HomeMy WebLinkAboutCOM2016-00113 Final Change in Tenant - COM Permit / Conditions - 3/7/2017 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Phone: (360)427-9670, ext. 352
615 W Alder St
Shelton, WA 98584
IRW
COMMERCIAL BUILDING PERMIT COM2016-00113
OWNER: SWEETWATER CREEK PROPERTIES LLC RECEIVED: 8/12/2016
CONTRACTOR: LICENSE: EXP: ISSUED: 9/12/2016
SITE ADDRESS: 22751 NE STATE ROUTE 3 BELFAIR EXPIRES: 3/12/2017
PARCEL NUMBER: 123325000059
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 26 EX S 360' & N 140'
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE IN TENANT FOR SHERWOOD CREEK CHILDRENS FOLLOW ST RT 3 TO SITE ADDRESS IN BELFAIR
CENTER...SCOPE: REMODELAN EXISTING WOOD FRAME
POLE BLDG INTO A DAY CARE FACILITY. CHANGE OF
OCCUPANCY FROM M TO 1-4 FORMALLY...Trick Wings
General Information Construction &Occupancy Information
No. of Units: 1 Type of Constr.: V-B
Type of Use: Insp.Area:Type of Work: TRA Fire Dist.: 2 No. of Bathrooms: 3 Occ. Group: I4
Valuation: $ 174,979.20 No. of Stories: 1 Exit Design. Load:
Building Height: 21
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 3,263
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: E 103.00 Ft. Shoreline: Ft.
Rear: W Ft. Slope: Ft. Water Body:SEASONAL CREEK Shoreline Desig.: Natural
Side 1: N Ft. SEPA?: Comp. Plan Desig.: Urban Growth Area
Side 2: S 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?:
COM2016-00113 Please refer to the following pages for conditions of this permit. Page 1 of 9
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Clothes Washer 1 Dryer Vent 1 Plan Check Fee rKMA R1191,mia aQ1R Qa gigniAnn
Kitchen Sink 1 Exhaust Hood 1 IFC Plan Check Fee moon Ri19ignia TArQ a7 gl9n1Rnn
Lavatories 7 Furnace<100K 1 EH Minor Plan Review rmm Rii9i,?nia ainn nn ,lgnlrnn
Showers 1 Heat Pump 1 Planning Review Fee r.mm R11919nia assn nn s»niann
Water Closets Toilets 6 Ventilation Fan 4
(Toilets) Building Permit Fee iTi QivqniF al All 7S qiqmann
Building State Fee iTi Qiii9niA T.e rn R19nirnn
Mechanical Permit Fee ATI Q/inniR 4.;Qa 7n -,»mRnn
Mechanical Base Fee ITi Qi1nma c�qR Rn gigmRnn
Plumbing Permit Fee ATI QivgmR cRisQ?n �,igntann
Plumbing Base Fee iTi Qiinnia 1.P?a 7n gtgmRnn
Total $3,513.76
CASE NOTES FOR
COM2016-00113
CONDITIONS FOR
COM2016-00113
COM2016-00113 Page 2 of 9
1) Means of egress must meet 903.2.6.1, Exit door per room at grade level.
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Locks and Latches per IFC 1008.1.9.3 Locks and Latches. Label "Locked/Unlocked" on all.
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Exit Access per IFC 1014. Post"This Door To Remain Unlocks When Building Is Occupied" on all main doors.
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Exit signs shall be provided and internally illuminated IFC 1011
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Provide for emergency lighting
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Provide Fire Extinguishers per IFC 906
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Provide Knox Box per Chapter IFC 506 on building and/or gates.
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NFPA 72 Fire Alarm System will be required (separate permit)
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All wiring mustmeet NFPA 70 and be inspected by WA State L&I and signed off prior to final.
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Walls must meet IFC Chapter 8"Interior Finish"
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Fire Access per Mason County Title 14 (Attached)
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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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-64 - The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
COM2016-00113 Page 3 of 9
3) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are of on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour wilLA3g c ged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
4) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
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5) THE FOU ION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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6) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL
NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
County Byi(department prior to any further inspections being performed or approvals granted.
