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Home My WebLink AboutCOM2000-00020 Suite E Video Store Improvement - COM Permit / Conditions - 4/13/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262 Mason County Bldg. 3 426 W. Cedar P.0 Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 � -�7 4 i� COMMERCIAL BUILDING PERMIT COM2000-00020 OWNER: BLOCKBUSTER VIDE RECEIVED: 03/15/200 CONTRACTOR: BLOCKBUSTER VIDEO ISSUED: 04/13/200 SITE ADDRESS: 23969 NE STATE ROUTE 3 ZUITE E BELFAIR EXPIRES: 10/13/200 PARCEL NUMBER: 123294190021 LEGAL DESCRIPTION: TR 2-A OF NE SE TR A OF SP#423 PCL 1 OF BLA 98-58 PROJECT DESCRIPTION: DIRECTIONS TO SITE: RETAIL TENANT IMPROVEMENT COMMERCIAL, VIDEO BELFAIR VALLEY, SUITE E&F, SHOPPING CENTER ON RTE. 3 STORE General Information Construction & Occupancy Information Type of Use: Insp. Area: No. of Units: Type of Constr.: Type of Work: ALT Fire Dist.: 2 No. of Bathrooms: Occ. Group: M Valuation: No. of Stories: 1 Occ. Load: 120 Building Height Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: odel: 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. 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?: COM2000-00020 Please refer to the following pages for conditions of this permit. 1 of 4 CONDITIONS FOR COM2000-00020 1) Approved per dimensions and setbacks on submitted site plan X �� 2) Parking shall be sufficient for 12 normal parking stalls (9 feet by 20 feet) and 1 handicap parking stalls (12.5 feet by 20 feet) with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the building entry, and shall be signed with the International Symbol of Access. Scrum adjacent residential properties is required by property owner. X � 3) TESTING OF THE HVAC SYSTEM SHALL BE IN ACCORDANCE WITH THE GENERAL NOTES ON PLAN SHEET ME-1 , ITEMS 1 THROUGH 4-F. 4) 1. TENANT IMPROVEMENT MAY REQUIRE MODIFICATION OF THE FIRE SPRINKLER SYSTEM AND THE FIRE ALARM SYSTEM. TENANT IS ADVISED THAT CREATION OF UNPROTECTED SPACES MAY DELAY THE CERTIFICATE OF OCCUPANCY. COM2000-00020 Please refer to the following pages for conditions of this permit. 4 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amoun Receipt Floor Sink 1 Plan Check Fee KLW 03/15/200 $212.00 52914 Address Fee GMM 03/17/200 $15.00 53148 UFC Plan Check Fee DLS 04/03/200 $106.00 53148 Non-Res. Energy Code DLC 04/06/200 $42.00 53148 Building Permit Fee SKM 04/07/200 $42.00 53148 Building State Fee SKM 04/07/200 $4.50 53148 Plumbing Fee SKM 04/07/200 $7.00 53148 Plumbing Base Fee SKM 04/07/200 $20.00 53148 Planning Review Fee AHB 04/07/200 $65.00 53148 Environ.Health Plan CEW 04/11/200 $50.00 53148 Total $563.50 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. OWNER 0RAGENT:` DATE: -'-] 3 -00 v COM2000-00020 Please refer to the following pages for conditions of this permit. 2 of 4 i CON 'Rem MECHANICAL MOBILE HOME Fc�M5y0-Setback date by Ribbons data 7� ' by Gas Piping date b . FOUndation Walls date by Set Up ate by INSULATION date by BG/SLAB Insulation Floors Final date aRAMING by date by date by Walls FIRE DEPT. date PLUMBING by date by date by Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date // .21-Z CXx> by Water Line FINAL INSPECTION date by date�—� by �� date by 722 1457f�.SLiscoln,c S11.,ai .---ehx Tv� oe_le9yf C4i�J 692— C C ertif isatt of Occupancy2 ftla5on Countp Jguilbinq ;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 4: ordinances of the County regulating building construction or use.For the following: Use Classification VIDEO STORE Bldg. Permit No. COM2000-00020 Group B —Type Construction 5N Fire Zone 2 Use Zone RFT.FATR I JC�A Owner of Building TOLLESON PROPERTIES Address 606 110th AVF_ RFTJEVUE WA 98004 '14 BELFAIR CENTER BELFAIR, WA. 98528 RT. 3 Buildinn 239 Locality F Fire Ma shal TERRY AN — I A4 Date 0517-2000 uilding Official POST IN A CONSPICUOUS PLACE PERMIT NO.: B 6"200;�'d2ID'10 MASON COUNTY -5A5 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 arm r „7 Mailing Address City;x Au, State(&L1 Zip Code City State Zip Code Phoneitj,d, ^Other Ph.kJzcJ-2,q,4 2�R,:Z I Ph.