HomeMy WebLinkAboutCOM2014-00061 Change in Tenant - COM Permit / Conditions - 6/25/2014 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
totoMason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352
o Shelton, WA 98584
o COMMERCIAL BUILDING PERMIT COM2014-00061
OWNER: ROBERT SIMPSON RECEIVED: 5/8/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 6/6/2014
SITE ADDRESS: 24171 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 12/6/2014
PARCEL NUMBER: 123282390022
LEGAL DESCRIPTION: TR 2 OF SW NW PCL 4 OF BLA#01-71(R) SEE BLA#02-44 AF#1762197
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE IN TENANT
General Information Construction&Occupancy Information
Type of Use: Insp.Area: No. of Units: Type of Constr.:
Type of Work: ACC Fire Dist.: 2 No. of Bathrooms: Occ. Group:
Valuation: No. of Stories: Exit Design. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
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?:
COM2014-00061 Please refer to the following pages for conditions of this permit. Page 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Tenant Review Fee TW 5/R/7nld Ttai nn q??mdnn
IFC Plan Check Fee I Aw Riannta M Rn C99n1ann
Total $211.50
CASE NOTES FOR
COM2014-00061
CONDITIONS FOR
COM2014-00061
1) This structure is served by Belfair Water and Belfair Sewer.
A Food Permit and inspection is required before opening.
X -e�
2) Install 2A10BC fire extinguishers throught the building with a a maximum travel distance of 75 feet in any direction mounted no more than 60
inches above the floor to the top of the unit.
X
One Type K fire extinguisher is required in the kitchen area no further than 30 feet away from the cooking applicances and no closer than 10 feet.
The Type 1 I ood and duct system is required to be in good working condition and the fire suppression system is required to be a UL 300 system.
X P� ,
The exisitng fire sprinkler system is required to be in good working order, any changes to the floor plan or changes to the wall layout that effects the
fire sprinkler system is required to be resubmitted to the county for review.
X l�
A knox box is required to be installed per section 506 of the 2012 International Fire code, please contact the local fire district for more information
and ins pgct�s.
X ��
3) 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 1-800-64982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X�
COM2014-00061 Page 2 of 4
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 ill be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X �
5) 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
6) 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 O USE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x )L ,
7) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements),
Xuild� Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
8) 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
Masoo,County Building Inspector shall be made prior to requesting additional inspections.
X
9) 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
Xp_copOiant with Mason County ordinances and building regulations.
10) 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
ofthe rmit holder have prevented action from being taken. No more than one extension may be granted.
X ,
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 i suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
IT APPL AT N OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature Date
OWNER -(IREPRESEIliTATIVE CONTRACTOR
Print Name e�
COM2014-00061 Page 3 of 4
O Cn
CONCRETE MECHANICAL MANUFACTURED HOME
_t Footings I Setbacks Date By Ribbons Cl)
o Gas Piping 0
o Interior Date By interior-Date By Date By Z
0
a' Exterior DoW By Exterior-Date By Set-up
Point Load IIsolated Footings INSULATION Date By 0
BG!SLAB INSULATION -- co
Date BY Data By FIRE DEPARTMENT m
Foundation Walls Floors Date B,
Date BY Data By DECKS
FRAMING Walls Date By
Date By Data ray PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date By Date By
type_
Date By D_W_V O I
DRYWALL Type:
Date B InL Brace Wail Date, By 0
y Dale By N
FINAL INSPECTION
Water Line Firs Separation
Date By Date By Date !.y
O
Pass or Request Inspect. o
Type of Insp. Fail Date Date Done By Comments
F-r lb
7
v
T_
0
COM
MASON COUNTY
CHANGE IN TENANT APPLICATION
Complete the Change in Tenant Application and return with a floor plan, site plan and fee to the Mason County Permit Center, P.O. Box
279, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve staff members from the Building, Fire Marshal,
Planning and Public Works offices who will identify compliance requirements. This application is intended for tenant change only. If
construction or remodeling is proposed or required a building permit will be necessary. Upon approval the permit will be issued to
the applicant/tenant. After the permit is issued, schedule an inspection by calling (360)427-7262. Upon satisfactory inspection the
building permit serving as a Certificate of Occupancy will be signed and approved. The Certificate of Occupancy must be posted in a
conspicuous place on the premises.
