HomeMy WebLinkAboutBLD2013-01088 COM2011-00045 Retail to SFR - BLD Permit / Conditions - 11/25/2013 w
& Re guest To Revise An Approved Plan
Permit Number: BEU `� I - D 108E Name UY�. �0 � I 60
Parcel Number I aaa.o - -50 - I 102D Phone Number daytime (00 348 37 L9
Project Address Q Mailing Address
Please provide a comple e, detailed description of the proposed revisions to the appro ed plans:
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Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No
Are the approved site plans included? ❑ Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
� ��`' ❑ Yes// ❑ No
A(dd'tio Information:m 6X IS'-'1 n h&fhlWrY1
Applicant's signa e Date: I I / I3
Office Use Only 771
Received by:
Date Sent Assigned To pproved By Date OO_�EV i
1a, Original Valuation: $
B• �� 1 1 Additional Valuation: $
Sq.Ft. x$ $
P. Sq.Ft. x$ $
Total New Valuation $
Additional Fees: `
Additional Planning Dept.
Additional Plan ReviewM,�
Additional Conditions/Comments: Additional Building Permit
b� Additional Plumbing
_ Additional Mechanical $
A tional E.H. Dept. $
v7` Total Amount Due: $
Amount To Be Paid Up-Front$
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
tooShelton, WA 98584
too
COMMERCIAL BUILDING PERMIT CO 2011 0075
OWNER: NONA RUTH NELSON REC D: 8/24/2011
CONTRACTOR: LICENSE: EXP: I : 10/21/2011
SITE ADDRESS: 20 E NORTH BAY RD BELFAIR PIRE . 4/21/2012
PARCEL NUMBER: 122205011020
LEGAL DESCRIPTION: ALLYN BLKS: 14-16 TRS 1 &TAX
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADDING HANDI-CAP RESTROOM TO EXISTING GIFT Sf� CORNER OF ST RT 3 & NOR RD
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General Informatio ' ISSAnstruction&Occupa cy Information
OfNof s: Ty of Constr.:
Type of Use: GIFT SHOP Insp.Area: Ns: Occ. Group:
Type of Work: ADD Fire Dist.: 5 s_: xit Design. Load:
Valuation: $ 3,711.36
Pre-Manufact red Unit Information Square Footage Information
Make: Length: ` Lot Size:
Model: Width: B ilding:
Year: Serial No.: sement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: W 35.00 Ft. Shoreline: Ft.
Rear: E 190.00 Ft. Slope: F . Water Body:CASE INLET Shoreline Desig.: Urban
Side 1: N 7.00 Ft. SEPA?:Unknown Comp. Plan Desi
9.: Urban Growth Area
Side 2: S 50.00 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?:
COM2011-00075 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
Lavatories 1 Ventilation Fan 1 Plan Check Fee moon Ri)enni1 ItTi nn Ri9n1inn
Water Closets (Toilets) 1 Planning Review Fee r1um Ai9dnni1 VAin nn c19n11nn
Water Heaters 1 Fire Warden Review r:nnnn sv')Anna 1.t7,4 nn C19n11nn
EH Plan Review KKK A/?A/9n11 R1nA nn CR,>n11nn
Water Adequacy Plan Re r.f=w Qi1F19n11 4t1n2 nn C1gn11nn
EH Waiver Review KKK 1n/,A/9n11 ct11,Ann gFoni1nn
Total $795.00
CASE NOTES FOR
COM2011-00075
CONDITIONS FOR
COM2011-00075
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
2) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must
be installed and maintained until upland vegetation has become established. X i } �Z
3) Applicant/contractor shall remove all construction and demolition debris from the site after project completion. Proper disposal of construction
debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters.
X -
4) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site-flan"to ensure these structures are shown and meet the setback conditions listed.
X - J ("- )-1,
5) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to
ensure these structures meet the setback conditions listed.
x l
6) Install a knox box per section 506 of the 2009 International Fire code. Please contact the local fire district for more information an inspections.
X in
Install 2A10BC fire extinguishers thoughout the building with a maximum travel distance of 75 feet in any directions and mounted no more than 60
inches above the floor to the top of the unit.
X i tit N-�
7) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X 4 f c >1
COM2011-00075 Page 2 of 4
8) 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
9) 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
10) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is 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
11) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements),
Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X '" :^_ -A ,
12) 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
13) All property lines shall be clearly identified at the time of foundation inspection. X
14) 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 Ma on County ordinances and building regulations.
X �I k�Z_ 'r
15) 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�revented action from being taken. No more than one extension may be granted.
X ���;C �1
16) Bathroom will be posted as non public restr000m.
Note to be on front door of business that there is no public restroom,
Business can not have any employees.
X
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.
7
OWNER OR AGENT: ~� r�t� ZZ ---- DATE:
COM2011-00075 Page 3 of 4
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MASON COUNTY PERMIT
DEPARTMENT OF COMMUNITY DEVELOPMENT
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
h, PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
QWNW INFO TI N: CONTRACTOR INFORMATION:
NAME: U i I G.. n.2ASC.A' NAME:
MAILING ADD S: MAILING ADDRESS:
CITY: STATE: ZIP: CITY: STATE: ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL:,-3LO0. 0. 5q/QLJ EMAIL :
L&I REG # EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBRE VIA TED):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— IST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UN YTS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric V LPG Natural Gas Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace �I S�I►'�G�
Bath Tubs Heatpump U
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer � Gas Outlets
Kitchen Sinks t_L_ Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood 1 132-o
Hosebibs Dryer Vent
Other Other
Base Fee z- Lo Base Fee Zg. 5U
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
permit/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 INVALIDATE THE APPLICATION.
X
Signature of Applicant Date
X Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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