HomeMy WebLinkAboutCOM2022-00040 COM2021-00024 Rec Bldg Pool Spa - COM Application - 5/20/2022 MASON COUNTY COMMUNITY SERVICES Permit No n^�/
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PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUDt.IC HEALTH•FIRE MARSHAL �/•ryt�V.. ) 000i
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615 W.Alder Street,Shelton,WA 98584
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Phone Shelton:(360)427-9670 ext 352•Fax:(360)427.7798 Phone RECEIVED
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Balletic(360)275-4467•Phone Elms:(360)482.5289 (`
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: AY 2 0 2022
NAME:Basair Apartments LLC NAME:Pleasure Pool a.Spa Stree
MAILING ADDRESS:11505 Burnham Dr,STE 301 MAILING ADDRESS:5414 71 st St Ave CL East G 7 5 W, AI d e r
CITY:cg Hubor STATE:WA ZIP:11e332 CITY:Prr>"9up STATE:WA ZIP:—1
PHO14E#1:253449-0636 PHONE:2634400M CELL: 25"70-1515
PHONE#2: EMAIL:garysto0erpp94980.com
EMAIL: L&I REG#PLEASI-003JD EXP._//
PRIMARY CONTACT: OWNER❑+ CONTRACTOR❑ OTHER❑
NAME Herber Curbm Davabpment 1. EMAIL shw Gherbercuatomhumex.aom p
MAILING ADDRESS 115059umh4m0r.Suh&301 CITY OyHoe— STATE WA Zip98332
PHONE 253-49-0s36Er-Il1 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 123285000003 ZONING Mixed use
LEGAL DESCRIPTION(Abbreviated) BELFAIR STATION LOT:3-PCL 2 OF SLAs00-35 AF1r1714660 FIRE DISTRICT
SITE ADDRESS 81 NE Ridge Point BLVD CITY Belfafr
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER TITAN 14%: YES❑ NO❑ SNOW LOAD:_psf
IS PROPERTY WITHEi200 FT OFTHE FOLLOWING: (ChmiIallihoapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
R
r
TYPE OF WORK: NEW❑+ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE pesidenn,Garage,Commercial Bldg,Eta)Public Pool t
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS 2 C).
HEATED STRUCTURE? YES(tVha1,111, )❑ YES(partls)ofBldg)❑ NO❑
DESCRIBE WORK Adding a pod to the Recreation building(permit number-COW021410024)
.........._......
SOUARE FOOTAGE:(p-pattd)
IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq,ft, BASEMENT sq.ft. �W
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.R. Attached❑ Detached❑
NIANUFACTURED HOME INFORIVIATION: •4 COPIES OF THE FLOOR PLAN REQUIRED* 0
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SF.WER SOURCE: SEPTIC❑ SEWER❑ / NEW EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ )jyei,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may resua in a atop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am ate owner and 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 folder or parties of interest regarding this project. The owner or legal
representative,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 perrNUapplicalion becomes null 8 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
4/5/2022
Signature of OWNER t be sinned by the OWNERI Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE. TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITYSERVICES Permit NoAnm 2DZZ" ocogo
PER MITASSISTANCECENTER:
•bpLpWd.615 w A'O•SW",CNFllon,w
6j5w.nlna,slur.sslmn.wnvBS& }CIS•IFt/al/V,y - - R�ECCEr IVED
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BUILDING PERMIT APPLICATION O 2022
PROPERTY OWNER IN FORMATION: CONTRA CTORINFORMATION:
NAME:SW-AbIabbuc NAME:PI..mrewa.rP. 615 IALJ,Ider Street
MAR.INGADDRESS:11SEEabbn OARTENI MAILING ADDRESS:Mra male A.cREr
CTF'i.Rwma, STATE:WA ZIP:— CITY:"-- STATE:AA ZIP:Mar'
PHONE NL'm+a>0°M PHONE:FSFMSMM CELL: EF•gm'•'•
PHONE 92: Fd.WL:wrv'.A'wa+re^
EMAIL: L&I REG RaEA . E10'.
