HomeMy WebLinkAboutCOM2002-00181 Cancelled Change in Tenant - COM Permit / Conditions - 10/25/2004 F 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
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COMMERCIAL BUILDING PERMIT COM2002-00181
OWNER: THRIFT STORE RECEIVED: 12/2/2002
CONTRACTOR: LICENSE: EXP: ISSUED: 3/6/2003
SITE ADDRESS: 23491 NE STATE ROUTE 3 BELFAIR EXPIRES: 9/6/2003
PARCEL NUMBER: 123294300140
LEGAL DESCRIPTION: TR 14 OF SW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE: pog ft jvtAT%ON
TENANT REVIEW &v-_
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General Information Construction &Occupancy Information
No. of Units: Type of Constr.: V-N
Type of Use: Retail Insp. Area: No. of Bathrooms: Occ. Group: M
Type Work: TRA Fire Dist.: No. of Stories: 1 Occ. Load: 17
Valuation: Building Height: 16 1
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: :
Model: Width: Building: 732
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline 8 Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body:Creek Shoreline Desig.: Unknown
Side 1: Ft. SEPA?:Unknown Comp. Plan Desig.: Urban Growth Area
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?:
COM2002-00181 Please refer to the following pages for conditions of this permit. 1 of 4
i Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Tenant Review Fee nA/ 1 i1 nnnm 1;111 nn 1 Aa7
Building State Fee nnQr 1/1n»nni taSn 1791
UFC Plan Check Fee Rnc v9annns (ms sn 1791
Total $171.00
CASE NOTES FOR
COM2002-00181
CONDITIONS FOR
COM2002-00181
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
granted. In addition, a Re-Inspection fee in the amount of$52.30 per hour(minimum 1 hour Vill
a charged and must be collected by this
department prior to any further inspections being performed or approval granted. X
2) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED I CMBERS 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 ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
3) Changes to approved ilding plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality
Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
5) 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 Ma_�nty ordinances and building regulations.
X
6) Provide at least 1 (one) 2A10BC fire extinguisher installed in an approved location and manner.
X T1lJ
COM2002-00181 2 of 4
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 a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: DATE:
COM2002-00181 3 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME i
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o Footings I Setbacks Date B y Ribbons
t�jo Date By Gas Piping Date By
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Walls Date B y Set-up
Date By INSULATION Date By
B G 1 Slab Insulation Floors Final
Date By Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
D ate B y Date By
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Case number:
Ott Name
Mason County
TENANT REVIEW APPLICATION
Complete the Tenant Review Application and return with a floor plan.site plan,septic pumpers report,septic records and
$111.00 fee to the Mason County Department of General Services, P.O. Box 186,Shelton,WA 98584. During the evaluation of Tenant
Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning,and Public Works offices will identify
compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed a separate
building permit will be required. Upon approval the permit will be issued to the applicant and permit fees due will be collected. After the
permit is issued a site inspection can be scheduled 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.
Date: j _.-2 Z Assessor's Parcel Number: /L Z ? `(-3 00
Legal Description:
Building Site Address:
Method of sewage disposal: Septic O Sewer-name of district:
Water source: O Well unity Well Public System, name of system:
PEOPLE and FIRMS INVOLVED IN THE PROJECT
Name of property owner:
Mailing address: T, 0 , V )p j'2-3 J6 L-- - WA 6� ,16__ V
Day phone: - Contact Person: C O'T`T Message phone: 73t _ Zej
Name of applicant: )" , n i
Mailing address: 6 >
Day phone: _ Contact person: s essage phone: Z72 3-1
S
Name of Tenant:
I Mailing address: -
Day phon _ Contact person: NL Message phone
PROJECT INFORMATION
Proposed business name: 1 r`
r,
Proposed use: L Number of employees: C2
Previous business name: {_ e A i,elcs �,,, h
Previous use: '
INFORMATION ABOUT STRUCTURE
Check one: etached single level/single tenant O single level/multi tenant
O Multi level/single tenant O Multi level/multi tenant
Age of stru ture: Is structure curve , occupied? If not occupied, how long has it been vacant?
V 12`> Circle one: Yes No Yrs mos.
List s4urgre footage for each floor level
Basement: First: Mezzanine: I Second: Third:
Is the struc eated? Type heating fuel: Circle one:
Circle one: Ye No I Electric Liquid Propane Oil t
Type of heat: Circle one: Furnace Heat Pump Electric base oard or wa mount a ' qH1r,
Will there be any changes to the following? Circle yes or no,if applicable:
Floor lay-out: Yes NO)
Lighting: Yes OR2
Heating: Yes
Exterior Finishes: YesInterior Finishes Yes Parking:Yes o
Number of restrooms provi ed: I Number of fixtures in each rc i urr_
Is structure handicap accessible? Circle one es No
Is the structure equipped with a fire sprinkler system? Yes QNo Fire alarm system? Yes No
Return this application with:
1) Floor Plan (5 sets), 2) Site Plan (5 sets), 3) Pumpers Report and septic records and 4) $111 Fee
1) Floor Plan(5 sets): Include existing walls,proposed walls,and walls that will be removed.
• Draw the floor plan to scale,Y,"= 1 foot min. 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
• 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 drainfields,&reserve 0 Well location
• Surface&stormwater run-off routes Parking areas(number&arrangement
• Location of fire hydrants&vehicle access roads Slope of property
3) Septic records pumpers report and
4) Fee: $111.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit Is Issued,
Including required state fee,and may also include Environmental Health and Planning Department fees.
Office Use Only
Accepted by: Date
Submittal Amount$ Receipt number
Pre-Application Review Departmental Review
Env. Health Env. Health
Planning Planning
Public Works Public Works
Fire Marshal Fire Marshal
Building Building
NREC NREC
Pre Application required? (circle one) Yes No
Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes No
Occupancy Classification: Occupancy Change? (circle one) Yes No
Occupancy classification change from to
Type of construction
Occupant load calculated: persons. Existing occupant load design persons.
Fee Schedule
1
Office Use Only
Accepted by: Date
Submittal Amount$ Receipt number
Pre-Application Review Departmental Review
Env. Health Env. Health
-Planning Planning
Public Works V Public Works
Fire Marshal O Fire Marshal
Building U Building
NREC NREC
Pre Application required? (circle one) Yes No
Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes No
Occupancy Classification: Occupancy Change? (circle one) Yes No
Occupancy classification change from to
Type of construction
Occupant load calculated: persons. Existing occupant load design_ persons.
Fee Schedule
I