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HomeMy WebLinkAboutCOM2024-00026 Change Tenant - COM Inspections - 7/10/2023 ti # MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 SHELTON:360 427-9670,EXT 352 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352 Buildm4 Planning,Envitanmentdl fitjI a Community Nealtli 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:/twww.co.mason.wa.us/community-services/bid-inspectioo'n.php Permit Number COM2024-00026 Date Issued 07/03/2024 Issued By ft ylh l t Project CHANGE IN TENANT FROM PUB TO NORTH MASON FOOD BANK AND STORAGE ` , Site Address 24131 NE State Route 3 Applicant NORTH MASON FOOD BANK INC Contractor Contractor Phone Prima Code 2018 IBC,IRC,IFC,IEC,IMC,& Primary UPC 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 Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other .Y �i 7_/a-21-( ID C C- �P.�./�- 4k MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 40 COMMUNITY DEVELOPMENT 360-482-5269 Elma ext.352 Building,Planning,Fire Marshal 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: C'O��Z�(Mz6 ADDRESS/LOCATION: Z FIND�NS: - /�/ Gto �p ✓erI �� � DK/ vd �r�cr- S 'ks� tlr Z Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. "Make corrections, items will be checked on the next inspection. ❑ OK to Date: Please contact our office regarding possible Department: [ _ structural damage incurred by recent Inspector: "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 im COMMUNITY DEVELOPMENT 360-482-5269 Elma ext.352 Building,Planning,Fire Marshal 615 W.Alder St. Bldg. 8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: �D/r�?�2� OCJIDZG ADDRESS/LOCATION: ,Z,V/Sl A-,E Si4f-k 9)�'3 FINDINGS• E rM tc �& Ole Z)tsa t Xz t- �.cGly �r Glyrtf e�J , A e, Opt Fe-m r re o cavk w o pre Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. ❑ Make corrections, items will be checked on the next inspection. ❑ OK to '2 ❑ Please contact our office regarding possible Date: 7-,16 Department: 3L structural damage incurred by recent ,natural/man made"disasters.This is NOT a Inspector: CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 SECTY-Di-I 502 PARKING SPACES 502.1 General. Car and van parking spaces in parking lots shall comply with Sections 502.2 through 502.8 Car and van parking spaces provided as part of on-street parking shall comply with Sections 502.9 and 502.10 Where an electrical vehicle charging station is provided at a parking space, it shall comply with Section 502.11. Premium Code Insights Key Changes 502.2 Vehicle space size. Car parking spaces shall be 96 Inches(2440 mm)minimum in width Van parking spaces shall be 132 inches(3355 mm)minimum in width. Exception:Where the adjacent access aisle is 96 inches(2440 mm)minimum in width.van parking spaces shall be 96 inches(2440 mm) minimum in width. Access aisle serving OO van parking space O 0 Do 0 0 0 0 0 0 0 0 � 00 a o 0 0 0 0 00 0 00 0 0 0 p 0 p 132 min O 96 min 96 min 0 96 In I, 3350 2440 2440 --2440— FIGURE 502.2IA) VEHICLE PARKING SPACE SIZE FIGURE 502.2(B)VAN PARKING SPACE SIZE EXCEPTION 502.4 Access aisle. Car and van parking spaces shall have an adjacent access aisle complying with Section 502.4 Access aisle serving Access aisle serving car parking spaces van parking spaces ---— 0 D D o CL D o D o D D D D D Areato D 0 DD Area to � be Mason County D be D ma D D marked D D D D D D marked D t D D D D Permit Document ono D � o D D D 0 0 D LL 0 0 0 0 0 0 0 D � � 0 D D 3 60 min x.. 60 min 1525 1525 FIGURE 502.4 PARKING SPACE ACCESS AISLE 502.4.1 Location. Access aisles shall adjoin an accessible route Two parking spaces shall be permitted to share a common access aisle Access aisles shall not overlap with the vehicular way.Parking spaces shall be permitted to have access aisles placed on either side of the car or van parking space Van parking spaces that are angled shall have access aisles located on the passenger side of the parking space 502.4.2 Width. Access aisles serving car and van parking spaces shall be 60 inches(1525 mm)minimum in width 502.4.3 Length. Access aisles shall extend the full length of the parking spaces they serve 502.4.4 Marking. Access aisles shall be marked so as to discourage parking in them Where access aisles are marked with lines.the width measurements of access aisles and adjacent parking spaces shall be made from the centerline of the markings Exception:Where access aisles or parking spaces are not adjacent to another access aisle or parking space,measurements shall be permitted to include the full width of the line defining the access aisle or parking space 502.5 Floor surfaces. Parking