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HomeMy WebLinkAboutBLD24319 Deli Smokeshop - COM Permit / Conditions - 8/24/1989 TYPE DELI SMOKESHOP Permit N6. 24319 No. Floors Sq Ftg Owner Bob DAVIS Tel Date Address NE 17181 N. Shore Tahuya Zip Contractor _ Sea Level Const & Design _ Address p.0. gox 1348 Bel fair z i p 9g52R Legal Description Tr 1 NF SW SF of Direction to project site HiQbway R hPtween PSNR ,ind Npi I -, I iimhPr un ing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Shorelines: Plunbing: l l 3f, Setback: Mechanica Special Interior: Conditions: FINAL: Mobile Hcme:� Smoke Detector: Remarks: %O oot ing: �iC 8`r �/� 3/ c- '� Setback: Foundation Walls: Fireplace: Wood Stove: BUILDING PERMIT APPLICATION ` MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. a�3i NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER S v DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER 12 3 2Vo6 DESCR. L L _5k 2 9. nJ 2 A✓ NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIFF PHONE CONTRACTOR S�� L-v7/= c�•psi ;uC S/ i✓ PV U L- � �45� L= L c� G T 2 7 6 G� USE OF // BUILDING J CCU c�c�yto,� % 7&71j,4�vT CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE ��! WORK COitJ , U/L-,d 1A_J OD L� BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES _L BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS I` COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED TOTAL SO.FT. IL�9_ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT _�� SHORELINE�_`* SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE O REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING TH REQUIR ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE I IN CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAININ OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPART ENT. C} X OWNER DATE X BY DATE l< FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION co YES NO YES NO -� HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT QC�, 00 D.O.T. BUILDING PLAN CHECK d 4c d SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION ''^ ? SHORELINE r <. _ WOODSTOVE LUMBING ,� ECHANICALJill mft'bl�s_ STATE BUILDING FEE �G STATESURCHARGE APPLICA N ACCEPTED BY PLANS COWCK BY APPROVED FOR ISSUANCE PERMIT VALIDATION �G ,s+vim IBY r CASH CK MO TOTAL Z2151 - PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED U PERMIT NO. �7�3� OWNER NAME MAIL ADDRESS CITY SSTATE ZIP PHONE DIRECTIONS TO JOB SITE L- LEGAL DESCR. SCc & 51&7 2 L Z CONTRACTOR 'NAME MAIL ADDREPS CITY BSTATE LICENSE NO. ZIP PHONE s� L«-"? USE OF Z 73"-K63_ BUILDING =L/ S �wl PAL PLUMBIfsIG FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP EE NO. TYPE OF FIXTURE FEE WATER CLOSETS Qf FORCED-AIR I GRAVITY TYPE FURNACE 6.00 BASINS Qv FLOOR I SUSPENDED FURNACE 6.00 BATHTUBS BOILER I COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS O HEAT-PUMPS 6.00 r FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET L DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORM CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST�OB AINI G APPROV FROM THE BUILDING DEP RTMENT. X OWNER DATE X BY 7L "_ -Z DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex I N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water July 12 , 1989 Bob Davis NE 17181 Northshore Tahuya, WA 98588 Re : Tract 1 SW SE of 1-23-29 As you will be altering a drainfield system for a commercial business we need to have your sewage paperwork reflect such. The fee for a commercial sewage system is $125.00 - we have received $25 on account - balance of $100.00 is due. Thank you for your attention to this matter. JoHn D. etty Environmental Health Specialist /njp ADDR Ss:: f�Es - !C cuti'TY HONE: DATE: DESI3N TEMPERATURE DIFIRNCE S,S ° ADDED HEATED SPACE INSULATIO aF R-VALU15 SOURCE OF HEAT LASS WATT SQ,CU WATT SQ,CU WATT SQ. CU WATT S(j C WATT S4 C WATT SQ, C WATT FACTOR T,TN LOSS TTN LOSS T,TN LOSS T,TN T,(),';S T,TN TQq9 TJN TP-q-q GROSS_ EXTERIOR WALLS L '��� LESS WINDOWS/SINGLE ��j/ LESS WINDOWS/DOUBLE / My M�"x LESS DOORS R / NET WALLS/FRAME S , I N§T WALLS/CONCRETE a ove grade ATTIC ABOVE CONSTRUCTION 1 CRAWL SPACE FLOOR/OVER UNVE2iTZD UNHEATED AREA FLOOR/SLAB INC;LUDnT(T-- 61&,q BELOW GRADE WALLS/Lin Ft. Gomm WALLS or FLOORS MULTIPLE UNITS COMMON CETZ07-3 MULTIPLE UNITS INF TRATION Cu.Ft. I�I.G � ' ( a AIR CHANG HR. ) , &w 3 (TO CONVERT WATT LOSS TO ROOM WATT LOSS 3TUH ;ASS, MULTIPLY WATT Loss BY 3.413 ROOM BTUH LOSS Cr?