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7) 3000 PSI CONCRETE WILL REQUIRE SPECIAL INSPECTION IF THE QUANTITY EXCEEDS 50 CUBIC YARDS< LESSER AMOUNTS WILL
REQUIRE AN APPROVED CONCRETE SUPPLIER TO PROVIDE YOU WITH A BATE`ki � THAT WILL BE REQUIRED TO BE SUBMITTED
TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. X yy��
8) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANG E E OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
9) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Building/P bing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
10) All building permits shall have 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
X n-com�rrt)vy Mason County ordinances and building regulations.
11) All permits expire 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,pgrprS�i lcolder have prevented action from being taken. No more than one extension may be granted.
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12) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fastener rlectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.(
13) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEM AD WAY.
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COM2016-00113 Page 4 of 9
14) STORAGE RACKS
Storage racks greater than 5'9" and up to 8'0" in height shall be installed in accordance to manufacturer specifications for seismic attachment.
When seismic attachment is not provided by the manufacturer an engineered design and attachment details shall be required. Installation
specifications or engineer's design shall be available during inspections performed by the Mason County Building Department.
Storage racks greater than 8-ft in height shall require an engineer's design addressing seismic conditions and attachment. In addition, storage
racks 8-ft tall or more shall require special inspection performed by the design professional or an approved representative. The special inspection
report and engineered design shall be provided to the Mason County Building Department for approval prior to the final occupancy inspection.
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15) Accessibility- Existing Building (IEBC Section 310)
This project is approved subject to the following requirements:
1)At least one accessible building entrance.
2)At least one accessible route from an accessible building entrance to primary function area.
3)Accessible signage.
4) Accessible arking in accordance to approved standards.
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16) SCOPE OF PROJECT
The scope of this project is limited to that shown on the approved plans and does not include installation of new plumbing, mechanical fixtures or
new signs. Installation of excluded elements listed shall require approval from the Mason County Building Dept. prior to making changes.
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17) Limited use in Kitchen:
Commercial kitchen hood ventilation shall be designed for the type of cooking appliance and hood served. The kitchen remodel is approved for
limited use. A type I hood shall not be required provided occupants meet the following requirements:
1) Commercial appliances shall not be installed. Manufacturer specifications shall be available on-site and shall verify that appliances are
approved for domestic use only.
2) Food preparation shall be limited and shall not involve preparation of food on site or cooking with grease-laden vapors.
3) Activities may include warming and serving precooked food.
4) A sign stating the following shall be permanently posted in the kitchen located in a conspicuous location:
THIS KITCHEN IS APPROVED FOR LIMITED USE. COMMERCIAL APPLIANCES SHALL NOT BE INSTALLED. THE KITCHEN MAY BE
USED T RM AND SERVE PRECOOKED FOODS.
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COM2016-00113 Page 5 of 9
18) ACCESSIBLE PARKING
Where parking is provided the number of accessible parking spaces shall be provided in compliance with IBC Table 1106.1. Where the total
parking spaces provided are 1 to 25, not less than one accessible parking space shall be provided. The accessible parking space shall be located
on the shortest accessible route of travel from adjacent parking to the picnic and playground area.
The accessible parking space shall constructed in accordance with ICC/ANSI A117.1-2003, Section 502. A copy of the specifications are attached
to the approved construction plans. The accessible parking space shall be marked, not less than 96-inches wide and shall extend the full length of
the parking space. The accessible space shall be identified by approved signage that display the international symbol of accessibility not less than
60-inches above the floor of the parking space, measured from the bottom of the sign.
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19) POST OCCUPANT LOAD
Every room or space shall have the occupant load of the room or space posted in a conspicuous place, near the main exit or exit access doorway
from the room or space. Posted signs shall be of an approved legible permanent design and shall be maintained by the owner or agent.
(IBC1004.3)
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20) EXITS & EXIT ACCESS DOORS
All doors shall be side hinged and swing in the direction of exit travel. All exit doors shall be illuminated at all times that the building is occupied and
be equipped with approved accessible hardware that does not require tight grasping, tight pinching or twisting of the wrist to operate.
