HomeMy WebLinkAboutCOM2013-00060 Change Tenant to Chiropractic - COM Permit / Conditions - 7/2/2013 MASON CO': 6 TY DEPT. OF COMMUNITY DEVELOPMENT Ins::: - Line (360)427-7262
Phor r_ _30)427-9670, ext. 352
Mason County E �_. .3 426 W. Cedar P.O. Box 1, t
Shelton, WA 98 :;_-=:
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` COMMERCIAL BUILDING PERMIT COM2013-00060
OWNER: SHUMAKER CHIROPRACTIC RECEIVED: 5/24/2013
CONTRACTOR: LICENSE: EXP.- ISSUED: 7/2/2013
SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 1/2/2014
PARCEL NUMBER: 123294190021
LEGAL DESCRIPTION: TR 2-A OF NE SE LOT: 1 OF SP#2929
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE IN TENANT APPLICATION..FROM H & R BLOCK FOLLOW ST RT 3 TO BELFAIR, TO STRIP MALL IN THE SAME PARKING
TO SHUMAKER CHIROPRACTIC AREAAS SAFEWAY, WILL BE LOCATED IN SUITE B
General Information Construction&Occupancy Information
Type of Use: CHIROPRACTIC Insp.Area: No. of Units: Type of Constr.: VBNo. of Bathrooms: 1 Occ. Group: B
Valuation:Type Work: TRA Fire Dist.: 2 No. of Stories: 1 Exit Design. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: 1200:
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.: Urban Growth Area
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?:
COM2013-00060 Please refer to the following pages for conditions of this permit. Page 1 of 4
7) CONSTRUCTION PROCESS TO B[: --.ELD CORRECTED AS REC -'.ED PER MASON COUNTY �:;'_ ILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by ' e Mason County Building Dep r~,ent. All construction must be in
conformance with the international cedes as amended and adopted �),� Mason County. Any correctie-,., changes or alterations required by a
Mason Co ui ing Inspector shall be made prior to requesting additional inspections.
X
8) 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-complia ason County ordinances and building regulations.
X
9) All permits expire 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 per r have prevented action from being taken. No more than one extension may be granted.
X
10) All construction and demolition debris must be removed from the property after project completion. Proper dispos ruction debris must be
on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X
11) The applicant shall apply for a sign permit for the new use of suite; wall sign surface area maximum must be no more than the sum of 25 sq. ft.
plus ten percefZ7 suite front facade area.
X ('f1
This permit 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. Proof of continuation of work is by means of a ro ss inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason County
ccess to t ov described property and structure for review and inspection.
OWNER OR AGENT: DATE: �D O
COM2013-00060 Page 3 of 4
Plumbing Fixtures ?Mechanical Fixtures FEES
Type Qty. Tyke_ Qty. Type By Date Amount Receipt
Tenant Revie•. _ a rnnM sr9Rnm s c� a. nn C19ni Ann
EH Plan Rev .1- rMM 5/9A/9n13 z n'�nn R19ni inn
IFC Plan Chi,---ee rMM S/9Rl9n13 7n 5n R19ni,Ann
Total S314.50
CASE NOTES FOR
COM2013-00060
CONDITIONS FOR
COM2013-00060
Install 2A10Bxtinguishers , one at each exit door mounted no more than 60 inches above the floor to the top of the unit.
X (to
Install a kno r section 506 of the 2009 International Fire code, please contact the local fire district for more information and inspection.
2) 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 1-800-647-0982erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
0
3) 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 reinspection fee, based on the current fee schedule, minimum one-hour will bed and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
4) Owner/Agent is sponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OFJ0eE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Building/Plu chanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
COM2013-00060 Page 2 of 4
1 -1 ' v com -0 wl 2013- QN) 0O
q MASON COUNTY - ra a J�
CHANGE IN TENANT APPLICATION (� ,
Complete the Change in Tenant Application and return with a floor plan, site plan, septic pumpers report, septic rQords� d
fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve
staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices who will identify compliance
requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building
permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule an
inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a
conspicuous place on the premises.
PROPERTY INFORMATION
Date: _Z Assessor's Parcel Number: a3 a� - 1 �Jo02.
