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HomeMy WebLinkAboutBLD99-0554 Retail - BLD Permit / Conditions - 12/13/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 EJ 1 L. Q I N a3 RE F1 m 1 -I. FOR INSPECTIONS CALL 427-9570 BETWEEN apm AND Bam 427-72.62: BLD99--•0554 PARC9�1_ a 123294190021 PLA1' : D !V :? BLK s? LOT :? JOB ADDRESS 01W. OWNER : REL.FA 1 R CENTE CONTRACTOR :' LEGAL - TO 24 OF NL SE CLASS OF WORK . . sNEW BEDR s 0 .BATH: 10 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE: . . sCOM STORIES . OCCUP . GROUP . . . sB BLDG . HEIGHT- : 0 .Oft PICK 1 2128.70 Kit 06122149 50646 PLNI 1 20.06 KS 12113109 52323 TYPE OF CONST . .'s3N F I REPLACESv . . . 2 07 ADDR 1 15.88 KS 12113199 52323 ADJ 1 12..15 KS 12/13199 52323 OCCUP . LOAD . . . . s 138 WOODSTOVES . . . . : 01 EHCP 1 58.811 KS 12113199 52323 NCH S 209.88 KS 12113199 52323 DWELL .UNITS . . . . e 0 PARKING SPACES s 0 PONT 1 4217.66 KS 12113199 52.323 Additional Pees not skews lore...... INSPECTION AREA : 2 SHOREL I NI`? , . . . aN PLN 1 218.88 KS 12113199 52323 TOTAL: 8936.98 VALULATIONa 7104671 SETBACKS----------- - ---- TOILETS . . . g . . . . . . e 10 FUEL TYPES----------- BOILERS/COMP- MOBILE HOME-- FRONT . . . 0 01f t BATH BAS I Nq . . . . . . s 10 : /NA T/ ! / : 0-^3 HP . : 0 REAR . . . . 0 .0f t BATH TUBS . . . . . . . . : 0 3- 15 HP . : 0 MODEL s , SIDE ( 1 ) . 0 .0ft SHOWERS . . . . . . . . . . s 0 FURN < 100K BTU : 10 15-30 HP . : 0 -MAKE------- !DE (2) . 0 .Oft WATER HEATERS . . . . : 10 FURN >-100K B T'U : 0 30--50 HP . : 0 SHRL I:NE . O .Oft CLOTHES WASHERS . . : O FURN - FLOOR . . . s 0 503E HP . a 0 -YEAR--_...._-_... AREA ----------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . s O LOT SIZE . . : FLOOR DRAINS . . . . . s 0 VENT SYSTEMS . . . : 0 E.VAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 1501895f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 10 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT _ : Ors f LAUNDRY TRAYS . . . . : 0 DOMES . I NC t N :O --S ER I A1.4-. - -- DECKS . . . . . . : 05'f DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS_._ COMML . INCIN :O GAR/CARP s? Osf GARB DISPOSALS . . . 5 0 <- 1010100/ cfm . : 0 RELOC/REPA I R s 0 AT/DT . :? URINALS . . . . . . . . . . s 0 > 101000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURESs 0 GAS OUTLETS . . 10 PROJECT DF3CRIPTiON:111AIL BLDG PROJECT IOCA7101:Ce4tral Belfair THIS PERNIT BECOMES NUIL AND VOID IF WORK OR COIISTRUCTION AUTHORIZED IS NOT CONNENCED WITHIN 118 DAYS, OR IF CONSTRUCTION OR WORK is SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TINE AFTER WOIK-AS COMNENCt EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE ACCUPiEO. MEN 09 AGE11s DATE: G_PRNT, rev: #313t 191 COMPLIANCE TO ATTACHED CONDITIONS IS REOU i RED .f CONCRETE MECHANICAL MOBILE HOME i 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 i date by FRAMING-?�.. 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 �Z- 13-�1� ��m �l ea se_ G •�,.� rcvc./n s e�/ ,c7/c,v, tic�. .�, �� s -f-o fad ;. e n t- 11nP-g-t A- 2 .l A �. �d ev►a �. er.vi� 2-2 qC7 , , ' , ' l 7-12 l fq - ®� �.Yi �/z of �D��/ ��s s 7 7? .0W4/ V d-Jf f/r��-ter .� -iJ�/yo �/��}� D�fJ /c-�!"