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BLD11671 2 permits same #Change to Tavern - COM Permit / Conditions - 10/8/1981
f Pluff, Mary C. #1167� (275-6432) 11/2/81 NE corner of the NW 1/4 of the SE 1/4 of 29-23-1 Corner of Old Belfair Highway and North Shore Highw� Remodel into Tavern Contractor: En-Tec Co. $40,000.00 � U _ 'aww-lit jlye.•,•,.,, s� �,rl/� •/•�4r C�,Y3 y 4 •t BUILDING PERMIT APPLICATION 0 See MASON COUNTY P.O. Box 186 Shelton, Washington 98584 0 O� 426-5593 0/.0 , i DATE ISSUED 4 PERMIT NO. OWNER NAME MAIL DRESS CITY 6 STATE ZIP AV PHONE DIRECTIONS TO JOB SITE LEGAL (L] SEE ATTACHED SHEETI DESCR. - CONTRACTOR NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE J-O/- .• / , ��� � USE OF BUILDING Class of work: 0 NEW O ADDITION ^E4ALTERATION `REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: T Ilv S BED OOMS_ DECKS CARPORT ❑ NOTICE BATHROOMS__ TOTAL SO. FT. _ GARAGE El NO. OF STORIES-/�— BASEMENT ❑ ATTACHED ❑ OR AIR SEPARATE PERMITS CONDITION CONDITIONING.RE REQUIRED FOR PLUMBING, HEATING, VENTILATING=� TOTAL SO. F��gc�� FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION R' CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONS T 'rJION SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAY AT ANY TER I Certify that I am a currently registered contractor In WORK IS COMMENCED. the State of Washington and I am aware of the ordinance requirements regulating the work for which FOR OFFICE USE N L N the permit is issued and all work done will be in conformance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm —� E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YE,�APPROV NO ZONING Lic. No. Date' PLANNING DEPT. 10114 _ OWNERS AFFIDAVIT HEALTH DEPT. L 1613 PUBLIC WORKS /p 1 q I 0 Z--i 1 certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS M IT M V 1 RFD -14 0 b I_C-1 ISM be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISS Owner Date . BY 0 6�ECK,,VALIDATION' CK.' M.O. CASH PERMIT VALIDATION CK. M.O. CA Pluff, Mary C. #11E; 1 (CHANGE OF (275-6432) 1/13/82 USE) 1E Corncer of the NW 1/4 of the SE 1/4 of 29-23-1. Corner of Old Belfair Hwy. and North Shore HWy. Remodel - Wood Stove Shop/Flower Contractor: Shop/Arcada En-Tec. Co. $Same Shorelines: Setback: Special Conditions: Footing: Setback: Foundation- Walls:— Framing: Fireplace: Wood Stove: Plumbing: Mechanical: _ Roof: Exterior: _ Interior: _ Final: Stop Work: Mobile Home Remarks: Y BUILDING PEMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATEISSUED //,3 PERMIT NO. OWNER NAME MA ADDRES CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR. N v4aSAY NAME MAIL ADDYESS CITY&STATE LICENSE NO. PHONE CONTRACTOR d 4, 2.2 _ 0?7, - USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: c N -� Valuation of work: $ PLAN CHECK FEE PERMIT Fy�t 7A SPECIAL CONDITIONS: �/ �>! l rr � / rc�:'*( l�e -lip � e� r BEDROOMS_ I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. _ GARAGE [] ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT f I SHORELINES CI SEASONAL ❑ FLOODPLAIN Ll Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No.— Date ZONING PLANNING DEPT / Z /2 �Z OWNERS AFFIDAVIT HEALTH DEP 3= L �•13-d_z- PUBLIC WORKS I certify that I am exempt from the requirements of the < FIRE MARSH ` contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APP CATION ACC PT IER BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner __ Date. Y/�// 41 N CHECK VALIDATION CK. M.O. CASH 60 O.RMIT VALIDATION CK. M.O. CASH r BUILDING PERMIT APPLICATION � MASON COUNTY �O P.O. Box 186 Shelton, Washington 98584 �C 426-5593 ` DATEISSUEU PERMIT NO. N4 , OWNER NAME MAIL DRESS CITY 8 STATE ZIP A.V PHONE .� � -a DIRECTIONS 17 TO JOB SITE LEGAL (❑ SEE ATTACHED SHEE11 DESCR. S NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: El NEW El ADDITION `;REPAIR ❑ MOVE ❑ REMOVE Describe work: o C�� Valuation of work: $ PLAN CHECK FEE 70 PERMIT FEE ,rfge !_ SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS— TOTAL SQ. FT. GARAGE L ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT 1 1 OR AIR CONDITIONING. TOTAL SO. FLrW FIREPLACE ( I DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT [] SHORELINES 1.1 SEASONAL f- FLOODPLAIN Ll Firm — E.D. NO. S.E.P.A:[7 By �A ' c- Special Approvals IN OUT YES APPROVED NO Lic. No. -���—� Z� Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT (CATION ACCERTED Y PLANS CHECK BY P ROVED FOR SUANCE Owner _ Date. Y % P N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH EWA • MASON COUNTY ' TITLE INSURANCE COTIPANY No. 47327 EXHIBIT A IN MASON COUNTY, WASHINGTON A tract in the Northeast corner of the Northwest quarter own7shiof the Southeast quarter (SEo) of Section twentynine '(29) , Township twentythree (23) North, Range one (1) West, W.M. , more particularly described as follows : BEGINNING at the center post of said Section 29 ; thence East along the centerline of said Section 29 , 1141 feet to the place of beginning of this description; thence East 150 feet to the South- west margin of the Navy Yard Highway; thence South along said West margin of said Navy Yard Highway 155 . 62 feet -to the Northerly right- .of-way line of North Shore County Road; thence South 77*25 ' West along the Northerly margin of the North Shore Road 154 .92 feet; thence North to the point of beginning, excepting therefrom road rights-of-way. I � I � o y I o .I d� �o s IAV ram" '30 i l � + Z ik' Y ............... �: Certif irate of ®cru ane ��:. fHafson Countp "Builbing Dcpartment h. This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certying 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 Mercantile Bldg. Permit No.. 11671 9 VN Group B-2 Type Construction Fire Zone Use Zone Mary G. Pluff P• 0. Box 189, Belfair Owner of Building Address NE 11 Old Belfair Highway Belfair Locality Building Address By: 4 Date: CBuilding Official POST IN A CONSPICUOUS PLACE yyy W. v--'U x so ""a"4 qi Ak AWL JL awk rn t-A .N Cerfif iratt of Orrupanrp agog ountp Aluilbing nepartment 41 C This Certificate issued pursuant to the requirements of Section M6 of the Uniform Building Code certying 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: Bldg. Permit No. _Zle�, 71 Use Classification Grou ^z� —Type Construction Fire Zone Use Zone Ile I Owner of Building Address J Building Address -1) 13eL ?,,q ia cality &to By: Ar Date: Building Official POST IN A CONSPICUOUS PLACE ............. ...... _%N1, W Date October 15, 1981 Mason County Health Dept. Mason County Engineering Dept.✓ Mason County Fire District #2 To: Mason County Sheriff Re: Proposed Declaration of Won-Significance For: Mary Pluff P. 0. Box 189 Belfair, Washington 98528 Project: Remodel building and relocate tavern business. Mason County, upon reviewing an environmental checklist and other data within its files, is issuing a Proposed Declaration of Non-Significance for the above referenced project (copy enclosed) . Attached is an environmental checklist and description of the project. If there are no objections within 15 days to the proposed declaration, a final declaration of non-significance will be made on October 30, 1981 Sincerely, Ken Stevens Mason Regional Planning Director Enclosures. • 4 E.R. t]o. • Introduction: The State Environmental Policy Act of 197 43.21C, RCW, requires all state and local governmental a ,Rcieswo�O M consider environmental values both for their own actions and when U licensing private proposals. The Act also requires that an E '�e O prepared for all major actions significantly affecting the qua of 8 198r of the environment. The purpose of this checklist is }D the agencies involved determine whether or not a proposal is suc Nt p` major action. q NN�N Please answer the following questions as completely as you can with the information presently available to you. Where explana- tions of your answers are required, or where you believe an ex- planation would be helpful to government decision makers, include your explanation in the space provided, or use additional pages if necessary., You should include references to any reports or studies of which you are aware and which are relevant to the answers you provide. Complete answers to these questions will help all agencies involved with your proposal to undertake the required environmental review without unnecessary delay. The following questions apply to your total proposal, not just to the license for which 'you are currently applying or the proposal for which approval is sought. Your answers should include