HomeMy WebLinkAboutCOM2001-00010 Tenant Review Application - COM Permit / Conditions - 3/25/2002 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
COMMERCIAL BUILDING PERMIT COM2001-00010
OWNER: DON RIEBE RECEIVED: 2/6/01
CONTRACTOR: DON RIEBE ISSUED: 9/25/01
SITE ADDRESS: 24131 NE STATE ROUTE 3 BELFAIR EXPIRES: 3/25/02
PARCEL NUMBER: 123283290040
LEGAL DESCRIPTION: TR 4 OF NW SW TR B OF SP#152, AF#303681 SEE SP#2816
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
TENANT REVIEW APPLICATON
General Information Construction & Occupancy Information
Type of Use: COM Insp. Area: No. of Units: Type of Constr.:
Type of Work: TRA Fire Dist.: No. of Bathrooms: Occ. Group:
Valuation: No. of Stories: Occ. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
odel: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline Z3< 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?:
COM2001-00010 Please refer to the following pages for conditions of this permit. 1 of 3
MASON COUNTY
13UILDING
PERMIT
n �1�ate
Permit No. is&12Q�-
Address
Owner On 01
Reg. #,
Contractor
Job Description le
f l
Foundation Footing
Foundation Wall
Below Grade/Slab Insula
Plumbing Inspection
Mechanical Inspection
Frame Inspection
Insulation Inspection
Inspection
Wall Board Ins p
Fire Marshal Final (commercial only)
Final Inspection / �^
Applicant Must Call Issued By
427-7262 for
Required Inspection POST THIS CARD IN A CONSPICUOUS PLACE
AT THE FRONT OF PREMISES.
This Building NOT To Be Occupied Until Finaled
f
9/10/01 Activities for Case #: COM2001-00010
2:47:28 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
COMA010 Application Received 2/2/01 2/6/01 KLW DONE No Hold KLW 2/6/01
COMB009 Fire Marshal Review 2/7/01 DLS DONE No Hold DLS 2/7/01 1.ALL PORTABLE FIRE
EXTINGUISHERS ARE TO
HAVE CURRENT SERVICE
TAGS.
2.ANY FIXED FIRE
SUPPRESSION SYSTEMS
THAT PROTECT
COMMERCIAL COOKING
APPLIANCES ARE TO HAVE
CURRENT SERVICE TAGS.
COMB110 Building Plan Review 2/6/01 2/7/01 SKM DONE No Hold SKM 2/7/01 CHANGE OF OWNERSHIP
NO BUILDING ISSUES.
INSPECTOR WILL CONDUCT
A FIRE/LIFE/SAFTEY
INSPECTION PRIOR TO
ISSUANCE OF THE
CERTIFICATE OF
OCCUPANCY.
COMB130 Planning Review 2/6/01 2/7/01 AHB DONE No Hold AHB 2/7/01 New tenant with same land use
proposed and no expansion of
area planned; at least 11
parking stalls available for use;
maintain vegetation buffer
along State Route 3. AHB
COMB200 Environmental Health Review 2/6/01 2/9/01 PSD DONE No Hold PSD 2/9/01 The septic stufff is ok for this
transfer.Need water
adequacy.psd
COMA205 Environmental Health HOLD 2/8/01 2/8/01 SMK DONE Hold SMK 2/26/01 Pending enforcement on water
system, need satisartory bacti,
IOC and properly constructed
well vent to release hold. In the
future DOH will want SCA
encroachments addressed.
Potential owner has been
informed of this via phone.
2/26/01 IOC and Bacti received.
Well vent needed.SMK
COMB200 Environmental Health Review 9/4/01 9/4/01 PSD DONE No Hold PSD 9/4/01 The issues have been
resolve.psd
Page 1 of 1
9/10/01 Activities for Case #: COM2001-00010
3:05:52 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
COMA010 Application Received 2/2/01 2/6/01 KLW DONE No Hold KLW 2/6/01
COMB009 Fire Marshal Review 2/7/01 DLS DONE No Hold DLS 2/7/01 1.ALL PORTABLE FIRE
EXTINGUISHERS ARE TO
HAVE CURRENT SERVICE
TAGS.
2.ANY FIXED FIRE
SUPPRESSION SYSTEMS
THAT PROTECT
COMMERCIAL COOKING
APPLIANCES ARE TO HAVE
CURRENT SERVICE TAGS.
COMB110 Building Plan Review 2/6/01 2/7/01 SKM DONE No Hold SKM 2/7101 CHANGE OF OWNERSHIP
NO BUILDING ISSUES.
INSPECTOR WILL CONDUCT
A FIRE/LIFE/SAFTEY
INSPECTION PRIOR TO
ISSUANCE OF THE
CERTIFICATE OF
OCCUPANCY.
COMB130 Planning Review 2/6/01 2/7/01 AHB DONE No Hold AHB 2/7/01 New tenant with same land use
proposed and no expansion of
area planned; at least 11
parking stalls available for use;
maintain vegetation buffer
along State Route 3. AHB
COMB200 Environmental Health Review 2/6/01 2/9/01 PSD DONE No Hold PSD 2/9/01 The septic stufff is ok for this
transfer.Need water
adequacy.psd
COMA205 Environmental Health HOLD 2/8/01 2/8/01 SMK DONE Hold SMK 2/26/01 Pending enforcement on water
system,need satisartory bacti,
IOC and properly constructed
well vent to release hold. In the
future DOH will want SCA
encroachments addressed.
Potential owner has been
informed of this via phone.
2/26/01 IOC and Bacti received.
Well vent needed.SMK
COMB200 Environmental Health Review 9/4/01 9/4/01 PSD DONE No Hold PSD 9/4/01 The issues have been
resolve.psd
Page 1 of 1
r ..
HD ' S
CHANGE
SUS
EMIT CHANGES FOR APPROVAL'
PRIOR TO PERF
URNIING WORK
Provide a Sign near the main exit from .E '—this room stating: L N
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"Maximum Room Capacity: \\\ �O
i `}5 Occupants"
UBC Sec. 1007.2.5 '� M
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Exit Signs. Means of egress identification, _ • a �' } —
illuminated exit signs are required, except 71�=y� r 0 c
in rooms that are obviously and clearly ' a` 0 (a a
identifiable as Exit Doors. 97 UBC ��
1003.2.8.2. 451011
YM L�Xi"+-.(A) FB� 100
Provide a adjacent
sign on or a n g 1 ce t to the door 0
stating: "THIS DOOR MUST REMAIN ?
UNLOCKED DURING BUSINESS HOURS."
The sign shall have letters not lees than 1"
high,with a contrasting background.
UBC 1007.2. 5. 1. �'
SECTION 26 , TOWNSHIP 23 NORTH , RANGE I WEST, W.M
` MASON COUNTY, WASHINGTON
JUNE,1975
303681
Pa
West G,,orler
Horold A. Millard
Corner
East Wesr Cer!erfim-
TAB ?
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T118.
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bCn,cken Sned
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.to�• rYjaJ h-s : nci C'�rrve�
'em THESE PLANS MUST BSELLER - Joseph L. Virnoche
ct01e ON THE JOB SITE c% Jerry Smith
lO\d FOR INSPECTION. Pro FOR
5R 3 Shelton, Wo. 98584
426 -3,.61
Group A-3 Panic hardware may be omitted from the Main
Exit Door provided there is a sign "THIS DOOR MUST
REMAIN UNLOCKED DURING BUSINESS HOURS". The
sign shall be in letters not less than 1 inch high, (contrasting
background). UBC 1007.2.5
;'A �7S
6,C e2L jet ller 77 2?c t .
ROGER D. LUVITT B ASSOCIATES P.O. Box816 Shelton, Wo. 98584 (206)426-5622 7
FILE
COPY
APPROVED
MASON BUILDING INSPECTOR
!F--
SUBJECT TO APPROVAL
-DATE
0
FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION
FACILITY ADD SS I CITY ZIP PHONE
NAME t4 p q 1 3 / /VL�_S7A� ALUM)C -�s -?St
INSPECTOR �� C AGENCY ATE
DAVE SAt-ZM 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD
ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION
NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY
Q DATE
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THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE REINSPECTION DATE
EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS V)
NO LATER THAN THE DATES INDICATED
PAGE OF PAGES
White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District
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) GC�VVI�[,J 0 2 6 t CCase number: aal'��I
Mason Countyc�'
TENANT REVIE ��P'L�
Complete the tenant review application and return with floor plan. site plan, pumpers report, and $100.00 fee to
the Mason County Permit Assistance Center, attn. M MacSems, P.O. Box 186, Shelton,WA 98584. The tenant review
application will be evaluated on Wednesday after the application has been received. During the evaluation Mason County
staff members from the Building, Fire Marshal, Environmental Health, Planning, and Public Works offices will identify
compliance requirements, if needed, and advise whether a separate building permit will be required.
Date: JAW Z Z O D I Assessors Parcel Number. 123 Z,* -3'2,-900Y0 L DT 01 ?z�, T
Legal Description: 89 R Al W // it// y -S1=C T, 2>�j�w�,sN; n��t7`H Q,4n / eJT
Building Site Address: Zq j 3 1, AIF S IZ T- 11=,41 e j ,IA 9
Method of sewage disposal: 1V Septic O Sewer- name of district:
Water source: Well O Community Well O Public System, name of system:
PEOPLE and FIRMS INVOLVED IN THE PROJECT
. Name of property owner: p Ur G+M o
Mailing address: p S A).r, 1-2 0*h 4W y 5,e/F,I X' 1.14 9.5-z8'
Day phone:3k p Z75-- 787 Contact Person: DAV e 6 Ey N 0 N 7Message phone: 360 zS7_G(7
Name of applicant: e_b
Mailing address: 2--7 _P2 ve
Day phone:753_,�,j-3_UzS-Contact person: �, Message phone: 2!E 360-�lZb-63/(,
6n-r. 1019
Name of Tenant:
Mailing address:
Day phone: Contact person: Message phone:
PROJECT INFORMATION
Proposed business name: 14 O's
Proposed use: VC2� Number of employees: +
Previous business name: 5141s7 e
Previous use: SA-M e.
INFORMATION ABOUT STRUCTURE
Check one: WDetached single level/single tenant single level/multi tenant
Multi level/single tenant Multi level/multi tenant
Age of structure: Is structure currently occupied? If not occupied, how long has it been vacant?
Circle one: es No Yrs mos.
List square footage for each floor level
Basement: First:Zgyr,> I Mezzanine: Second: Third:
Will structure be heated: Type heating fuel: C e:
Circle one: Y s No lectric 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 No Lighting: Yes Heating: Yes o
Exterior Finishes: Yes o Interior Finishes Yes o Parking: Yes o
Number of restrooms provided: Number of fixtures in each 3 (2-5 2
Is structure ADA Accessible? circle one Yes No
Is the structure equipped with a fire sprinkler system? Yes o Fire alarm system? Yes o
Return this application with:
1) Floor Plan, 2)Site Plan, 3) Pumpers Report, and 4) $100 Fee
1) Floor Plan: Include existing walls,proposed walls,and walls that will be removed.
• Draw the floor plan to scale, '/4"= 1 foot min. • 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: Note scale
• 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 drainfields, & reserve Well location
• Surface &stormwater run-off routes • Parking areas (number& arrangement
• Location of fire hydrants &vehicle access roads • Slope of property
3) Pumpers Report
4) Fee: $100.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit is
issued.
Office Use Only
Pre-Application Review Departmental Review
Env. Health Env. Health
Planning Plannin
Public Works Public Works
Fire Marshal Fire Marshal
Building Building — /v—O
NREC NREC
Pre Application required? (circle one) Yes o
Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes8No
Occupancy Classification: A-s Occupancy Change? (circle one) Yes
Occupancy classification change from to
Type of construction
Occupant load calculated: persons. Existing occupant load design persons.
Fee Schedule
Lo .
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