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Home My WebLink AboutCOM2000-00073 Coffee Shop - COM Permit / Conditions - 7/18/2000 MASON COUNTY PERMIT ASSISTANCE CENTER Inspection Line (360)427-7262 • Mason County Bldg. 3 426 W Cedar P.O. Box 186 Pho e: (360)427-9670, ext. 352 Shelton, WA 98584 i COMMERCIAL BUILDING PERMIT COM2000-00073 OWNER: KATHRYN KLUSMAN RECEIVED: 07/05/200 CONTRACTOR: KATHRYN KLUSMAN ISSUED: 07/18/200 SiTE ADDRESS: 11 A NE OLD BELFAIR HWY BELFAIR EXPIRES: 01/18/200 PARCEL NUMBER: 123294200010 LEGAL DESCRIPTION: PROJECT DESCRIPTION: DIRECTIONS TO SITE: COFFEE SHOP FOUR WAY STOP IN BELFAIR General Information Construction & Occupancy Information Type of Use: Insp. Area: No. of Units: Type of Constr.: VN of Bathrooms: Occ. Group: B Type of Work: NEW Fire Dist.: 2 No. Valuation: No. of Stories: Occ. Load: 49 Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: ode]: Width: Building: 1,372 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?: L Please refer to the following pages for conditions of this permit. COM2000-00073 1 of 3 CONDITIONS FOR COM2000-00073 1) 1. ANY COOKING THAT PRODUCES GREASE-LADEN VAPORS MUST BE CONDUCTED ON AN APPLIANCE THAT IS PROTECTED BY A CLASS I HOOD AND A FIXED FIRE SUPPRESSION SYSTEM. 2. PROVIDE 5# DRY CHEMICAL FIRE EXTINGUISHERS AT LOCATIONS NOTED ON THE SITE PLANS. ON11z EXTINGUI ER NEAR THE ADA ACCESSIBLE EXIT AND ONE IN THE FOOD PREP AREA. 2) This projects pproved for Non-Residential Energy Code compliance based upon the following criteria: 1. Heating system will not be changed . 2. Thermal envelope will not be altered. 3. Less than 60% of the lighting fixtures will be new. The wattage of new fixtures shall be maintained or reduced. During the framing ins ection provide documentation, including wattage, listing fixtures removed and new fixtures installed. x 3) Approved per dimensions an setbacks on submitted site plan. X 4) This application is subject t,0 Duffer and Landscaping requirements A established under Mason County Ordinance 1.03,.036.X_ 5) Applicant acknowledges that this development is subject to po ic" s and regulations of Mason County Comprehensive Plan and Development Regulations. X 6) Proposed structure or any portion thereof greater than 30" in eight from grade line, must maintain a minimum of 5' set ck from all property lines, easements and 10'from all County and State Road right of ways. X COM2000-00073 Please refer to the following pages for conditions of this permit. 3 of 3 un� 6 U&A� t�Lmti�{� cam. u�� 13707 92ND ANT CT NW GIG HARBOR,11 A. 98329 Al OWNERS: Mom Reynolds Ttlf Free:1400-619-9000 Don Remolds Phone: 1360}275-9590 Tammy Reynolds Fat: (2S3)857-657d General Contractors License:NORTHBL023MW Bond No.516106C NORTH BAY LAND DEVELOPMENT,LLC submits the following proposal to �M., (Name) (Address) NORTH BAY LAND DEVBL OPMBNT,LLC WILL PERFORM THE FOLLOWING S61<"C1W. i�..�R:1-q,', <" L'��d ,e"�5�►�a y !`��ts�,•�� _ •.'t� .. 4-1ycw,.o.�e,�y �'ru r� IG. �i i n l"�'R. i Y P'„1�L.d.? i"'C.`A')(�,�xl rs� l6•.✓i�r^' ��'r.te A P7 c:@nf.�"1"@`*'Q� Age rs Upon acceptance of this proposal customer will pay North Bay Land Deg eJopment,LLC the sum of S as partial payment on the total contract price. Balance of the total contract price is due upon completion of the job. In the event NORTH BAY LAND DEVELOPMENT,LLC is delayed in the performance and or completion of the above described services due to activity of customer and customers employees,agents,andor other contractors and subcontractors.customer shall pay NORTH BAY" LAND DEVELOPMENT,LLC and additional sum for all such downtime at the rate of S ____ per hour DISPUTES AND REMEDIES In the cent that a dispute arises between the parties,the parties agree to make a good faith effort to resolve the dispute widmutrmort io litigauon Both panics agree to pit in wriung their position with respect to the dispute and attempt to resolve any dispute in a businesslike