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HomeMy WebLinkAboutCOM2022-00005 Tenant Improvement - COM Application - 2/15/2022 MASON COUNTY COMMUNITY SERVICES Permit N r-orn PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,INA 98584 F E B 15 2022 Phone$hollow:(360)427-9670 ext 352•Fax:OW027.rM Phano GO Bollaic(360)275.4467•Phone Elora:(360)4&?-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRA&OR INFORMATION: NAME-- Brandon Shumaker NAME: MAILING ADDRESS: 23969 NE Slate Rte.3 MAILING ADDRESS: CITY:Belfair STATE:WA ZIP: 96!,28 CITY: STATE: ZIP: PHONE 41: 3(�349 111-I0NF: CELL: PHbNE Ill: 360.552-2510 EMAIL: CZENTAIL: drshumaker61five.corn LRI REGN EXP.—/I Z PRIMARY CONTACT: OWNER El CONTRACTOR i] OTHER Q ----� NAME EMAIL ) MAILING ADDRESS CITY STATE 21P OPHONE CELL v PARCEL INFORMATION: PARCEL NUMBER(L Digit Number) 12329 41 60140 70NING Commercial LEGAL DESCRIPTION(Ahhmviatcd)_ — _ FIRE DISTRICT NM Regional SITE ADDRESS 23790 NE State Rio 3 CI'hY Dsoar( M DIRECTIONS TO SITE ADDRESS From Shelton,North cir)Hwy 3,turn righi at addtess poled above t W IS THE PROJECT WITHIN 30.0 FT OF SLOPE(S)GREATER THAN 14%: Yt:SQ NO Q SNOW LOAD:—Ps( IS PROPERTY�}7THIN 2M FT OFTHE FOI.I,OWING: rch.•L,drrn r.y�t�t SALTWATER❑ LAKIi Q RIVER/CRGIiK❑ POND❑ W ETLAND Q SEASONAL RUNOFF U STREAM❑ TYPE OF WORK: NEW Q ADDITION❑ ALTERATION© RETAIR❑ OTHI-A ❑ USE OF STRUCTURE(Reiidencc,Gmnxe,Cinunlrst Uldg,F.rr.) Commercial i IS USE: PRIMARY M SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED.STRUCTURE? YE.S iltardel(tdrr Q YES rrarrh/MtWx;❑ No ❑ DESCRIBE WORK Tenant Improvement to ine first lim SQUARE FOOTAGE:(prryvnedl 1ST FLOOR 114 I N.ft. 2ND FLOOR sq.f1 3RD FLOOR____sq R BASEMFiNT 5q II. DECK sq,ft. COVERED DEK sq-A STORAGE sq ft OTHER sq.fI GARAGE sq.ft. Attached❑ Ddarhed❑ CARPORT sq,ft. Attarked Q Demehed Q MANUFACTURED HOME INFORMATION: *4 COPIES OFT[WF.FLOOR PLAN ItF.QUIRFD* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGr•Jsr-WFR SOURCE: SEPTIC❑ SEWER® l NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES xt] NO❑ Ijpea,athich eomrlered Water Aderltasey Fonn PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOE EXISTING SQ.FT.3,410 S F EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by sigifature below I declare that I am the owner and I further declare that i am enured to receive this perrel and to do the work as proposed,t have obtained permission from all the necessary parties,including any casement holder or panics of interest regarding this project. The owner or legal representafir.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 perinVapptication becomes null E void it work or authorized construction is not commenced withm 1 So days or it construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION O 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) x OS//9/Zoz Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DF.NII-.D DATE TAG WCOTFS/CONDI'IONS BUILDING DEPARTMENT PLANNFNO DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES PermitZo_.2Z'DUDO PERMIT ASSISTANCE CENTER: RECE14b- •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 FEB 15 2022 www.co.mason.wa.us Phone She11on::(360)427--9670 exl.352• Fax:(36-0)427-77 6 Phone Bellafr.