HomeMy WebLinkAboutCOM2024-00003 Change Tenant Retail Store - COM Inspections - 2/6/2024 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 352
;7 COMMUNITY SERVICES BELFAIR:360-2754467,EXT 352
f' Buildieig,Flaantuig,Enri�a�mentalHwlduCortfmunityHealth ELMA:360-482-5269,EXT 352
- www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit http:ltwww.co.mason.wa.us/community-services/bid-inspection.php
Permit Number COM2024-00003 Date Issued 01/31/2024 Issued By
Project Re-open The Bucks Prairie Store
Site Address 13435 W Cloquallum Rd
Applicant Bucks Prairie Mercantile
Contractor
Contractor Phone
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type CHANGE IN TENANT Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.**
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct _
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building - -t DEP
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
FPROJECT
4-00003 CHANGE IN TENANT
ESCRIPTION: RE-OPEN THE BUCKS PRAIRIE STORE ISSUED: 01/31/2024
ESS: 13435 W CLOQUALLUM RD ELMA
EXPIRES: 07/29/2024
PARCEL: 519161400010
APPLICANT: Bucks Prairie Mercantile OWNER: BURGASSER CAROL A
2194 W STAR LAKE DR 13541 VAIL CUT OFF RD SE
ELMA,WA 98541-9645 RAINIER,WA 98576
509-429-0192
FEES: Paid Due
Change in Tenant- Minor EH $135.00 $0.00
Plan Review
Change in Tenant Application $156.00 $0.00
Planning Review Fee $240.00 $0.00
Technology Surcharge $3.12 $0.00
IFC Plan Check Fee $78.00 $0.00
State Fee-Commercial $25.00 $0.00
Totals : $637.12 $0.00
FIXTURES
City Mechanical Fixtures Qty Plumbing Fixtures
1.0000 Gas Outlets Each Additional 1.0000 Additional gas-piping system outlet, per outlet
1.0000 Gas Outlet(s) (1-5) 1.0000 For each additional atmospheric-type vacuum
1.0000 For the installation, relocation or replacement of breaker over the amount of 5
each appliance vent installed and not included in 1.0000 For atmospheric-type vacuum breakers (first 1-5)
another permit 1.0000 Gas-piping systems(for first set of 1-5 outlets)
1.0000 Dryer Vent(s) 1.0000 Number of Hose Bibs
1.0000 For each air-handling unit to and including 10,000 1.0000 For each additional medical gas inlet(s)/outlet(s)
cubic feet per minute (cfm)(4719Us), including
attached ducts. 1.0000 For each backflow protective device other than
1.0000 Air Handlers- Miscellaneous atmospheric type vacuum breakers 2 inch
(51 mm)diameter and smaller
1.0000 Kitchen Exhaust Hood(s)
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Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
CHANGE IN TENANT COM2024-00003
C3xt Mechanical Fixtures Qty Plumbing Fixtures
1.0000 Other 1.0000 Number of Bath Tubs
1.0000 For the installation of each hood which is served 1.0000 Bathroom Sink
by mechanical exhaust, including the ducts for 1.0000 Number of Clothes Washers
each hood
1.0000 Repairs or Additions for the repair or, alteration 1.0000 Number of Dishwashers
of, or addition to each heating appliance, 1.0000 For each repair or alteration of drainage or vent
refrigeration unit, cooling unit, absorption unit of piping, each fixture
each heating, cooling absorption or evaporative 1.0000 DRINKING FOUNTAIN
cooling system, including installation of controls 1.0000 FLOOR DRAIN
regulated by the Mechanical Code
1.0000 For the installation or relocation of each 1.0000 FLOOR SINK
commercial or industrial-type incinerator 1.0000 For each installation, alteration or repair of water
1.0000 For the installation or relocation of each boiler or piping and/or water treating equipment
compressor to and including 3 horsepower(10.6 1.0000 Number of Kitchen Sinks
kW), Or each absorption system to and including 1.0000 LAUNDRY TRAY
100,000 Btu/h(29.3kW)
1.0000 For each lawn sprinkler system on any one meter
1.0000 For the installation or relocation of each boiler or including associated backflow protection devices
compressor to and including 3 horsepower(10.6
kW), Or each absorption system to and including 1.0000 Other
100,000 Btu/h(29.3kW) 1.0000 For each plumbing fixture on one trap or a set of
1.0000 Ductless Heat Pump fixtures on one trap (including water, drainage
piping and associated backflow protection)
1.0000 Furnace(s) 1.0000 Number of Showers
1.0000 For the installation or relocation of each forced-air 1.0000 SINK-3 WITH DRAIN
or gravity-type furnace or burner, including ducts
and vents attached to such appliance, up to and 1.0000 Number of Toilets
including 100 Btu/h (29.3 kW) 1.0000 URINAL
1.0000 For the installation or relocation of each floor 1.0000 Number of Water Heaters and or Vent
furnace, including vent
1.0000 For each backflow protective device other than
1.0000 For the installation or relocation of each
