HomeMy WebLinkAboutMIS97-0584 Remodel Deli - BLD Permit / Conditions - 9/7/1997 MASON COUNTY -
Mason County Bldg, III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
INA 1 :3C: F 1.._ 1.. ANiF= C7)L) r7 AjT " _T FOR INSPECTIONS CALI 4?7--9670
M1897--0584 PARCEL 023294: - PLAT: r.11V :7 OLK :? LOT 0
,108 ADDRESS : NF 201 STATE rioV j L 300 REI FA I R
APPLICANT : 206--622-9�740
()WNER a 9WOODOCENTMERS INC. 206-622 9740
LEGAL a TI I/ OF It SE
PROJECT DESCRIPTION
0
PROJECT LOCATION :
HWY 3 SOUTH OF BRFMERION.- AT HWY 300 IN REUFAIR ,��
0
PROJFCT NOTES!
'AC.T3,ttP.R�]L'9:�:"::!SCLrMC3:.:x::.>'..AGti'�T:�A"•..t4':vC.i. :'_:Sf"._.«qi. ..
TYPF AMOUNT BY DATE RECEIPT
P1 FF 160 .80 1.-1.H 09/04/97 .1054
PI-SS 'S 16 .75 LLH 09104/97 10!)4 .`
MCFF 9I 20 .25 LLH 09/04 /97 1054
MCF3 16 .75 LI_11 09/04/97 1054;i OTAL 214 .55 OWN OR A FNT I)Ai'I-
i
IIIS ?#If,, rav '411111V COMPL. I ANCE'.-rn ATTACHED CONDITIONS IS
REQUIRED
ti
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. 9'Z`�`g� `'' WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
Pet.'
date �L by date by date by
Z1/ 9-7 Eej aw l_ 1 DU I C"'+_� -y"t. O
yam'xr� ���1�''E�SG'l:��.�- f>.,, ��r/.YC'CEZ-.G�✓l yl �.�% /4�� c�lr�/,'.'Ya4FAP ��y
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS97-0584
for : AUAL MY FOOD CENTERS INC .
page 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , G t,T i ON 305(C ) ANO SECTION 913 , All. SITES MOST
HAVF APPROVED NUMBERS OR ADDRESSES PROViDED. 1N SUCH A POSI'TiON AS TO BE t AINLY VISIBLE
AND LEGIBLE FROM THE STRE F_" OR ROAD FnONT I NC THE PROPERTY , MASON COUNTY BO I LD I NG
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIUR TO CAI. L.. ING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON F'E:F , RASED ON RATES IN TABI_F 3A OIL THE 1994 UN I FOWA BUILDING CODF W i L..L. BF
ASSESSED 1F. OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
2 ) ALL. CONSTRUCT i ON MUST' MEET OR FXCE'F'h' AI..L.. LOCAL. CODES AND k1w',
REQUIREMENTS
X
3 ) CONSTRUCTION PROCESS 'TO BE F I ELD CORRECTED AS RIFOU i RE D PER MASON COUNTY BUILDING
DEPARTMENT AND UN I FORM BUILDING CODE
r . -
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ? ALL FURNACE INSTAL L.AT I OW; : HA1. i_ MLE 1 11-it. 14 l iLi HAOM Eli l G i CNC I ES >L l f URTH IN 111E 1944
WASH1NGTON STAT`�,,' ENERGY CODE tWSEC1 . ANY PORTION OF THE MECHANiCAt SYSTEM THAT IS
ALTERED OR REPLACED SHALL. MEET THE MINIMUM STANDARDS SET FORTH IN THE 1994 WSFC AND
1994 UNIFORM MECHANICAL CODE . X
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Ir Permit No. M)S `1^o5Sq
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner STo c..k Phone#
Site Address �. E, -LU , 17;_ 300
City 3<.� �.. r St Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name IN ►l:�•�S +.Jn.c.�•: C-C- Contractor Reg. #(y:(`j M_jO'n A
Address 3ci o 3 Ave. Expiration date 1,j- , 1 • ti-I
City E U''j- St WW- , Zip g2jo Phone).o6 . 1Q3 Uga.�
#3 Parcel No. - -
Legal Description
#4 Use of building r Describe work ,ti,,a._t tJf-L
l �.. a
#5 Type of Jo : New Add A_Alt Repair
Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins _ Heatpump, Other
Bath Tubs No. Units Fees
Showers 9 Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
Sinks '30. IS _ _ Spot Vent Fans
jFloor Drains No. Boilers/Compressors
_Laundry Basins _ HP
jDishwasher 3 3S No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Other
{ Other vb apc,� r. Qn.�Es _ Gas Outlets
Wood, Gas, Pellet Stove 33.00
Permit Basic Fee 16.75 _ (3•")
TOTAL PLUMBING $
Permit Basic Fee 16.75
TOTAL MECHANICAL $37- Do
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any
time after work is commenced. Proof of continuation of work is by means of a r)ro4ress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OFTHE MASON COUNTY ORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE I
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628
1~DR OFFICIAL USE ONLY, Aocepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY Approved Denied
Planning:
i
Building:
Fire Marshal:
Page No. 1 CASE HISTORY FOR CASE NO.: MIS97-0584
QUALITY FOOD CENTERS INC.
NE201 STATE ROUTE 300 BELFAIR
10/21/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MISA010 Application received / / / / 09/04/97 09/04/97 LLH
MISA015 Waiver in File / / / / / / 09/04/97 LLH
MISA050 Approved For Issuance / / / / 09/04/97 DONE LLH 09/04/97 LLH
MISA500 (F) Issue permit / / / / 09/04/97 DONE LLH 09/04/97 LLH
MISA500 (F) Issue permit / / / / 09/11/97 DONE KS 09/11/97 KS
MISB008 Clerical Review & Approval 09/04/97 / / / / DONE LLH 09/04/97 LLH
MISB135 RLC Checklist Review / / / / / / 09/04/97 LLH
MISC100 Inspection 09/24/97 09/24/97 09/24/97 BELOW GRADE ROUGH IN DELI AREA TEST OK PASS SKM 09/25/97 KW
ON PART DWV SUPPLY OK 120 PSI ALL BUT
OUTER LINE ON INTERIOR.
MISC130 Plumbing inspection 09/12/97 09/12/97 09/12/97 no plumbing being added to building, FAIL LW 10/03/97 TLG
floor drains. This permit is for
replacement of existing fixtures only.
Contyraxtor needs to obtain new permit
MISC135 Mechanical inspection 09/30/97 09/30/97 09/30/97 pressure test on case freezer and deli. PASS TR 10/13/97 KW
all overhead from point of connection in
store to point of connection in storage
area
�0 T)FS7
O,i p�jO,pvc-E fl��fi�f
rage No. 1 CASE NISTORY"FOR CASE NO.: MIS97-0584
QUALITY FOOD CENTERS INC.
NE201 STATE ROUTE 300 BELFAIR
09/09/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MISA010 Application received / / / / 09/04/97 09/04/97 LLH
MISA015 Waiver in File / / / / / / 09/04/97 LLH
MISA050 Approved For Issuance / / / / 09/04/97 DONE LLH 09/04/97 LLH
MISA500 (F) Issue permit / / / / 09/04/97 DONE LLH 09/04/97 LLH
MISB008 Clerical Review & Approval 09/04/97 / / / / DONE LLH 09/04/97 LLH ,
MISB135 RLC Checklist Review / / / / / / 09/04/97 LLH
no