HomeMy WebLinkAboutCOM2011-00002 Dispensery - COM Permit / Conditions - 2/9/2011 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(JbU)4L/-/LbL
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 COM2011-00002
OWNER: BOB WOOD RECEIVED: 1/7/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 2/9/2011
SITE ADDRESS: 23720 NE STATE ROUTE 3 BELFAIR EXPIRES: 8/9/2011
PARCEL NUMBER: 123294300270
LEGAL DESCRIPTION: TR 27 OF SW SE SEE SURVEY 10/16
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
medical dispensary
General Information Construction&Occupancy Information
Type of Use: retails Insp.Area: No.of Units: Type of Constr.:
Type of Work: TRA Fire Dist.: 2 No. of Bathrooms: Occ, Group:
No. of Stories: Exit Design.Load:
Valuation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
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?:
COM2011-00002 Please refer to the following pages for conditions of this permit. 1 of 4
7). . All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. i ne
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
no I nt with Maso County ordinances and building regulations.
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8) All permi s spire 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 ern * holder have prevented action from being taken. No more than one extension may be granted.
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r\ Must obt i food permit. No temporary or final occupancy until food permit is obtained.
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10)/ Install a ox box on the front of the building per section 506 of the 2009 International Fire code. Please contact the local fire district for more
in m ion and inspe4iol-
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Install 106C fire extinguishers per chapter 9 of the 2009 International Fire code and NFPA 10. Mounted no more than 60 inches above the floor
an4da
ximum travel distance of 75 feet in any direction.
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T fire alarm system is required to be in full working order and fully monitored by a UL certified monitoring company.
XTnd it's systems are subject to inspections and corrections as deemed necessary by the Mason County Fire Marshal to insure the
mini m fi and life safety requirements are met as adopted by Mason County.
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11) Approv dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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12) Ap lic al eet the standards for the Belfair UGA Zoning Code (MCC17.34) for proposed new signs for this land use.
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This permit becomes null and void if work or construction a thorized 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 progres inspection w' in 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 i sp tit�The w r or th agent on t owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described propert n vcture,fo re w d i specti
OWNER OR AGENT: _. DATE: /7 zo//
COM2011-00002 3 of 4
Plumbing Fixtures Mechanical Fixtures rtta
Type Qty. Type Qty. Type By Date Amount Receipt
Tenant Review Fee ni r. lnnni 1 Iiai nn gi9ni inn
EH Plan Review MAH 1m9n11 alna nn s79ni inn
Building State Fee I AtN vigigmi 1d c;n gi9niinn
IFC Plan Check Fee I AtnI i i1,?i9ni 1 -M rn Ci 9n1 i nn
Total $319.00
CASE NOTES FOR
COM2011-00002
CONDITIONS FOR
COM2011-00002
1) Contractor registration laws are g9verned under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risk ,and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-64 h person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) All approved plans are requi d to a on-site for inspection purposes. If inspection is called for and planj are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour a rged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
3) Owner/Age t is responsible to post the assigned address and/or purchase and post private road signs In accordance with Mason County Title
14.2
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4) ALL CONS CTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE RE UIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE O Wr
OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x -
5) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSE ventilationrequirements),
B g/ umbin /Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
6) CONS TION 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
conform an a with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
M! o ty Build�g I i necto j shall be made prior to requesting additional inspections.
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COM2011-00002 2 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME .O
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Footings /Setbacks $Piping By Ribbons
o Interior Date By interior-Date By Data By W
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CDExterior Date BY Exterior-Date B W
Point Load/isolated Footings INSULATION Date By
BG 1 SLAB INSULATION —v --
Date _ By Data By FIRE DEPARTMENT
Foundation Wails Floors Date By
Date By Data By DECKS
F RAM I NG Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Data By OTHER ����
Groundwork Attic
Date By Date By Type
Date By
D.w.v DRYWALL Type n
Int Brace Wall 0
Date BY Oate By Date By ic
FINAL INSPECTION c
Water Line Fire Separation .a
Date B Data By Dam By �
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Pass or Request ° Inspect. c
Type of Insp. Fail Date Date Done By Comments tv
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1�Q7,�IG, MASON COUNTY Cd.� tic ' vrt 5a�
TENANT KtV1F_W APPLIGATiON
Complete the Tenant Review Application and return with a floor plan, site plan, septic pumper's report, septic records an�$1 the
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the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. During the evaluation of your Tenant Review Application staff
members from the Building Fire Mambal. Environmental Health, Planninq and Public Works offices will identify compliance requirements.
This application is intended for tenant change only. If construction or remodeling is proposed/required a separate building permit
will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule a site inspection
by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous
lace on the premises.
PROPERTY INFORMATION
Date: i G, Assessor's Parcel Number: `
Legal Description:
Building Site Address: -3110
Method of sewage disposal: O Septic O Sewer— name of district
Water source: O Individual Well O Community Well O Public System, name of yste
PEOPLE INVOLVED IN THE PROJECT
Name of Applicant: �� -- I
Mailing address:
City: �� State: Zip: E-Mail Address: ��1
Day phone: 7 FAX phone:?,(,,U S t t 1 Contact Person: Qr
PROJECT INFORMATION
Proposed business name:
Proposed use: 'Dtr�P� 161GT¢NUJC--L 6000 N u m ber of em ployees: none
Previous business name: ,
Describe previous use:
STRUCTURE DETAILS
Check one: Detached single level/single tenant O Single level/ multi tenant
O Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure curC&qtly If not occupied, how long has it been vacant?
occupied? es No Yrs mos.
Square footage: Basement: Irst. 4 Mezzanine: Second: Third:
Is the structure heated? Heating type: Circ!
Circle one: e fnt CSI—ectElc_) Liquid Propane Natural Gas Oil
Type of heat: Circle : Furnace Heat Pump Electric baseboard or wall mount adia
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: Yes (&D Lighting: Yes &� Heating: Yes
Exterior Finishes: Yes ID Interior Finishes: Yes o Parking: Yes o
Number of restrooms provided: Number of fixtures in each
Is structure handicap accessible? Circle one Yes No
Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? es
Monitoring Station Name: AD'" Phone number: i gUo--/kD ASAP'
Return this application with
1. Floor Plan (5 sets):
• Draw the floor plan to scale 0 Use of rooms
• Room Dimensions • Location of all exits and windows (include dimensions)
• Location of plumbing and mechanical fixtures 0 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 drain fields, & reserve 0 Well location
• Surface &storm water run-off routes • Parking areas (number&arrangement)
• Location of fire hydrants&vehicle access roads
3. Septic records, pumper's report or O&M report.
4. Fees will be collected at time of submittal. Balance due will be collected when the permit is approved and issued.
Official Use Only
Date �5ubrnittal Amount $ Receipt number
De artment Review I itials Date Comments
Building
Environmental Health
Fire Marshal
Planning
Public Works -
Pre Application required? (circle one) Yes No Building Permit required? (circle one) Yes No
Engineering Required? (circle one) Yes No Type of construction
Occupancy Change? (circle one) Yes No New Occupant load: persons
Occupancy classification change from to Valuaticn: $