� i/o �• /.��c/���� oa.f�r /c�/ �o�Tl,' �-23 -Zooa S#EE5 Xoc/lcl�'� P�i2T ?J/1y17s !D / t�vn 109 /�/J� �` �iP_oCEE�O /��Sy 2UU�lO DDDI�S TTE� Sh�rET �� STockE�p. 3 2 3 - ZDOD �ir/ ulA T/Oi✓ 2/�!� s to s u� /lam /��s� ��an���• r•VSq/,v Ve--- To coup ;466 A7- A0-17- 3-23-2oro oUIolt -Al- Uvo- •Big/ P/t�5,t � 3 •2-3 - ZDDO GftS �•�• s� y 21�/ /o/ ��icsiz. 6l z! oivL 3-Z 7-rs t3 G/ /ems-/tea O�e- d-- szve o 4o"I 6'r-, 3 Ala'fU s o.-,, / © 2 —/© Zo c0/Yl/ lv el C f e . - /cD 7 /o MASON COUNTY Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 PFEPM 1 T" COND 1 T" 1 CQN �3 Case `No . : BLD99-0554 For : BELFAIR CENTER PaJge : 1 1) ' The exterior, signs of 'this building shall be reviewed through the application and approval of a sign permit and shall comply with the proper setbacks from adjacent 'property I oe:s and rather structures ,, 2 ) All upland areas disturbed or newly created by construction activities shall be seeded, ;vegetated o given some other equivalent type of protection against erosion . 3 ) Approved per dimensions and setbacks on submitted site plat) . 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 beranted . in addition , a Re- inspection fee In the amount of $42 .00 per hour (minimum 1 gour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . X 5 ) 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 INN ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS X :EL 6 ) The approved plot plan Is required to be on-site for inspection purposes . if Inspeo Ion is called for and plot plan is not on site , Rpprova1 WiLi. NOT be granted . In addition, a Re- Inspection fee in the amount of $42 .00 per hour (minimum i hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . ';ONCRETE 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 IBG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by 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 X.—...._.._.._-- ;Z,1 7) UMC. Chappter 7 . 1n buildings of unusually tight construction. fuel burning appliances shalt obtain combustion air from outside ( esxoluding cooking appliances and clothes dryers ) . 8 ) 1997 UBC CHAPTER 17, SECTION 1701 : ALL REPORTS SHALL BE REQUIRED 'TO BE PROVIDED TO THE MASON COUNTY BUILDING DEPT . PRIOR TO THE FINAL INSPECTION PROVIDE COPY OF APPROVED TESTING LABORATORY CERTIFICATION TO 'THE MASON COUNTY B UIL61NG DEPT OR AS APPROVED BY THE BUILDING OFFICIAL . SEE ATTACHED SPECIAL INSPECTION FORM FOR SPECIAL INSPECTION ITEMS AND I NSPECTOjiS S . X 9) Any change: in oonstruction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prier to construction . X 10) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE OF USE OR OCCUPANCY WOULD RESU T IN PERMIT REVOCATION . CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE . z x ?;.. 11 ) Proposed structures or portionu thereof with an projection over 30" In height from grade tine, must maintain a 5 ' separrat i orb/ distance between adjacent struoture�s and that furthest projection . X _{=:,� __ V - 12) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code, the. Uniform Building Code and/or Mason County Re3gu t ions must bo approved by Mason County prior to constructionX /.. 