ALL exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress travel. All exit signs shall be
internally or externally illuminated at all times and equipped with to ensure continued illumination for a duration of at least 90-minutes.
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21) WALL& CEILING COVERINGS
Rooms and enclosed spaces shall have Class C interior wall and ceiling finishes or better. Class C finishes shall have a smoke developed index of
0-450 and a lame spread index of 76-200. Provide classification information during inspection.
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COM2016-00113 Page 6 of 9
22) 2012 IECCWSEC COMPLIANCE:
This project is approved for compliance to the 2012 International Energy Conservation Code/Washington State Energy Code (IECCWWSEC); the
following components shall be installed as follows:
ENVELOPE: Prescriptive Using Table C402.2, applies to heated spaces not used for plant growth
Roof: R-38 in attic
Wall insulation minimum: R-15 + R-8 ci (continuous Insulation)
Slab insulation R-10 or better installed in around the entire perimeter from the top of the slab edge to the bottom of the footing.
Fenestration including doors and windows, including store door(s) shall have a U-Factor as follows-fixed/non operable windows .38 and operable
windows U-0.40or less, entrance doors U0.60 or less and skylights U-0.50 or less. Solar heat gain coefficient(SHGC) 0.40 or better except
skylights SHGC 0.35 or better.
OTHER DOORS: Other than entry doors U-0.37 or less and roll-up or sliding doors min. R-4.75.
LIGHTING:
Total interior lighting shall not exceed 2614 watts. See Table C405.4.2(2) Manufacturing square footage used does not include task lighting for plant
growth (4 bays)
Task lighting used exclusively for plant growth or plant maintenance shall be exempt from the requirements of the 2012 International Energy
Conservation Code/Washington State Energy Code (IECC/WSEC).
All new lighting installed in areas not used for plant growth or plant maintenance shall comply with IECCWSEC Section C405. Lamp wattage shall
be calculated using the lamp and ballast wattage or for incandescent fixtures, using the maximum labeled wattage.
Total new interior lighting wattage for this project shall not exceed 8,700 watts excluding 4 bays, or provide a design calculations demonstrating
compliance to IECCWSEC C405. Provide a lighting plan showing the layout of all lights and controls along with a schedule that identifies the
wattage for ballast and lamps. The plan and information shall be submitted to the Mason County Building Department for review and approval prior
to the framing inspection.
All daylight zones shall be provided separate control in accordance with IECCWSEC. Automatic daylight sensing controls shall be capable of
reducing light out put, that control luminaries only within the day lighted area, shall be clearly identified. Switches shall be equipped with separate
automatic controls to shut off the lighting in all spaces during unoccupied hours. Occupancy sensors shall be capable of automatically turning off
all lights in an area in accordance with IECCWSEC.
All daylight zones shall be provided separate control in accordance with IECCWSEC.
Exterior lighting shall be calculated and comply with Table C405.2(1) & (2) of the IECC
MECHANICAL SYSTEM:
If a Mechanical systems is used for cooling purposes shall have a SEER Rating of 13.0 or better. Provide compliance information for inspection.
