vi fInit Is Date Comments Building f 1-8' Environmental Healt Fire Marshal Planning Public Works Occupancy Change? (circle one) Yes No Type of construction Occupancy classification change from to Occupant load calculated: persons Existing occupant load design persons. Land Use Designation: Occupancy Classification: Qy MASON COUNTY CHANGE IN TENANT APPLICATION Complete the Change in Tenant Application and return with a floor plan, site plan, septic pumper's report, septic records and fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices who will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule an inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the premises. PROPERTY INFORMATION Date: Ip 3 t 1 Assessor's Parcel Number: , �� i oe) Legal Desc iption. Building Site Address: l` ( ' C' Method of sewage disposal: O Septic Se er—name of district- Water source: O Individual Well O Community Well ?ublic System, name of system: PEOPLE INVOLVED IN THE PROJECT Name of Applicant: I Mailing address: i�r City: State: Zip: f Day phone: ntact Person: Message phone: -. PROJECT INFORMATION Proposed business name: Proposed use: Number of employees: Previous business name: ., - Describe previous use: STRUCTURE DETAILS Check one: O Detached single level/single tenant P�,Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: ---] Is structure currently If not occupied, how long has it been vacant? occu ied? Yes j4o Yr. Mo. Square footage: Basement: First: Mezzanine: Second: Third: Is the structure heated? Heating type: Circle one: Circle one: a No ere-cyA Liquid Propane Natural Gas Oil Type of heat: Circle one: Furnace Heat Pump Electric baseboard or wall mount � than Will there be any changes to the following? Circle yes or no,if applicable: Floor lay-out: Yes Lighting: Yes Heating: Yes Exterior Finishes: Yes Interior Finishes: YesA Parking: Yes o Number of restrooms provi ed: Number of fixtures in each Is structure handicap accessible? brole one (0 No Is the structure equipped with a fire sprinkler system? Yes �No Fire alarm system? Yes No), Monitoring Station Name: Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: 1. Floor Plan(5 sets): • Draw the floor plan to scale Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2. Site Plan (5 sets): Note scale used • Property lines, easements, &right of ways • Location of all existing structures&dimensions • Distance, in feet,from property line&structures 0 Landscape buffer yards • On-site sewage tanks and drain fields, &reserve . Well location • Location of fire hydrants&vehicle access roads • Parking areas number&arrangement) 3. .Septic records,pumper's report or O&M report. 4. Fees will be collected at time of submittal Official Use Only Accepted b 00AUj Date Submittal Amount$ ('4 1,o0 Recei t number Department R vi Initials Date Comments Building Environmental Healt Fire Marshallot �j Planning rr j'/✓ Public Works Occupancy Change? (circle one) Yes No Type of construction Occupancy classification change from to Occupant load calculated: persons Existing occupant load design persons. Land Use Designation: Occupancy Classification: PERMIT NO. al CCU'^� � . 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 APPLI NT INFORMATION CONTRACTOR INFORMATION Owner S v° . s- t h Company Name Mailin Addres Mailing Address City State�Zip Code a City State Zip Code Phone Other Ph. '�(cf�-`JciD-�S1(A Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System 41 PARCEL INFORMATION- 12 Digit Parcel No 2 ` • '- ' �' Fire District Legal Description Site Address (Please include str et name street number and city) ` Ul)- Directions to site W >'l s Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alter_Repair Other Use of Building Location of Fixtures/Units- 1st 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 Heat pumps s Showers s Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets — Kithen Sinks Wood/ s�P-ell t H ve Dishwasher Kitch rlFXhaust Hood �— Hosebibs Dryer Vent"'`— Other 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 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 d grants a loyees of Mason County access to the above described property and structure for review and inspection. rjacc-urate TION ORK IS BY MEANS OF A PROGRESS INSPECTION Date: �— Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. 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 MOW 6O&