HomeMy WebLinkAboutCOM2003-00124 Final Tenant Improvement - COM Permit / Conditions - 1/5/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
IrfMason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext.352
Shelton, WA 98584
lo COMMERCIAL BUILDING PERMIT COM2003-00124
OWNER: LES KRUEGER RECEIVED: 7/24/2003
CONTRACTOR: STEPHEN JOHNSON INC LICENSE: STEPHJ'199LW EXP: 6/12004 ISSUED: 8/14/2003
SITE ADDRESS: 30 NE ROMANCE HILL RD BELFAIR EXPIRES: 2/14/2004
PARCEL NUMBER: 123325000007
LEGAL DESCRIPTION: SAM B THELER'S HOME & GAR TRS TR 3 EX CO. R/W SEE BLA#01-13 30 NE ROMANCE HILL RD BELFAIR
PROJECT DESCRIPTION: DFECTIONS TO SITE:
TENANT IMPROVEMENT FOR APPROX 1620 SQ FT OF CORNER OF ROMANCE HILL ROAD AND ST RT 3
4837 SQ FT BLDING
General Information Construction &Occupancy Information
Type of Use: OFFICE SPACE Insp. Area: No. of Units: Type of Constr.: V-N
Type of Work: ALT Fire Dist.: 2
No. of Bathrooms: Occ. Group: B
Valuation: $ 18,500.00 No. of Stories: 1 Occ. Load: 27
Building Height: 18
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: Tenant: 1,620
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?:
COM2003-00124 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee NIP 71,)a�-nnz c�i 00 71 c,nnninn,
Planning Review Fee N.IP 71')cnnnR e,,2sn nn c9innRnn,
Building State Fee MRr. 71»S19nn 1 to sn R1,)nnann
Building Permit Fee MRr. 7nSr,)nnR kRm')s Rt)no lnn
EH Plan Review (FAA/ 7/7R/9nn'A It7S nn Rt inn tna
UFC Plan Check Fee (Znc Am 1i,)nnR goo RR R1�nnRnn
Total $936.32
CASE NOTES FOR
COM2003-00124
CONDITIONS FOR
COM2003-00124
1) 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
REINSPECTt KMFEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE
ASSESSED��R/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
r
2) 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 potentiajAsks 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 .
3) ALL CONSTRUCTION— MUST ET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE
PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF-0-SE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION.
CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x .�,
4) All building permits shall have a final inspection performed and approved by h 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-complian wit Mason County ordinances and building regulations.
X
5) The use, handle and storage of hazardous material-s-,or flammable and combustible liquids in excess of 10 gallons is not allowed without the
approval of the Mason County Fire Marshal. X
6) All approved plans are required to be on-site for insp ction 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 t1rour) will be charged and must be collected by this
department prior to any further inspections being performed or approval granted. X
COM2003-00124
2 of 4
7) 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
REINSP ON FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE
ASSES E IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
8) Change approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality
Code (VI Uniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
9) CONSTR TI PROCE TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
10) All building permits shall ha e 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-co pli nt with Mason County ordinances and building regulations.
X
11) Sprinkle d alarm system are to be extended into T I a ork may require a seperate plan review and permit. Contact Fire Marshal
before any sprinkler or alarm work is started. X
A 2A 10BC fire extinguisher will be required for this space. 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 a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: —___— _ i=__—_—_—_— DATE:_ �rmn
COM2003-00124 3 of 4
MASON COUNTY PERMIT NO '
BUILDING PERMIT APPLIGATIONJK�, zc� I
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
APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name _ hn In
Mailing Address ICI I ►n)`1 10 �6 Mailing Ad ress 'f , u
City 6fV1AI(( State WA .Zip Code L City f State(t)A Zip Code
Phone ( LQL)2 3 1-30I Other Ph. ) ( Phone 7Piki-A&I-a
Other Ph. ( )
Lien /Title Holder b N� ctor R eg.Contra ,i(p (j / /01
Email Address Email Address 1
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic X Existing Septic
Connect to Sewer System Name of Sewer System
Well Water System Name of Water System UC t-FpI Tr
PARCEL INFORMATION - 12 digit Tax Parcel No. 1.2 Fire District
Legal Description S.0-' .'I -n-(,c -
Site Address (Please,Include street name,,.�street number and city OI..tU� vck
Directions to site LU J ri-r- C��1 t�vt�U--.� 1� ►L1 3
Will timber be cut and sold in parcel preparation? (Yes/No)
Is property located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑
TYPE OF JOB - New Add Alt Repair Other Use of Building TEYvP�►t Sk-tP
Is this permit submittal the result of a Stop Work No 'ce, orrection Notice or other enforcement action? (Yes/No)
Describe Work ��JY1(M� I(h f 0� 40./ "Pli 00ab 5 F'- (fir 493 FT �3Zp
No. of Bedrooms No. of Bat rooms_ SQUARE F OTAGE - 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model 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.
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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware
of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this
that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there-
shall'be m de without first obtaining approval. with. nges shall b made without first obtaining approval.
X ✓f Date (� Date
n FOR OFFICIAL USE BEYOND THIS POINT
Accepted by I /Ot ZFTI Planning Pd Ck#
Date -7 16 Bid Pd. ` Reciept No.52�� �
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building De ment
Occ Grou Type ConstrY'lli 6
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES