HomeMy WebLinkAboutCOM2003-00117 Final Tenant Improvements - COM Permit / Conditions - 1/4/2003 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 98584Moto
• COMMERCIAL BUILDING PERMIT COM2003-00117
OWNER: LES KRUEGER RECEIVED: 7/7/2003
CONTRACTOR: STEPHEN JOHNSON INC 275-6734 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
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PROJECT DESCRIPTION: DIRECTIONS TO SITE:
TENANT IMPROVEMENTS CORNER OF HWY 3 AND ROMANCE HILL RD
General Information Construction &Occupancy Information
Type of Use: OFFICE Insp. Area: No. of Units: Type of Constr.., V-N
No. of Bathrooms: Occ. Group: B
Type of Work: OTH Fire Dist.: 2 No. of Stories: 1 Occ. Load: 30
Valuation: $ 46,000.00
Building Height: 25
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 1,000
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?:
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COM2003-00117 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Te Qty. Type Qty. Type By Date Amount Receipt
Tenant Review Fee Kc 7ni�nn.A Ck'tW 1 a C19nnznn
• Building State Fee mprl 711annnl -tdz;n R19nn3nn
Building Permit Fee sear. 7i1 ai9nn A iS R1,>nnznn
EH Plan Review r.Fw 7na19nnI T.7S nn Rt'?nnanrt
UFC Plan Check Fee cnc All i 19nna -tt or,no Rt,)mmnn
Total $1,271.12
CASE NOTES FOR
COM2003-00117
CONDITIONS FOR
COM2003-00117
1) All approved plans are required to be on-site for inspection purposes. If inspection is called�-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) will be 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 UMBERS OR ADDRESSES PROVIDED IN SUCH
A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD``FFRRONTING 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 OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
3) ALL CONS(�RU ION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE
PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USEOR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION.
CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x �;�.
4) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality
Code (VIAQy,�(Jlform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
5) CONSTRUCTtON PROCES`8';TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x V'1f�
6) All building permits shall 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-corr)4 E t with Mason County ordinances and building regulations.
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COM2003-00117 2 of 4
7) Sprinkler and fire alarm systems shall be extended 4Tpace. a seperate plan review and permit may be required for this work. Contact the
Fire Marshal before this work is to be done. X
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A 2A 10BC fire extinguisher is required for this space.l X
8) The double doors in the lobby shall not have manually operafe—I edge- or surface - mounted flush bolts or surface bolts. The unlatching of any
leaf shall not require more than one operation. 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.
DATE. I
OWNER OR AGENT:
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COM2003-00117 3 of 4
o CONCRETE MECHANICAL MANUFACTURED HOME;
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o Footings I Setbacks Date B y �',� Ribbons
o Date By Gas Piping Date B y
Foundation Walls Date B y Set-up
Date By INSULATION Date B y
E G / Slab Insulation Floors Final
Date By Date B y Date B y
FRAMING Walls FIRE E T
Date � ����3 By ��� Date 9Ub By Li01� Date 111N p 3 By
PLUMBING Attic OTH R
4a
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date B y I l?
Date By 7-11 FINAL INSPECTION
Water Line v Date '-c l�� B y
Date , B _ .........
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MASON COUNTY PERMIT NO'_ ()C9 1 )
BUILDING PERMIT APPLICATION V
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426 W. Cedar• P.O. Box 186, Shelton, WA 98584 'h b z
Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360)482-526 �
On the Web www.co.mason.wa.us ti-12C01-
APPLICA T FO MATION Cc, CONTRACTOR IN R ATION
Owner I�12�t .�% _ Contractor Nameh
Mailing Addrgss oA C.� Maili Address
City l>>� LEA I(Z State P Zip Code City Lf-A i(L State -Zip Code
Phone PllQ)7 (- D er Ph. qt Phone (:!l) )X �b6 Other Ph. ( ) . /
Lien /Title Holder Contractor Reg. 1 11N�xp-�o/ `I
Email Address Email Address
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 112
PARCEL INFORMATION - 12 digit Tax Parcel No. 12 SDc::7 / 000 Fire District
Legal Description :,V v I P C,PDk CC -''1Q.Ae. S- V -�> K • r ILo
Site Address (Plea a include street name, street number an city) WA-w � IL yt�
Directions to site Y� �F HIt;I+uJAy 3 2j 1-40HAWIle- IU- 6 , 60WA 112,
Will timber be cut and sold in parcel preparation? (Yes/No) IV 0
Is property located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ ^j-E►JA-N-T IMPRjt-ftlVTS
TYPE OF JOB - New Add Alt Repair Other Use of Building OFFICE
Is this permit submittal the result of a Stop Work No 'ce, Correction Notice or other enforce nt action? Yer!
Describe Work COM cf�+ P&9kC c 'SD 0p INSIDE OP "-0 ,IH L&& . .+�p(C 40L \
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE 1 st Floor 1000 2nd Floor r<0
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 OR4 ONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN
180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR�ONED 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 AdXIJRATE AND GRANTS
EMPLOYEES OF Mason COUNTY ACCESS TO THE ABOVE DESCRIBED PROPERTY AND STRUCTU REVIEW AND
INSPECTION OF THIS PROJECT. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCUF IN ATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION.ACKNOWLEDGEMENT OF SUCH IS �G ATUF6 W-. OW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I chat I A c�r�ntly regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Wa ►r(� nd th 4 am aware
of the ordinance requirements for which this permit is issued and of the ordinance rt?gw ments regulating 64 ro rt,6�or which this
that all work will be done in conformance therewith. No changes permit i ue and all ork shall be done in conialryance there-
shall be made without first obtaining approval. wi o c ng s shall a ade without first obtaining approval.
X Date Date A 16-3
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Planning Pd Ck#
Date Bld Pd. Reciept No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department 1
Occ GroupType Constr. ` " C)�� i s C3
J
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