PRIMARY CONTACT: OWNER a CONTRACTOR Q OTHER❑ —
NAME EMAILsn Slh"S.IS.bnx.bn
MAIUNGAODRESS r'mFa.xw.or.SWISS! Crryawno, STATE^m ZIPMmf
PHONE moan• -s 11 CELL
PARCEL INFORMATION:
PARCELNUMBER(12 Digit NomW) 11SMMbm3
LEGALDESCRIPTION(AE vl•tW)EEVMRRAT IOr:A-rciraFP XA i?l4SM FIREDISTRICT
SITE ADDRESS•r Re RYNa Pan— CITY.!
DIRECTION S TO SIZE ADDRESS
ISTHEMMECEWUHIN300ETOFSLOPE(S)GREATERTIIANIIX: Y6p NOD SNOWLOADt_Fal
ISPROPERTYWHHUN20OFTOFTHEFOLLOWING: Flr OW,vIdN:
SALTWATER❑ LAKE❑ RIVERACREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF D STREAM❑
TYPE OF WORK: NEW Q ADDITION D ALTERATION D REPAIR❑ OTHER ❑
USE OF STRUCTURE IAerNaan.n.ora.D'm IW'r'(P Erc.)Pvba Pod {
ISUSE: PRIMARYQ SEASONAL❑ NUMBF.0.0F BEDROOMS NUMBER OF BATHROOMSr
HEATED STRUCTURE? YES M1 .W D YES PenpJ yNerl❑ NO❑
DESCRIBE WORKMmaF.Irea lowwu.bim wbrv(w•a.uaen-tXANrr4E4[I)
...W
SQUARE FOOTAGE:mmoo,w
ISTFLOOR_K.R, 2NDFLOOR WE 3111)FLUOR_R.R. BASEMENT_sq.R
DBCI(_sq.fl. COVEREDDECK y.R. STORAGE sq.R. OTHER_Sq.fl. Q
GARAGE_sq.fl. ARacAed❑ DrISSwD CARPORT_,ft. U,wJWfD DemcAedO Q
ALANUFACTURED HOME INFORMATION: 'O COPIES OF THE FLOOR PLAN REQUIRED-
MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: Po P3"1" t
SEWAOUAEWERSOURCE'. SEPTIC SEWE% 1 NEW Di MSTMOX
MUMBINGINSTRUCTURE: YE* NOD USSg.nrmc comple Wmer ACequnry Form
PERIMGTERIFOUNDATION DRA MI
OWNS PROPOSED? YES❑ NOD STING SQ.FT.
EXISTINGBEDROOMS
I
mMa r✓am/aMO"EDBWRO MS_or pmm TOTAL
BEDROOMS
SMpUe_,MA
yrew.uaw.le.a.,a uN lemwa»na,n-nlmnn.e.nare mm'.�e�uueom remlwm.Irmm.la maonrewax re lwpo.ea.l nrm I
MtlnM pn sOm enecasseeparllb,Ad 11 aar easam e'o-pen If WSW C—rpabl- IW,rIW
Irpw (mm allP eo'o,m llm l,,,wi]e I carala N9mn15 employ av olMnmc ly lou eEaw Emfdeeeprepeny �
arm
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EM Imnl c4cn xdX ka n•n01a pMol EOOays.m
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY COCE 14.08.A3)
X 4/5/2022
EgnaWro MOWNER E pb
DEPARTAIENTAL REVIEW APPROVED DATE DENIED DATE TAGS'NOTFSVDNDITIONS
BUILDING DPPARTMEN'T
PLANNINGDEPARTMENT
FIRE MARSHAL
PUDLIC 16ALTH I '
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RECEIVED
MAY 2 0 2022
615 W. Alder Street
O
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
OFFICE OF ENVIONMENTAL HEALTH&SAFETY
PO Box 47824.Olympia, W hiagton 985 04-7 824
(360)236-3330•TDD Relay Service: /-800-833-6388
May 19,2022
Sterling Griffin
11505 Bumham Drive NW Suite 301
Gig Harbor,WA 98332
SUBJECT: WATER RECREATION FACILITY CONSTRUCTION PLAN APPROVAL FOR
OLYMPIC SUNSET VIEW APARTMENTS AT 81 NE RIDGE PT BLVD,BELVIEW,KITSAP
COUNTY,STATE OF WASHINGTON
Dear Mr.Griffin:
The plans and specifications for Project#2021037,for the construction of 1 New Swimming Pool
received in this office between September 4,2021 and May 10,2021,have been reviewed and, in
accordance with the provisions of WAC 246-260,are hereby APPROVED with the following
condition:
I. Diaper changing stations must be provided in the restrooms and/or shower rooms.
The approved plans and specifications are enclosed with this letter.The actual construction most comply
with the approved plans and specifications.Failure to do so may require that the actual construction be
modified so that it is in compliance with the approved plans.
As required in WAC 246-260,upon completion of the construction and prior to use,the owner shall:
a. Submit a construction report from the engineer or architect to Department of Health(a copy of
the form to be completed is enclosed).
b. Contact the Mason County Public Health at least five working days before intended use of the
facility.
c. Address any significant deviations from the approved plans and deficiencies leading to a violation
of WAC 246-260 in the construction design identified during the pre-opening inspection by
correcting such issues before opening to the public.
d. Obtain an operating permit through Mason County Public Health.
e. Pursuant to RCW 70.90.240,ensure that the seller of spas,pools and tubs under
RCW 70.90.1100)(a)and(c)shall fumish to the purchaser a complete set of operating
instructions which shall include detailed instructions on the safe use of the spa,pool,or tub and
for the proper treatment of water to reduce health risks to the purchaser. Included in the
instruction shall be information about the health effects of hot water and a specific caution and
explanation of the health effects of hot water on pregnant women.
This letter serves as a CONSTRUCTION PERMIT under the requirements of WAC 246-260 and RCW
70.90. WAC 246-260-021 (7)provides that this permit shall be valid for a period of eighteen
months.Renewals may be granted by the department for a period of one year. It is the owner's
responsibility to apply for a renewal.
If you have any questions I can be reached at(360)236-3817 or david.delong@doh.wa.gov.
Davi�Sincerely,y,(/V
n
Lon
Water Recrea
Enclosures
cc: Mason County Public Health Department
Mason County Building Department
Bryan Walters,DRK Development
Joe Dominczyk,ECNW
State of Washington
CONSTRUCTION REPORT
for
WATER RECREATION FACILITIES
In accordance with Chapter 246-260 WAC Water Recreation Facilities,the owner shall complete the following:
Upon completion of Water Recreation Facility construction,modification,or alteration and before an operating permit is
issued for use of the facility,the owner shall:
a. Submit to the department a construction report signed by an engineer or architect stating that to the best of the
engineer's or architect's knowledge and belief,the installation is in compliance with the approved plans. The
engineer's and architect's certification of the above condition in no way relieves any other party from meeting
requirements imposed by contract or other regulations, including commonly accepted industry practice;and
b. Notify the local health officer at least five working days before intended use of the facility.
Facility#: Facility Name: Facility Address:
F0390 Olympic Sunset View Apartments 81 NE Ridge PT Blvd
Belfair.WA 98528
Project#: Owner Name: Owner Address:
2021037 Sterling Griffin 11505 Burnham Dr NW suite 301
Gig Harbor WA 98332
Plans and Specifications Approved by Department of Health: X
Project or Portions Completed (Date):
Note: rjrhis reNfcatiaruonlyjar apart or phase ojthe project,specify which part.
The undersigned engineer or architect or his/her authorized agent has inspected the project described above and concludes
that the project has been constructed according to the plans,specification,and`change orders"or plan amendments
approved by the department.
Those portions of this project that are also regulated by the Virginia Graeme Baker Pool and Spa Safety Act have been
constructed according to and with materials meeting the federal law and the ASME A 112.19.8 standard or its successor
standard. Documentation has been provided to the owner of the facility for their records to verify compliance with the
Virginia Graeme Baker Pool and Spa Safety Act.
Engineer or Architect Seal
Signature of Engineer or Architect
Date
Please return original form to:
Department of Health
Water Recreation Program
P.O. Box 47824
Olympia,WA 98504-7824