spaces and access aisles shall comply with Section 302 and have surface slopes not steeper than 148 Access aisles shall be at the same level as the parking spaces they serve 502.6 Vertical clearance. A vertical clearance of 98 inches(2490 mm)minimum shall be provided at the following locations: 1. Parking spaces for vans. 2.The access aisles serving parking spaces for vans 3 The vehicular routes serving parking spaces for vans 502.7 Identification. lVheie parking spaces are required to be identified by signs.the signs shall include the International Symbol of Accessibility complying with Section 703.6-3.1.Signs identifying van parking spaces shall contain the designation"van accessible.'Signs shall be 60 inches(1525 mm) minimum above the floor of the parking space.measured to the bottom of the sign. 502.8 Relationship to accessible routes. Parking spaces and access aisles shall be designed so that cars and vans,when parked do not obstruct the required clear width of adjacent accessible routes. Mason County Permit Document 4 904.1 Ge%pval.- . Accessible sales and service counters and windows shall comply with Section 904 as applicable Exception:Drive-up only sales or service counters and windows are not required to comply with Section 904. 904.2 Approach. Ail portions of counters required to be accessible shall be located adjacent to a walking surface complying with Section 403. Employee Public side side 904.3 Sales and service counters and windows.O Sales and service counters and windows shall comply with Section 904.3.1 and either Section 904.3.2 or Section 904 3.3 Where counters are provided, the accessible portion of the counter-top shall extend the same depth as the public portion of the sales and service countertop FIGURE 904.3(A) SALES AND SERVICE COUNTERS-CROSS SECTION provided for standing customers. Exception:In alterations,when the provision of a counter complying with this section would result in a reduction of the number of existing E counters at work stations or a reduction of the number of existing mail boxes;the counter shall be permitted to have a portion which is 24 inches (610 mm) minimum in length complying with Section 904 3.2 provided that the required clear floor space is centered on the m u U C W p accessible length of the counter o° a > U a p 904.3.1 Vertical barriers. t a ii At service windows or service counters..any vertical barrier between service personnel and customers shall be at a height of 43 inches(1090 _ 2 a3 o mm)maximum above the floor Exception:Transparent security glazing shall be permitted above the 43 inches(1090 mm)maximum height. 904.3.2 Parallel approach. X ro x A portion of the public use side of the counter surface 36 inches(915 mm)minimum in length and 26 inches(660 mm)minimum to 36 inches E o ri I E v (915 mm) maximum in height above the floor shall be provided A clear floor space positioned for a parallel approach adjacent to the N ID M accessible counter shall be provided The space between the accessible counter surface and any projecting objects above the accessible counter shall be 12 inches(305 mm)minimum Exception:Where the counter surface is less than 36 inches(915 mm)in length,the entire counter surface shall be 26 inches(660 mm) minimum to 36 inches(915 mm)maximum in height above the floor 30 min 760) Counter width at forward a roach 36 min(915) Counter width at parallel approach FIGURE 904.3(B) SALES AND SERVICE COUNTERS-ELEVATION 904.3.3 Forward approach. A portion of the public use side of the counter surface 30 inches(760 mm)minimum in length and 36 inches(915 mm)maximum in height above the floor shall be provided.A clear floor space positioned for a forward approach to the accessible counter shall be provided Knee and Note: If a simple counter is used it toe clearance complying with Section 306 shall be provided under the accessible counter.The space between the accessible counter surface shall be at a height not to exceed and any projecting objects above the accessible counter shall be 12 inches(305 mm)minimum 38" Mason County Permit Document 5 24 max 48 min 24 max 610 1220 610 E � E V) _ T77 EN (0 G) NOD N 00 (n C N M M M Cl) FIGURE 403.5.1(C) CLEAR WIDTH OF AN ACCESSIBLE ROUTE-EXISTING BUILDINGS-INTERIOR 24 max 48 min f24 max 610 1320 610 0 42 min 42 min 1065 I 1065 o 1= C' E � X<48 ' OD N._ N °0 1220 Er- M M 00 FIGURE 403.5.2.2(A) CLEAR WIDTH AT 180•DEGREE TURN EXISTING BUILDINGS FIGURE 403.5.1(D) CLEAR WIDTH OF AN ACCESSIBLE ROUTE-EXISTING BUILDINGS-EXTERIOR 404.2.6 Door and gate hardware.Q Handles,pulls,latches,locks and other operable parts on doors and gates shall have a shape that