�/BTUH FACTOR= ROOM/CFM REQ. 1. Structure Heat L.oas(SHL)_= 11� �, _BTUH 5• Eati.mated Duct Heat Loss-SHL(1)xDHIX(3)xFractioa(4) Duct or Piping insul.ation(inchea) 6. Total heat Loaa (Add Line 1 to Line 5)= BTUH 3. Duct Heat Loaa Mu3tiplier (DHLM)= /�% 7. Total CFM Required�,,�, /rC Fraction of Ductwork in Unheated Space 'Worked by: MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex I N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water Bob Davis August 2, 1989 N. E. 17181 North Shore Rd . Tahuya , WA . 98588 Dear Mr . Davis , I received your revised plot plan for the proposed deli in Belfair on July 31 , 1989. While reviewing this plan it came to my attention that the proposed ingress and egress would protrude onto the property of Neils ' Lumber. We can accept written notice only, from the owner of Neils ' Lumber, giving approval of a perpetual easement for this property . This ingress and egress must also be approved by the Washington State Department of Transportation . The other option would be to alter the plans so the ingress and egress would be directly from the state highway to your property making written approval from adjacent property owners unnecessary. This option would appear , however , to reduce the space that could be used for customer parking . If you have any questions or I can be of further assistance , please call . Your permit will continue to be processed when we have received the information listed above . Thank you . Sincerely, Lenore Marken , Planner Dept . of General Services LM/ lm CC: Commissioner Hunter PLOT "LAN FOR FOOD ESTABLISHMENT PERMIT APPLICATION NAME OF ESTABLISHMENT CZ. S S177o:k E-s�v�E Provide the following information in the space below: Location of existing and/or proposed structures Road Acess (ingress and egress) Easements Parking spaces Existing and/or proposed Set back distances septic tank and drainfield lines Water lines and/or well location Property size N /57/ r f-1.C- t 7y LC�sn.Stt= 1 I- i V 12-7' COMMENTS: APP ioQ� Sea Level Construction & Design FLocL p4-A U MARK LINCOLN . P.O. BOX 1348 . BELFAIR, WA 98528 "'d S.7:�c�f t�x/�1 ~= (206) 275-4304 3 �u•5 op-t--� 1 os/,Vk- COLT C«tS�"T j �Z 1 i 1 i I i 3i MASON COUNTY 1988 INSPECTION LEGEND: DEPARTMENT of GENERAL SERVICES Adequate 1 Fair 2 Ed Courthouse Annex #1 N. Fourth & W. Cedar Poor 3 P.O. Box 186 Shelton, Washington 98584 Unsafe 4 (206) 426-5561 building environmental health maintenance parks&recreation L/planning sewer&water Name: Cr-s 6 i)ra&-' X^(As ex Owner/Operator: Address/U•C- Ph -2 4 0yV Y 3 .P 4- " A 3 Phone: ( City: Zip: Permit No.: cr 6 Food Service Schools Swimming Pools Type of establishment e4' Principal: Turbidity: Food 84.010 Type: E M H Enrollment: pH: 1.Food source Exterior: Chlorine: 2.Protection from contamination 1.Site Clean 1.Communicable Disease Control 3.Storage and transportation 2.Site drainage 3.Playgrounds 2.Chlorine residual at least 0.4 ppm Personnel 84.020 4.Building repair 3.Proper life saving equipment 5.Walks/steps 4.Health and disease control 6.Other: 4.Pool and enclosure 5.Cleanliness Interior: 5.Toilet rooms 6.Permit 6.Shower rooms 7. Floors,walls,ceiling clean Food Equipment and Utensils 84.030 8. Interior repair 7. Algae growth 9. Rodent free 8. Record keeping 7. Sanitary design, construction and 10. Insect free installation of equipment 11. Heating 9.Adequate test kit 8.Cleanliness of equipment