Legal Description.-
Building Site Address: a Ci LoC V)E
Method of sewage disposal: O Septic 0 Sewer- name of district: YIOfZ-
Water source: O Individual Well O Community Well • Public System, name of system: -Pj�I
- PEOPLE INVOLVED IN THE PROJECT
/Name of Applicant: �-ijD�Vuu 1, /
Mailing address: IL46 - rkKf
City: lun State: Zip: Z1
Day phone:3' dAW Contact Person: Message phone:
PROJECT INFORMATION
Proposed business name: 0hj r(0 r.A r--T
Proposed use: Lh I r-40 0 r-d-d-- LC Number of employees:
Previous business name:
Describe previous use: �1Q JL 5
STRUCTUREI�ETAILS
Check one: O Detached single level/single tenant 0 Single level/multi tenant R-6v14E: I'�
O Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure cu 1 1y If not occupied, how long has it been vacant?
occupied? Yes No Yr. Mo.
Square footage: I Basement: I t: Mezzanine: Second: Third:
Is the struct heated? Heating type: Circle one:
Circle one: Yes No ,Electric Li uid Pro ane N ural G 's Oil
Type of hea . ircle one: Furnace CHeatPump )Electric baseboard or wall m—oa-nf Radiant
_Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: �J Njo Lighting: Yes C
Heating: Yes
Exterior Finishes: Yes No Interior Finishes: Yes No' Parking: es No
Number of restrooms provided: I NuTiaer.of fixtures in each
Is structure handicap accessible? Circle one Ye N
Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No
Monitoring Station Name: Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
1. Floor Plan(5 sets):
• Draw the floor plan to scale 0 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(5 sets): Note scale used
• Property lines, easements, &right of ways • Location of all existing structures&dimensions
• Distance, in feet,from property line&structures • Landscape buffer yards
• On-site sewage tanks and drain fields, & reserve • Well location
• Location of fire hydrants&vehicle access roads • Parking areas number&arrangement)
3. Septic records,pumper's report or O&M report.
4. Fees will be collected at time of submittal
Official Use Only
/?
Accepted b C Date5•2 22 Submittal Amount$ Recei t number
Department Re►J' w Initials Date Comments
Building S— �— 4 I'_, cr L.•
Environmental Health
Fire Marshal jb—
Planning
Public Works
Occupancy Change? (circle one) Yes No) Type of construction ��+�7�
Occupancy classification change from to Occupant load calculated: RGE-1 V ED
Existing occupant load design persons. Land Use Designation: ""Y 2 8 2013
Occupancy Classification:
426 W, CEDAR ST
como.om2013-00w) aU
PLANNING MASON COUNTY 1��
CHANGE IN TENANT APPLICATION ;A) L4{' - UG-4 "
Complete the Change in Tenant Application and return with a floor plan, site plan, septic pumper's report, septic rQords� 'd
fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve
staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices who will identify compliance
requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building
permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued,schedule an
inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a
conspicuous place on the premises.
PROPERTY INFORMATION
Date: _2 Assessor's Parcel Number-
5
Legal Description:
Building Site Address: a cJ (�c �E �. _ l ,-
Method of sewage disposal: O Septic ® Sewer- name of district: nOIZ
Water source: O Individual Well O Community Well * Public System, name of system:
PEOPLE INVOLVED IN THE PROJECT
/Name of Applicant: �. \o,
Mailing address: IaKf 14
City: State: 11 Zip: Z
Day phone: Contact Person: Message phone:
PROJECT INFORMATION
Proposed business name: Lhj rO r.AG_ t L-,
Proposed use: Ch I► n v n Number of employees:
Previous business name:
Describe previous use: - _ - -hy� 60(J7 5
STRUCT ETAILS
Check one: O Detached single level/single tenant. 0 Single level/ multi tenant
O Multi level/single tenant '" O Multi level/multi tenant
Age of structure: Is structure cur_ 'ly If not occupied, how long has it been vacant?
occupied? Yes No Yr. Mo.