(360)275-4467• Pltone Ehria:(360)4132•.526 15 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Brandon Shumaker NAME: MAILING ADDR1iSS: 23969 NE State me.3 MAILING ADDRESS: 11'y: 8elfair STATE: WA /IP: 98528 CITY: STATE: "LIP: I' PHONE: nfn.271.s349 11110NE: CELL: °`t 111•16NE: 360.552.2510 I:fv1Al1. i :MAIL: drshumake0efive com I_�LI RI:G 'ARCEL INFORMATION: PARCELNt)MBER(12 bige 1vrrrr,hrr): 12329 41 60140_ ?.r»rirq:� Commercial LEGAL DESCRIPTION(Abbrrrdated):��_ SITE ADDRESS: 23780 NE State Ate,3 CITYSetta r- _ DIRECTIONS TO SITE ADDRESS:From Shelton- North on ti 3-turn right aLaddMS nQ1ed hove f i TYPE OF JOB: NEW ADD ALT � REPAIR OTHER USE OF BUILDING Commercial/Chiropractor LOCATION Or rIXTURESRJNI'I'S 1„ FLOOR_X„ 2'"FLOOR_ BASEMENT � GARAGE PLUNIBING FIXTURES(S110W NUMBER OF EACIt) MECHANICAL UNITS 7pe of Fixture No.of Fixtures lees fuel Type:Electric LPG Natural Gas Ductless— Toilets 3 � "Type orUnit No.Jr—units gees Bathroom Sint: 3 Furnace Bath Tubs I lcat Pump Showers Spot dent Fan Water Heater 1 Propane Tank Clothes Washer Gas Outlets Kitchen Sinks 2 WuodlGas pellet Slove Dish%%asher Kitchen Exhaust I luml hose bibs Drver Vent Other Solar Panel Other linse Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAt. _.._. OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation Acknowledgement of such is by signature below.1 declare that I am the owner.owners legal representative.or contractor 1 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 8 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature of Owner Date DEPARTMENTAI,REVIEW APPROVED DATE. DEINIED DATE '1'ACSlNU"t'1?.ti/LONt) TUNS BUILDING DE1'AR'I'MGN'I' RLAI4NING DEPARTMENT FIRE MARSHAL. Hey:• MASON COUNTY COMMUNITY SERVICES Pa"A.t Nos PARMITASSISTANCE CENTER: E D •BUILDING.PLANNING•PUBLIC HEALTH•FIRE MAR$HAL 815 W.Mar Striiei,.$hplton,WA98584 Phony$halrom(360)127-0570*Kt 352.Fuld{3WNJ27.7798 Phww F E B 15 2022 BeHaii:(360)275-4467•Phone Ekna:(360)4a,*.5250 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPRRTY OWNER INFORMATION: COAI'PRAcrog INFORMATION: NAMR Piandon Shumaker NAME: MATLMG ADDRESS: 23969 NE State Rte.3 MAILING ADDRESS: CITY..Bellair. STATE--:WA LIp: 985PB CITY: :STA'I'H, 'LIP: PHONE ft (; .71 q PHONE: CELL: _J PHONIi#Z: 360-552-2510 — EMAII.: l EMAIL' drshumakergtive.can L&I IWO N EXP. PRIMARY CONTACT: OWNER E CONTRACTOR❑ J OTHER❑ i NAME EMAIL MAILING ADDRESS Crry sTATL' ZIP__,.___ _._ PIIONE CEt.t. ' Q PARCEL INFORMATION: S O �Tu PARCEL NUMBER(12 Digit Number) 123294160140 YON1NG Cornnlerciat ...1... 1.IiGAI.DESCRIPTION(Ablmviated) FIRE DISI'Rle'l• NM noglonal : 23780 NE State Ate 3 _ SITE ADDRESS CITY t3ell;ur DIRECTIONS TO SITE ADDRESS From Shelton,North oil Hwy 3,tum right at address noted above i$THE PRo.Tgcr*iTHIN 300 FT OF SLOPES)GREAITk" HAN 14iyo: YI S❑ NO® SNOW I.OAD:,____ps( IS PROPERTY WITNiN200FrOFTUEFOLLOWING: 4yyr,I SALTWATER❑ LAKE❑ RIVERICRL'EK❑ POND❑ WF-11AND❑ SEASONAL RUNOFF M STR IAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION IS REPAIR❑ OTI IER ❑ —. __ USE OF STRUCTURE(r{esidentr,Caruge.Caiimfcmw Bldg.Fie.) (omn1er031 IS USE: PRIMARY IN SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF HATHROOMS HEATED.STRUCTURE? YES omiemtc)(r.1 YE$U•errr*j rpo*)❑ NO❑ DESCRIBE WORK Tortant Improvement to the first Iles SQUARE FOOTAGE:ltunfl 1ST FLOOR 114 I R.ft. 7ND FLOOR sq.R 3RD FI:OOR__,__-,__%1 IL BASEMBNT sq A. i DECK sq.ft. COVERED DECK sq.