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HomeMy WebLinkAboutCOM2002-00145 Tenant Review Papa Murphys - COM Permit / Conditions - 8/5/2004 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 too COMMERCIAL BUILDING PERMIT COM2002-00145 OWNER: BELFAIR PAPA MURPHYS PIZZA INC RECEIVED: 10/1/2002 CONTRACTOR: LICENSE: EXP: ISSUED: 11/8/2002 SITE ADDRESS: 23781 NE STATE ROUTE 3 SUITE G BELFAIR EXPIRES: 5/8/2003 PARCEL NUMBER: 123294190111 LEGAL DESCRIPTION: TR 11-A OF NE SE TR B OF SP#1321 PROJECT DESCRIPTION: DIRECTIONS TO SITE: � EXPIRATION ��.. �Ogu TENANT REVIEW ,v General Information Construction &Occupancy Information Type of Use: Insp.Area: No.of Units: Type of Constr.: V-N Type of Work: Fire Dist.: No.of Bathrooms: 1 Occ. Group: B Valuation: $ 37,500.00 No.of Stories: 1 Occ. Load: 21 Building Height: 14 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Front: Ft. Shoreline: Ft. Shoreline&Planning Information 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?: COM2002-00145 Please refer to the following pages for conditions of this permit. 1 of 4 lip' Plumbing Fixtures Mechanical Fixtures FEES Lye Qty, _Type city, Type By Date Amount Receipt Water Closets (Toilets) 1 Plan Check Fee Tw iiiRignn,? Rinn nn 1577 Kitchen Sink 5 Plan Check Fee Tw 11iRr*?nm .10aQ RR R1719 Water Heaters 1 Building State Fee Tw 11iRignm Ra Rn Ri,?1? Dishwasher 1 Planning Review Fee Tw 11monm PSAR nn F1719 Building Permit Fee Tw 11MOM? S599 R5 R1919 Plumbing Fee Tw 11iRi,?nm aSRnn Ri,?i9 Plumbing Base Fee Tw 11monm &9n nn UFC Plan Check Fee TW 11/Rignm S1RQ RA 91919 EH Plan Review Tw 11/R/9nn9 %75 nn Ri9i7 Total $1,225.54 CASE NOTES FOR COM2002.00145 CONDITIONS FOR COM2002-00145 1) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be grante a ition a Re-Inspection fee in the amount of$52.30 per hour (minimum 1 hour)will be charged d st ti cted by this department prior to any further inspections being performed or approval granted. 2) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS D TE BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF TRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.X 3) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site,Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$52.30 per hour (minimum 1 hour)will be charged a collected by this department prior to any further inspections being performed or approval granted. 4) Changes to approved building pla s that affect compliance to the;MtLon-residential Energy Code (NREC), ventilation and Indoor Air Quality Code (VIAQ) Uniform Buildin chanical Codes and/or Mason County Regulations shall be approved prior to construction.X 5) CONSTRUCTION PROCESS TO BE FIELD CORRECT E S -QUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x COM2002-00145 2 of 4 i 6} All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be ` documented in the legal property records on file with Mason County as being non-compliant with Mason County ordin building regulations. X 7) an ally operated edge-or surface-mounted flush a surface bolts are prohibited on the front pair of doors. Replace with single action unlocking hardware. 1 (one)2A 10BC fire extinguisher shall be provided. X 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 ogress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWN ER OR AG DATE: DD e COM2002-00145 3 of 4 r) K CONCRETE MECHANICAL MANUFACTURED HOME o Footings / Setbacks Date By Ribbons 0 Date By Gas Piping Date By o Foundation Walls Date B y .Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date B y Date B y FRAMING it-/0 Walls FIRE DEPT Date 2-- 13-,92_ By Date By Date i ala3 b By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date 12-13-C-- By FINAL INSPECTION Water Line �r Date By Date By Date By a3 O a ��'t Wl DY e��=w.. S� a �C� lS.i'� C©•w. e�C� ti S �CJr � f ��u i`r�. `� �Z �� �c1n•�. , 1• cc . Z J� // �-�r� Mc✓'s�o I S r �, �. � •�T Q''1 I��s � O r-�b 4?'cam_ ' N O N O xj Ln b N • N 0 n CONCRETE MECHANICAL MANUFACTURED HOME N • o Footings I Setbacks Date By Ribbons No Date By Gas Piping Date By Foundation Walls Date B y Set-up M Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By 4 J WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By ,<® Date By --------------- 0 N 1-� O N i O xj Ul b N-I N N 0 FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILINAME�F'c��-a� 1MV t �` c ADp ESISl � `t t 1� S- C 9� Y��\�« ZIP PHONE INSPECTOI2t::�r-jr,� AGENCY DATE �/ DAVE-SALZ-ER- 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD l )-�0 j ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY o REFERENCE REQUIRED REQUIRED BY C ` DATE LU J CCQ G v 00 co -Op o• N c H 35 N w m O N �— K aO L W ?Vf O n O O^a U xN o a m � H ` d v �\ THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATORE REINSPECTION DATE EXPLAINED TO ME,AND I AGREE TO MAKE CORRECTIONS a __ NO LATER THAN THE DATES INDICATED PAGE 1 OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal—Pink Copy: Fire District RECEIVED SEP 19 2002 Mason County Case numbeAm ZzRtv Y-5 BELFAIR OFFICE TENANT REVIEW APPLICATION Complete the tenant review application and return-with floor plan.site plan, pumpers report, and $100.00 fee to the Mason County Permit Assistance Center, attn.M MacSems, P.O. Box 186, Shelton,WA 98584. The tenant review application will be evaluated on Wednesday after the application has been received. During the evaluation Mason County staff members from the Building, Fire Marshal, Environmental Health, Planning, and Public Works offices will Identify compliance requirements, needed, and advise whether a separate building permit will be required. Date: O`Z, Assessor's Parcel Number: 3 2 l— !/ Legal Desc ption: Building Site Address: Method of sewage disposal: O Septic O Sewer-name of district-. Water sou e: O Well O Commu ity Well Vublic System, name of system: O LE and FIRMS 1 VOLVED IN THE PROJECT Name of property owner: Mailing address: �11 IZIZZ Day phoneS&p.??:�— ontact Person: Message phone: 107 Name of applicant: 2 Mailing address: • Day phone;g/0antact person Message phone: Name of Tenant: Mailing address: Day phone. Contact person: Message phone: PROJECT INFORMATION Proposed business name: Proposed use: ' k Number of employee's. v Previous busine s name: Previous use: INFORMATION ABOUT STRUCTUR Check one: 0Detached single level/single tenant le level/multi tenant Multi level/single tenant Multi leve mu i F Age of st ure::�;7 Is structure curve occupied? If not occupied,how long has it been vacant? Circle one: es> No Yrs mos. List square footage for each floor level Basement:. First: Mezzanine: Second: Third: Will structure heated: Type heating fuel: circle one: Circle one: No Electric Liquid Propane Natural Gas Oil Type of heat: circle one:<trn Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: No Lighting: No Heating: Yes Exterior Finishes: Yes Interior Finishes No Parking:Yes Number of restrooms provided: 14umber of fixtures In each. -, Is structure ADA Accessible? circle one No Is the structure equipped with a fire sprinkler system? Yes o Fire alarm system? Yes 0Po Return this application with: 1) Floor Plan, 2)Site Plan. 3) Pum®ers Report_and 41 S1on Fee elfair Retail Center4 � / /►_C _ • I � w � � � �'� •�L!'`�%ram` 1 �" .. k � Ts:-K^-c.�.���� :•�,' it .i L.'ti'• - �) �kEdward Jonesi'` ,, �' r JIJLt — 7 t '• � �u�„ y;;:�• � •i �_ "�. FXj?L'!GAD Iz7 }�=�i� •�.;;f is 3' 6't 1 x •; , i i NORTH SITE PLAN Existing: DeH—mar't i EXHIBIT "A" All that portion of the Northeast quarter of the Southeast quarter of Section 29, Township 23 North, Range 1 West, W.M., in Mason County, Washington,more particularly described as follows: Beginning at the Southwest corner of said Tract, on the Easterly margin of Old Navy Yard Highway,which is North 0°52'West 483.5 feet;thence North 88°18'East 41.2 feet from the Southwest corner of said Northeast quarter of Southeast quarter and the true point of beginning; thence North 88°18'East 200 feet;thence South 0'52'East 101 feet; thence North 50°25'East 128.15 feet; thence North 0°52'West 122.30 feet;thence North 1°44'West 100 feet; thence South 88°18'West 300 feet to the Easterly margin of Old Navy Yard Highway; thence South 1°44'East 100.01 feet;thence South 0°52'East 100 feet to the true point of beginning. EXCEPTING therefrom road rights-of-way. EXCEPT the West 150 feet. SUBJECT TO a 10 foot easement for utility purposes along the North 10 feet thereof and a 15 foot easement along the East line of the North 10 feet thereof. SUBJECT TO easement under the North 55 feet of the East 35 feet for septic disposal drainage, Situate in Mason County, State of Washington Landlord_ Tenan EXHIBIT "B" Leased Premises Eyoom cxNrxA t;�aY p PoolPoolhf J'7777 L . tJ�+'r 1' Vtil,i OAO)'' 10,E A. "�F /Z'1 8• l0 �;u,r � /U3 # ►% o V . Aas Landlor Ten 1 FORM MUST BE COMPLETED IN INK PERMIT NO.: 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 APPL , FO ATION CONTRACTOR INFORMATION Owner�/ / Contractor Name Mai lin Address i --� Mailing Address City��_ / ' State Zip Code Z _ City State Zip Code Phone 9` h or Ph.U Ph.U Other Ph.( Lien/Titleklold f� Contractor Reg. # Address ) r91� Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic ` Connect to Sewer System Name of 11 Sewer System PARCEL INFORMATION- 12 digit Tax Parcel No.' / Fire District Legal Description _ Site Address(Please include street n e,str number and city) ' "` GGl '� _ �' • r - 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 oe TYPE OF JOB New Add Alt Repair Other Use of Building i 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 Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebib Dryer Vent 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-]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 whic i permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conforms her h. o changes shall be made without first obtainin shall be done in conformance therewith. No changes shall be made without appr i first obtaining approval. Date `� X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due --,.-_Receipt No. ...............DbARTMEtV IAt..#tliEW..........................R.FR. .. Building Department Occ GroupType 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