HomeMy WebLinkAboutCOM2003-00207 Final Tenant Improvement - COM Permit / Conditions - 4/8/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
t Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352�N6�J�
Shelton,WA 98584 /
COMMERCIAL BUILDING PERMIT OM2003-00207
OWNER: LESTER KRUEGER RECEIVED: 12/26/2002
CONTRACTOR: LICENSE: EXP: ISSUED: 1/27/2004
SITE ADDRESS: 30 NE ROMANCE HILL RD BELFAIR EXPIRES: 7/27/2004
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: DIRECTIONS TO SITE:
TENANT IMPROVEMENT - SUITE 102 SOUTH OF BELFAIR. INTERSECTION OF HWY 3 AND ROMANCE HILL
RD
General Information Construction &Occupancy Information
No.of Units: Type of Constr.: V-N
Type of Use: COMMERCIAL Insp.Area: 1 No.of Bathrooms: Occ. Group: B
Type of Work: ALT Fire Dist.: 2
Valuation: $ 12,000.00 No.of Stories: 1 Occ. Load: 12
Building Height: 26
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: Tenant: 750
Model: Width: Building: 0
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?: Y Emergency Key Box?: Y Standpipe?: N
Auto Fire Sprinkler System?: Y NFPA 13 Access Road?: Y Fire Extinguishers?: Y
Fixed Fire Suppression System?: N Fire Hydrants?: Y Fire Lanes?: Y
COM2003-00207 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
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Type Qty, Type Qty. Type By Date Amount Receipt
�' Plan Check Fee N.IP 19/9Ronn lt1AR n1 g99nn�nn
e Planning Review Fee NAP 19/9w9nn 49rin nn g99nn�nn
Building State Fee nnRr, 19/9Q/9nn Ra Fn S19nnAnn
Building Permit Fee KARr, 19/9Q/9nn -9nq 91, g19nnAnn
UFC Plan Check Fee RAR 11ronnA ARR n1 g19nnAnn
EH Plan Review r:Fw 1/Q/9nnA t7g;nn g19nnAnn
Total $742.77
CASE NOTES FOR
COM2003-00207
CONDITIONS FOR
COM2003-00207
1) All approved plans are required to be on-site for inspection purposes. If inspection is called fora ns are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour w II p6 c arged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
2) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NU BERS 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, BASE ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/C TRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
3) Changes L pp ed building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality
Code (VIA nor Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
4) CONSTRUC N OCES E FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
5) All building permits shall have spection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a al inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
M son County ordinances and building regulations.non-compliant w'
X
C O M2003-00207 2 of 4
r 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 uation 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:
\ COM2003-00207 3 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME
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o Footings / Setbacks Date B y Ribbons
bW D ate B y Gas Piping Date B y
o Foundation Walls Date B y Set.-up
4 Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE D P
Date#Vo Lf Byy J[_._ Date zLGN ByW14, Date 1116 rc A By
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PL-CA4BING Attic OTH R
Groundwork Date By
Date By WALL OARI�� 1VG
D.W.V. Date p2 17 c( y Ro
Date z c,i By FINAL INSPECTION
Water Li�}e' Date By /
Date By �� Date By
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MASON COUNTY PERMIT NO — `.Ci 7` ,
�'IAiv g�D(, P�eMtT BUILDING PERMIT APPLICATION i��At -
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 co
h Z�j3_a011'J
00 M 2001--t 300 3 Shelton (360)427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269��� 20c�
On the Web www.co.mason.wa.us 3-0-L)12
APPLICANT INFORMATION CONTRACTOR INF RMATION.
Owner tit` +E�� 11i�-�lt(,--t�Z_ Contractor Namet �JhrSu`�
Mailing Address P 0. E3Ox S Mailin Address U
City ScLf-Ala_ State W"Zip Code City J�TELGA%(l State W - Zip Code SZ
Phone (36iJ )?3kt?u{ 3 Other Ph. ( ) Phone (_W
1-2 '673 Other Ph. ( )
Lien/Title Holder Contractor Reg. #` ''�h"194i Lw Exp. L-, t /O
Email Address Email Address
i
SEPTIC /WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic
Connect to Sewer System Name of Sewer System
Well Water System Name of Water System
PARCEL INFORMATION - 12 digit Tax Parcel No. f1.1,3 Z / S'O / 0000 -7 Fire District
Legal Description Ni v'- 64 . --,, T. 3 r.> I w 0
Site Address (Please inclu a street nam , street number and city) 30 P.S. P_ON►wtt 1AILL eo , IQ.WA .
Directions to site � . 0 RICAF'PA(( -pupck
I?U DM•! NtL L_
Will timber be cut and sold in parcel preparation? (Yes/No) kj O
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_J Add Alt Repair Other Use of Building 6r-F1e'
Is this permit submittal the result of a Stop Work,Notice,Correction Notice or other enforcement action?(Yes/No) --D
Describe Work 'TVVk- r 5l.tt"m 10-z-_
No. of Bedrooms No. of Bathrooms ]!S2 SQUARE FOOTAGE- 1 st 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'3 ork shall be done in conformance there-
shall be made without first obtaining approval. wit -PIQ!�anges shall bO made without first obtaining approval.
X A Date �26blio X Date ZY v
FOR OFFICIAL USE BEYOND THIS POINT _
Accepted by Planning Pd Ck#
Date Bld Pd. k3h Reciept No. `, 4or—ft
DEPARTMENTAL REVIEW PROVED DENIED CONDITION CODES
Building De artment L p3
Occ GroupType Constr.
Planning Department
Environmental Health Department
[Public Works De p ment E/V
Fire Marshal l Y
Valuation$
FEES Sr.
Building Permit Fee Site Inspection
i
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