PROPERTY INFORMATION
Date: 57- 5 - 14 Assessor's Parcel Number: 1 32 Y. 2
Legal Description: Pcu #�-/ CIF' F36A oZ - g-f 1-". oE' s,,v NL..� rj„", ,,� 3� ►3
Building Site Address: 2-4 17 __V A cj G Zv
APPLICANT INFORMATION
Name of Applicant: R
Mailing address: ,-
.p� Je,
City:Y6A c-D4 State: Zip: 364
Day phoned,qy-J 9ia Contact Person: " Message phone:
PROJECT INFORMATION
Proposed business name: ,�� � ����- G1
Proposed use: ��,-� 1� , --r .a �p Number of employees: ).-
Previous business name: -���,�,� �'S Describe previous use: �;,r;� py,(2
STRUCTURE DETAILS
Check one: aptetached single level/single tenant TSingle level/ multi tenant
{ Multi level/single tenant _ Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
R_ t-exa f> occupied? Yes Yr. -0 Mo.-1
Square footage: I Basement: I First: Ligeo Mezzanine: Second: Third:
Is the structure heated? Heating type: Circle e:
Circle one: a No Electr Liquid Propane Natural Gas Oil
Type of heat: Circle one: Furnace eat Pump Electric baseboard or wall mount Radiant
Will there be any c s to the following? Circle yes or no, if applicable:
Floor lay-out: Yes N Lighting: Yes 4Zo Heating: Yesto
Exterior Finishes: Yes e Interior Finishes: No Parking: Yes
Number of restrooms provided: a I Number of fixtures in each
Is structure handicap accessible? Circle one Yeg No
Is the structure equipped with a fire sprinkler sy em? Ye No Fire alarm system? Ye No
Monitoring Station Name: e t,noi✓tz; Phone number: 253 26 - 3 7 S 3
APPLICATION WILt NOT BE ACCEPTED WITHOUT:
1. Floor Plan (5 sets):
• Draw the floor plan to scale 0 Use of rooms
• Room Dimensions 0 Location of all exits and windows (inRV ip�a��ipp�
• Location of plumbing and mechanical fixtures • Interior doors with swing radius 1. t vTr+
2. Site Plan(1): Note scale used �,,�A y L
• Property lines, easements, &right of ways Location of all existing structures&dimeti�c hso 8 2-0m
• Distance, in feet,from property line&structures 0 Landscape buffer yards
• On-site sewage tanks and drain fields, & reserve Well location 42 6 l V• C E D/a R S 7,
• Location of fire hydrants&vehicle access roads 0 Parking areas number&arrangement)
4. Fees will be collected at time of submittal
Official Use Only
Accepted by Date Submittal Amount $ Receipt number
Department Review Initials Date Comments
Building
Fire Marshal
Planning
Public Works
�!0 -F-{
Occupancy Change? (circle one) Yes No Type of construction
Occupancy classification change from to Occupant load calculated: persons
Existing occupant load design persons. Land Use Designation:
Occupancy Classification:
CommonBuilding/TENANT REVIEW APPUCATION.doc
1762197
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NOTE. These parcels are subject to and together
20 21 with on easement for access, utilities and
Co1c. Position parking as per oundary Line Adjustment
per R.O.S. recorded unde F. #1748307,
29 28 Vol. 25 Pg. 32 EXCEPT as am ed hereon.
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amended 7.0' Oo
I further East. O .�
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25.26'
NEW LINE//�, ti
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,�/,�' � APPROVED
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�G do SON OUNTY DCD PLANNING
29 P P100.00, 36.8i �°' ' SITE I J REQUIRED TO BE ON SITE
8828'49" W 385.59' - /� C NG S BJECTT A PR VAL
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Ej�� caL;,y, —.North Ridge Properties LLC
Lester & Betty Krueger MAY 0 8 2014
*1T . P.O. Box 1119, Bel fair, WA. 98528
Tax Parcel #12328-23-90022
112326-23-90023 426 W CEDAR S T.
'•ps o���h
?��►�,�b E OP 9 LINE TABLE
LINE BEARING LENGTH
y = L 1 S 28 59'22" W 3.55
'y 20�s a r,�= L2 N 46'00'27" W 29.84
L3 N 0130'00" E 50.00
��NAf LANo�►�� L4 N 882849" W 24.74'
o�nt �'i io a L5 S 88 56'14" E 25.26'
0Z
AES EXHIBIT MAP DR. BY: C S.
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BOUNDARY LINE R.L.J. SE.O.
CONSULTANTS. INC. ADJUSTMENT DATE. JD9 No.
f4��.=,v,,,�.._.f .,.. FOR: JACK JOHNSON 8115102 3120