13 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS RE.? RED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODC .x � w { CONCRETE MECHANICAL MOBILE HOME i 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. 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 14 ) Fuel piping shall be inspected after, the installation of as piping is complete, and before the attachment of fixtures , appliances , or shut-og f valves . At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes . Appliances attached to the piping shall not be used until the final inspection has been approved by the building inspector . 15 ) .1 . NF PA 13 FIRE SPRINKLER SYSTEM REQUIRED . SEPARATE PLANS AND PERMIT REOU I RED , SPRINKLER SYSTEM IS TO BE MONITORED BY A FIRE ALARM SYSTEM . 2 . FIRE ALARM SYSTEM REQUIRED . SEPARATE PLANS AND PERMIT REQUIRED . COMPONENTS OF THE FIRE At-ARM SYSTEM TO INCLUDE : A . MONIOTR ALL FUNCTIONS OF THE SPRINKLER SYSTEM . B . PROVIDE MANUAL. PULL. STATIONS AT ALL EXIT DOORS . C . PROVIDE AN EXTERIOR BELL-STROBE ON THE FRONT OF THE BUILDING . D . MONITOR A TAMPER SWITCH THAT IS TO BE INSTALLED ON THE SPRINKLER SYSTEM POST-- INDICATOR VALVE . 3 . PROVIDE LIGHTED EXIT SIGNS, EMERGENCY LIGHTS AND PORTABLE FIRE EXTINGUISHERS AS NOTED ON SHEET A3 . 1B 4 . THE FIRE DEPARTMENT CONNECTION THAT SUPP.LIU BUILDING B IS TO BE IDENTIFIED : BUILDING 5 . PROVIDE A KNOX BOX EMERGENCY KEY BOX CONTACT MASON COUNTY .`Fr) 2 AT h75--e711 TO ORDER � THE KNOX__. OX . X . 16 ) ALL. GLAZING SHALL. HAVE. A SOLAR HEAT GAIN COEFFICIENT OF L .65 OR LESS AND U--FACTORS OF 60 OR LE.. $ EVIDENCED BY CERTIFICATION AND LABELED ;. INDICATING NFRC METHOD . 17 ) ECONOMIZERS ARE REQUIRED ON ALL. RT-2 & RT-3 HVAC UNITS LOCATED IN BLDG "B" AS REQUIRED IN l�FCTION 423 OF THE 1997 NON-RESIDENTIAL ENERGY CODE . PER CONVERSATION WITH MECHAN IC L/ CLI NG . RT--1 WILL NOT HAVE ECONOMIZERS , x Case No , : BLD99--0554 ONCRETE MECHANICAL MOBILE HOME ootings-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 v 1 m %u ki ) kove ♦/V► 1 `�1 ' �Y. h `�v 01 Y,� v pp CLVM Pw n c Lij A!. r / r�i �„y Ana In'1 11 IM e� ` ` .// •_, Af f f f/ i�l J CZ �n I 1ZTl5 aG ei az c� _ f � an F anrQ➢tt'cu J�I f �� +nrm wn m,sc se f Lr) f f T N / �J I_Q a���'1 m YCOY- ION / r�!!//) /�+ 1 .-�c..ci/IIl/1 LD m = N m SHOPS "B" MECHANICAL PLAN = ���1 oOc) m N gry m ,4 i Ln CD coo 1 t'n cam, P. Building Permit # -�' d'y MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location z �3`�C� �-577- T-3 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance ®JF 7-0 e47— c>cr✓ /�/S,F ct��3�TisCT J�� /�C!//�W l77c , _ You are hereby notified that the a cti a made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection-when- rections afe-ma"ore continuing ❑ Make corrections, items will be checked on next in ection X 0 'to ❑ This is not a complete inspection Department Date j � Inspector ■ ov No *T M* *V THIT--- TAk Building Permit # c�y7 '"�!y MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance 772:1 74 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITRANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date Inspector ■ ov NOOT MOOV THI T ' 601M PPPPP_ 1 � 1 CASE HISTORY FOR CASE NO.: BLD99-0553 4ay BELFAIR