HomeMy WebLinkAboutCOM2002-00041 Tenant Improvements - COM Permit / Conditions - 5/21/2002 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton, WA 98584 L
_ Z �'-
COMMERCIAL BUILDING PERMIT COM2002-0
0041
OWNER: CALDWELL AND CO. RECEIVED: 4/10/2002
CONTRACTOR: ISSUED: 5/21/2002
SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE B BELFAIR EXPIRES: 11/21/2002
PARCEL NUMBER: 123294190021
LEGAL DESCRIPTION: TR 2-A OF NE SE TR A OF SP#423 #351008 PCL 1 OF BLA#98-58 #671493
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
TENANT IMPROVEMENTS BELFAIR AT SFEWAY COMPLEX
General Information Construction &Occupancy Information
Type of Use: Insp.Area: No.of Units: Type of Constr.: V-N
Type of Work: Fire Dist.: No.of Bathrooms: Occ, Group: B
Valuation: No.of Stories: 1 Occ. Load: 34
Building Height: 15
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.: Not Applicable
Side 1: Ft. SEPA?:Unknown 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?:
COM2002-00041 Please refer to the following pages for conditions of this permit. 1 of 3
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty, Type By Date Amount Receipt
Dishwasher 1 Heat Pump 1 Building State Fee KART r,ilni9nn9 U Fn r,QaAF
Laundry Tray 1 Furnace<100K 1 Mechanical Fee hARr, r%r1ni9nn9 495 ar; 9;Q.11aF
Lavatories 4 Exhaust Hood 1 Mechanical Base Fee KAPr, x;nnnnn9 P9't r%n s;Q.,taa
Plumbing Fee MlQr. FHni9nn9 tag nn c;Qaa;
Plumbing Base Fee KAPr, 5/1nl9nn9 T.9n nn FWAAr,
EH Plan Review rl=w FV17/9nn9 P75 nn c;QaaF
Plan Check Fee Tw 5/9n/9nn9 x9nQ 9n r%Q'tdfi
Building Permit Fee Tw 5/9n/9M9 P919 nn 1;AQ99
Total $611.65
CASE NOTES FOR
COM2002-00041
CONDITIONS FOR
COM2002-00041
1) This application is subject to 7r arLandscaping requirements as established under Mason County
Ordinance 1.03.036.X
2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10
gallons is not witut the approval of the Mason County Fire Marshal.
X
3) 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 work hily tFoct your project.
v
4) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of
5' setba fr hproperty lines, easements and 10'from all County and State Road right of ways.
X <.
COM2002-00041 2 of 3
5) 1. IF THE TENANT IMPROVEMENT CREATES AREAS THAT ARE NOT PROTECTED BY THE SPRINKLER
SYSTEM AND/OR THE FIRE ALARM SYSTEM, THE SYSTEM WILL REQUIRE MODIFICATION TO PROVIDE
PROTECTION.
2. A 2A 10 BC RATED FIRE EXTINGUISHER IS REQUIRED AT EACH EXIT DOOR.
3. ANY COOKING THAT CREATES GREASE-LADEN VAPORS IS TO BE PROTECTED BY A CLASS ONE
HOOD AND A UL 300 FIRE SUPPRESSION SYSTEM. THE FIRE SUPPRESSION SYSTEM IS TO BE
CONK D J4 THE FIRE ALARM SYSTEM. SEPARATE PLANS AND PERMIT REQUIRED.
6) 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 Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hour)will be charged and my$tt e c9 ected by this department prior to any further inspections being
performed or approval granted. X g �'
7) 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
BE ASSESSED IFX ��N
OWNINSPECTIONS. LACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
IN
8) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is
not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hour)will be charged and mist b co ected by this department prior to any further inspections being
performed or approval granted. X ✓��J
9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED ,_0,5QL�4FED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x �
10) 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
ordi2!22 nd ilding regulations.
X ✓ I /�
11) 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 1-800-647-0982. The person signing this
conditions 'the r e homeowner, agent for the owner or a registered contractor according to WA state law.
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 anytime 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.
OWN ER OR AGENT: L y� � �" "` _`DATE: _16
COM2002-00041 3 of 3
CONCR'- E MECHANICAL MOBILE HOME
F-rotisgs-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
FRAMING date by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork _
date `�—Z�'-��z b / /2 date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date _ I S%�Z by �Z _ date by
PERMIT NO.: BLDv'
MASON COUNTY
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 'L-� .dcU�=LL 9-- 1 0 Contractor Name j Q
Mailin ddress `,-" y Mailing Address
City tate Zip Code q��/ 't City State Zip Code ,9�� f
Phone( '22�ther Ph.( d
Lien/Title Holder 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./: 61 / / Fire District
Legal Description
Site Address(Pleas _ nclude street name, treet number and city)
Directions to site s' C
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
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work XIA ^
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck 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 Certification No.
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-]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
approva I first obtaining approval.
X / Date ` X Date
/ FOR OFFICIAL USE BEYOND THIS POINT I
Accepted by !� Da4/ -"�42 Submittal Amount Due / `-- Receipt No.� 2:7
DEPARTMENTAI»;'REVIEW APPROVED DENIED CfJNDITION CODES
Building Depa ment Gf W44
Occ Group Type Constr. . ®yJ L G LI 1 YE r�-
Planning Department
iy s �-
1
Environmental Health Department I Btu) $
�eIL k -C
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
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 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/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./:2 / / 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
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Gara_e 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 Certification No.
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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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.
-DEPARTMENTAL:REVIEW APPROVED DENIED'' Ct7iNDITI+ N CQDt�S
Building Department
Occ Group Type Constr.
Planning Department r +' �-
ea
Environmental Health Department l "
Public Works Department i
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing &Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-446T Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner �l l ,i el� � Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( ) r -Other Ph.( Ph.( ) Other Ph.( )
Lien/Title Holder 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./2 ;r 51 / / r . -7 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
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt—Repair Other Use of Building
Describe Work, r F
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck 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 Certification No.
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-1 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 r first obtaining approval.
X 'rt { Date " X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED` CONDITION CODES
Building Department r
Occ Group Type Constr. r +
Planning Department t ��
Environmental Health Department
Public Works Department
i
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee —7 j
Plumbing&Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
FORM MUST BE COMPLETED IN INK PERMIT NO.:
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)2754467__Elma 360 482-5269 Seattle 206 464-6968
APPLICANT, FC�R�JIATION CONTRACTOR INFORMATION
Owner rid llfjjG��ff�ljj� Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phon ) 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 INFOR IO 12 digit Tax Parcel No._ d y / -¢ / Da I 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 -ti
Toilets Type of Unit y No. of Units Fees
Bath Basins Furnace , g�� I
Bath Tubs Heatpumpsa"U,A 9
Showers Vent Fans
Water Heater fli ► �!�� Propane Tank
Laundry Wsher Gas Outlets
Sinks — Wood/Gas/Pellet Stove
Dishwasher Direct Vent?
Other Other
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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.
DEP'ARTMENTAE REVIEW APEFti71lEQ FJEM1EIEU CONDITION:CODES
Building Department
Occ Group Type Constr.
Planning Department
Other
i
Other
FEES
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
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600 klyj
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