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COM2016-00113 Page 7 of 9
n
CONCRETE MECHANICAL MANUFACTURED HOME �
__.
rn aaein�s Date 'Otzg(t�v By Ribbons m
Gas Piping
o Interior Date By interior-Date By Data By
w Extereor Date By Exterior-Date By set-tap '{
rn
Paine Load r Isolated FootingsINSULAT10N _ Date By �
BG i SLAB INSULATION _� a_r_ __...._ _ 0
Date By Data By FIRE DEPARTMENT ;U
Foundation Wails Floors Date By m
- - m
Dante By Data By DECKS X
FRAMI Walls Date By 0
Date �o �y Data By PROPANE TANKS O
PLUMBING Vault Date _ y_ m
Date By OTHER X
Groundwork
Attic
Type 1T1
Date o By Date By Date By
DRYWALL RYWALLj Type. O
Il gy /. - Int Brace wail Date By 9
Dateoats By
FINAL INSPECTION N
Water Lane Fire Seperation C
D t 1�l-�ttLo By Dat® 8y Dam 3_-�—( By.��- c
Pass or Request Inspect. L
Type of Insp. Fail Date Date Dane 13 Comments _L
et.A7le4c //_4 77Z- C A t/1
owec4ruo4 2-Zf5r--l—c
3-. -r 3--2-r J�
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0
* k Mason County
Department of Community Development
Mason County Bldg.8,615 W.Alder Street
Shelton,WA 98584 PROS
lY;t www.co.mason.wa.us Inspection Request Form
Request Taken By: ❑ Marissa, 0 Ariane, ❑ Jahanel, ❑ ,
Date: 12-15-16
Permit Number: COM2016-00113 She ewodd C(LtCK C Kr IdP&'.$ C
HResidential, ✓ Commercial
New Const. ✓ Existing Building
Have all fees been paid (before final inspection)? Yes, ❑No, ❑✓ N/A
Has Planning been scheduled for final inspection? H Yes, ❑No, ❑✓ N/A
When was your last inspection (If it sounds like it has expired)
Requestor-Contact Name: Special Instructions:
Jack Johnson
Phone Number:
360-731-7101
Project Address:
22751 NE State Route 3
Date and Time of Inspection: Inspection Results / Comments
Friday 12-16-16 ❑✓ AP(Approved)
T pe of Inspection: ❑ DA(Disapproved)
[Footings/Setbacks ❑ See Attached Correction Report
❑Foundation Wall/Stem Wall ❑ AE (Approved with exception)
❑Manufactured Home Setup (&Tie Downs)
❑Concrete Slab(Commercial Only) Notes:
❑Underfloor Framing (Before Floor Sheathing) Drywall nailing is approved..
❑Shear(Exterior Nailing &Holddowns)
❑Plumbing Underground
❑Plumbing Exterior(Sewer/Backwater) Note for final however that doors all have
❑Plumbing Exterior(Water Supply) standard la c es and separate deadbolts
[]Plumbing Rough-In❑Mechanical Rough-In which cannot be used in a `vrgmeFeiBl
❑Gas Piping (Pressure Test) setting- Tvnirally must hp In
❑Framing Q-Has L&I Approved the Electrical?) this case with an occupant load of 80, panic
Fire Resistive Penetrations (Commercial) hardware will be required. Also note shower
Wall Insulation is not accessible and no drinking fountain is
[]Ceiling and/or Floor Insulation provided.
❑Drywall Nailing
❑Re-Roof, Roofing Final
✓❑Other Sheetrock nailing Date: 12/16/16
❑Final (48 hr notice for PW,TIF)
Inspected By:M. Barth
Mason County
' Department of Community Development
Mason County Bldg. 8,615 W.Alder Street
Shelton,WA 98584 360-427-9670 CODEPROS
www.co.mason.wa.us Inspection Request Form
Request Taken By: ❑ Marissa, ❑✓ Ariane, ❑ Jahanel, ❑
Date: 12-01-2016
Permit Number: COM2016-00113 Sfr.Q�Lt�100� c"e Chi Ic�&,4,4
HResidential, ✓ Commercial
New Const. ✓ Existing Building
Have all fees been paid (before final inspection)? Yes, ❑No, ❑✓ N/A
Has Planning been scheduled for final inspection? B Yes, ❑No, ❑✓ N/A
When was your last inspection (If it sounds like it has expired)
Requestor-Contact Name: Special Instructions:
Jack
Phone Number:
360-731-7101
Project Address:
22751 NE State Route 3, belfair
Date and Time of Inspection: Inspection Results / Comments
Friday December 2, 2016 ❑✓ AP(Approved)
Bpe of Inspection: ❑ DA(Disapproved)
Footings/Setbacks ❑ See Attached Correction Report
[—]Foundation Wall/Stem Wall ❑ AE (Approved with exception)
❑Manufactured Home Setup (&Tie Downs)
❑Concrete Slab(Commercial Only) Notes:
❑Underfloor Framing (Before Floor Sheathing)
HShear(Exterior Nailing & Holddowns)
Plumbing Underground
[]Plumbing Exterior(Sewer/Backwater)
❑Plumbing Exterior(Water Supply)
[]Plumbing Rough-In
❑Mechanical Rough-In
[]Gas Piping (Pressure Test)
❑Framing
ffFire
Has L&I Approved the Electrical?)
