HomeMy WebLinkAboutCOM2006-00001 Tenant Review H&R Block - COM Permit / Conditions - 1/12/2006 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
IrfMason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext 352
Shelton, WA 98584
lo COMMERCIAL BUILDING PERMIT COM2006-00001
OWNER: COLLERON INC RECEIVED: 1/3/2006
CONTRACTOR: LICENSE: EXP: ISSUED: 1/12/2006
SITE ADDRESS: ROUTE 3 SUITEA BELFAIR EXPIRES: 7/12/2006
PARCEL NUMBER:
LEGAL DESCRIPTION: TR 2-A OF NE SE LOT: 1 OF SP #2929
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Tenant Review - H&R Block Safeway Complex
General Information Construction &Occupancy Information
No. of Units: 1 Type of Constr.: VB
Type of Use: Insp. Area: No. of Bathrooms: 1 Occ. Group: B
Type Work: TRA Fire Dist.: No. of Stories: 1 Occ. Load: 12
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 12
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?:
COM2006-00001 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee ni r. vannna !a sn R19nnRnn
Tenant Review Fee ni n 1/Q/9nnR -t19n 5n R19nnRnn
EH Plan Review TW 1nn/9nna tz5 nn Rignnsnn
Total $160.00
CASE NOTES FOR
COM2006-00001
CONDITIONS FOR
COM2006-00001
1) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely
impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements
of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose.
For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a
driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450.
For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review
future planned w which may affect your project.
X ` `\ram
2) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air
Qi
JCode (VIAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X _)
3) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
ason ounty Building Inspector shall be made prior to requesting additional inspections.
4) AI(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
no - o liant with Mason County ordinances and building regulations.
X
5) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be designe�-t�o meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X�
COM2006-00001 2 of 4
6) Annual service is due on the fire extinguisher. X
Annual service report for the fire sprinkler&fire alarm is to be faxed from Ted Tollefson's ofice to 360-427-7798 for the MCFMO.
X
Contact Mason County Fire District#2 @ 360-275-6711 to place master key for suite B into the Knox box. X
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 progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described pr erty and structure f review and inspec ion.
OWN ER OR AGENT: DATE: /D�4
COM2006-00001 3 of 4
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�
CONCRETE Gas Piping MANUFACTURED HOME p
ry Interior-Date By r"
0 Footings I Setbacks Exterx x -Dale By Ribbons rn
o Date By INSULATION Date g� O
o Foundation Walls BG ISLAS INSULATION Set-up Z
Date By Date By Date By Z
FRAMING Floors FIRE DEPARTMENT n
Date By Date By
Date By Walls
PLUMBING Date By DECKS
Date By
Groundwork Vault
TANKS
Date By
Date By
Date By
Attic
a.w.v
Date By OTHER
Date By DRYWALL Type:
Date By
Water Line Date By Type: O
Date By Int.Brace Wall Date By 0
By
MECHANICAL �ireseperation FINAL INSPECTION o
Date By Date By Date By C
0
Pass or Request Inspect. o
Type of Insp. Fail Date Date Done By Comments o
.r,
0
.ia0/2005 12:55 FA.1 360 427 7798 )LkSON CO PEMIT CTR IM002
c
Cooy MASON �COUN"fY
f:"J CHANGE iN TENANT APPLICATION
Complete the Clange in Tenant Qppllcafion and return witty a floor plan,site plan,septic puntpefs report;septic records and
fee to the Mason County Permit Center,P.O.Box 186, Shelton,WA 98584. Evaluation of{he Chang® In Tenant Application will Involve
staff members from the Building,Fire Marshpl, FnvirQnmorttal Haeith, Planning and Public Wants offices who will identify compliance
requirements. Thts appli,;abon is intended for tenant change only. tf co structi n or reModellng Is ro Led orleguirind a br:ildiU
nnran t will tH,_ngcessary. Upon approval the permit will be issued to the applleant/tenant. After the permit is issued,scheduler an
inspection by calling (360)427-7262.Upon satisfactory inspection a CertfScale of Occupancy will be issued and must be posted In a
conspicuous place on tha pmmisas.
