HomeMy WebLinkAboutCOM2009-00022 Final Change in Tenant Shop to Dentist Office - COM Permit / Conditions - 4/7/2010 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
t Y ` Shelton,WA 98584
COMMERCIAL BUILDING PERMIT COM2009-00022
OWNER: JAMES SCOTT RECEIVED: 3/6/2009
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 131 NE ROY BOAD RD BELFAIR EXPIRES:
PARCEL NUMBER: 123294190200
LEGAL DESCRIPTION: TR 20 OF NE SE LOT:A OF SP#139 AF#300741
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Change in Tenant from Childrens Consignment shop to Dentist
office. 03-11-2009- New tenant is planning interior renovations
-this permit changed to full building,permit.
General Information Construction &Occupancy Information
No.of Units: 1 Type of Constr.: VB
Type of Use: Insp.Area:Type of Work: TRA Fire Dist.: 2 No.of Bathrooms: 2 Occ. Group: B
Valuation: $ 59,289.80 No.of Stories: 1 Occ. Load: 23
Building Height: 14
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: 0
Model: Width: Building: 1,138
Year: Serial No.: Basement: Parking Spaces: 1
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?:
COM2009-00022 Please refer to the following pages for conditions of this permit. 1 of 5
I - Plumbing Fixtures Mechanical Fixtures FEES,
Type Qty. Type Qty. Type By Date Amount Receipt
Lavatories 5 Change of Use KKK ,/R/7nnA .1A1 nn gggnngnn
Plan Check Fee AR(' ,A/11/7nnQ R179 QA Sggnnpnn
Building State Fee Apr. ,A/l1/gnnQ A rin ggqnncinn
Building Permit Fee AR(. 1/9nnQ R711 75 gggnngnn
Plumbing Permit Fee ARr. /11/gnnQ T.AA r;n gggnngnn
Plumbing Base Fee Apr. R/11/gnnQ A9A 7n gggnngnn
IFC Plan Check Fee ARr ,A/11/gnnQ Q7 Rggnngnn
Total $1,482.36
CASE NOTES FOR
COM2009-00022
CONDITIONS FOR
COM2009-00022
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. Parking shall
be sufficient for 7 standard parking stalls (9 feet by 20 feet)and 1 handicap parking stalls (12.5 feet by 20 feet)with sufficient maneuvering aisles.
X
2) OWNER STATED THAT THERE IS NO GASES STORED IN THIS STRUCTURE.
X
3) INTERIOR BRACEWALL REMOVED, MUST INSTALLL TO NEW PLANS OR PROVIDE ENGINEERING FOR BUILDING FOR LATERAL BY
WASHINGTON STATE ENGINEER.
X
4) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air
Quality Code (VIAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
COM2009-00022 2 of 5'
7) 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
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County Building Inspector shall be made prior to requesting additional inspections.
X
8) 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 ordinances and building regulations.
X
9) A fully monitored NFPA 72 compliant fire alarm system is required to be installed. A separate permit application is required to be submitted for and
approved prior to the installation of the system.
X
Install 2A10BC fire extinguishers throughout the building so the maximum distance of travel does not exceed 75 feet in any direction and mounted
no more than 60 inches above the floor to the top of the unit.
X
Install a knox/key box on the front of the building per section 506 of the 2006 International Fire code. Please contact the local district for more
information and inspection.
X
Per'James Scott owner, no medical gas will be used or installed in this office space or structure. If this changes a permit will be required for the
installation prior to the work being done.
X
10) PER TITLE 14 MASON COUNTY BUILDING CODE- CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS - 14.17.110:
A fire apparatus access road in excess of 14% grade and more than 150'to new residential or commercial structures will require an automatic fire
sprinkler system installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 273, for further information.
x
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 action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit holder have prevented action from being taken. No more than one extension may be granted.
X
12) 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
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted.X
13) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
14) All property lines shall be clearly identified at the time of foundation inspection. X
COM2009-00022 3 of 5
15)., 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 risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
• obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
16) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and
y approval prior to construction of the retaining wall.X
17) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL
NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
County Building Department prior to any further inspections being performed or approvals granted.
X
18) Site is required to have annual waste strength testing and provide water records.
X
19) Recyclable materials &Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be designed to meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X
This permit becomes null and void if work orconstruction 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.Proof of continuation of
work is by means of a progress inspection.The owner 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 property and structure for review and inspection.
OWN ER OR AGENT: DATE:
COM2009-00022 4 of 5
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BG f SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date} By
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ieneral Notes
I0TRACTORCN SHALL VERIFY ALL DII/ENSSONuND CONDMONS AT THE SITE AND NOTIFY TESIGNER OF ANY DISCREPENCIES.