Resistive Penetrations (Commercial)
❑✓Wall Insulation
[]Ceiling and/or Floor Insulation
❑Drywall Nailing
[_]Re-Roof, Roofing Final
❑Other Date: 12-2-16
❑Final (48 hr notice for PW, TIF)
Inspected BU.Rick Pope
Mason County
Department of Community Development
Mason County Bldg.8,615 W.Alder Street R
D
Shelton,WA 98584 360-427-9670 P �S
" =— www.co.mason.wa.us Inspection Request Form
Request Taken By: ❑ Marissa, ❑Ariane, ❑Jahanel, ✓❑ Julia
Date: 2-28-17
Permit Number: COM2016-00113
Residential, 1,dCommercial
New Const. ✓ Existing Building
Have all fees been paid(before final inspection)? B Yes, ❑No, 0 N/A
Has Planning been scheduled for final inspection? Yes, ❑No, N/A
When was your last inspection (If it sounds like it has expired)
Requestor-Contact Name: Special Instructions:
Jack
Phone Number:
360-731-7101
Project Address:
22751 NE SR 3, belfair
Date and Time of Inspection: Inspection Results/Comments
Wednesday 3-01-17 ❑ AP(Approved)
Be of Inspection: ❑� DA(Disapproved)
Footings/Setbacks R1 See Attached Correction Report
[]Foundation Wall/Stem Wall ❑ AE(Approved with exception)
HManufactured Home Setup(&Tie Downs)
Concrete Slab(Commercial Only) Notes:
Underfloor Framing(Before Floor Sheathing)
Shear(Exterior Nailing&Holddowns)
Plumbing Underground
Plumbing Exterior(Sewer/Backwater)
HPlumbing Exterior(Water Supply)
Plumbing Rough-In
HMechanical Rough-In
Gas Piping(Pressure Test)
❑Framing
(O-Has L&I Approved the Electrical?)
d(�VFiire Resistive Penetrations(Commercial)
all Insulation
❑Ceiling and/or Floor Insulation
❑Drywall Nailing
[]Re-Roof,Roofing Final
❑other Date: 3-1-17
QFinal (48 hr notice for PW,TIF) M.Barth
Inspected By:
CQREPRoS, ,d .mill
Mason County
Department of Community Development
. ` Mason county Bldg.8,615 W.Alder Street
Shelton,WA 98584 360-427 9670
www.co,mason.wa.us
INSPECTION REPORT PERMIT cc 113
ADDRESS:_ 1 a r N E <-E, 1,
INSP.TYPE: f i s:;,
COMMENTS:
L t l t
( d j
c \
AP(Approved)Ea DA(Disapproved) DATE: £Zf 7
AE(Approved with correction) ISSUED BY: f ,FI s
If Disapproved,Corrections Are Required And You Are Hereby Notified
That No Work Shall Be Covered Until The Above Violations Are Corrected.
After Corrections Have Been Made,
ontact Jurisdiction to Schedule Reinspection
")�a_""SA :a cry F-,jL,' J � 'x w,ar '
STAIN THIS TAG ON-SITE FO}R RE-INSPECTION
x Q
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"7
23) Fire Marshal final inspection is required prior to occupancy inspection.
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24) In accordance with the Standards for Apparatus Access Standards, Mason County Code, Chapter 14.17 Section 110, an automatic fire sprinkler
system shall be required and installed in this structure.
A separate fire protection permit for the fire suppression system shall be required and submitted for review and approval prior to installation of the
required system.
Inspection of the installed fire suppression system shall be performed and approved by the Mason County building department/fire marshal office
prior to the framing inspection of this structure.