r
Date: �� 3 z d d Assessor's Parcel Number: 1 z3 2q—yi-oaoip -yi--Qoo2 0 -W-dao Z/
Legal Description: d-f Sec-fs•J z1j 7-A J sk Z'3 AlC-o�-
BulldinQ Site Address: �3�j(� A16- S'� 3 rv-
Method of sewage disposal; mseptic, O Sewer-name of distri t
Water source: O Individual Well O.Community Well O Public System, name of system;
,
Name of Applicant: n[
Mailing address:
City: Stste: („J 1q-- Zip: 3/d
Day phone: p�yc?) ioS�O Contact Persun: j2.d V `�,��,cN<7' Message phone: 3 ro 0-?(o->= 2�i U
PA
Proposed business name: �q � �/��
Proposed use; /�C � �� •..,J Number of employees:
Previous business name:
Describe previous use
I
Check one: O Detached single levell single tenant Single level/multi tenant
O Multi level/single tenant e Multi IeveVmuKi tenant
Age of structure: is structure currently-y" If not occupied, how Ion ha it been vacant?
occupied? Yes NoXp Yr.
Square footage: Ba:rement: First:i Z Me=anine: Second: Third:
is the structu heated? Heating type: circle one:
0rcle one: No lectric Liquid Propane stars! Ga Oil
Type of heat: Cfmle one: Furnace oat Pure �, Electric baseboard or wall mount Radiant
Will there be any c angles to the following? Circle yes or no, If applicable:
Floor lay-out: Yes Lighting: Yes , � Heating: Yes
Exterior Finishes: Ye:; o Interior Finlshes: Yes o ,,:1+h Parkin : Yes o
Number of restrooms provided: Number of fixtures In each
Is structure handicap accessible? Circle one cs No
Is the structure equippod with a fire sprinkler systern? Ye No Fire alarm system? Yes No
Monitoring Station Name: Phone number:
� 4
l'
i 1
1. Floor Plan(5 sets);
• Draw the floor plan tc,sole �p G tN�,P G�^$��`of rooms
• Room Dimensions p UILDIN A P'Rtion of all exits and windows (include dimensions)
• Location of plumbingand mech i�a1�1 )ECG �0 ,p lrn -doors with swing radius
2. SHe Plan(5 sets); t lote scal�a
• Property lines, easements, &tA�ofmays.--'�A�E Location of all existing structures & dimensions
• Dlstnnce, in feet,from propett�lue�'�urrtures • Landscape buffer yards
• On-site sewage tank,snd dreln fields,&reserve • Wcrll location
• Location of fire h drams &vehicle acceaa roads . Parking areas number&arras e_munt
1 Septic records,pumper's report or 09.M report
4. rces will be co//ecfbrdat Ume ofsubmltfal
Raftm
I
JV30/2005 12:35 FA.l 360 427 7798 MASON CO PE XIT c R 1002
- �NV I
MASON COUNTY
CHANGE iN TENANT APPLICATION HEALTH
Complete the Gunge in Tenant A, and return with a floor pl,3rt,site plan,septic pumpers report,septic records and
fee to the Mason County Permit Center,P.O.Box 18$,Shelton,WA 98584. Evafu2tion of the Change in Tenant Application will Involve
staff members from the building,Fire Marshal,Ermrin;nmonZI Haelth,Planning and Public Worlts offices who will identify compliance
requirements. This eppli,;ation is intended 1br tenant ebarige only. tf construe gn or remodellga Is proposed orImuirud_a 1 pilding
tse it will l,e_necessarv. Upon approval the permit ww11 be issued to the applicantfteriant. After the permit la issued,schedule an
inspection by calling (360)427-7252. Upon satisfactory inspection a CertificatN of Occupancy will be issued and must be pigsted In
conspicuous place on thl.prsmise4.
