HomeMy WebLinkAboutCOM2000-0006 Final Vet Clinic - COM Permit / Conditions - 12/8/2000 MASON COUNTY PERMIT ASSISTANCE CENTER 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 COM2000-00066
OWNER: GARY SLEIGHT RECEIVED: 05/26/200
CONTRACTOR: STEPHEN JOHNSON INC ISSUED: 08/04/200
SITE ADDRESS: 23240 NE STATE ROUTE 3 BELFAIR EXPIRES: 02/04/200
PARCEL NUMBER: 123325000021
LEGAL DESCRIPTION: SAM B. THELER'S HOME + GAR TRS TR 1 OF TR 9 + 11
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
VET CLINIC
General Information Construction & Occupancy Information
Type of Use: Insp. Area: No. of Units: Type of Constr.: 5N
Type of Work: ADD Fire Dist.: 2 No. of Bathrooms: Occ. Group: B
Valuation: $ 9,738.00 No. of Stories: Occ. Load: 60
Building Height: 1
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
odel: Width: Building: 2,887
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 Desi
P 9
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?:
COM2000-00066 Please refer to the following pages for conditions of this permit. 1 of 4
CONDITIONS FOR
COM2000-00066
1) Approved per dimensions and setbacks on submitted site plan. X
2) Parking shall be sufficient for 16 normal parking stalls (9 feet by 20 feet) and 1 handicap parking stall (12.5 feet
by 20 feet) with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped
to entry, located closest to the building entry, and shall be signed' h�ternational Symbol of Access.
Screening from adjacent residential properties is required. X
3) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum
of 5'ztz
all property lines, easements and 10'from all County and State Road right of ways.
X
4) All upt6nd areas disturbed or newly created by construction activities shall ec,�ed, vegetated or given an
equivalent type of erosion protection (silt fencing or straw matting). X
5) This application is subject��2
nd Landscaping requirements as established under Mason County
Ordinance 1.03.036.X
6) THIS PROJECT WILL NOT BE GIVEN APPROVAL FOR OCCUPANCY UNTIL THE MEDICAL GASSES PLAN
HAS BEEN SUBMITTED TO THE MASON COUNTY BUILDING DEPARTMENT FOR REVIEW AND
APPROVAL, THE PLANS SHALL DEMONSTRATE COMPLIANCE TO THE 1997 UNIFORM PLUMBING
CODE AND WAC AMENDMENTS. THE SYSTEM INSPECTION AND VERIFICATION OF COMPLIANCE
SHALL BE PERFORMED BY AN INDEPENDENT THIRD PARTY VERIFICATION AGENCY WHICH IS
APPROV D BY THE MASON COUNTY BUILDING DEPARTMENT.
X zu
7) CONSTRUCTION PROCESS TO BE FIELD CORRECT�E UIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
8) Changes to approved building 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 R ulati ns shall be approved prior to construction.
X
9) Propo ed struclyre or portions thereof with an projection over 30" in height from grade line, must maintain a 5'
separati Vince between adjacent structures and that furthest projection.
X 'l/
10) All prop link shall be clearly identified at the time of foundation inspection.
X -�/
11) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITT,f-DAW APPROVED CLASSIFICATION. ANY CHANGE OF
USE OR OCCUPANCY WOULD RESULT I ,RAT REVOCATION. CHANGE OF USE MUST BE
APPROVED PRIOR TO CHANGE. x
12) 1997 UBC CHAPTER 17, SECTION 1701: IN ADDITION TO THE INSPECTION REQUIRED BY SECTION
108, THE OWNER OR THE ENGINEER OR ARCHITECT OF RECORD ACTING AS THE OWNER'S AGENT
SHALL EMPLOY ONE OR MORE SPECIAL INSPECTIONS WHO SHALL PROVIDE INSPECTIONS DURING
CONSTRUCTION ON THE TYPES OF WORK LISTED UNDER SECTION 1701.5. THE SPECIAL
INSPECT -DUTIES & RESPONSIBILITIES SHALL BE AS SPECIFIED IN 1701.2 AND 1701.3.
X
COM2000-00066 Please refer to the following pages for conditions of this permit. 3 of 4 j
13) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan
is not on site, Approval WILL NOT be granted. I addition, a Re-Inspection fee in the amount of$42.00 per
hour(minimum 1 hour) will be charged and mu cpllected by this department prior to any further inspections
being performed or approval granted. X
14) 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 acWtion a Re-Inspection fee in the amount of$42.00 per hour
(minimum 1 hour) will be charged and must be to by this department prior to any further inspections
being performed or approval granted. X
15) 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 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
INSPECTI NS.
X
16) 1. COMPRESSED MEDICAL GASES, INCLUDING OXYGEN, IS TO BE USED, HANDLED & STORED IN
COMPLIANCE VVITH ARTICLE 7404 OF THE 1997 UNIFORM FIRE CODE.