the impacts which will be caused by your proposal when it is complet- ed, even though completion may not occur until sometime in the future. This will allow all of the agencies which will be involved to complete their environmental review now, without duplicating paperwork in the future. NOTE: This is a standard form being used by all state and local agencies in the State of Washington for various types of propos- als. Many of the questions may not apply to your proposal. If a question does not apply, just answer it "no" and continue on the the next question. ENVIRONMENTAL CHECKLIST FORM I BACKGROUND 1. Name of Proponent 4� 2. Address and pho e number of proponent' /ems /Jll /� �S�— �/ 2 3. Date Checklist Submitted �t 4. Agency Requiring Checklistt �/ _ 7 S. !`ame of Proposal, if applicable: ( 6. Nature and Brief Description of the Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature) : / ZAL'( T �s /� C�=•v Srv.t'� Ce,4s 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental impacts, including any other information needed to give an accurate understand- ing of the environmental setting of the proposal) : r F.�-,r/�'��sJ �•vA R. Estimated Date for Completion of the Proposal: '--,'r— en e3'� 9. List of all Permits, Licenses or Government Approvals Required for the Proposal (federal, state and local--including rezones) : P 10. Do you have any plans for future additions, expansion, or further activity related to or connected witb this proposal? If -yos-, explain: 11 . Do you know of any plans by others which may affect the property covered by your proposal? If -yz&, explain: 12. Attach any other application form that has been completed regarding the proposal ; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: I, the undersigned, state that to the best of my knowledge the above information is true and complete. It is understood that the lead agency may withdraw any declaration of non-significance that it might issue in reliance upon this checklist should there be any willful misrepresentation or willful lack full. disclosure on my part. el , Proponen NOTE: To cover the Environmental Review, a check for $30, made payable to the Mason Regional Planning Council, should accompany the Checklist at time of submittal. FTAFF c: ."TAL C�' C—LM Fn^" Prononents `.*-le: Mary C. Pluff F• °• "0- 81-36 t Yes Oo U PACTS (1) rarth. T'ould the proposal result in: (a) Unstable earth conditions or in X chances in geologic substructures? (b) Nsruptions, displacements, com- X nection or overcoverir_R of the soil? (c) Chanve in tonoAranhy or rround X surface relief features? (d) The destruction, covering or X modification of any unique geologic or physical features? (e) Any increase in wind or water X erosion of soils, either on or off 'T the site? (f) Changes in deposition or erosion X of beach sands, or changes in silta- tion, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? (2) Air. Would the proposal result in: (a) Air emissions or deterioration X of ambient air quality? �1- Yes No (b) The creation of objectionable odors? X (c) Alteration of air movement, moisture X or temperature, or any change in climate, either locally or regionally? (3) Water. Would the proposal result in: (a) Changes in currents, or the course X or direction of water mover+ents, in either marine or fresh waters? (b) Changes in absorption rates, X drainage patterns, or the rate and amount of surface water runoff? Approximately 8900 square feet will be paved for parking. (c) Alterations to the course or X flow of flood waters? (d) Change in the amount of surface X water in any water body? (e) Cischarge into surface waters, X or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction X or rate of flow of ground waters? -2- Yes No (g) Change in the quantity of X groun8 waters, either through direction additions or withdrawals, or through interception of an aquifer by cuts or excavations? (h) Deterioration in ground water X quality, either through direct in- jection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of X water otherwise available for public water supplies? (4) Flora. Would the proposal result in: (a) Change in the diversity of species, X or numbers of any species of flora (in- cluding