Date: �� 3 Z d o `� Assessor's Parcel dumber; z 29—yo-.000w -y/ Qo'oz v -
Legal Description: H S, crf uJ Z 7-&..k r 4. Z"� Al e / IJe U. M, I`1 a CJ�'
Building Site Address: Z3 S . 3 k�
Method of seWage disposal: OLSeptic O Sewer name of distri t
Water source: O Indr4dual Well O.Community Well O Public System, name of system:
WNW IN 511:1,
7
,
Name of Applicant: nt
Mailing address: n GJ Ar a Sur! ()(
City: State: j J ILI-- ZIP: 'An/0
Day phone: p^yor-w f o Contact Person: -ZdrJ "1 I,4,CA0 C-Y Message phone: 3 m 0-2lou= 2010
gi
Proposed business name:
Proposed use-, -7;vC ' armAN--) Number of emp30yee8:
Previous business name: a,
Describe previous use. 14�,F .�,.._�
Check one: O Detached single level/single tenant Single level/multi tenant
O Multi level/single tenant Multi IeveVmulti tenant
Age of structure: Is structure currently57f^c If not occupied, how Ion ha it been vacant?
occupied? Yes No Yr. Mo. " ``"`'"`"`'�
Square footage: I Basement: I First:I Z 0)) Mezzanine: Second: Third:
Is the structu heated? Heating type: Circle one:
Circle one: No Ioctric Liquid Propane dEatural Ga Oil
Type of heaF Circle one: Furnace eat Pum , Electric baseboard or wall mount Radiant
Will there be any changes to the following? Circle yus or no, if applicable:
Floor lay-out: Yes Lighting: Yes � Heating: Yes
Exterior Finishes: Yes, o Interior Finishes: Yes o �t+k Parxin : Yes o
Number of restrooms ;rovided: I Number of fixtures in each
Is structure handicap accessible? Cirue one es No
is the structure equipped with afire sprinkler system? Yqy No Fire alarm system? Yes No
Monitoring Station Name: Phono number:
MENEEMN
1. Floor Plan(5 sets):
+ Uraw the floor plan tt,scale • Usl�of rooms
* Room Dimensions • Location of all exits and windows (include dimensions)
• Location of plumbing and mechanical figs * Interior doors with swing radius
2. Slt1e Plan(5 sets). Note acele used
+ Property lines,easements,&right of ways . Lor ation of all existing structures & dimensions
• Dlstance,in feet,horn property line&structures • Landscape buffer yards
• On-site sewage tank,and drain fields,&reserve • W4111 location
• Location of fire hydrants &vehicle aceeaa rvdds . ParKing areas numt)or&arran ement
1 SepVc records,puntpees report or O&M report
4. ries Will be colleciodat time ofsubmlttal
OWN 11
KEYED NOTES:
ACCENT LIGHT TO BE INSTALLED
IN CEILING WITH JUNCTION BOX;
8'-0" 11'-6" PLACED S-0" FROM WALL FACE
CENTERED ® EACH WALL
4'-8" 6'-9" MOUNTED KIOSK ANO GREEN
LOGO
Oj O(NOT USED)JUNCTION 60X TO BE
PLACED ABOVE CEILING TILE.
TO
o POWER POLE TO BE PROVIDED BY
103 CONTRACTOR WITH CEILINGS UP TO
a' o
10'-0" (WIREMOLD ALTP-25)
n T
ENGAGE ^
ioz
O
� o
I
00
Ic
I
PLAN LEGEND:
DEMO PARTMON
u==—� EXIST. DEMISING PARTITION
p - NEW DEMISING PARTITION
DISGV o �� EXISTING PARTITION
'Q1 �'•� NEW INSULUITED PARTITION
t
NEW PARTITION
oO OO $ SWITCH
I
NEW DOOR $3 3—WAY SWITCH
SWITCH FDR
T ACCENT LIGHTS
o _ EXISTINI DOOR
t� ELECTRIC In THIERMOSTAT
PANEL
r� 4'x4' PLYWOOD PHONE $OARD,
PH PAINTED (LABEL VISI9LE)
POWER POLE - WIREMOLD ALTP-2S
VOICE/DATA -
ASSUME SINGLE GANG BOX AT EACH LOCAMON.
