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Home My WebLink AboutCOM2022-00003 Replace Generator, Fence, Doors - COM Application - 1/26/2022 MASON COUNTY COMMUNITY SERVICES Permit No:(�,h PERANT ASSISTANCE CENTER: .BUILDING-PLANNING-PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 J A N Z 6 2022 Phone Shelton:(360)427.9670 ext 352.Fax:(360)427--7798 Phone Beiyatr.(360)27&4467.Phone Elm&:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Quality Food Center-C/O Nickel&Co,LLC NAME: TBD MAILING ADDRESS: 1014 Vine St. MAILING ADDRESS: CITY:Cincinnati STATE: OH ZIP: 45202 _ CITY:_ __ STATE: ZIP: PHONE#1: PHONE: +__ CELL: PHONE#2: EMAIL: EMAIL: )dnpei.li@qfci.com L&I REG# EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER Pq NAME Pam Deegan EMAIL pam(dlwestemconstruction.corn MAILING ADDRESS 2300 E.3rd Loop,Ste.110 CM Vancouver STATE WA Zip 98661 PHONE 360.953.8517 CELL 360.605.3703 PARCEL.INFORMATION: PARCEL NUMBER(12 Digit Number) 12329-42-90001 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 201 NE State Route 300 CITY Beifair DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 3W FT OF SLOPE(S)GREATER THAN 14%: YES[] NO® SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (ch.*on dw pply): NIA SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION® REPAIR❑ OTHER ❑ USE OF STRUCTURE(Awed .Garage,Coe rrfal BMg,Em) Commercial Building IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES O M1s BW® YES(Parr!,/o/B1,W❑ NO Q DESCRIBE WORK Replace/Relocate(E)Generator&Ref Condenser outside the(E)QFC bldg.Enclose w/(N)fence.Instl 4 Gore SQUARE FOOTAGE:(Prvpas.d) IST FLOOR 45,136 sq.fL 2ND FLOOR sq.8. 3RD FLOOR__sq.ft. BASEMENT sq.& DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.& GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUH2ED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: N/A SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ IJyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledge ment of such is by signature bebw.I declare that 1 am 8e owner and I further declare Mat I am antltled to receive this permit and to do the work as proposed.I have obtained permission from all the neoessery parties,including any easement holder or parties of interest regarding this project. The owner or legal represeMat",represents that the informafton provided is aoaaate and grants employees of Mason County somas to the above described properly and slna ture(s)for review and inspection. This permittapplkation becomes null&void if work or authorized oonstruedon is not convinced wilhn t W days or If construction work is susperded for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 190 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON C TY CODE 14.08.42) X 01.19.22 Signature of OWNER(Must be alerted by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:Corn 0—D"11) PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING a FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 Phone 8effair(360)275-4467 a Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:auau+y Food center-=Nicks&co..u_c NAME:TBD MAILING ADDRESS:1014 v6,e sr. MAILING ADDRESS: CITY:evonnetl STATE: off ZIP:45202 CITY: STATE: ZIP: Is`PHONE: PHONE: CELL: 2'PHONE: EMAIL : EMAIL:xinpei.UgWd.corn L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):IM"2-90001 Zoning. LEGAL DESCRIPTION(Abbreviated): SITE ADDRES S:201 NE S—Rout ao0 CITY: Be* DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW=Zq=ALI=REPAIR=OTHER=USE OF BUILDING Commercial LOCATION OF FIXTURES/UNITS—IST FLOOR=2ND FLOOR=BASEMENT Q GARAGE=OTHE PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric=PG'[___3Natural GasODuctless= Toilets Type of Unit No.of Units I Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Petlet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Condensate tines Solar Panel Other 1 Refrigembon Rack Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. _ 01.19.22 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS B1 JILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rcv:1/2'112016 1BN