2. PRO 5,�F DRY CHEMICAL FIRE EXTINGUISHERS ADJACENT TO ALL EXTERIOR EXIT DOORS.
X �/ ALL CONDITIONS
Please refer to the followingpages for conditions of this permit.COM2000-00066 p 9 P 4 of 4
I
l
. - Plumbing Fixtures Mechanical Fixtures
FEES
Type Qty. Type Qty. Type By Date Amoun Receipt
Bath Tubs 1 Ventilation Fan 2 Plan Check Fee KLW 05/26/200 $105.46 53509
Bath Tubs 1 Environ.Health Plan CEW 06/08/200 $50.00 54186
Clothes Washer 1 PrMfiift Review Fee AHB 06/21/200 $65.00 54186
Building State Fee SKM 08/03/200 $4.50 54186
Building Permit Fee SKM 08/03/200 $162.25 54186
Building Permit Fee SKM 08/03/200 $212.00 54186
Plan Check Fee SKM 08/03/200 $84.00 54186
UFC Plan Check Fee DLS 08/03/200 $117.23 54186
Planning Review Fee KS 08/04/200 $38.00 54186
Total $838.44
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: 15zt DATE: O 7
CASE NOTES FOR
COM2000-0006
1) it
COM2000-00066 Please refer to the following pages for conditions of this permit. 2 of 4
I�
CPNCRETE MECHANICAL MOBILE HOME
date by Ribbons
1 date Gas Piping date by
Foiu�,;ation t J,Jls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by _ f'r� date by date by
FRAMING ,f�/!rTo✓� Walls FIRE DEPT.
date — by 7 date /O-Zo b date by
PLUMBING /O 1 7— y T� OTHER
Groundwork Ado
date by date by
D.W.V. WALLBOARD NAILING
date _�z-:� by /� . date by
Water Line
FINAL INSPECTION
date by date -C,C by T/4 date by
/P ! / / / ► / r I ,
2
p -2- Wef cc s li —/J — c/•mac l
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/6 9 � � ��� � v PERMIT NO.:
MASON COUNTY
BUILDING PERMIT APPLICATION °
426 W.Cedar/P.O.Box 186,Shelton,WA 98584 `5 lz,��Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name + J s►.ntcri
Mailing Address 00 Mailing Address
City State I_ / Zip Code �P-.�2 City State ,:�, Zip Code T? `
Phone(- J)?-2t'- S J(SOther Ph.( j Ph.( ) 275'-G,73I/Other Ph.C�
Lien/Title Holder St lJr� Contractor Reg. # I S+e ,-
Address Expiration
ef ( p
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic__,k_�_Connect to Sewer
System—Nam,e of Sewer System Well Water System Name of
Water System 1.- ,'
PARCEL INFORMATION-12 digit Tax Parcel No. /02 .33 2 / -1-0_/ 000,22 Fire District
Legal Description
Site Address(Please include street name, street number and city) 4, 3.2 OV'U ;r
Directions to site RZl4
Will timber be cut and sold in parcel preparation? (Yes/No) Iblo
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek-A—) Pond N_Wetland Alu Seasonal Runoff IYo Stream Slopes or
Bluffs
TYPE OF JOB New Add ✓ Alter / Repair Other Use of Building Fi
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other hRi1= f'7J ,Q 17 u,., sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathroom:,
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. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am :urrently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I zim aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating t ork for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be one in confor ance t rewith. No changes shall be made without
approval. o tainin approv
41 X 6 Date S �f' . X Date. ��
FOR OFFIC(AL USE BE D IS P004T
Accepted by J�WDate Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department Jr.-2-&D
Occ Group R Type Constr -
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
ir<.....:...«::::::::::.:::::.:,..:..:...,.:....,...............................:::.:::::::. TOTAL FEES
PERMIT NO.:
MASON COUNTY iZ
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Q;nAv 0, -� !Z-( iil- Contractor Name cro-,
MailingAddres ?OU st 3 o2- Mailin ddress
City r State ' Zip Code City k � State t.1 - Zip Code
Phone�� 1��Other Ph. 3&0 r
Z -.00 Ph.( (- ) .! S-- Other Ph.0
Lien/Title Holder Contractor Reg.# C-C�.o( S^I?C'0 4-n i,
Address ;->�," Expiration O6 / /
SEPTIC INFORMATION-Connect to New Septic Existing Septic__.�__Connect to Stqi►ver System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. 2, / o / O 06, ' Fire District
Legal Description G
Site Address(Please incl de street ame, str a number and city)
Directions to site es
Is your pr perty within 200' of the followin Body of Water(Name) Saltwater_Al
Lake o River/Creek Pond ilo Wetland nth Seasonal Runoff A/') Stream Slopes or
Bluffs n
TYPE OF JOB New Add t/ Alt Repair Other Use of Building �-
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs �_ Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher �— Gas Outlets
Sinks Wood/Gas/Pellet Stove
Dishwash�r ,� Direct Vent?
Other Other
Other � Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in con rm therewith. No changes shall be made without
approval. first btainin ppr vol.
X ADate / �3 X "'. Date �G
i
�1101—
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
AEPARTfNENTAL R EW:>:: :::: RRPR0VrzD DENIER bfliDi E I(?1V GdRES
Building Department
Occ Group t Type Constr.
Planning Department
Other
Other
.....................
... ...........................
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing& Base Fee Other
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name t� �• Ian PARCEL NUMBER J Z3 Date
SHO THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I I Fadjacent property line
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adjacent property line- ' ' E-adjacent property line
SAMPLE SITE PLAN
ad,a�nt property lined 3io� _ _ <-adjacent property line
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adjacent property lined Fad'acent ro ert line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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di.StaV%LL tc
dim+an�m
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APPROXIMATE SITE PLAN
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Belfair Doctors Clinic Water Bill
Jan. Feb. Mar. Apr. May June Aug. Sept. Oct. Nov. Dec.
$81.11 $58.43 $81.15 $73.70 $58.16 $44.67 $59.26 $65.16 $60.25 $42.17 $20.60
Total= 684.46
Belfair Animal Hosp.Water Bill
Jan. Feb. Mar. Apr. May June Aug. Sept. Oct. Nov. Dec.
$104.25 $23.77 $52.27 $42.77 $41.92 $104.94 $39.30 $62.01 $22.16
Total= $602.35