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OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by
signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APO—LICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
z
Si n ture Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2016-00113 Page 8 of 9
PLANNING
t
DI Ll(o - cow PLANNING:
I50 Al I SETBACKS ARE MEASURED
FROM THE FURTHEST
PROJECTION OF THE BUILDING,
EXIST6 6' FENCE
516.00'
-- -- - - -- r -- -- -- -- -- -- -- -
- GATE
O GATE NEW 6' FENCE
NEW 6' FENCE N '
E�i ON SIT
/Z Z /1
1 •
ADDITION
FENCED
PLAY AREA EX I ST I N6 POLE BLD6 / I
a
m
APPROVED
N GOUNy DCp PLANNING i 113 /
MASS
�1TE PLAN REt�BJET O APPROVALS
CHANGES SUB.lE L?31
( � EXIST& SIDEWALK 1�6,q
Da'Le --I
H �' O
5qr EXI5T6 6RA\/EL
GATE
I
460.00'
Tapir .M 9 69
cYg7 r 7 -���i� ; , FIRE HYDRANT
(AFROX LGN)
C
51 TE PLAN
Luc, ,, .. �•� .�Uw wvw 1 >r t.UMMUNI I Y StKV.ILLS
f� r, PE-RIVITA5515TANCE CENTER, Permit No: om i
• BUILDING• PLANNING• FIRE MARSHAL Recv'd.
3� 615 W. Alder St- Shelton, WA 98584
_ Ti
Phone Shelton((3 )427-9670 ext. 352 Fax:(3�0)427L77y$� I D'
8 " Phone f3elfalr. 360 275-4467 Phone Elm: 360 482-5 9
NG
BUILDING PERMIT APPLICATION
616 IN Ai Idel:
PROPERTY OWNER INFORMATI : CON'I'IUCTOR INFORMATION:
NAME: C YD � NAME: T
MAILING A R.ESS: 1 MAILING ADDRESS:
CITY:�6&1 STATE:_Z1P:_585ZDCITY: STATE: ZIP:
PHONE#1: W .3U0.Ill.r7 I 01 PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG # EXP.
CONTACT PERSON : OWNER[�r' CONTRACTOR ❑ *OTHER/See Below ❑
*NAME: �WGt dhn5ur7 MAILING ADDRESS:
CITY:_ n STATE: ZIP: PHONE: CELL:
EMAIL:
PARCEL INFORMATION: l."LA.NNI rz._t zU—
PARCEL NUMBER(I2 Digit Number) I a3 3a-60 -IXX , 9 ZONING_6?,I Gm,.,(_)A A-rn U
LEGAL DESCRIPTION(Abbreviated) FIRE DI ICT a
SITE ADDRESS c_Q r1,15( nE_ 00+15 `3 CITY Z&J
iT
CTIONS TO SITE ADDRESS
O
E PROJECT WITHIN 300 FT OF SL PE(S)GREATER THAN 14%e: YES[] NO[Q—
IS PROPERTY WITHIN 200 FT: (Check all(hat apply):
SALTWATER❑ LAKE❑ I:UVER/CREEK❑ POND❑ WETLAND ❑ EASONAL RUNOFF STREAM❑
TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION REP IR OTHER ❑
USE OF STRUCTURE(Residence,garage,Commercial Bldg,Etc.)
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BE ROOMS NUMBEROFBATHRO06SIXI
HEATED STRUCTURE7 YES (Whole Bldg) ❑ YES(Part[s]ofBtdg) ❑ NO ❑
DESCRIBE WORK
(Valuation/Project Did Arnount:$ )
SQUARE FOOTAGE:
1STFLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT Sq. It.
DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.fl.
GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURE,Q HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN RE,QVIRCD*
MAKE MODEL YEAR LENGTH .. �—
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER acknowledges that submission of ihaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such Is by signature below. I declare that I am the owner or owner's legal representative. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the
necessary parties, including any easement holder or parties of Interest regarding this project. The owner or legal
representative, represents that the Information provided Is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection. This permit/application becomes null &void if
work or authorized construction Is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.00.42)
Signature of OWNER Date
DII PARTMENTAL RICi VIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT J rz-: -b-t
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS intake: Approved&Ready for Pick-Up:
Visit us on-line: http://www.co.mason,wa.us/community_dev/ Rev. 112712016 by JON
NL
=` soN coo, MASON COUNTY COMMUNITY SERVICES
J. PERMITASSISTANCE CENTER: Permit No: a (a On�'
•BUILDING•PLANNING•FIRE MARSHAL
` 615 W. Alder St-Shelton, WA 98584
4:
Phone Shelton:(360)427-9670 ext. 352 Fax. (360)427-7798
-=_ Phone Belfair.-(360)275-4467 Phone Eirna: (360)462-5269
1854'
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PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFO TIO : CONTRACTOR INFORMATION:
NAME• &&t' (:Zr" ' (Opt NAME:
MAILING ADDRESS: MAILING ADDRESS:
CITY: STATE: ZIP: CITY: STATE: ZIP:
1"PHONE: PHONE: CELL:
2°d PHONE: EMAIL :
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):12-1beR•,Z QQOLffl Zoning-
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 0--n`1 d l rl C t6+ Q-'� CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING OPL6—
LOCATION OF FIXTURES/UNITS— IT FLOOR 2"DFLOOR BASEMENT GARAtE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X
Signature of Applicant Date
X Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 iBN
MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Mason County Bldg. III, 426 West Cedar Street
PO Box 279, Shelton, WA 98584 www.co.mason.wa.us
6'15 V4. kuldeI :: i 3 id I COM lL.a •(Y)11
CHANGE IN TENANT APPLICATION UNA . ry�
PROPERTY INFORMATION
Bate: '7 - -a( -- Assessor's Parcel Number: /2 33 2 • p
Legal Description: 5,,n v% 9 -T(A a .e,r`r too e C ( O 'off' `
Building Site Address: 2 7 S / C Y
APPLICANT INFORMATION
Name of Applicant: 5,,v Q,
Mailing address: Pp
City: State: Zip: ':W.'52
Day phone:16 1--7k)j I Contact Person: Message phone:
PROJECT INFORMATION
roposed business name: _
Proposed use: ,, v Number of employees:
-%,6Vw06 C- vee< Q Describe previous use: /K-+ t"
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 currently If not occupied, how long has it been vacant?
occupied? Yes No Yr. Mo.
Square Basement: F�fr-s7t: Mezzanine: Second: Third:
foots e: 2�00 /(/0 0 D /V 0
Is the structure Type of Heat: Cir le one: nac Heat Pump Electric wall Radiant
heated?
Circle on a No Fuel type: Circle one: Electric Liquid Propane C22itural Gas Oil
Will there be any changes to the following? Circle yes or no, if ap able:
Floor lay-out: No Lighting: Y No Heatin No
Exterior Finishe es No Interior Finishe . Yes No Parkin : Ye No
Number of restrooms provided: Number of fixtures in each:
_-Water Closets 12 3 Lavat s>>2i 3 Bath/Shower'
Is structure handicap accessible? Entry: Yes No Restroom(s): Cyes No
Is the structure equipped with a fire sprinkler system? Yes CNo Fire alarm system? Yes No
Monitoring Station Name: Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
Floor Plan (5 sets):
• Draw the floor plan to scale • Use of rooms
• Room Dimensions • Location of all exits and windows (include dimensions,
• Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits
• Interior doors with swing radius and exit signs).
Site Plan (1): Note scale used
• Property lines, easements, & right of ways • Location of all existing structures & dimensions
• Distance, in feet, from property line & structures • Location of all existing structures & dimensions
• On-site sewage tanks and drain fields, & reserve • Landscape buffer yards
• Location of fire hydrants & vehicle access roads • Well location
• Parking areas number& arrangement)
Continued on back
If construction or remodeling is proposed an additional Building Permit and construction
documents/drawings may be required.
After permit issuance and compliance to all conditions is complete,
schedule an inspection by calling
360.427.7262 or 360.427.9670 ext. 352
OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or
permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner, owners legal
representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as
proposed. I have obtained permission from all the necessary parties, including any easement holder or parties
of interest regarding this project. The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s) for
review and inspection. This permit/application becomes null & void if work or authorized construction is not
commenced within 180 days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x (6 --7 - 2 1-- l .6
ignature of Applicant Date
X Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by Cj Date `1'1l-Za Submittal Amount$ Receipt number
Department Review Initials Date Comments
Building
Fire Marshal
Planning
Occupancy Change? (circle one) Yes No Land Use Designation:
Occupancy classification change from to New occupant load calculated: persons
Existing occupant load design persons. Type of construction