CENTER NE23961 STATE ROUTE 3 Unit: B BELFAIR 00 -on Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BLDAO10 Application received 06/17/99 / / 06/22/99 DONE KW 06/22/99 KW BLDA100 Approved For Issuance / / / / 12/06/99 DONE KS 12/07/99 KS BLDA200 (H) Hold / / 08/31/99 11/22/99 hold till reply has been recived , there DONE SKM 11/23/99 SKM is some question from heather if the back required exit will need to be accessable. Code states yes. I will wait till heather provides me with code site that states otherwise. called today and heather was out till 11:00 left voice mail. reply recived situation resolved. BLDA200 (H) Hold / / 10/21/99 11/22/93 HAVE ADDITIONAL QUESTIONS FOR REVIEW DONE SKM 11/22/99 SKM LEFT MESSAGE WITH CDA ON HEATHER'S VOICE MAIL. THE ITEMS ARE LISTED IN THE REVIEW PLAN AND NOT LISTED IN TIDE MARK. FILE PLACED NEXT TO HOLD BIN. recived reply and will continue review. BLDA200 (H) Hold / / 11/23/99 12/03/99 need additional information on where the DONE SKM 12/03/99 SKM seperation wall is between the storage area and the store area to establish occupant loads. Heather with CDA will fax me the requested information . SIDE EXIT HAS BEEN ADDED , CDA (HEATHER) WILL FAX ME THE BLDA500 (F) Issue building permit / / / / 12/13/99 DONE KS 12/13/99 KS BLDA900 Telephone call / / / / 11/15/99 spoke with Alex @ Bird Const. and gave DONE SKM 11/15/99 SKM ok to proceed with clearing and grubbing and to set forms and steel while the permit is being processed. This has been discussed and approved with the B.O. Dana Herron. BLDA900 Telephone call / / / / 01/12/00 HEATHER FORM CDA ARCHITECTS SENT A FAX DONE SKM O1/13/00 SKM AND QUESTION ON THE NORTHEAST ELEVATION ASKING IF THIS NEEDS TO MEET THE MEANS a,3 OF EGRESS SPEC'S . UBC 1003.30401 / 1106.8. THIS IS NOT AN EGRESS PATH AND WILL BE OK AS IS. THE STORES HAVE THE // PRESCRIPTIVE EXITING OUT THE FROMT OF THE ATTACHED FAX ATTAC..-- TO THE FILE SET OF PLANS. sTAR �� » RENTALS SEATTLE PF40NE 206)622-7880 BELLEVUE PHONE J425)885-5522 TAC0(,AA PHONE (253)474-05TT AUBURN PHONE (253)854-3922 LYNNWOOD PHONE (425)348-6969 BREMERTON PHONE: {360)475-0081 2 2,000 Y y ) `� N s`C 15 ,a/Ia Tsai "•'�$t+j,A T✓ay4( Q463 , r 00 MASON COUNTY PERMIT NO.: BLD BUILDING PERMIT APPLICATION -`� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner T�e%-:J4•r L't.,-1-t✓ LLC Contractor Name Mailing Address 6 -r " t Cz Mailing Address Cityt�¢It t.y State�►f,,Zip Code 2gfoaq City State Zip Code Phone( 47-S) 1E1,rs--ZSN&they Ph.L ) Ph.( Other Ph.�) Lien/Title Holder Fes( W-52 4 SS - Z8:77- Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 1z z Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Ile Describe Work L' No. of Bedrooms No. of Bathrooms SQU AGE- st Floor 4Z17,2nd Floor 3rd Floor Loft Basement beck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name ification No. NOTICE: THIS PERMIT BECOMES NULL 8,VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No ch ges shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without app first obtaining approval. Date X Date FOR OFFICIA USE BEYOND THIS POINT ^-� r( L_ Accepted by ( Z�� t-1 0 DatAIJ ubmittal Amount Due �� Receipt `7 DEPARTMENTAL REVIEW APPROVED DENIED CONDITION COI)ES Building Department 0, t2-C-11 Occ Grou T e Const Planning Department Environmental Health Department Public Works Department I Fire Marshal M - 138 Valuation $ FEES Building Permit Fee Plan Review Fee O UFC Plan evi(3w Fee j Plumbing & Base Fee 1 ee -� Mechanical & Base Fee _ Other r1c))J��. Wood/Gas/Pellet Stove Fee Other �-I LL 1 3 Pre-Paid at Subm al Q. :.,:.::.