trees, shrubs, grass, crops, microflora and aquatic plants)? (b) Reduction of the numbers of any X unique, rare or endangered species of flora? (c) Introduction of new species of X fauna into an area, or result in a barrier to the migration or movement of fauna? -3- Yes No (c) Reduction in acreage of any agricultural crop? (5) Fauna. Would the proposal result in: (a) Changes in the diversity of species, or numbers of any species of fauna (birds, land animals, in- cluding reptiles, fish and shellfish, benthic organisms, insects or micro- fauna)? (b) Reduction of the numbers of X any unique, rare or endangered species of fauna? (c) Introduction of new species of X fauna into an. area, or result in a barrier to the migration or movement of fauna? (d) Deterioration to existing fish X or wildlife habitat? (6) Noise. Would the proposal increase X existing noise levels? Increased traffic on the corner of State Highway 300 and Old Belfair Highway. (7) Light and Glare: Would the proposal X produce new light or glare? Possibly from lighted signs, exterior lighting and automobile headlights. -4- Yes No (8) Land Use. Would the proposal X result the alteration of the present or planned land use of an area? Only in changing of the actual use of the site from vacant to commercial. There is commercial activity currently directly across State Highway 300 and Old Belfair Highway. (9) Natural Resources. Would the pro- posal result in (a) Increase in the rate of use X of any natural resources? (b) Depletion of any nonrenewable X natural resource? (10) Risk of Upset. Does the proposal X involve a risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radiation) in the event of an accident or upset conditions? (11) Population. Would the proposal alter X the location, distribution, density, or growth rate of the human population of an area? (12) Housing. Would the proposal affect X ex—fisting housing, or create a demand for additional housing? -5- Yes No (13) Transportation/Circulation. Would the proposal result in: (a) Generation of additional X vehicular movement? Increased traffic at the intersection of State Highway 300 and' Old Belfair Highway. (b) Effects on existing parking facilities, or demand for new parking? Adequate parking for the tavern. (c) Impact upon existing transportation X systems? Unknown impact on Old Belfair Highway and State Highway 300. (d) Alterations to waterborne, rail X circulation or movement of people and/or goods? (e) Alterations to waterborne, rail X or air traffic? (f) Increase in traffic hazards to X motor vehicles, bicyclists or pedest- rians? Possibly. Unknown amount of additional traffic. (14) Public Services. Would the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: (a) Fire protection? X -6- Yes No (b) Police protection? X (c) Schools? X (d) Parks or other recreational X facilities? (e) ?`aintenance of public facili- ties, including roads? (f) Other governmental services? _ (15) Energy. Would the proposal result in: (a) Use of substantial amounts of X fuel or energy? (b) Demand upon existing sources X of energy, or require the develop- ment of new sources of energy? (16) Utilities. i7ould the proposal result in a need for new systems, or alterations to the following utilities: (a) Power or natural gas? X -7- Yes No (b) Communications systems? -X (c) Water? X (d) Sewer or septic tanks? X (e) Storm water drainage? X (f) Solid waste and disposal? X (17) Human wealth. Would the proposal X result in the creation of any health hazard or potential health hazard (excluding mental health)? (18) Aesthetics. Would the proposal X result in the obstruction of any scenic vista or view open to the public, or will the proposal re- sult in the creation of an aesthetically offensive site open to public view? (19) recreation. Would the proposal X result in an impact upon the quality or quantity of existing recreational opportunities: -S- Yes NO (19) Archeological/uistorical. Would X_ the proposal result in an alter- ation of a significant archeological or historical site, structure, object or building? The project would involve the renovation of an old building which was the site of a general store, gas station and post office. The building would be kept as original as