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Home My WebLink AboutCOM2000-00058 New Tenant - COM Permit / Conditions - 10/18/2000 C( Catiftrate of ®ccupantp '7 ,wagon Countp Jguilbiug Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Jr 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 STORE Bldg. Permit No. COM2000-00058 ....... Group B —Type Construction 5N Fire Zone 2 Use Zone BELFAIR UGA TOLLEFSON PROPERTIES .......... Owner of Building Address 606 110th BELLEVUE WA 98004 BELFAIR CENTER rI Buil ing Addr Locality 239PST. RT 3 BELFAIR, WA 98528 C``r' By � Fire M shal TERRY R)99 Date 10-25-2001 jBilding Official POST IN A CONSPICUOUS PLACE �' Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 �0�✓'9 L-,��' Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2000-00058 RECEIVED: 05/08/200 OWNER: CIGAR LAND ISSUED: 10/18/200 CONTRACTOR: CIGAR LAND EXPIRES: 04/18/200 SITE ADDRESS: 23969 NE STATE ROUTE 3 SUITE H BELFAIR PARCEL NUMBER: 123294190021 LEGAL DESCRIPTION: TR 2-A OF NE SE TR A OF SP#423#351008 PCL 1 OF BLA#98-58#671493 DIRECTIONS TO SITE: PROJECT DESCRIPTION: NEW TENANT IN EXISTING STRUCTURE F::— Construction & Occupancy Information General Information T e of Constr.: 5-N No. of Units: Type Insp. Area: No. of Bathrooms: Occ. Group: M Type of Use: COM Fire Dist.: 2 Occ. Load: 26 Type of Work: TRA No. of Stories: 1 Valuation: Building Height: Square Footage Information Pre-Manufactured Unit Information Length: Lot Size: rke: Building: 1,200 Width: Basement: Parking Spaces: Year: Serial No.: Setback Information Shoreline & Planning Information Ft. Shoreline: Ft Shoreline Desig.: Front: Ft Water Body: Rear: Ft. Slope: SEPA?: Comp. Plan Desig.: Side 1: Ft. Side 2: Ft. Fire Protection System Information Emergency Key Box?: Standpipe?: Auto Fire Alarm System?: Access Road?: Fire Extinguishers?: Auto Fire Sprinkler System?: Fire Hydrants?: Fire Lanes?: Fixed Fire Suppression System?. - Please refer to the following pages for conditions of this permit. 1 of 3 a w 2 O LLI = a .J c a p W ED .Sm � a� roa� wa� s �, c 1- co� 02 t°otA -0 L -0ti -0O I` Z _I ZO Z U Q IL N Z C H Q N Q a Q m Z w� ° a) m � o ro .0E030 '< 75 � N I� Y O M - iC � LLI � C n' W g O Z o \ m `vl m � _ > O o 6 o io 0 iv CCC —6 2 m io `9 m C� LLvu. vmvLL -0M0 0v3v m . N y ANCHOR pSSTL!\�f L' s�[iSN GtS �F EfL MA><IuFHHLt't.rRC2S St�ECS _ CMARLAND y 7 Lo - STORE PLAN A Lo J KIM 4/14/00 ?, FApnf VIEW SIDE VIEW Y\( FaoNr viETr s1oE YIEM ' FRChT VIEM SIDE VIEW �- t 12,1 FRONT viFw SIDE VIEWEl 6 o I r V Lc i 6HOWCABE II SHOWIDASF III SHOWCASE IV SHOWCASE I 1 � w W 4 DETAILED DIMENSION FOR SHOWCASES i 2 6 1 ' i! Im Erlsrl N 1MO0WQ1 SxOPC(SE:! .5 SxOxCafE IIY 7 S s ■ a • 75, m x - m N Rim( - a�[a QIrRum F sEwa+nlu o ylwusE m�i l•: E• (s • !o s! S'iorc.� Ares. s• i y E`MTharl N I SxrwEJSE i x i I I Y SMC7G�SE II _ I SITE PLAN VIEW v $1 m dAmisclfilesllorryon.dgn Apr. 17.2000 16:30:27 m Lea CsC-A(L L-Aw i�s 1V E-" T Eh-) 1`-'1'" o t,r LL�av\cy n LLc t?,k"-T Lo-kil Z� Pei-Lsom S I THESE PLANS MUST 13E ON THE JOB SITE CHANGES' FOR INSPECTION. SUbMit tHANIMS FOR APPROVAL' PRIOR TO OERrORMING WORK APPROVED MUST MEET ALL CURRENT MASON BUILDING INSPECTOR WASHINGTON STATE CODES CHANGES SUBJECT TO APPROVAL 4-705`� MASON COUNTY c 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 .sV 'tL Contractor Name Mailing Address �, . „ t �I Mailing Address City State Zip Code '. -P .''; '";r g City State Zip Code Phone(.3, 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. ' 7 7 } / F / `"� ,6 Fire District Legg Description ite Address(Please include street name, street number and city) (i. .w 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 .q Bluffs PERMANENT RESIDENCE 0 SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work ii -J 7- rs, r `''l. No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor j) 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-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 CONDITION CODES Building Department Occ Group Type Constr. 04- Planning Department (Id 100 Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) PERMIT410.: &wuv 053 MASON COUNTY BUILDING PERMIT APPLICATION s8 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 AFPLICANT INFORMATION CONTRACTOR INFORMATION Owner i.1� (Jo Contractor Name Mailing Address STt= FI Mailing Address City 11 State Zip Code 9�4 �.�.A 3 City State Zip Code Phone( ) Other Ph.( �y+ 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. / L4 /, *' 1 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. 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. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT �. Accepted by Dat -�� ') Submittal Amount Duel Receipt No - ` DEPARTMENTAL REVIEW APPROVED DENIED ' COfVDIT1vN CODES— Building Department &-fz--'M, Occ Group Type Constr=-ICJ Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FI~1=S Building Permit Fee ,We D 00 Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) :::::::.::::.::.:............. TOTAL FEES j ! �' PERMIT4'N0.4W J� MASON COUNTY 5� 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 PhoneL_�..� 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. ; /_T/ Fire District Legal Description if 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 No. of Bedrooms No. of Bathrooms SQUARE FO0TAGE-1st Floor j ,1 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-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. __ DEl'ARTMNTAL i!REVIEIN APPROVED DENIED CONDITION CODES Building Department Occ Group Type Constr. Planning Department Environmental Health Department l9D Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Subrr>ittal ( ) TOTAL FEES :%Yi5•r:i%:�:} �Y;:;:•':':;5:�:�:':�:::;�i:�:: :S::r: :os :S:�:`k':Y#':':':'ii :':'::':�5 :::�:i':