and utensils 12.Lighting,classrooms 10. Sample result 13. Lighting, halls 9.Cleanliness of shelves 14.Lighting,other rooms 10. Sanitary methods and control 15. Windows Camps 16. Shades,deflectors 11. Doors and windows 17 Ventilation 1. Persons in camp 18. Odors Sanitary Facilities and Control 84.040 19. Classroom floor space 2.Number of cabins or tents 12.Water supply 20. Furniture arrangement 3.Water supply 21. Blackboards 13. Sewage disposal 22.Toilet cleanliness 4.Toilets and lavatory facilities 23.Toilet room cleanliness 14.Toilet facilities 24.Washbowls cleanliness 5.Showers and laundry facilities 15. Plumbing 25.Soap/towels 6.Sewage and waste disposal 26.Showers 16. Handwashing facilities 27 Foot baths 7 Buildings _ 17 Garbage and rubbish disposal 28.Locker/rooms 8. Locations 18. Vermin Control 30.Athletic facilities 9. Food handling .Drinking facilities g 19. Building 31. Electrical 10. Swimming facilities 32.Other: Other Facilities 84.050 11. Premises Utilities: 12.Supervision 20.Floors,walls and ceilings 33.Water supply 21. Lighting 34.Sewage disposal 22.Ventilation Solid Waste 23. Housekeeping Operation: Type of facility: 24.Labeling and advertising 35.Custodial service Treatment: 36. Food handling 25.Dressing rooms and lockers 37. Fire hazards ❑ Wood waste ❑Transfer station ❑Land fill 38. Fire hazards 26.Surroundings 39. Fire marshall inspection ❑ Sludge ❑ Other: Remarks: l - I�G .+/�,�j' .�X �-s �-� vv �r cif`, t7 r ;X 3 Received by: Date anitarian Environmental Heath Wisioy� 1742 1 INSPECTION LEGEND: MASON COUNTY DEPARTMENT of GENERAL SERVICES Adequate 1 Fair 2 Courthouse Annex #1 N. Fourth & W. Cedar Poor 3 P.O. Box 186 Shelton, Washington 98584 Unsafe 4 (206) 426-5561 building environmental health maintenance parks&recreation planning sewer&water Name: 51ro, ' Owner/Operator: 6 66 ULI Address:✓. Phone: A IS 3 � �� � City: C'L 1' Zip: Permit No.: 6 L' Food Service Schools Swimming Pools Type of establishment �t T=J)(,f Principal: Turbidity: Food 84.010 Type: E M H Enrollment: pH: 1. Food source Exterior: Chlorine: 2.Protection from contamination 1.Site Clean 1.Communicable Disease Control 3.Storage and transportation 2.Site drainage 3. Playgrounds 2.Chlorine residual at least 0.4 ppm Personnel 84.020 4.Building repair 3.Proper life saving equipment 5.Walks/steps 4.Health and disease control 6.Other: 4.Pool and enclosure 5.Cleanliness Interior: 5.Toilet rooms 6.Permit 7. 6.Shower rooms Floors,walls, ceiling clean 8. Interior repair 7. Algae growth Food Equipment and Utensils 84.030 9. Rodent free 8.Record keeping �( 7. Sanitary design,construction and 10. Insect free installation of equipment 11. Heating 9.Adequate test kit 8.Cleanliness of equipment and utensils 12.Lighting,classrooms 10. Sample result 13. Lighting,halls 9.Cleanliness of shelves 14.Lighting,other rooms 10. Sanitary methods and control 15. Windows Camps 16. Shades,deflectors 11. Doors and windows 17. Ventilation 1. Persons in camp 18. Odors Sanitary Facilities and Control 84.040 19. Classroom floor space 2.Number of cabins or tents 12.Water supply 20. Furniture arrangement 3.Water supply 21. Blackboards 13. Sewage disposal 22.Toilet cleanliness 4.Toilets and lavatory facilities 23.Toilet room cleanliness 14.Toilet facilities 24.Washbowls cleanliness 5.Showers and laundry facilities 15. Plumbing 25.Soap/towels 6.Sewage and waste disposal 26.Showers 16. Handwashing facilities 27. Foot baths 7. Buildings _ 17. Garbage and rubbish disposal 28. Locker/rooms 8. Locations 29.Athletic facilities 18. Vermin Control 30. Drinking facilities 9.Food handling 19. Building 31. Electrical 10. Swimming facilities 32.Other: Other Facilities 84.050 11. Premises Utilities: 12.Supervision 20.Floors,walls and ceilings 33.Water supply 21. Lighting 34.Sewage disposal 22.Ventilation Solid Waste 23.Housekeeping Operation: Type of facility: 35.Custodial service Treatment: 24.Labeling and advertising 36. Food