possible. Discussion: - The proposed project is the rehabilitation of an existing building and the relocating of "Molly Bell's Tavern, " (currently located in Belfair Center). The site is already cleared, except for the area of the building, which would not be expanded. It is expected that the project would have no significant environmental impact. Staff Plannerts Signature 151 ESrn T 'r'—' 0 LO eEL,F - eYp '-/o t� '-/p Yp G/D �D, C/D e O ` t F--- 73 z 45' r o o se,-T 2ESEV E Z ao ° - - — — J d i,onks o,re is be ow 20 RESTRv� ,,� �� Par lung ha PMti- b j sMmQ bDarr�s or c��ia��' � b r - -- - - - - - -' 3375 ca1. -� stf c +ank 0 I w- 3-7 50 bw6L bq moMC6 !0 -c•42,E--� ..• tip d . r . T ...._.. g 45 4w►tW� ' r 4- MASON COUNTY PUBLIC WORKS DIRECTOR/COUNTY ROAD ENGINEER Shelton, Washington 98584 OFFICE AT_ Shel ton DATE October 28, 1981 INTER-DEPARTMENTAL COMMUNICATIONS TO: Mason County Planning - Building Dept. FROM: Department of Public Works - Elden Reed SUBS: Building Permit - Mary C. Pluff The building permit is o.k. , but parking and access to the Old Belfair Highway needs revision. Access should be moved north as soon as possible from the intersection (as shown on the attached plot plan) . ELR:sh E 0 Attach. OCT 2 8 1981 REGIONAL PLANNING AN MASON COUNTY 'TITLE INSURANCE COMPANY ' No. 47327 EXHIBIT A ' ' IN MASON COUNTY, WASHINGTON A tract in the Northeast corner of the Northwest qua rter (NW;) of the Southeast quarter (SE;) of Section twentynine (29) , Township twentythree (23) North, Range one (1) West, W.M. , more particularly described as follows : BEGINNING at the center post of said Section 29 ; thence East along the centerline of said Section 29 , 1141 feet to the place of beginning of this description; thence East 150 feet to the South- west margin of the Navy Yard Highway; thence South along said West to the Northerly right- margin of said Navy Yard Highway 155 . 62 feet of-way line of North Shore County Road; thence South 77025' West along the Northerly margin of the North Shore Road 154 .92 feet; thence North to the point of beginning, excepting therefrom road rights-of-way. • �. � �.. M � r �� over A)ort2 S�J7 _ 5 K E L L I E dV • P/LZA •PASM • Z?S-Z6S7 TALBOT ILLUSTRATION DE516N Af - ♦0aMAW ►- s — pov&;-1 .5;wTr,+i �jf��b A bAIT lflM 0-M GOST FVP- ME TO DD AV3137'E; #34 SW _ S si4 :�;zqel-- 00 GA�ti �:� & T 5EATTLE,WA: _ 9 8 1 2 .6 t"DVV �V V� ami �O 937-4624 Seabeck Pizza Dining Area Related work and specifications Site address: 11 NE Old Belfair Hwy Belfair, Wa. 98528 Description page 02050 Demolition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 02150 Existing paved parking. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 03300 cast-in-place concrete. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 06100 Rough Carpentry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 06200 finish Carpentry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 07530 Roofing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 08200 Existing Wood Doors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 08700 Hardware. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 09250 Gypsum Wallboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 09680 Existing Floor Coverings. . . . . . . . . . . . . . . . . . . . . . . . . . 5 09900 Painting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 01100 Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 01200 furnishings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 01500 Existing restroom fixtures. . . . . . . . . . . . . . . . . . . . . . . . 6 01600 Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 page( 1) -�7 C i 02050 Demolition ( 1 ) There shall be a 6 'x 7 ' opening made in the non-bering partition wall that separates the current Seabeck pizza kitchen and the proposed dining area. This will be the only opening that directly connects the kitchen and dining area . This wall is constructed of 2x4s at 160c with 5/8 Type x gypsum on either side . ( 2 ) Door # 3 will be removed and opening will be widened to 42"x83" . Opening will be finished with gypsum. 