HomeMy WebLinkAboutCOM2012-00085 Change Tenant Owner - COM Application - 7/30/2012 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Phone: (360)427-9670,ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186, 41111b.
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2012-00085
OWNER: JASON &J INVESTMENTS CORP. RECEIVED: 7/5/2012
CONTRACTOR: LICENSE: EXP:
ISSUED: 7/30/2012
SITE ADDRESS: 18437 E STATE ROUTE 3 ALLYN EXPIRES: 1/30/2013
PARCEL NUMBER: 122205059001
LEGAL DESCRIPTION: ALLYN - BLK: 59 LOTS: 1, E1/2 OF 2 &S 1/2 OF E 1/2 OF 3 &VAC PTN SHERWOOD ST 10'WIDE ADJ &VAC UHLMAN STAl
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Change in Tenant for Bens Deli Mart in Allyn. The only thing St Rt 3 to Allyn to site address on the left side
that will be changing is the name of the owner, everything else
will remain the same.
General Information Construction&Occupancy Information
Type of Use: Deli Mart Insp.Area: No. of Units: Type of Constr.:
Type of Work: TRA Fire Dist.: 5 No. of Bathrooms: Occ. Group:
No. of Stories: Exit Design. Load:
Valuation:
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?:
COM2012-00085 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
Change of Use rRANI 7i8;nm9 aoai nn qi9ni9nn
EH Plan Review KKK Vril?n» aF,7 nn SR?ni9nn
IFC Plan Check Fee I AV AI 7i97nni,2 -M t;n S79n19nn
Total $268.50
CASE NOTES FOR
COM2012-00085
CONDITIONS FOR
COM2012-00085
1) Install 2A10BC fire extinguishers throughout the building per chapter 9 of the 2009 International Fire code and NFPA 10. Maximum travel distance
is 75 feet in any direction and mounted no more than 60 inches above the floor to the top of the unit.. One type K fire extinguisher is required in the
kitchen a within 30 feet of the appliance but no closter than 10 feet.
X �
A kno box is required to be installed per section 506 of the 2009 International Fire code. Please contact the local fire district for more information
and inspect'
X
The existng hood and duct system is required to be a type 1 for use with appliances that product grease laden vapors. The fire suppression system
is required to be a listed UL 300 system. If the existing system is not in compliance with these regulations, a separate permit application will be
required t �ae o bring the system into compliance.
X
2) Contract egistration 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- 2. he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
3) All approved plans are r uired to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
i fee, based on the current fee schedule, minimum one-hour will be ar ed and collected by the Mason County
granted. In addition, a reinspectior
Building Department prior to any further inspections being performed or approvals granted. X
4) Owner/ ent is responsible to post the assigned address and/or purchase and post private road Sig in accordance with Mason County Title
14.28.
5) ALL CO TRUCTION 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 O CCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
Page 2 of 4
COM2012-00085
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Building/ lei / echanica�Ie s and/or Mason County Regulations siibe approved prior to construction.
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7) CONST CTION 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 Count uil ing Inspector shall be made prior to requesting additional inspections.
X
8) All building p mits 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 h Mason ounty ordinances and building regulations.
X G
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 per ' o r have prevented action from being taken. No more than one extension may be granted.
X
This per becom 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 Co ac to the above described property and structure for rev'ew and/inspection.
OWNER OR AGENT: DATE: l C-Z—
COM2012-00085 Page 3 of 4
n
CONCRETE MECHANICAL MANUFACTURED HOME N
o
Date
iv Footings ISetbacks Gas Piping By Ribbons Z
0o Interior Date By interior-Date By Date By Qo
L
Co Exterior Date By Exterior-Date By
Set-up _
INSULATION
Point Load/isolated Footings Date BY G
BG 1 SLAB INSULATION
Data By Date By FIRE DEPARTMENT
Foundation Wails Floors Date By
Date By Data By DECKS Z
FRAMING Walls Date By �
Date BY Data By PROPANE TANKS n
PLUMBING vault Date By O
Data By OTHER
Grotndvmrk Attic
Date By Date By Type
Date By
D.W.V DRYWALL Type. n
Date B Int Brace Wall pate By 0
y Date By N
FINAL INSPECTION
Water Line Fins Seperation O
Date B Date By Date By IV
Y C
Pass or Request Inspect. C)
Type of Insp. Fail Data Data Done By Comments CA
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sv
cc
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PLANNIN com2ol , t 5
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: _ �o Assessor's Parcel Number: �"7'� �� --jl'
Legal Description:
Building Site Address: 4 I 19 s�
Method of sewage disposal: O Septic ® Sewer- name of district:
Water source: O Individual Well O Community Well m Public System, name of system:
PEOPLE INVOLVED IN THE PROJECT
Name of Applicant: u o o
le ir
Mailing address:
City: T'GfCoeWA State: AM Zip: 8 0
Day phone r3) _ Contact Person: J-aSo,71 L,g.e 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 O 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 No Yr. Mo.