Square footage: I Basement: first: Mezzanine: I Second: Third:
Is the struct heated? Heating type: Circle one:
Circle one: Yes ) No _—_-.-Electric Liquid Propane N ural G s Oil
Type of hea . ircle one: Furnace C Heat Pump )Electric baseboard or wall mo n Radiant
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: Yew No Lighting: Yes Heating: Yes
Exterior Finishes: Yes No Interior Finishes: Yes No Parking: Yes No
Number of restrooms provided: I NuTter.of fixtures in each
Is structure handicap accessible? Circle one Ye N Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No
Monitoring Station Name: Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
1. Floor Plan(5 sets):
• Draw the floor plan to scale 0 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(5 sets): Note scale used
• Property lines, easements, &right of ways • Location of all existing structures&dimensions
• Distance, in feet,from property line&structures • Landscape buffer yards
• On-site sewage tanks and drain fields, & reserve • Well location
• Location of fire hydrants&vehicle access roads • Parking areas number&arrangement)
3. Septic records,pumper's report or O&M report.
4. Fees will be collected at time of submittal
Official Use Only
Accepted b C _ DateS•2. Submittal Amount$ Receipt number
Department Rev�w Initials Date Comments
Building
Environmental Health
Fire Marshal
Planning
Public Works
426 W. CEDAR
ST-
Occupancy Change? (circle one) Yes No Type of construction
Occupancy classification change from to Occupant load calculated: persons
Existing occupant load design persons. Land Use Designation:
Occupancy Classification:
FIRE MASON COUNTY Fa4jL
Momp8e
Rt
§JdA�enant
CHANGE IN TENANT APPLICATION r uc,q "
Application and return with a floor plan, site plan, septic pumper's report, septic rQords� d
fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve
staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices who will identify compliance
requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building
permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule an
inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a
conspicuous place on the premises.
PROPERTY INFORMATION
Date: _2 _ I Assessor's Parcel Number:
Legal Description:
Building Site Address:
Method of sewage disposal: O Septic ® Sewer- name of district: nOr�
Water source: O Individual Well O Community Well 0 Public System, name of system: 135c I�Cn
PEOPLE INVOLVED IN THE PROJECTY
/Name of Applicant: �\0,
Mailing address: IL46I MI
City: �, State: Zip:
Day phone:'" p Contact Person: Message phone:
PROJECT INFORMATION
Proposed business name: �I hrD r,A G l C�
Proposed use: Lh 1 rD ram. C, Number of employees:
Previous business name: > of v- ,
Describe previous use: Lap __ 5
STRUCTURE ETAILS
Check one: O Detached single level/single tenant 0 Single level/ multi tenant �UI I'�
O Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure cur. ly If not occupied, how long has it been vacant?
occupied? Yes No Yr. Mo.
Square footage: Basement: I ri—rit: Mezzanine: Second: Third:
Is the struct heated? Heating type: Circle one:
Circle one: Yes No Electric Liquid Propane N ural G s Oil
Type of hea . ircle one: Furnace C Heat Pump )Electric baseboard or wall m-o-U-nf Radiant
Will there be any changes to the following? Circle yes orno, if applicable:
Floor lay-out: Yew NQ Lighting: Yes Heating: Yes
Exterior Finishes: Yes No Interior Finishes: Yes &No' Parking: es No
Number of restrooms provided: Num r of fixtures in each
Is structure handicap accessible? Circle one Ye
Is the structure equipped with a fire sprinkler system? C Yes No =Fire alarm system? Yes No
Monitoring Station Name: I Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
1. Floor Plan(5 sets):
• Draw the floor plan to scale 0Use 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(5 sets): Note scale used
• Property lines, easements, &right of ways . Location of all existing structures&dimensions
• Distance, in feet,from property line&structures • Landscape buffer yards
• On-site sewage tanks and drain fields, &reserve • Well location
• Location of fire hydrants&vehicle access roads • Parking areas number&arrangement)
3. Septic records,pumper's report or O&M report.
4. Fees will be collected at time of submittal
Official Use Only
Accepted b 0 DateS•2 Submittal Amount$ Receipt number
Department Ret w Initials Date Comments
Building 4 �, 0,—�
Environmental Health
Fire Marshal
Planning
Public Works
426 W. CEDAR ST.
Occupancy Change? (circle one) Yes No Type of construction
Occupancy classification change from to Occupant load calculated: persons
Existing occupant load design persons. Land Use Designation:
Occupancy Classification:
APPROVED
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