atmospheric type vacuum breakers over 2 inch
suspended heater, recessed wall heater or floor-
mounted unit heate (51 mm)diameter
1.0000 Heat Pump(s) 1.0000 For each gray water system
1.0000 For each air-handling unit over 10,000 cfm 1.0000 For each medical gas piping system serving 1-5
(4719Us) inlet(s)/outlet(s)for a specific gas
1.0000 For the installation or relocation of each forced-air 1.0000 For each annual cross-connection testing of a
or gravity-type furnace or burner, including ducts reclaimed water system (including initial test)
and Vents attached to such appliance 1.0000 For initial installation and testing for a reclaimed
1.0000 For the installation or relocation of each water system
domestic-type incinerator
1.0000 For the installation or relocation of each boiler or
compressor over three horsepower(10.6kW)to
And including 15 horsepower(52.7kW), or each
absorption system over 100,000 Btu/h (29.3 kW)
to And including 500,000 Btu/h (146.6kW)
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Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
CHANGE IN TENANT COM2024-00003
-Qtx Mechanical Fixtures
1.0000 For the installation or relocation of each boiler or
compressor over three horsepower(10.6kW)to
and including 15 horsepower(52.7kW), or each
absorption system over 100,000 Btu/h (29.3 kW)
to and including 500,000 Btu/h (146.6kW)
1.0000 For the installation or relocation of each boiler or
compressor over 30 horsepower(52.7 kW)to and
Including 30 horsepower(105.5 kW), or each
absorption system over 500,000 Btu/h (146.6 kW)
to and Including 1,000,000 Btu/h (293.1 kW)
1.0000 For the installation or relocation of each boiler or
compressor over 30 horsepower(52.7 kW)to and
Including 30 horsepower(105.5 kW), or each
absorption system over 500,000 Btu/h (146.6 kW)
to and Including 1,000,000 Btu/h (293.1 kW)
1.0000 For the installation or relocation of each boiler or
compressor over 30 horsepower(105.5 kW)to
and Including 50 horsepower(176 kW), or each
absorption system over 1,000,000 Btu/h (293.1
kW)to And including 1,750,000 Btu/h (512.9 kW)
1.0000 For the installation or relocation of each boiler or
compressor over 30 horsepower(105.5 kW)to
and Including 50 horsepower(176 kW), or each
absorption system over 1,000,000 Btu/h (293.1
kW)to and including 1,750,000 Btu/h (512.9 kW)
1.0000 Liquid propane tank, above ground tank, below
ground fuel storage tank(Residential Only)
1.0000 Propane Tank(s)
1.0000 Solid Fuel Burning Equipment: Wood, Pellet, LP
and fireplace, barbeque appliances
1.0000 Wood/Gas/Pellet Stove(s)
1.0000 For the installation or relocation of each boiler or
compressor over 50 horsepower(176 kW)or
each Absorption system over 1,750,000 Btu/h
(512.9 kW)
1.0000 For the installation or relocation of each boiler or
compressor over 50 horsepower(176 kW)or
each Absorption system over 1,750,000 Btu/h
(512.9 kW)
2.0000 Spot Vent Fan(s)
2.0000 For each ventilation fan connected to a single
duct
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Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
CHANGE IN TENANT COM2024-00003
(sty Mechanical Fixtures
2.0000 For each ventilation system which is not a portion
of any other permitted heating or air-conditioning
system
7.0000 For each appliance or piece of equipment
regulated by the Mechanical Code but not
classed in other Appliance categories, or for
which no other fee is listed in the table
REQUIRED INSPECTIONS
KNOX BOX VERIFICATION BLD-Final Inspection
CONDITIONS
* 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.
* The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not
allowed without the approval of the Mason County Fire Marshal.
* If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be
required.
* 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 and 14.17.
* 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.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* All building permits shall have a final inspection performed and approved by 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 Mason County ordinances and building regulations.
* Temperature controlled food and food preparation have additional requirements from Environmental Health. Please
contact Public Health Food Safety Program if you are requesting any changes to what is currently proposed for this project.
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Mason County
♦1
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
CHANGE IN TENANT COM2024-00003
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
Contractor or Authorized Agent: Date:
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