Square footage: Basement: First: Mezzanine: Second: Third:
Is the structure heated? Heating type: Circle one:
Circle one: Yes No I Electric Liquid Propane Natural Gas Oil
Type of heat: Circle one: Furnace Heat Pump Electric baseboard or wall mount Radiant
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: Yes No Lighting: Yes No Heating: Yes No
Exterior Finishes: Yes No Interior Finishes: Yes No Parking: Yes No
Number of restrooms provided: I Number of fixtures in each
Is structure handicap accessible? Circle one Yes 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 0 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 �1-- Date -L- Z- Submittal Amount$ Receipt number
Department Review Initials Date Comments
Building
Environmental Health
Fire Marshal
Planning 7e
Public Works
Occupancy Change? (circle one) Yes No Type of construction
Occupa icy classification change from to Occupant load calculated: persons
Existing occupant load design persons. Land Use Designation:
Occupancy Classification:
MASON C(gWXSING
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: _ �o Assessor's Parcel Number: I
Legal Description:
Building Site Address: C &AIZ 3 AdIlY21 k-4 f+ s
Method of sewage disposal: O Septic ® Sewer—name of district:
Water source: O Individual Well O Community Well 0 Public System, name of system:
PEOPLE INVOLVED IN THE PROJECT
Name of Applicant: Gt o
Mailing address: o h-
City: -71,e4eo2�ya State: AM Zip: 8 0
Day phone r3);,,,6_qqq Contact Person: �-aso� Lg.e 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 O 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 No Yr. Mo.
Square footage: Basement: I First: Mezzanine: Second: Third:
Is the structure heated? Heating type: Circle one:
Circle one: Yes No Electric Liquid Propane Natural Gas Oil
Type of heat: Circle one: Furnace Heat Pump Electric baseboard or wall mount Radiant
Will there be any changes to the following? Circle yes or no,if applicable:
Floor lay-out: Yes No Lighting: Yes No Heating: Yes No
Exterior Finishes: Yes No Interior Finishes: Yes No Parking: Yes No
Number of restrooms provided: I Number of fixtures in each
Is structure handicap accessible? Circle one Yes 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 •' Landscape buffer yards
• On-site sewage tanks and drain fields, & reserve • Well location
• Location of fire hydrants&vehicle access roads • Parkin 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 by Date - Z_ Submittal Amount$ Receipt number
Department Review lnitia Date C9n wts,`, r,
Building
Environmental Health
Fire Marshal —1 )-
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:
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L Exit Signs: When two(2)exists are required
from a room or tenant space,exit signs must be
2! installed in order to clearly indicate the direction
- I of egress. When exit signs are required,they
shall be illuminated. Illumination shall provide
j ram, ll I not less than 5-foot n es a oor level.
w r Q °'�'"� Exit doors shall be openable from the
CcU' Inside without the use of a key or any
yl a U �' Special
P a ehing of e y leaf shall riothrequire
i k ts rpn lit _l'; more than one operation. Pr 1D03
operated herdwarw UBC 8 1003.3.1 8
-- Aisles shall be a minimum width of 36'where
_..._ merchandise or obstructions am Placed on one .
aide of the sob,and/or 44'where obstructions ... _---
i - am plscad en both skies.(Req'd for all Group B,
M,and assembly occupancies without ibretl
ki I ¢Q t- J seating)UBC Sec.1005.5,4.3.
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Provide a 2-A 10:BC rated fire extinguisher for your project.
— Mount between 4"and 60"above the floor located so that
I+a —7 an extinguisher is within 75 feet of travel distance from any
71 H Cj point in the building on Tenant Improvement space.
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Provide a sign on or adjacent to the door ~
staling: THIS DOOR MUST REMAIN 1
UNLOCKED DURING BUSINESS HOURS.' �f9V 2. ILI VJ-
1
The sign shall have letters not lees than 1' I I
high,with a contmalina background. .i� .
4' UBC 1007.2.5.1.
Elr�p N O vac O r}� —,—