HomeMy WebLinkAboutBLD93-0723 Remodel Deli - COM Permit / Conditions - 7/12/1993 MASON COUNTY
�— Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
LA; N....1 :N::: N..... N::M :::f.: N"�II 1;� Ns p!::::: pa; if'H ::N:: ...N. FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Bam 427-7262
BLD93-0723 PARCEL : 123294300010 PLAT - DIV : BLK : LOT :
JOB ADDRESS : NE 3701 HWY 3 BELFAIR
OWNER : JEFF MCVICKER
CONTRACTOR :
L E G A L : TA 1 Of SU SE fS 15232 1[ 164A
CLASS OF WORK . . : ALT BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : COM STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . Oft p{1-�134_.3-"} fg3 34142- STFE S 4.50 NJP 07/12/93 33182
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE $ 4.51 NJP @7112/93 33182
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 PRNT $ 211.51 NJP 07/12/93 33182 ��
DWELL . UNITS . . . . : 0 PARKING SPACES : 0 P L C C $ 137.48 NJP 07/12/93 33182 � f�".-.
INSPECTION AREA : 1 SHORELINE? . . . . : N PLN $ 31.00 NJP @7112193 33182 TOTAL:-1* VALULATION: 31000
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE H0ME----
FRONT . . . S 70 . Oft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0
REAR . . . . N 30 . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE (1 ) . E 15 . 0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE ( 2 ) .W 15 . Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . 0 . Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 0sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT. . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O -SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR /CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:DELI RENOVATION
PROJECT LOCATION:HWY 3 AFTER KITCHELL LUMBER NE 231O1 HWY 3 BELFAIR
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY LNGACAN
R WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUI BE OCCUPOWNER OR AGENT: 'Al- DATE: /� 1�'3
BLD_PRMT, rev: 13/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REOUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
If a" II:'.::: U 4!: II'11'll :II::
Case No . : BLD93-0723
For : JEFF MCVICKER
Page : 1
1 ) Parking should be sufficient for 8 normal parking stalls (9 feet by 20 feet) and 1
handicap parking stalls ( 12 . 5 feet by 20 feet) with sufficient maneuvering aisles .
Handicap stalls should be of a smooth , flat surface and should be signed with the
International Symbol of Access . Screening from adjacent residential properties is
required .
2) The use , handling and storage of hazardous materials or flammable and combustible
liqu 'jds in excess of 10 gallons is not allowed without the approval of the Mason County
Fir arshal .
X •
3) Proposed structure or any portion thereof greater than 30" in height from grade line ,
must maintain a minimum of 5 setback from all property lines , easements and right of
way
X
4 ) FIRE MAR HAL COMMENTS :
1 . LOCATE FIRE EXTINGUSHERS AS NOTED ON PLANS . RATING IS 2A 10BC , 5 LB . DRY CHEMICAL .
rat Tab I u U k
MASON COUNTY
BUILDING PERMIT APPLICATION; NF
�8
RAL SERVICES
426 W. Cedar/P.O. Box 186 Shelton WA 98584 427-9670/1-800-562= 6
PLEASE PRINT (�
#1 Owne' SEFF /R G yl C,t.CF - Phone#
Site Address C Z3770/ J HLJY .3 Fire District# Z
City ,3Er,FApf— t j.4. St Zip 9P 9$57Zi3
Directions to Job Site UW`l 5 AF744 rtAIT646U- LU -4 8611
Owner Mailing Address :S�
City St Zip
Lien/Title Hold . /�nd Lp a L)r C
Address =
Clty G-e /\-p St LOa---.--.Zip QePLYJ4
#2 Contractor Name "TKE 569AGT C04P0/LA77onl Contractor Reg # 56MCC*1 153-J(,
Address 1 7 ZU 1/2--r4 S-r- E- Gf/ I Expiration Date 04 /02- l 15cf
City ?L)y,4LLLV0 St wA Zip $5373 Phone # ZOt. 8%to t 37o
#3 If septic is located on project site, include records. P��
Connect to Septic? /K Public Water Supply_ Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 143 - QW 1 0 \\ _
Legal Description 5EC ZIi (W/,( 2,3 Al 121 WLJtA
#5 Building Square Footage: xistin roposed)
1 st FI 0� 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building F-E.v► VF-1, W UFr=t4 1 JTo Describe work rNT-'e41pL
#7 Type of Job: New Add Alt X Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
4odei Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: r
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other ��T�
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional b
Name of Flanking Street in relation t y lot IanN, S, E, W>
Name of Fronting Street p p
APPLICANT TO DRAW SITE PLAN BELOW
7D
�lrlIN
P4 v)q
32
I Z7'
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
r- L '
Plumbing Fixtures ($3 each) Fed Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. UDiLs Fees
_Showers _ Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer Vent Systems
4 Sinks l2- Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handlina Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDIN DEPART ENT. DEPARTM NT.
X OWNER D :,w&tJ FoF Owov4t X BY
DATE �j (Z�l�°j DATE
i
FOR OFFICIAL USE ONLY: Accepted by: - r:/ '- - Date:—_._ _�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review nn
Occupancy Group:-f.:).-2 Type of Coi ist
Fire Marshal: r� /t�l ylp t.�M���/�T�S A,
Other:
Special Conditions: FEES
.bO (Z �Z.QD Building Permit P/t. ( � Alk
Plan Check 13 7 !g
Plumbing Fee G
Mechanical Fee
Wood/Gas/Pellet Stove
.op
5D Radon Monitor
Violation Fee
B = 3 t 1 CSOO Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE 14