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Home My WebLink AboutCOM2003-00163 Cancelled Change in Tenant - COM Permit / Conditions - 7/26/2006 1 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262 Mason County Bld . 3 426 W. Cedar P.O. Box 186 9 Phone: (360)427-9670 ext.352 Shelton, WA 98584 i olt COMMERCIAL BUILDING PERMIT COM2003-00163 OWNER: ROBERT KLEMOLA RECEIVED: 9/18/2003 CONTRACTOR: LICENSE: EXP: ISSUED: 10/9/2003 SITE ADDRESS: 31 NE STATE ROUTE 300 BELFAIR EXPIRES: 4/9/2004 PARCEL NUMBER: 123294200190 LEGAL DESCRIPTION: TR 19 OF NW SE SEE BLA#01-21 PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT HWY 3 INTO BELFAIR TO ADDRES PFFIM1T 01R c�T10N a General Information Construction & Occupancy Information No. of Units: Type of Constr.: V-N Type of Use: COMPUTER LAB Insp. Area: No. of Bathrooms: Occ. Group: B Type Work: ALT Fire Dist.: 2 No. of Stories: 1 Occ. Load: 36 Valuation: Building Height: 14 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Tenant space: 1,120 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?: Y Emergency Key Box?. ? Standpipe?: N Auto Fire Sprinkler System?: Y NFPA 13 Access Road?: Y Fire Extinguishers?: Y Fixed Fire Suppression System?: N Fire Hydrants?: Y Fire Lanes?: Y Please refer to the following pages for conditions of this permit. COM2003-00163 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES 1 ype Qty. Type Qty. Type By Date Amount Receipt Tenant Review Fee rnnN onA/9nn.i ttrn sn Ri,)nnAnn EH Plan Review r.F\A/ 1nia»nna a79;nn RtgnnAnn, Total $195.50 CASE NOTES FOR COM2003-00163 CONDITIONS FOR COM2003-00163 1) 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 Re-Inspection fee in the amount of$52.30 per hour(minimum 1 h u w/Iybe charged and must be collected by this department prior to any further inspections being performed or approval granted. X /`r 2) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE XSSES�S �FI�NER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. , ll 3) ALL CONtTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF 0 OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 4) Changes to approved building plans that affect compliance to the current on-residential Energy Code (NREC), ventilation and Indoor Air Quality Code (VI ni rm Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X tf 5) CONSTRUQtION PROC TPPE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 6) All building permits shall hav(i'a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to req est a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-comp i n * h Mason County ordinances and building regulations. X ,1 7) Need a 2A 106C fire extinguisher. X COM2003-00163 2 of 4 This p4rmit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after .work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. 1 , OWNER OR AGENT: DATE:_ COM2003-00163 3 of 4 n CONCRETE MECHANICAL MANUFACTURED HOME N o Footings I Setbacks Date B y Ribbons o Date By Gas Piping Date B y rn Foundation Walls Date B y Set-up Date By INSULATION Date By B G I Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By Date By r n � 0 O r � O W i O W I� 0 ascott To: CINDY WAITE From: Toni Fax: 360-427-7798 Fax: (360)876-2162 Pages: 4 PLUS COVER Phone: (360)876-8018 Date- September 30,2003 Re: SEPTIC QUESTIONS CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑Please Reply ❑Please Recycle P.O.Box 550•NE 51 Highway 3-Belfair,WA 98528• (360)275-0113• Fax(360)275-5678 1700 Mile Hill Dr.,Suite i00A• Port Orchard,WA 98366• (360)876.8018•Fax(360)876-2162 Cl d90 :90 60 06 daS N SEPTIC TANK MAIN OFFICE 9303 54th AVE. NW CLEANING, INC. GIG HARBOR, WA 98332 Please Pay From This Invoice PIERCE COUNTY KITSAP COUNTY MASON COUNTY JEFFERSON COUNTY GIG HARBOR LAKEBAY TACOMA PUYALLUP PORTORCHARD BREMERTON SILVERDALE POULSBO BELFAIR SHELTON 851.3432 854-5013 627-0626 841-7171 676-5829 373-OB21 692-7432 779-1507 275.7134 427-8282 PORT TOWNSEND TOLL-FREE CUSTOMER NAME 379-8848 1-800-699-7854 JOB ADDRESS CITY PHONE ! DATE OF SERVICE a CLEANED SEPTIC TANK: APPROX.TANK SIZE _ S ACTUAL CHARGES ESTIMATE GALS. LIQUID LEVEL APPEARED: XORMAL ❑HIGH ❑ L W ❑FLOODED SEPTIC TANK CLEANED a3 S SEPTIC TANK CLEANING... ❑HOME VACANT ❑PUMP SYSTEM BAFFLES INTACT. INLET ❑ YES ❑NO ❑REPLACED OUTLET: ❑ YES ❑NO ❑REPLACED UNCOVER TANK -T1 DIGGING/COVERING........ SEPTIC TANK CONSTRUCTION: �ONCRETE ❑ FIBERGLASS ❑METAL l� Irx�1(�J` — C TRUCK TIME:... HR. INFO FROM MAP HOMEOWNER EXTRA GALLONS ................................ YEAR BUILT 0 PER GAL. � I .................... LAST YEAR PUMPED r / ll 19 GARBAGE DISP. _ ❑YES ❑NO O ` ,� ) `7 G NO.IN FAMILY U' r- ,q xf cz tin DUE FOR.P,EANIII 111T7r1/" A Ai YES �+ 9,ecommendCleaning — - Eve ry — fu 0 ��/ SUB TOTAL Years To (� Prevent Fallure K•No, X -� DATE CUSTOMER SIGNATURE m THE TERMS AND CONDITIONS ON THE REVERSE SIDE LI IT OUR LIABILITY AND PROVIDE GENERAL INFORMATION. PLEASE READ THEM. SUB TOTAL TYPE OF PAYMENT TIME IN TIME OUT ❑ CASH 0 CHECK ❑ VISA a) TAX ❑ MASTERCARD ❑ DISCOVER v SERVICE AN '` A ❑ PREPAID ❑ BILL El ESCROW 4 { TOTAL AMOUNT DUE $25.00 RETURNED CHECK FEE _ \ J> DOr1DCOTv nunr.. __ .. Case number: Mason County COM2003 - (X51(�)3 TENANT REVIEW APPLICATION 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: 0-33 Assessor's Parcel Number: Legal Descr ption: Building Site Address: 3 /VE 5779-7—E )QU u 7"!' 300 DEL�R//2 Lc�l� 98'S2g Method of sewage disposal: Septic O Sewer- narrfe of district: Water source: O Well O Community Well O Public System, name of system: PEOPLE and FIRMS INVOLVED IN THE PROJECT Name of property owner: Mailing address: Day phonesContact Person: Message phone: Name of applicant: Mailing address: Day phone: Contact person: Message phone: Name of Tenant: Ro 3&-V 7— L-67710 L/4 Mailing address: E30 ZO 6 57t{ S7, CT, CO, UA)I U1?2517-Y PL19,CE Wfi, 98L16 Day phone: 2.53—5 qq-.§ Contact person: I Message phone: 2 5 3— S 6 J22 0 PROJECT INFORMATION Proposed business name: 13£L 1`6 1k COMPU L -9- 3 Proposed use: Go m pu T S—n )QE 7--,4 I L Number of employees: Previous business name: jAa"/L5£n) CH/P,0)02&C7-1C Previous use: C H I&C) Ql4cT"C)2 INFORMATION ABOU RE Check one: ODetached single level/single tenant sin le level/multi tenant Multi level/single tenant Multi level/multi tenant Age of structure: Is structure currelWy occupied? If not occupied, how long has it been vacant? Circle one: Yes No Yrs mos.s List square footage for each floor level Basement: First: Mezzanine: I Second: Third: Will structur a heated: Type heating fuel: Circle one: Circle one: es No Electric Liquid Propane Natural Gas Oil Type of heat. ircle 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 o Lighting: Yes pNo� Heating: Yes o Exterior Finishes: Yes o Interior Finishes Yes Parking: es No Number of restrooms provided: ( Number of fixtures in each 7Z)I Lr ,7" q: ( ,s /1 Is structure ADA Accessible? circle one Yes No Is the structure equipped with a fire sprinkler system? Ye No Fire alarm system? Yes No 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, '/,"= 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 D1110 MY1138 • On-site sewage tanks and drainfields, & reserve Well location • Surface & stormwater run-off routes Parking areas (number& arrangeme I d3S • Location of fire hydrants &vehicle access roads • Slope of property t� ^ 3) Pumpers Report V 3!�AA 13 J 3 8 W-00 4) Fee: $IV&00 Intake fee will be collected when submitted. Additional fees will be collected when the permit is Issued. r Office Use Only Pre-Application Review Departmental Review Env. Health Env. Health Planning Planning Public Works Public Works Fire Marshal Fire Marshal Building ! Q Building NREC NREC Pre Application required? (circle one) Yes No Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes No Occupancy Classification: Occupancy Change? (circle one) Yes No Occupancy classification change from to Type of construction Occupant load calculated: persons. Existing occupant load design persons. Fee Schedule