is easy to grasp with one hand and does not require tight grasping, pinching or twisting of the wrist to operate.The operational force to retract latches or disengage devices that hold the door or gate in a closed position shall be as follows: i. Hardware operation by a forward,pushing or pulling motion: 15 pounds(66.7 N)maximum_ 2. Hardware operation by a rotational motion:28 inch-pounds(315 N-cm)maximum. Premium Code Insights Key Changes 404.2.6.1 Hardware height. Mason County Operable parts of such hardware shall be 34 inches(865 mm)minimum and 48 inches(1220 mm)maximum above the floor.Where sliding Permit Document doors are in the fully open position,operating hardware shall be exposed and usable from both sides. 6 Maximum Occupancy 25 No Storage �ottAto UV FPAJNV 96' N Storage DNllbls SIrA+ r, ai Pkm ToIMFkn UtMY 2A106C Fire , Extinguisher ldlft St�e� �s Facility not appr a or food prep orage R �!'�6 o © tatct�, 30' Public access area shall be ` Any shelving over 8' requires bracing accessible to disabled and plan approval 40' persons Opera Store Area 2A10BC Fire Q ii'IDgLlr?J ® ® Extinguisher 9' Any shelving over 8' requires bracing T Cu ninghann Public 10, and plan approval Appro fed as Noted EMY COMMU�I7Y OVELOlM[NTpaftv 05/06/2024FLOO PLANS COM2024-00026(2) 15 Lott ihtEr O�CO 38' Mason County Permit Document Disabled access kli1 S OtS COM2024 700026 counter required 13 deftateds Ref Page 5 Approv One parking space shall be fully Van Accessible 96' and meet the requirements. of ANSI 117.1, located at or near main entrance. Ref pages 3-4 00 32' 24' 3" Elect�NI)M d Heat Taft Ftrn Storage Sim re t Mahr' Oom Pad Mason County Permit Document 2 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 F 4-00026 CHANGEINTENANT ESCRIPTION: CHANGE IN TENANT FROM PUB TO ISSUED: 07/03/2024 SON FOOD BANK AND STORAGE ESS: 24131 NE STATE ROUTE 3 BELFAIR EXPIRES: 12/30/2024 PARCEL: 123283290040 APPLICANT: NORTH MASON FOOD BANK INC OWNER: NORTH MASON FOOD BANK INC P 0 BOX 421 P 0 BOX 421 BELFAIR,WA 98528 BELFAIR,WA 98528 360-2754615 FEES: Paid Due State Fee-Commercial $25.00 $0.00 Change in Tenant Application $156.00 $0.00 Change in Tenant- Minor EH $135.00 $0.00 Plan Review Technology Surcharge $3.12 $0.00 IFC Plan Check Fee $78.00 $0.00 Planning Review Fee $240.00 $0.00 Totals : $637.12 $0.00 REQUIRED INSPECTIONS Framing Inspection Accessibility Compliance Inspection Insulation Inspection BLD-Final Inspection KNOX BOX VERIFICATION CONDITIONS All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant one or more extension of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicate that circumstances beyond the control of the permit holder prevented action from being taken. Printed by:Annie Wilson on:07/03/2024 01:19 PM Page 1 of 2 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 COM2024-00026 * 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 Code 14.28 and 14.17. * The use, handling and storage of hazardous materials or flammable and combustible liquids is not allowed without the approval of the Mason County Fire Marshal. * 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. * 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 UNLESS OTHERWISE APPROVED. * 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. 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 statef/local law regulating construction or the performance of construction. Issued By:Contractor or Authorized Agent: 1 w` Date: Printed by:Annie Wilson on:07/03/2024 01:19 PM Page 2 of 2 ro("d u� - =' MASON COUNTY (36c����-� � x . �r9o� COLN�F a �1,� DEPARTMENT OF COMMUNITY SERVICES (36 a - BUILDING•PLANNING.FIRE MARSHAL (360)482-5269 Elma ext. 352 Mason County Bldg. 8 615 W. Alder Street, Shelton,WA 98584 www.co.mason.wa.us COM A}—000, ) CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's.Parcel Number: ; ,r ` �; �;� � )'-t Legal Description: a n d & 0 01- 7 1 ((L) Pi NftA I,tf 5 Building Site Address: • V- 131 W, 4 .p r, APPLICANT INFORMATION Name of Applicant: FC0, 1.SG+.. ,�.k:- Mailing address: P O Be City: e r f_ State: VV/ - Zip: Day phone: p,-27� Contact Person: {,(o S.h tM j d. Message phone: Al I PROJECT INFORMATION Proposed business name: F ' Proposed use: Number of employees: Previous business name: H ;``'S �;, ;= +`j%. !r Describe previous use: STRUCTURE DETAILS /J Check one: Detached single level/single tenant ❑ Single level/ multi tenant >J ❑ Multi level/ single tenant ❑ Multi level/multi tenant Age of structure: Is structure currently If not occupied, hoyv long has it been vacant? �rh occupied? ❑Yes ❑No Yr. - -'Mo. (� -� Square Basement:. First: Mezzanin : Second: d foots e: I -)/,vL Z 11 o, '� f?` '�Thir' : 1=,4 Is the structure Type of Heat: Circle one: RFurnace ❑Heat Pump ❑Electric wall []Radiant heated? Circle oneMYes ❑No Fuel e: Circle one: ❑Electric ❑Li uid Propane ❑Natural Gas ❑Oil Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: JZYes ❑No Lighting: .Yes El No HeatingC]Yes Z o .' Exterior Finishes❑Yes No Interior Finishes Yes[]No Parkin ❑Yes. o Number of restrooms provided: Number of fixtures in each: Water Closets Lavatories 1 Bath/Shower Is structure handicap accessible? Entry es❑No Restroom(s):dYes []No No pkL1; 5 Is the structure equipped with a fire sprinkler system❑Yes o Fire alarm system? Yes ❑No Monitoring Station Name: �,; ;� ! r " I � Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: 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 counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (1): Note scale used • Property lines, easements, & right of ways • Location of all existing structures & dimensions • Distance, in feet, from property line & structures • Location of all existing structures& dimensions • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards • Location of fire hydrants &vehicle access roads • Well location • Parking areas number& arrangement) Continued on back If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is complete, schedule an inspection by calling 360.427.9670 ext. 352 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 YA? y Signature of Applicant Date X —Fa r-a S� J47 Jf Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Building Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction L �96 1 OH Polxqpm E slods Bupped g ,es o9uso�o awl slods g IOT WOW ,6 toad' ajo;g usdo ,ob I wooll goe-iots IN �s uln rr--n W-fip►M RMlitl� y U!!"Pi UNA wY61 � 19 .96 �h�iXUHd WAC &OW*" ' 1/tl0 -A O J W14 (24 i gON CO LN MASON COUNTY ` -\J (360)427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 BUILDING•PLANNING• FIRE MARSHAL (360)482-5269 Elma ext. 352 kk == :Y Mason County Bldg. 8 1854 615 W.Alder Street, Shelton,WA 98584 www.co.mason.wa.us COM ' 0� CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's Parcel Number: 2,S> Legal Description: G LA =0 1 k/ Nth Building Site Address: ) ME V p. �e( - ! (_ VJA CI �. APPLICANT INFORMATION Name of Applicant: Ll , %X K Mailing address: City: t r- State: Zip: Day phone:3(Oa-Z-jS I Contact Person: K-D1 pAI d,1— Message phone: -7-7 —_ 2 (� PROJECT INFORMATION Proposed business name: wosUyl fj �f�,4---- Proposed use: pp G h-U(a Number of employees: Previous business name: s Va Describe previous use: STRUCTURE DETAILS Check one: Detached single level/single tenant ❑ Single level/ multi tenant Multi level/single tenant ❑ Multi level/multi tenant Age of structure: Is structure current) If not occupied, how long has it been vacant? occupied? ❑Yes No Yr. Mo. 3 Square Baseme t: Firs Mezzani e: Second: Third: foots e: 00 A. �oo V_\ (/ _- Is the structure Type of Heat: Circle one: []Furnace ❑Heat Pump lectric wall ❑Radiant heated? Circle one Yes ❑No Fuel type: Circle one: Electric [-]Liquid Propane ❑Natural Gas ❑Oil Will there be any changes to the following? Circle yes or no, if applicable- Floor lay-out: ❑Yes No Lighting: ❑Yes�4No HeatingCjYes KNo Exterior Finishes❑Yes MNo Interior Finishes❑Yes o Parkin ❑Yes No Number of restrooms provided: Number of fixtures in each: I I Water Closets Lavatories Bath/Shower' Is structure handicap accessible? Entry es[]No Restroom(s)4 Yes ❑No Ago Is the structure equipped with a fire sprinkler system❑Ye No Fire alarm system? ❑Yes 14No Monitoring Station Name: Phone number: a APPLICATION WILL NOT BE ACCEPTED WITHOUT: 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 counters, tables, shelving, benches, fire exits • Interior doors with swing radius and exit signs). Site Plan (1): Note scale used • Property lines, easements, & right of ways • Location of all existing structures & dimensions • Distance, in feet, from property line & structures • Location of all existing structures & dimensions • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards • Location of fire hydrants & vehicle access roads • Well location • Parking areas number& arrangement) Continued on back L If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is complete, schedule an inspection by calling 360.427.9670 ext. 352 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 /-V� �c.l�vN f P Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount $ Receipt number Department Review Initials Date Comments Buildin Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction 1 PVd" APM INS Gurw,I culs adejols ULIWAM