02150 Existing paved parking ( 1 ) There will be 13 regular parking stalls and one handicapped stall that will be striped and used specifically for Seabeck Pizza employees and customers as drawn on plans . ( 2 ) There will be a Fire lane established along entire the North West side of building that is accessed from north shore road . ( 3 ) Drainage of surface water on parking is sloped towards NW portion of paving . No standing water is observed after rainfall . 03300 Cast-in-place concrete ( 1 ) In order to provide access to main entrance from the parking area a 4 ' x 12 ' x 4" concrete sidewalk will be poured . Page(2) t 06100 Rough carpentry ( 1 ) Framing for 6 ' x 7 ' walk-thru in NW wall of dining area shall be in accordance with UBC and or local building codes . ( 2 ) Framing of register counter and wall shall be of 2 x 4 at 16"oc and sheeted with 5/8 type x gypsum. 06200 finish Carpentry ( 1 ) Materials A. Kiln-dry 6-11% moisture content. B. Type of materials; VG fir, hem, oak . 07530 Roofing ( 1 ) The current roofing is Hot mop and will not be change or altered . Page (3) 08200 Existing wood doors ( 1 ) All doors shall remain except for door #3 . 08700 Hardware ( 1 ) Doors # 1&2 shall be equiped with Russwin PR9120 closer, builders brass 32 x 15z push plate, 3z x 15%2 pull plate w/handle . A deadbolt will be used as a lock mechanism during non-business hours . 09250 Gypsum Wallboard ( 1 ) Shall be 5/8 type X, installed in accordance with UBC . Page (4) ti 09680 Existing Floor Coverings ( 1 ) All existing floor materials are to be cleaned and used as is . 09900 Painting ( 1 ) Materials and aplication shall be in accordance with local building and fire codes . ( 2 ) Flame spread data shall be supplied to local fire and and building officials. 01100 Equipment ( 1 ) Portable salad bar that requires no water supply or Drain . ( 2 ) Soda despenser ; water supply, drain and installation provided by CoCaCola . ( 3) Fire Extinguishers A. Model # 5MB6 B. 3A40 rating C. Two in dining area mounted to wall per fire code requirements with signs . Page (5) r 01200 Furnishings ( 1 ) Tables and chairs for seating of up 40 customers . ( 2 ) Material data shall submitted to local building and fire officials . 01500 Restroom fixtures ( 1 ) All restroom fixtures are to remain as is . 01600 electrical ( 1 ) All electrical plans, permits , materials and labor shall be supplied by electrical contractor . ( 2 ) Combination emergency lighting and exit sign located above each dining room exit . Page (6) ) ACC� 1x�tA,R tiull = 2 F7` P�� /T ,vy f4�ti 50 ;o reNe p,c 5f �� Sc Arfl�,✓ 6'^ DRRfN GL. - FiFLD - - - �XfS7,.,y JSEpri, we S "TANK Q Cie - - fic Ti �wr 7-&A oa. y �y X 2 � � '� � CP I warEA1 Grp So - - n c r� tr711N � J_ - Nqx Z?-. P,ZZA w 13XZ2 2 6ob sQ FF r h 4 Operv. N t a� q 1 z G gXzo-t o - 1 �f OLD I-FA WY- i i ESrn'T r• 7346 V 10 D SCA-. r. 1 I z ES EP—V E. 0 a A % � �► I f.�. �'f'-' --42 I� I d • - - - - - - - r 70 • 20 P ES E RA)E '`,,� ��j QNc lu,r►9 —- ba Pc`ata.�t b �I' 3' '� � sMmQ �" bDarals or o�ia1� � l7 I 9 , 4-7- • w ZO, EP-VF— 3-7 60 J al. . pump +unk ' —...— • bo►se, of morn 1 Case Number: BZ 2D13 T eel_-2 Z� Mason County Investigation Report Form Parcel Number: C7 -�- ©dz5'l 0 Violation Site Address: r Property Owner(s): Mailing Address: �r�%�' Tenant/Contractor/Operator on site: Directions to Site: 2Q!t"yn_v r Description of Concern: � /�'Yl a Wy �y Gyo�'� kg �'� S�t'P• ��!"''�`� pad-f — o v a r a f r t ne4es4 Under the provisions of the Public Disclosure Law, RCW 42.56.240, the complainant may indicate a desire for disclosure or non-disclosure of their identity. If non-disclosure is chosen, this portion of this form will not be released to the public unless this case is filed in court. Ifftled,your name will be disclosed ifyou are a witness in the case. Mason County investigates possible violations on a complaint basis only. Therefore,the name of the person filing the complaint should be provided. PI se the one of the following: Please do not disclose my identity. I understand that disclosure may be required by court order or if this matter goes to court. ❑ You may disclose my identity. Name(please print): Phone: ( ) Address: Street City State zip Signature of Complainant: Date: TIUS SECTION FOR MASON COUNTY USE ONLY Complaint Received by: ) Date: o�� Complaint Received by, ❑Xone ❑ Email ❑ Web Site ❑ In Person Department of Concern: ❑ Building ❑ Planning ❑ Fire ❑ Public Works Environmental Health: ❑ Solid ❑ On-site ❑ Wells ❑ Food ❑ Other Investigation Date and Findings: TOK GOB - Date Closed: Reason Closed: Initials: 6-urtect 1� ,` n c.