HomeMy WebLinkAboutCOM2008-00100 Final Add Tullys Coffee within Store - COM Permit / Conditions - 10/16/2008 J
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
COMMERCIAL BUILDING PERMIT COM2008-00100
OWNER: SAFEWAY#1571 RECEIVED: 8/18/2008
CONTRACTOR: WOODMAN CONSTRUCTION 425-454-3621--425-766-2891 LICENSE:WOODMC116706 EXP: ISSUED: 9/23/2008
SITE ADDRESS: 23961 NE STATE ROUTE 3 SUITE A BELFAIR EXPIRES: 3/23/2009
PARCEL NUMBER: 123294100010
LEGAL DESCRIPTION: PCL 3 OF BLA#98-58 PTN NE SE SURVEY 32/67
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADD TULLYS COFFEE KIOSK WITHIN EXISTING STORE belfair safeway
General Information Construction &Occupancy Information
No. of Units: Type of Constr.: VB
Type of Use: Insp.Area:Type of Work: NEW Fire Dist.: No. of Bathrooms: Occ. Group: M
Valuation: $ 13,400.00 No. of Stories: Occ. Load: 1
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 187
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?:
COM2008-00100 Please refer to the following pages for conditions of this permit. 1 of 5
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Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Kitchen Sink 6 Plan Check Fee KC R/1A/9nnR 1rA 91 C19nnAnn
Floor Sink 2 EH Plan Review KC A/1R/9nnA pan nn C19nnRnn
IFC Plan Check Fee I AXN A/99/9nnA P77 11 S19nnRnn
Plumbing Fee ni c A/9R/9nnA ItAA Rn C19nnRnn
Plumbing Base Fee ni r` A/9A/9nnA c9'2 1n g19nnAnn
Building Permit Fee ni n 9/9/9nnR (037 95 R19nnAnn
Water Adequacy Plan AFAH Q/1R/9nnR Rdn nn C19nnRnn
EH Plan Review r:F\N Q/1Q/9nnR �tRn nn C19nnAnn
Total $696.47
CASE NOTES FOR
COM2008-00100
CONDITIONS FOR
COM2008-00100
1) If a ce i :1caop y or similar obstruction is installed over the area the fire sprinkler system will be required to be extended into the this space.
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s subject to inspection and corrections as deemed necessary by the Mason County Fire Marshal to insure the minimum fire and life
ments are ment as adopted by Mason County.
BC fire extinguisher mounted no more than 60 inches above the floor to the top of the unit.
2) All 6ppro ed plans are required to be on-site for inspection purposes. If inspection is called for and I s are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-ho c rged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
3) 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 isks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800- he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
4) The use, handling nd storage of hazardous Is r fl mmable and combustible liquids in excess of 10 gallons is not allowed without the
approval of the Mason County Fire Marshal. X
COM2008-00100 2 of 5
5) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
remove. proval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
cX by Mason County Building Department prior to any further inspections being performed or approvals granted.
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6) ALL CO TRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE RE EMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE R CCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
7) 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 construct hich 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 pla r w is m affect your project.
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8) Changes r ed b ' ing plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air
Q e (V Q), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
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9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
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with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
unt Building Inspector shall be made prior to requesting additional inspections.
10) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure uest a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
n - Iia t with Mason County ordinances and building regulations.
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11) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for "on for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of rmit older have prevented action from being taken. No more than one extension may be granted.
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12) Epoxy gr t, specified in the professional design shall require special inspection by a certified testing laboratory to inspect the installation of
system. Special inspections may also be performed by a Mason County County Building Inspector provided material, including manufacturer
specifications, are present during the inspection. Inspectors will verify thnecon
are prepared in accordance to manufacturer specifications. When
an authorized special inspection agency performs the inspection the port shall be submitted to the Mason County Building Department
for review and approval prior to the final inspection of the project. X
COM2008-00100 3 of 5
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. Proof of continuation of
work i,by means c#a progress ins ction.Theo r or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described pr ure evie and spection Q
OWNER OR AGENT: DATE:
COM2008-00100 4 of 5
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o CONCRETE MECHANICAL MANUFACTURED HOME
C) Footings 1 Setback* Date By Ribbons IMMM
Gas Piping
o Interior Date By Interior.Date By Date By >
o Exterior Date By Exterior-Date �._ B Setup
INSULATION v,
Faint Load!Isolated Footings Date By V
BG 1 SLAB INSULATION . 4
Date By Data By FIRE DEPARTMENT
Foundation Wails Floor; Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Dirt By PROPANE TANKS
PLUMBING vault Date By
Data By OTHER W
Groundwwork Atk
Type
Date lO-7`Q$ By Date By Date. By
D.WN DRYWALL Type- n
Int.Brace W 0
Date /fj /r!v ByDate Dana Byic
By FINAL INSPECTION N
Watert Ines Me Seper�kxt O
�) O
Date �/ By Dam By Date 7® r3 By � O
Pass or Request Inspect. CD
Type of Insp. Fail Date Date Done By Comments O
/Z C/v ' Ceti
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
ACCOUNT#
NAME OF PREMISE SE L
// ercial � Residential ❑dential ,
SERVICE ADDRESS Z 3 rs 1 N 97t%, 'G r'r '� Aw- fb A. CITY A&I4'4i►� ZIP /{g5Z
CONTACT PERSON PHONE( ) FAX ( )
LOCATION OF ASSEMBLY D f- 1 C 0 AP. I M C 10 S 9-f 1 In TTu I I,4!S GO FF` -'-
DOWNSTREAM PROCESS 'F i 4 e C Syg&m DCVA ❑ RPBA OK PVBA ❑ OTHER
NEW INSTALL g EXISTING ❑ REPLACEMENT ❑ OLD SER. # PROPER INSTALLATION? YES NO ❑
MAKE OF ASSEMBLYWA"+,5 MODEL O SERIAL NO. A`t I I-I1 SIZE + d
DCVA/RPBA DCVA/ RPBA RPBA PVBA/SVBA
INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET
TEST OPENED AT.?.(P PSI
OPENED AT PSID
LEAKED ❑ LEAKED ❑ #1 CHECK '%A PSID
PASSED ®. DID NOT OPEN ❑
FAILED ❑ _ PSID 401 I1tlr1 f, AIR GAP OK? �,,WSID -
CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE
NEW ❑ ❑ ❑ ❑ ❑ El HELD AT PSID
PARTS LEAKED ❑
AND ❑ ❑ ❑ ❑ ❑ ❑
REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑
❑ ❑ ❑ ❑ ❑ ❑ REPAIRED ❑
TEST AFTER
REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID AIR INLET PSID
PASSED ❑ PSID PSID #1 CHECK PSID CHK VALVE PSID
FAILED ❑
AIR GAP INSPECTION: Required minimum air gap separation provided? YeSx No ❑ Detector Meter Reading
REMARKS: LINE PRESSURES O PSI
CONFINED SPACE? I✓ O
TESTERS SIGNATURE: CJ, h CERT. NO. 3 3 DATE (0 I L O
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TESTERS NAME PRINTED: �C F 5 a 110 bt li TESTERS PHONE# c4Z,5 ) -7
REPAIRED BY: DATE
FINAL TEST BY: CERT. NO. DATE
CALIBRATION DATE ( "I/_ AUGE#p�07b MODEL 1+ 5 SERVICE RESTORED? YES l� NO ❑
1 certify that this report is accurate, and 1 have used WAC 246-290-490 approved test methods and test equipment.