0 =,' -ALL WORKMANSHIP AND MATERIALS SHALL
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MASON COUNTY PERMIT NLO/'IaU� —O�
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
On the web www.co.mason.wa.us
APPLICAMT1NFORMATIOWN I CONTRACTOR INFORMATION
Owner rP,�ti° P��� GI�R� r� Company Name
Mailing ddress `�.��d 4 V! ;y r �An rr 6�"� ^� Mailing Address
City����4� u �'` -S ate Zip Code'�19A may' City State Zip Code
`' i T/Other Ph. ' bn Phone Other Ph.
Lien/Title Holder,'. WV* f� Contractor Reg. # Exp.
E mail address eft (Q' t $�� Q.16)e-d -rM WA— E Mail Address
Drivers Lic. ��DOB � d �r Drivers Lic.# DOB ,
# �l�t n���7�.��_.,,,
�FSEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic P
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System_ _
PARCEL INFORMATION - 12 Digit Parcel No,l �� �� ? ' �'/ - ��'���--�� Fire District
Legal Description
Site.Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 5 15%
Is this permit submittal the result ofa Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB( New, _Add V Alt Repair (`Other PRIMARY RESIDENCE ❑, SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms_ No. of Bathrooms Square Footage- 1st Floor GACttL'2Ai'Ao0 �'� I
3rd Floor Basement Deck Covered Deck Other lltrtlr r��Stq. � Ue /
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make 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.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection.This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APP V D DENIED NOTES
Building Department
Planning Department
Environmental Health Department
/L
Fire Marshal
FEES
Building Permit Fee t 3. Site Inspection
Plan Review Fee ob 322. q EH Review Fee
Plumbing & Base Fee �$•20 Planning Review Fee c- 22 !7.
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee '
Violation Fee /Uo. &;v-/--- Pre-Paid at Submittal
Valuation $ �� 2 TOTAL FEES
1
�L4 00 C,
COM
MASON COUNTY
CHANGE IN TENANT APPLICATION
Complete the Change in Tenant Application and return with a floor plan,site plan,septic pumper's report,septic records and
fee to the Mason County Permit Center,P.O.Box 186,Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve
staff members from the Building,Fire Marshal,Environmental Health,Planning and Public Works offices who will identify compliance
requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building
permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued,schedule an
inspection by calling(360)427-7262.Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a
conspicuous place on the premises.
x EI3QPERTI�&IHFORffAATtOhI .. <, _ '
Date: Assessor's Parcel Number:
Legal Desc ptio f
Building Site Address: VS-0 Y-
Method of sewage disposal: a ti O Sewer—name of district:
Water source: O Individual Well O Community Well Public System,name of system:
INV0 DI THE PRO'JECpT �,W .�
Name of Applicant:
Mailing address: r
City: _ State: Zip: 6�
Day phone: 91 Contact Person: Message phone:
Proposed business name:
Proposed use: Number of employees:
Previous business name: J e
Describe previous use:
Check one: etached single level/single tenant O Single level/multi tenant
O.Multi level/single tenant O Multi level/multi tenant
Age structure: Is structure currently If n occupied,how long has it been vacant?
�i occ ied? Yes No Yr. tAC Mo.
Square footage: I Bas First: Mezzo ' Se T
Is the structu eated? Heating type:Circle one:
one:Circle No c Liquid Propane Natural Gas Oil
Type of heat:Circle one: .Furnace 6 Heat Pum Electric baseboard or wall mount Radiant
Will there be any changes to the following?Circle yes orno,ifapplicable:
Floor lay-out: es No Lighting: 69 No Heating:Yes
Exterior Finishes: s Interior Finishes: s No Parking:Yes
Number of restrooms provided: Num _ of fb6dktdes in each
Is structure handicap accessible?Circle one a No
Is the structure equipped with afire sprinkler system? Yes No Fire alarm system? a No ICI rw jr
Monitoring Station Name: Mmv I CA Phone number:
ak z _, APPC( A`T10N-.:,NJ OTfgE ACCEPTED VUITHOU�T£ yr,
�,,�
1. Floor Plan(5 sets):
Draw the floor plan to scale Use of rooms
• Room Dimensions • Location of all exits and windows(include dimensions)
• Location of plumbing and mechanical fixtures • Interior doors with swing radius
2. Site Plan(5 sets): Note scale used .
p • Property lines,easements,&right of ways • Location of all existing structures&dimensions
• Distance,in feet,from property line&structures . Landscape buffer yards
On-site sewage tanks and drain fields,&reserve . Well location
• Location of fire hydrants&vehicle access roads 1. Parkin .areas number&arrangement)
t, 3. Septic records,pumper's report or O&M report Cc; .+,
0 4. Fees will be collected at time of submittal
,,. .
'1`
Accepted b Date Submittal Amount$ 0 Receipt number
De aitment Review Initials Date Comments
Building
Environmental Health
Fire Marshal
Planning
Public Works
Occupancy Change? (circle one) Yes No Type of construction �R.
Occupancy classification change from to Occupant load calculated: persons, ,
Existing occupant load design persons. Land Use Designation:
Occupancy Classification: �,r