oDv INStALL 3/4' CONDUIT STUBBED AT CEILING WITH
m 61 WING AND PULLSTRING AT All. NEW PARTIONS
MUDRING ANO PLILLSTRINC ONLY AT EXISTING
PARTTTIONS
DECOMP/
DEDICATED, GROUNDED 20-AMP
RECEP _ DQUAD, MARKED W/ORANGE DEVICE
•I IDD DUPLEX RECEPTACLE
ib
QUAORAPLEX RECEPTACLE
b EXISTING DUPLEX RECEPTACLE
#EXISTING QUADRAPL£X RECEPTACLE
PLAN OFFICE ID#:
NORTH 46055 ` H8,RBLOCK
PARTITION/ELEC. PLAN
NOT TO SCALE
OFFICE TYPE:
FRANCHISE
CONTRACTOR MUST HAVE 4 PAGES OF THESE DESIGN INTENT DRAWINGS,
IF YOU ARE MISSING ANY OF THE 4 PAGES, PLEASE CONTACT THE LOCATION ADDRESS:
DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK, SEE PAGE 1 of 4 93969 NE State Rt. 3
FOR ADDITIONAL NOTES
SITE SPECIFIC NOTES: Belfoir, WA 98528
LEASE SQ. FT. 1249 S.F.
V
REVISJ-ONS
DESCRIPTION
removeonednnk
Y: Amanda SHEET
314-392-2684 2 o f 4
DATE: 11/2,/Os
-8
TOILET
I
"c
I
!� ENGAGEj
— 1oz
u � 3 1fF11 Klf�MT
O
0 I
OJ
O
PLAN LEGEND:
DEMO PART710N
EXIST, DEMISING PARTITION
p NEW DEMISING PARTITION
ExISTING PARTITION
NEW INSULLATED PARTITION
° NEW PARTITION
$ SWITCH
NF� QQQ}}}222,,, 3-WAY SWITCH
0
$ SWITCH FOR
m e T ACCENT LIGHTS
cxISTINc DOOR
o ELECTRIC 8 THERMQSTAT
EP PANEL
CYww 0 4'x4' PLYWOOD PHONE BOARD.
PH PAINTED (LABEL VISIBLE)
POWER POLE - WIREMOLD ALTP-25
ro _
VaCE/DATA—
e D V ASSUME SINGLE CANC BOX AT EACH LOCATION,
INSTALL 3/4- CONDUIT STUBBED AT CFuJNC WITH
MUDRING AND PULLSTR;NG AT ALI. NEW PARTIONS:
e MUDRING AND PULLSTRING ONLY AT EXISTING
DECOMP/ i PARTITIONS
RECEP
•� Too
DEDICATED, GROUNDED 20-AMP
DQUAD. MARKED w/QRANGE DEVICE
Nr DUPLEX RECEPTACLE
°O0 f01 W"c KT-1"4 OUADRAPLEX RECEPTACLE
L-7
beEXISTING DUPLEX RECEPTACLE
NORTH • r EXISTING QUA
DRAPLIX RECBPTACL£
FURNITURE EQUIP. PLAN OFFICE ID#:
NOT M SCALE 46055 H&R BLOCK
FFICE TYPE:
'CONTRACTOR MUST HAVE 4 PAGES OF THESE DESIGN INTENT DRAWINGS. FRANCHISE
IF YOU ARE MISSING ANY OF THE 4 PAGES, PLEASE CONTACT THE
DESIGNER AT PHONE NUMBER LISTED IN TITLEBLOCK. SEE PAGE 1 of 4 LOCATION ADDRESS:
FOR ADDITIONAL NOTES*
23969 NE State Rt. 3
Belfair, WA 98528
LEASE SQ.FT. 1249 S,F.
ISSUES/ REVISIONS
NO, DATE DESCRIPTION
1—ALK 12/6/05 romove one desk
2-
3
4—
DRAWN BY: Amanda SHEET
314-392-2684
DATE: 11 zz 05 3 o f 4