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Home My WebLink AboutCOM2012-00029 Change Tenant - COM Permit / Conditions - 4/2/2012 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 1 lrf,, COMMERCIAL BUILDING PERMIT COM2012-00029 OWNER: ROBERT KUCKELBURG RECEIVED: 4/2/2012 CONTRACTOR: ROBERT KUCKELBURG 1.206.359.5619 LICENSE: EXP: ISSUED: 4/2/2012 SITE ADDRESS: 18471 E STATE ROUTE 3 ALLYN EXPIRES: 10/2/2012 PARCEL NUMBER: 122205059005 LEGAL DESCRIPTION: ALLYN BLK: 59 LOT: 5-8 &W 10' VAC PTN SHERWOOD AVE ADJ EX W 65' PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT FOR BIG BUBBA'S BURGERS FOLLOW ST RT 3 TO ALLYN ITE ADDRESS ON THE LEFT SIDE General Information jCjnstri/btiofP Occupancy Information Type of Use: HAMBURGER ST/ Insp.Area: N . o its: Type of Constr.: No. athr s: Occ. Group: Type of Work: TRA Fire Dist.: 5 N . of Sto s: Exit Design. Load: Valuation: Buil g H gh . Pre-Manufacture Unit Inform tion Square Footage Information Make: Length: Lot Size. Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Info ation Shoreline& Planning Information Front: Ft. S ne: 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?: COM2012-00029 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 Date Amount Receipt Change of Use rnnnn a1919n`19 11141 nn g19m9nn Total $141.00 CASE NOTES FOR COM2012-00029 CONDITIONS FOR COM2012-00029 1) UL 300 FIRE SUPPRESSION SYSTEM WILL NEED SEPARATE PERMIT APPLICATION 2) TYPE V FIRE EXTINGUISHER NO CLOSER THEN 10' NO FURTHER THEN 30' MOUNTED NO MORE THAN 60'ABOVE FLOOR f 3) 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 ( 4) A KNOX BOX IS REQUIRED PER SECTION 506 OF THE 2009 IFC. PLEASE CONTACT THE LOCAL FIRE DISTRICT FOR MORE INFORMATION. 5) All other necessary permits from Mason County, Washington State and/or Federal Agencies that ar equired for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X z ye_ 6) 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 1-800-647-0, 2. person �� signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 7) 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 MCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x K 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 non-q pjia%witMason County ordinances and building regulations. X �— , 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 p it oolldd r have prevented action from being taken. No more than one extension may be granted. X COM2012-00029 Page 2 of 4 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 C unty access to the above described property'and struLture for review and inspection. OWNER OR AGENT: DATE: COM2012-00029 Page 3 of 4 p IQ CONCRETE MECHANICAL MANUFACTURED HOME C 0 Date B y A___._____._.___ n N Footings J Setbacks Gas piping Ribbons M o Interior Date By Interior-Date By Date By r 03 Ex error Date By Exterior-Date B Set-� C INSULATION X Point Load!Isolated Footings — Date By BG 1 SLAB INSULATION " Date _ By Data By FIRE DEPARTMENT O Foundatlan Wails Floors Date By W rn Date By Ddt2 By DECKS X FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type. Data By Date By Date By D.w.'V DRYWALL Type- n lot Brace Wall 0 Date By Dale a Date By 9 y FINAL_ INSPECTION c Water Lane Fin Seperation Date B•; Date Date By N O Pass or Request inspect. o Type of Insp. Fail Date Date Done By Comments X rdt- _ C- a+,.OoKrry e m O 1� O COM �/v� - MASON CCJUNTY �� 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: Assessor's Parcel Number: 1 2220 5-0 _ 00 "-- Legal Description: Building Site Address: F, St 7-cxTl 1-E ZLf Method of sewage disposal: O Septic Sewer-name of district: Water source: O Individual Well O Community Well '.Public System, name of system: WA, yWPQL— PEOPLE INVOLVED IN THE PROJECT Name of Applicant: Mailing address: City: State: Zip: Day phone:a,�- 3c tact Person: g K. E�f�� ?c Message phone: PROJECT INFORMATION Proposed business name: Proposed use: AUZ- S Number of employees: .Z 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 curt T�l f not occupied, how long has it been vacant? occupied? Yes No Mo. Square footage: I Basement: Firs : Mezzanine: Second: Third: Is the structure heated,? Heating type: Circle one: Circle one: Yes QNo 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 Lighting: Yes Heating: Yes Exterior Finishes: Yes iE- Interior Finishes: Yes o Parking: Yes Number of restrooms provided: 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 • 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 ,_i � � Date� '2'CL'( Submittal Amount$ � � Receipt number Department Review Initials Date Comments Building if i Environmental Health 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: Page 1 of 1 Genie McFarland - Bubba's Burgers From: Rebecca Hersha To: Genie McFarland Date: 4/2/2012 4:26 PM Subject: Bubba's Burgers CC: Trish Woolett As I understand it Bubba's Burgers in Allyn is changing hands/owners but not changing in use or scope. Therefore, Planning has no issues with the Bubba's Burgers change in tenant application. Sincerely, Rebecca Hersha, Planner Mason County DCD 360-427-9670 ext. 287 file:///C:/Users/gmm/AppData/Local/Temp/XPgrpwise/4F79D340Masorunail10016D686D 1... 4/2/2012