manner. If the dispute cannot be resoked then either party may file suit in an appropriate court of jurisdiction ADDITIONAL TERMS: /! a a � NORTH BAN'LAND DEVELOPMENT,LLC will complete the sentces stated in this proposal in a workmanlike manner Any alterations or deviations from specifications and services listed in this proposal involving extra costs and/or work will be executed only on agreed written orders and wifl become an extra charge over and above the proposal charges. Customer shall be solely responsible for any damage and clean up costs associated with aubome contammation andor hazardous wastes resulting from performance of the services stated above and will indemnify NORTH B AY LAND DEY ELOPMENT,LLC for any such damage and costs, All agreements are contingent upon strikes,accidents,acts of god and delays beyond the control of NORTH BAY"LAND DEVELOPMENT,LLC. A late charge of______'a per month will be charged on all balances not paid within(10)days of final billing In the event NORTH BAN'LAND DEVELOPMENT,LLC is required to consult an attorney to enforce any of the terms of this proposal and agreement.customer agrees to pay all costs and attorney's fees incurred by NORTH BAY LAND DEVELOPMENT, LLC. Acceptance of this proposal constitutes an enforceable contract. This proposal shall expire and be ineffective if not accepted within(10)daysor BY: �,�, �?�^Y .-- DATE: ORTH BAY LAND OPMENT,LLC-Aathmed Adeot ACCEPTANCE OF PROPOSALCONTRACT CUSTOMER t1"'V�00 accepts the above stated terms,specifications and conditions and agrees that he she will be bound by the abort stateiltermi rtarddo the terms of the above proposal constitutes all the terms of the contract between customer and NORTH BAN' LAND DEVELOPMENT,LLC. The cotomer also states that helshe is the legal owner of the property limed abort. ell BY: � -1 �'r`� DATE: 7 � e�f J CST�krized Agent PERMIT NO.: BLD&60&t�3 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275.4467 EI& 360 482.52 9 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 PARCi O aTION-12 digit Tax Parcel No. / / ✓�' Fire District Lega n Site Add �Plsase 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-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. DEPARTMENTALREVIEW APPRQVEp DENIED C4,fVDIT1+ WCOaES _ _ . Building Department Occ Group Type Constr. Planning Department f Environmental Health Department Public Works Department VtA �� 1 ® -j 1.117�VU Fire Marshal Valuation $ FE..ES .. 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 ( ) PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 6124 426 W.Cedar/P.O.Bdx 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275-4467 Elmo,(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 INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Descriptions 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? 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 1 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. DEPARTMENTA R VIEW. APPROV t .DENIED CC t1iRtTIQfV GQR�S`> Building Department Occ Group Type Constr. Planning Department Other Other twE 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 MASON COUNTY PROJECT SITE INFORMATION Case No. Name PARCEL NUMISER Date . SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 , I Fadjacent property line I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I 1 I I 1 1 I I 1 1 I I I � I t � I I I I adjacent property line-> ' ' <—adjacent property line SAMPLE SITE PLAN adja t property lined , 3io� _ _ _ E-adjacent property line D 30- rR�SCRvE gel SEASo wJ AL. I fi L _�PTSL—_,� J- EK I c I HOM t CRE I I � .G4atn I Noc.�s� I ) PMOpna D s¢pt:c I 1 I I VACAVrjT o I VM1cPosCD / A&R=LL.M MAL80, 50 1 � I /oo' I \ I t.—eLL I \ I � /00• ---� I L-w.re_LL I adjacent property lined ; 1 , \i Fadjacent properiy line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtSt�r.Gm to S14rs.ctt.�Y� diS't•.Iv�LG to 510pa. f o¢ d;AAae,ca 4o t Signature Date