handling 25.Dressing rooms and lockers 37. Fire hazards ❑ Wood waste ❑Transfer station ❑ Land fill 38. Fire hazards 26.Surroundings 39. Fire marshall inspection ❑ Sludge ❑ Other: Remarks: /^44-5 y w 4" r' ,.5 or Jr- __/0cdr,_ a tl .z ©a a 7✓✓o a ,O r o r Received by' a Sanitarian Environmental Health Division - 2053 INSPECTION MASON COUNTY DEPARTMENT of GENERAL SERVICES Adequate Fair F 1 Courthouse Annex #1 N. Fourth & W. Cedar Poor P.O. Box 186 Shelton, Washington 98584 Unsafe (206) 426-5561 building environmental health maintenance parks&recreation [planning sewer&water Name: �� ,9 5 ,5:fL+1�°K'y �t L5 �- Owner/Operator: '9 1)6 V" Address:.P 0%p A 3- %I Phone: (c7 '�� r� G �f3 City: ���10-, Y �Zip: g> - & Permit No.: Food Service Schools Swimming Pools Type of establishment: Principal: Turbidity: Food 84.010 Type: E M H Enrollment: pH: 1. Food source Exterior: Chlorine: 2.Protection from contamination 1.Site Clean 1.Communicable Disease Control 3.Storage and transportation 2.Site drainage 3.Playgrounds 2.Chlorine residual at least 0.4 ppm Personnel 84.020 4.Building repair 3.Proper life saving equipment 5.Walks/steps 4.Health and disease control 6.Other: 4.Pool and enclosure 5.Cleanliness Interior: 5.Toilet rooms 6. Permit 6.Shower rooms 7. Floors,walls,ceiling clean Food Equipment and Utensils 84.030 8. Interior repair 7 Algae growth 9. Rodent free 8.Record keeping 7 Sanitary design,construction and 10. Insect free installation of equipment 11. Heating 9.Adequate test kit 8.Cleanliness of equipment and utensils 12.Lighting,classrooms 10. Sample result 13. Lighting, halls 9.Cleanliness of shelves 14.Lighting,other rooms 10. Sanitary methods and control 15. Windows Camps 7 16. Shades,deflectors 11. Doors and windows 17 Ventilation 1. Persons in camp 18. Odors Sanitary Facilities and Control 84.040 19. Classroom floor space 2.Number of cabins or tents 12.Water supply 20. Furniture arrangement 3.Water supply 21.Blackboards 13. Sewage disposal 22.Toilet cleanliness 4.Toilets and lavatory facilities 23.Toilet room cleanliness 14.Toilet facilities 24.Washbowls cleanliness 5.Showers and laundry facilities 15. Plumbing 25.Soap/towels 6.Sewage and waste disposal 26.Showers 16. Handwashing facilities 27. Foot baths 7. Buildings _ 17 Garbage and rubbish disposal 28.Locker/rooms 8. Locations 29.Athletic facilities 18. Vermin Control 30. Drinking facilities 9. Food handling 19. Building 31. Electrical 10. Swimming facilities 32.Other: Other Facilities 84.050 11. Premises 20.Floors,walls and ceilings Utilities: 33.Water supply 12.Supervision 21. Lighting 34.Sewage disposal 22.Ventilation Solid Waste 23.Housekeeping Operation: Type of facility: 24.Labeling and advertising 35.Custodial service Treatment: 36. Food handling 25.Dressing rooms and lockers 37. Fire hazards ❑ Wood waste ❑Transfer station ❑Land fill 38. Fire hazards 26.Surroundings 39.Fire marshall inspection ❑ Sludge ❑ Other: Remarks' a<Z't'% np eo-1- e, Y' ey �lefeived-Qy:- Date anitarian Environmental Health Divisl .. ALL CONSTRUCTION MUST MEET � OR EXCEED LOCAL CODES. IFANY QUESTIONS PLEASE CALL THIS ' OFFICE OEFl,,-7 rpNSTRUCTION isurau� A �" M 8 SZ' MUST ME ALL CURRENT WASHING N STATE CODES was � S%b iOI�tUVAI �. �.. J THESE PLANS AMUST BE ON THE JOB SITE �- .�S::- �=i.aNS MUST BE FOR INSPECTION. Or- �'�E JOB SITE 64SPECTION. k ti XK`nN�o gf ywoNV wtE�'1' A---5 �� f is S� SS� I _ 3 �'S Jet lr di r 1' sir ie i ♦ • _ y so r* c ti Z r W .,r N• ai: r w J SEP-14-98 09 :29 PM ROBIN MOORE 360 275 8861 P . 02 /So< j5Zj-) A AJ Fig ^ll-Y TRUST� D, Iq LA M J - F 3 2oo �� y r -• �n.�r c-rz %A Zt cti vv C^ F -fl00 2,p To Po� ,fv&, F, i oc.E 2� bau'&LF FAQ ' 51TA fJ!v IS (oK)��Qt� 3 t X l a S t N C L LI W'VEb CA G M�-T w/L-L X W hJ (�0,CGS u-L PP4VI-M -N'-V-rA-ctAEl iv � '14 X � � a6j"L& � t�eN �.-t�S � �P c►� (3��r�� `�t��o u(�f:� �3oL�D © s ko t 3/g't LA, G V3 0 L-TS � UVp beb W ITAQ e PNL-LL CI-) -TGotJ P� SIDE Vow