>::??:.;:.;:.>:.;:.:.:.::..;;;;;:::::»:.>:.>:::::::>:;;<:.: ;>;>:.>:.::<;.;:< :::.:;::;.>,:.: TOTAL FEES FORM MUST BE COMPLETED IN INK + PERMIT NO.: — 0,5 PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner f�eLF�_r IZ CF T- tz L-C Contractor Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone) Other Ph.(____) Ph.( Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets -- /— Type of Unit No. of Units Fees Bath Basins Z _ Furnace Z I�•� Bath Tubs Heatpumps Showers Vent Fans �_ 13.co Water Heater Z Propane Tank Laundry Wsher Gas Outlets 2-- .r Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee '2.Z- TOTAL PLUMBING TOTAL MECHANICAL 35,co A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMEt+1TAE�ttE1/eW ".: ::.> :APPROVEQ .: CJENIED OONDITION CODES Building Department Occ Group Type Constr. Planning Department Other Other XX SEES '' Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES �a� -`;. �\;�srYo ataC'�`9%4 �t��\:r%:riq t jrii at\rvxgYii �OtiNw rrri. @a�.Nn ri �N�o?•i �'r ' //rn t�\•M�'i'/ //r' tt`''��;�•, S, ayaV,.n,w�,y, s s. n a $.,�a yr.. os i4�..•"�a rc'"..r,•,.. ;��a°•hti r TF a. n r,..?`t� 3;.a`t>•. n gr �fi ,m.y: .1wr shwy, :�`�vw,,�y'a:r?� h .F 4,y n:�,� :?„� "'n,:�r�5�•.••nti...e",,, < ��.,s�`. � v v` �:'� �,4•,,^w�,,; •,a� M, ' ,",,,ti' �J%r '��• vuyx; ap.aa•:�•� �.,' �awW , '�,raWti.,, !,..��Jw . ,. y,. .,,. i� .. r5 P 2;i 1,., aT•p 44 A i }i -..apr 9i, 5 .>��rir,, `+F � ,a•Y,,.. '` ,v�. r.�,ry., 2.o\R4. ,:.�.. :..: ... :.��,:�i, � .r,•�:.:l�. eS',uj y r.�,'s ��`/rr.r.:� t.L..H,.: .��"�j.$, :�t:9i. � ,,t; .d Certificate of Occupancy r ;. j4laon Countp jguirbing department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various �- %> :- ordinances of the County regulating building construction or use.For the following: Use Classification Retail/Of f ice Space Bldg. Permit No. BLD99-00554 Group B Type Construction 3 N Fire Zone 2 Use Zone B e l f a i r U GA r" 4 +3 '. Owner ofBuildin Tollefson ProTerties Address 606 110th Ave. Bellevue ,WA r i}. g .` elfair Center 98004 Ralfa •3,; Building Addr Locality l r WA 98528 rr� Unit A-J ; ega, <. Fire Ma sh 1 D✓ �:+•' � IX- W. Date ro r} Building Official .'. POST IN A CONSPICUOUS PLACE rr ti w 4 Y � ' •e a r r c �d/,��t� a r/,�`.-. a,fir, t y4�i/�a i yr�,a s :y�,'�:. b 9. vyr��+ , �)Ay� � •'. ;� M.0.�{`,p',..y �R4` ;.��St��,..}�M!v��y��;1 '•.t0 t4 �•�,�;���t ''';�i�. ti i 4.. I ♦ � I�+ �\, � ;'s v 7,4 ,,.� ��•�� , t�`. r ly '•�+ tl eM . qr'. ,., � ,�. .tt�,�'�� ,b�� rlywlt�,.,,�;,�"�:.�tt.1a, .,3:.�5,r ,�':.ay ,mi - n �e�f::8.. .:a - °. °sF-�v,�,,v �-'�• ta3,'.,'v� an.i„ r ` ?r ci y \\� x iy�•\`\. ..�._.4.,.,_..�...,...w+.,w.,.. ......._... .... _ ,..,w.-.�._...... .... ....._._.....�.._..........-...l..._ea.,,,tia.,��a..a>. .......,.ati....a•. us.. ... :w--..._ _.......•..._.-_.