( Other Ph.( Lien/Ti I der 's5i�7 g224 /_E r- 4&id Contractor Reg. # Address � 1=1.17 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. 1 / w. Fire District Legal Description_ k A7I A C-4., r- , 1 Site Address(Please include street name, street number and city) -7 T -, til cl Directions to site PA L FA t aZ VA L-G E LA, ��6�z1/12.�-6�s'- 7POT",>-�� F � I7iT r7 a 17T}" , � Will timber be cut and sold in parcel preparation? (Yes/No)_LJ 9 Is your property within 200' of the following: Body of Water(Name) W f4- Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other, Use of Building lz`` Describe Work l,4A Nf ►1;-1 C'f?cVLr kal� *I I— --- A/r 4;A 4 -j 0t r, ,T�f�� No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor f 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 de without first obtaining shall be done in conformance therewith. No changes shall be made without approval. I first obtaining approval. . ,. � , .! Date �041 i6, X Date FOR O ICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group Type Constr. Planning Department 'Environmental Health Department M X, 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 AIR ap0 Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) �i::F:•iiii:�Jiiif::}iij;i?i:ii;;ii::i:Lii:;iiYi ii:;i i'} :; :... TOTAL FEES PERMIT NO.: BLD • MASON COUNTY 1157, 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 INF CONTRACTOR INFORMATION Ownell 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. / / Fire District_ Legal Description Site Address(Please include street name, street number and city Directions to site a 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 Describe Work WF No. of Bedroom - 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-I 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 spade 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. Planning Department 7 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 p0dref6 Wood/Gas/Pellet Stove Fee Other Violation Fee Pre- did at Submittal ( ) TOTA F S �L�y[ L,/ /� PERMIT NO.: BLD M SON COUNTY [ 00 ean BUILDING PLRMIT 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.( ) y _ Ph.( Other Ph.(� Lien/Ti e 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 t �! PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site i ,t i r �, f rZ V Z (.L f `r Will timber be cut and sold in parcel preparation? (Yes/No) �'C 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 G Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor f 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 r/ cle without first obtaining shall be done in conformance therewith. No changes shall be made without approval. � first obtaining approval. i" 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. Planning Department Environmental Health Department vo Public Works Department i Fire Marshal Valuation $ FEES Building Permit Fee Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other 0-4 a� Pre-Paid at Submittal a r.. ... MEN TOTAL FEES �7 �Y C'o,x-4 PC E7',& FORM MUST BE COMPLETED IN INK PERMIT NO.: CO3k,ZCP0—t1Q01C> 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 BLt:xck L3,j.0 TF iz I > i n: Contractor Name Mailing Address /o 11 SL, , e i T-cf< r A-r „,Arc iling Address City _SeA1-L.E State L,)A Zip Code gBt3'd City State Zip Code Phone(-.m. 7z/a- o8a[pther Ph.(4ZS )-591--z32_i Ph.( Other Ph.(__� Lien/Title Holder K3313 'r"I I - FSD rJ Contractor Reg. # Address r-oG „n-r m Au_ f2et i a 1, uE CiArne Expiration / / LwIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of 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 Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? OtherELgQn sr%,.k 1 �_ Other _ Other _ Other Base Fee Zo Base Fee TOTAL PLUMBING gj-- 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. £7EPAR7.MEF.idT1k#21;1/[ 1f1F RR' OVEQ.: . ;:[3>Af+lIEt3. QNDTI I(?1wflC(7[3E5 Building Department Occ Group Type Constr. Planning Department Other Other .. 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