HomeMy WebLinkAboutCOM2013-00111 Final Change in Tenant - COM Permit / Conditions - 12/2/2013 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (36 ext7262
t Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
010
00MMERCIAL BUILDING PERMIT COM2013-00111
OWNER: RUTH MARTIN RECEIVED: 10/23/201:
CONTRACTOR: LICENSE: EXP: ISSUED: 11/12/2013
SITE ADDRESS: 24131 NE STATE ROUTE 3 BELFAIR EXPIRES: 5/12/2014
PARCEL NUMBER: 123283290040
LEGAL DESCRIPTION: PCL 6 OF BLA#01-71 (R) PTN NW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE IN TENANT
General Information Construction&Occupancy Information
No. of Units: Type of Constr.: VB
Type of Use: Insp.Area: No. of Bathrooms: 2 Occ. Group: A2
Type Work: TRA Fire Dist.: 2 No. of Stories: 1 Exit Design. Load:
Valuation: Building Height: 16
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 3,260
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?:
COM2013-00111 Please refer to the following pages for conditions of this permit. Page 1 of 5
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Tenant Review Fee TIA/ 1n/7,A/qn1 0.1d1 nn .1;99m inn
EH Plan Review rFXA/ 1n/7i/7n1 R1wi nn R77n1Ann
IFC Plan Check Fee ni r. 11/7/7n1't 1;7n j;n S77n1,Ann
Total $314.50
CASE NOTES FOR
COM2013-00111
CONDITIONS FOR
COM2013-00111
1) 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 1-800-647-09 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X A-4177
2) 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 L��7i7 Gl C/iri
COM2013-00111 Page 2 of 5
s) A knox box is required to be installed in accordance with the 2012 International Fire code. Please contact the local fire district for more intormation
Xd inTpec on.� / .f
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fisting fire alarm m is re u' a fully monitor a UL certifie ring company. -r"1 . � t��,�QL aleff)
Install 2A10BC fire extinguishers per chapter 9 of the 2012 International Fire code, maximum distance of travel is 75 feet in any direction and
mounted no more than 60 inches above the floor to the top of the unit.1 type K fire extinguisher is required in the kitchen area mounted no futher
than 330 fe t away but no closer than 10 feet.
All interior wall and ceiling finish is required to be a minimum of a class C with a flame spread index of 76-200 and a smoke development index of
0-450.
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The fire suppression system over the cooking appliance is required to be a UL 300 certified system. The system shall be maintained and
inspection records available for inspection.
The building and the site are subject to inspections and corrections by the Mason County Fire Marshal as deemed necessary to insure the
minimu fir and life safety requirements are met as adopted by Mason County.
4) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will harged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X�� .c_. .1.��
5) 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 tE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x Y�
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements),
Xuildir W� b ng/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
7) CONSTRUCTION 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
X so�nt-unty Building Inspector shall be made prior to requesting additional inspections.
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-compliant with Mason County ordinances and building regulations.
X
COM2013-00111 Page 3 of 5
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.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 permit holder have prevented action from being taken. No more than one extension may be granted.
10) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be designed to meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.)T� /)
11) This project approved without changes to the existing structure that would normally require a building permit. The continued use will be the same,
an assembly area classified as an A-2 occupancy.
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12) This project is approved and shall be completed prior to the final occupancy inspection, subject to the following requirements:
1) At least one accessible building entrance.
2)At least one accessible route from an accessible building entrance to primary function area.
3)Accessible signage.
4)Accessible parking in accordance to approved standards.
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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.
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Signature Date
Ci f�l Ian OWNE - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2013-00111 Page 4 of 5
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CONCRETE MECHANICAL MANUFACTURED HOME D
o Dale By w Footings !Setbacks Gas piping Ribbons Z
o interior Date By interior-Date By date By
Exterior Date By Exterior-Date By Set-up C
Point Load/isolated Footings INSULATION Date By =
BG!SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Data 13y
Date By OTHER
Groundwork Attic
Date By Date By Type.
Date By
D.w.v DRYWALL Type- n
Date By Int.Brace Wall Date By 0
Date By ic
FINAL INSPECTION N
Water Line Fire Seperation L
Date By Data By Date By W
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Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments
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MASON COUNTY (360)427-9670 Shelton ext.352
I_- DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352
BUILDING• PLANNING•FIRE MARSHAL (360) 482-5269 Elma ext. 352
Mason County Bldg. III, 426 West Cedar Street
PO Box 279, Shelton, WA 98584 www.co.mason.wa.us
COM .ol3 00 ) I I
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: Assessor's Parcel Number: 1),3 3 — Q
Legal Description: PCL 5IJ
Building Site Address: d,L4 1 I E }cde- Rj `'� ='=� c, r t.�� 01*35_:18
APPLICANT INFORMATION
Name of Applicant: VMOVIL �S
Mailing address: — R
City: State: Zip:
Day phone: _ - Contact Person: I j IMessage phone: 5�-j Q2 '�
PROJECT INFORMATION
Proposed business name: H D'S
Proposed use: ; u ,_r\ Q , , Q,,-v i c, Number of employees:
Previous business name: - i,, K o, (c •Jf. ,
Describe previous use:
STRUCTURE DETAILS
Check one: Q5 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?
is occupied? Yes Yr. D ca i 7 Mo 1
Square Basement: First:� �o Mezzanine: econd: Third:
footage:
Is the structure Type of Heat: Circle one: Furnace Heat Pump Electric wall Radiant
heated?
Circle one: es No Fuel type: Circle one: ,Electric Liquid Propane Natural Gas Oil
Will there b. any changes to the following? ircle yes or no, if applicable .
Floor lay-out: Yes Lighting: Yes Heating: Yes
Exterior Finishes: Yes Interior Finishes: Yes Parkin : Yes
kNd
Number of restrooms provided: Number of fixtures in each:
Water Closets Lavatories Bath/Shower
Is structure handicap accessible? Entry: Qes No Restroom(s): es No
Is the structure equipped with a fire sprinkler system? Yes N Fire alarm system? Yes No
Monitoring Station Name: 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
360.427.7262 or 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.
Signature of Applicant Date
X W7 Ma i f j�� Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by W Date t'0 13-I3 Submittal Amount$ 1ff - (5-0 Receipt number
Department Review Initials Date Comments
Building
Fire Marshal
Planning
Occupancy Change? (circle one) Yes N Land 1 se Designation:
Occupancy classification change from /QO C New occupant load calculated: persons
persons
Existing occupant load design persons. Type of construction V%5
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