©nd ~ 'ad_e, Permit# oZ b /.3 -Dpp�� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION. NOTICE Job Location_ i A — _ old &A ir H-0a This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance c P-12 cam?t j2 ei-4--m i '21-- g vQjcp /O ✓ You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent 11natural1man made" ❑ This is not a complete inspection disasters.This is NOTa CORRECTION NOTICE. Date �S- -Z� -/ � Department � L Inspector 7 rK _ ago N94T R MkOV ' THia rm-olff I Case Number: Mason County Investigation Report Form Parcel Number: 4-2 33�2_y -'7 , 0oe.)1,o p Violation Site Address: z O sT/V Ufa &'/A;/ Property Owner(s): D%b / L r Phone#: Mailing Address: _ b. �O X � 76 / — A r52; Tenant/Contractor/Operator on site: Directions to Site: Description of Concern: 4�&�V �CII Cf^ Sl fe �/C ]�'� C✓ ��aA e�1C 421`a z .I he./,Lf. �!fr,���a� 7`d Under the provisions of the Public Disclosure Law, RCN'42.56.240, the complainant may indicate a desire for disclosure or non-disclosure of their identity. If non-disclosure is chosen, this portion of this form will not be released to the public unless this case is filed in court. If filed,your name will be disclosed ifyou are a witness in the case. Mason County investigates possible violations on a complaint basis only. Therefore,the name of the person riling the complaint should be provided. Please check one of the following: ❑ Please do not disclose my identity. I understand that disclosure may be required by court order or if this matter goes to court. ❑ You may disclose my identity. Name(please print): Phone: ( ) Address: Street City State Zip Signature of Complainant: Date: J� ' 7/3 THIS SkCTION FOR MASON COUNTY USE ONLY Complaint Received by: Date: Complaint Received by: ❑ Pfone ❑ Email ❑ Web Site ❑ In Person Department of Concern: ❑ Building ❑ Planning ❑ Fire ❑ Public Works Environmental Health: ❑ Solid ❑ On-site ❑ Wells ❑ Food ❑ Other Investigation Date and Findings: 49-k/_ �s� Date Closed: Reason Closed: Initials: Department of Labor and Industries AGENCY REQUESTED Electrical Program T,r Complete&mail this form to the local L&I Field Office "^, � INSPECTION Visit us online for office locations `'°°° JY www.Lni.wa.eov Permit # Location of Investigation(address) Describe problem observed Date observed 11 NE Old Belfair Highway City State Zip Code Belfair WA 98584 According to complaint received the tenant space, Property Owner's Name Telephone Number previously occupied by Seabeck Pizza,was gutted ADIO I LLC and new wiring was installed. Told that the new Property Owner's Address tenant plans to operate a beauty salon. PO Box 370 City State Zip Code Belfair WA 98528 ✓t Agency Making Request Mason County Dept.of Community Devolpment S3) 3 • 3/<0- 3 Agency contact name Telephone number Debbera Coker 360.427.9670 ext.510 Agency's Mailing Address PO Box 279 City State Zip Code Directions from nearest main crossroad Shelton WA 98584 North corner of Old Belfair Hwy and Northshore Rd Power ompany/Electrical Serving Utility (SR300)/Clifton Lane. Mason ounty PUD#3 Sign atur d title X REPORT OF INSPECTION DO NOT REMOVE Fo QDepartent of Laborand Industries use only ❑ rmation only ❑ Corrections needed—Permit required The electrical safety corrections attached are hereby ordered and must be completed within 15 days; Date of inspection failure to do so may result in issuance of a citation with monetary penalties or disconnection of electricity. 98584 Inspector's Stamp F500-025-000 agency requested inspection 12-2005 0 n BCC2013-00028,taken by LAW on 5.22.2013,#1 of 1.jpg ` p,�� Qwoer J Propose t oI�k vv peh�vt��/ hors II t l �T y Pol -1 AN H n'c� T 1�7IJC� N _ t •7� M1 s �—� � p � I ilk F e d r' '• , r I O N,�' i j 10 Gt,oscd Sv^� 3 Ll` PM A 1 0�_ N w � I � ccaw�oti,�•�,vc � OlwNer pa/ e7�4- Propose J �'/Zz� p hOvrs )I - C, Pol pet -yN/s �,wq2i., r' I _ 8 A5 N � N - Fie r a�'''°�'S ��✓�a�-sue �� �� ' r \ I ' ij- rce•� ,Sc1,o�L 16 - 6 �oaA s C6, p rn 10 C Losc d Sv^� 3 , L1, pm C�-GtSe� S/3�tSVN �J� Al