HomeMy WebLinkAboutCOM2016-00125 Replace Live Tank - COM Permit / Conditions - 9/27/2016 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
PSo� co�tirt Mason County Phone: (360)427-9670, ext. 352
615 W Alder St
Shelton, WA 98584
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COMMERCIAL BUILDING PERMIT COM2016-00125
OWNER: QFC GROCERY RECEIVED: 9/21/2016
CONTRACTOR: LICENSE: EXP: ISSUED: 9/27/2016
SITE ADDRESS: 201 NE STATE ROUTE 300 BELFAIR EXPIRES: 3/27/2017
PARCEL NUMBER: 123294290001
LEGAL DESCRIPTION: TR 10 OF NW SE - LOT: B EX OF SP#591 LOT: 1 OF SP#2938
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACING A LIVE LOBSTER TANK WITH A SELF SERVE FOLLOW ST RT 3 TO BELFAIR, L ON ST RT 300 TO QFC STORE
SEAFOOD CASE THAT WILL BE LOCATED WITHIN THE
SAME FOOTPRINT
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: GROCERY STORE Insp.Area: No. of Bathrooms: Occ. Group:
Type Work: MEC Fire Dist.: 2 No. of Stories: Exit Design. Load:
Val al uation:
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?:
COM2016-00125 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
Additional Fixtures 1 Special inspection rnnnn Q19119niF IM nn q?9ntann
Mechanical Permit Fee rnnnn Qi,)ti9nta v i gn gggn1Rnn
Mechanical Base Fee rnnnn Q/910ma T,,)R x;n g99n1ann
Total $114.70
CASE NOTES FOR
COM2016-00125
CONDITIONS FOR
COM2016-00125
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- 9 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) ALL CONSTRUCTION UST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGES SE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
3) The demolition and disposal of debris must meet the regulations of Mason County and Oly is Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have
been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orcaa.org
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4) 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.
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5) All permits xpire 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 perr j' holder have prevented action from being taken. No more than one extension may be granted.
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COM2016-00125 Page 2 of 4
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 F 18P DAYS WILL INVALIDATE THE APPLICATION.
Ad4
Sign t Date
a, OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2016-00125 Page 3 of 4
MASON COUNTY COMMUNITY SERVICES Permit No&1q Ulu - MIA 5
r� PERMITASSISTANCECENTER:
• BUILDING• PLANNING•,FIRE MARSHAL
615 W. Alder St- Shelton,WA 98584
Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7798
Phone Belfair:(360)275-4467 Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: QFC NAME: Hoover Commercial Refrigeration
MAILING ADDRESS: 3701 S. Norfolk St MAILING ADDRESS: 3302 cedardale Rd suite #c300
CITY: Seattle STATE: WA ZIP: 98118 CITY: Mount vernon STATE: WA ZIP: 98274
1" PHONE: 206-346-3976 _ PHONE: 360-445-2019 CELL: 360-630-3672
2°d PHONE: 208-890-2322 _ EMAIL : bryang.her@gmail.com
EMAIL: albert.palacios@kroger.com L&I REG# EXP.
PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number): lAaA9 - 14a- 5000I Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 201 WA-300 CITY: Belfair
DIRECTIONS TO SITE ADDRESS: Turn off of highway 3 onto highway 300 going north, turn
left into QFC parking lot
TYPE OF JOB
NEW ADD ALT_x REPAIR OTHER USE OF BUILDING Grocery Store
LOCATION OF FIXTURES/UNITS— I ST FLOOR x 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPG Natural Gas Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink ` ,C� Furnace
Bath Tubs `�/ {.� Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Alder Strom— Wood/Gas/Pellet Stove
Dishwasher b I5 "' Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other Refer case 1
Base Fee _ Base Fee Zs•15 ��
TOTAL PLUMBING TOTAL MECHANICAL 3al
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 decQro
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 APPLICATI N OFF 0 D Y�6 WILL INVALIDATE THE APPLICATION.
X 8 September 2016
igna a pli ant Date
X Bryan Galbraith Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev: 1/27/2016 )BN
CaMA6Ica -00ta5
Permit number E021
Mechanical Permit Checklist
• Name of owner: QFc Name of Installer: Hoover Commercial Refrigeration
• Fuel Type? LPG Nat Gas Electric Other
• If propane,what is the proposed size of tank(s)?
• What type of mechanical unit will be installed?(i.e.freestanding stove,forced airfurnace, etc)
(1) refrigerated self service seafood case
• If the unit is a wood stove, provide: Make Model
Year Label Number
• What is the use of the structure? (Circle one) Residential Commercia
(A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff..' Include a floor plan
showing the location of units)and layout of duct work with the permit application.)
• Type of structure: (Circle one) Site Built Home Manufactured Home Other Commercial Grocery store
• What room will the mechanical unit be located? sales floor
• Will the unit be located in a basement?(circle one) Yes No
• How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.)
N/A
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent, direct vent, L-vent,etc) N/A
• What year was the structure constructed? Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e. thermostat, etc) Temperature probe
• Will the proposed mechanical unit be a heat source?(circle one) Yes o
• Additional information: we are replacing a live lobster tank with a self serve seafood case
that will occupy the same footprint
Signature of Applicant Date SiwB 'ie�►G
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
Propane tank 73..00
Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5)
Mechanical base fee 28.50 or$9.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace,pellet stove or wood stove $73.00
Final Inspection fee 73.00
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CONCRETE MECHANICAL MANUFACTURED HOME n
Date By
Footings I Setbacks Ribbons
o Gee Piping M
o Interor Date By Interior-Dale By Date By O
Fxtenor Date By Fxterior-Date B Set-upm
Point load I Isolated Feetlngs INSULATION Date By M
BG I SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walla Date By
Dale By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Atk
Date By Type.
Date BY Date By
D.w.v DRYWALL Type n
Date B lat.Braca Wall Date By 9
y Dale By N
FINAL INSPECTION Cl
Water Line Fire Separation
Date By Date By Dale 9-50-(I., Bye f 7Z— on
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Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments
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