(L STORAGE sq A OTHER sq.B. GARAGE sq,k Attacked❑ Dt_gaehed❑ CARPORT sq.ft Atutehed❑ Delarhed❑ MANUFACTURED HOME INFORMATION; *4 COPIES OF THE FLOOR PLAN IiE01UiRE1D* MAKB h106FL YMR LENGTH WIDTH BEDROOMS BATHS SERTAL NIIMBI R ENVIRONMENTAL HEALTH: j SEWAGE) LNQER SOURCE: SEPTIC❑ SEWER(3 ( NE%V❑ EXISTING❑ PLUMBING IN STRUCTURE'.' YES Q NO❑ !J►ra,arhtrh eomptrtrd lVater A+r(pusey Fenn ! 1#kWETER1FOUNDAT10N DRAINS PROPOSED? YES[] NON EXISTING SQ.FT.3.4 W S F !, EMSTING BEDROOMS PROPOSED BEDROOMS TOTAI.BEDROOMS _ OWNER ackno%iedges that submission of inaccurate information may result In a stop work order or permit revocation.Acknowiedgement of such is by tilgilature below.I declare that I am the omtef and I further dedafe that I am entitled to receive this permit and to do the work as ptaposcd,I have I obtained permission from all the necessary parties,Including any casement holder or panics of Interest regarding this project. The owner or fella, representative.represents that the Information provided Is accurate and grants employees of Mason County access to the above described property 8nd structures)for review,and inspection.This pennVapplication becomes null S void 4 work or authorized construction is not commenced within 180 days or 8 consruction v"k is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OONSPEC7iON. INACTIVITY.OF THIS PERWT APPLICATION.O 1Ii0 DAYS OF MORE WILL CAUSE THE APPLICATIbN TO BE EXPIRED.(MASON COUNTY CODE 14.06.42) q S)onalure bf OWNER(Must be signed by the OWNER) Date DEPARTIYTI:r1TAI,REVIEW APPROVED DATE DENIED DATE. TAG."CITFS/CONDITIONS -BUILDING DEPARTMENT PI.AT3111Nt3 DF:1'ARTIvI•ENT FIRE MARSHAL PUBLIC HEALTH � `y Z Lir, Lu > 17 O `H UI �s BESEIWED �Q vxBxR+D .SS e e U 3 a � �a r s C <� U W NOTE:PROVIDE POST AND BASE FOR EACH SIGN PER DETAIL e / QTO BE R7-001 WA STATE REGULATORY SIGNS. � INSTALLED 5-T'ABOVE FINISHED GRADE TO BOTTOM OF SIGN. TRAFFIC SIGN GRAPHICS 2 so RIGNrwwwr SITE06.dwg Scale: 3/4'=1'-0"T::::— i STEEL CLOSURE @ TOP �• OF POSTSIGN' ` \ O AND DETAILP� GRASS ARIA'`\ �\Ya EXISTING SEASONAL STREAM a "~ W 2'0 GALVANIZED STEEL PIPE POST „ SMOOTH TROWEL FINISH EXISTING FIRE HYDRANT / / % b \ U FINISH GRADE ' �' \ % ,� BULDING FOOTPRINT L 1.7625.F. CONCRETE BASE C'7 / 'a / O 170x3'4 DEEP CYI, Q TYPICAL SIGN POST FOUNDATION \����� U SITE05.dwg Scale: 3/4"=1'-0' �G} �` / ` Ns R?*�.• •\` F / 8 N W Q EXISTING BUILDING 3.410 S.F. Q <Q FOOTPRINT AREA 1,756 S.F. < Q ADA SIG'J 20'01 L.IJ LL i SEE_E"N TYP > J Lu O "' m m , v / / l A PARKING LOT AREA:12,594 S.F. t EXfS71NG CURB rN{pEA� g / // // ,/ / NL►O C iIfIL' iv // f/ E� � AlE R tA9/ICI011 O r ?U COIbYCInM1 uEcan6odon MyIPYeM1 orb GRASS AREA\ i dddmchood "Ca dDocan.,d .naa,da Iwo on�a�rom:w III w Adkd I.I.1 dMe Ga CaMNmc dit C-tbc-nar wmh . / / / (/' ` • Fmj.d mood aitl intlicei 16wdn(ft rJ q^ ra.nod000an<,+,7.rn.caaod �cvmeMc ae ewrrPlemedaT.4d�reran a dw b Ache b rt.iew N Caxracl / — Re a6aiM Ana NO anfponaDle br any codanme imPvdryJ • .� !,i' muAlnR trumacaTvcb i-I.w la, _..,.....•� �.� ..,. .... �' �NCm dDoe—W. brmewH E / � � 358.66' � � � . eV R7E0�15'TZ'vR ddda o / PARCEL 123294160140 DraI JT32 M n AREA:42,020 S.F. i E n I N Sheet: 0 10 20 40 OVERALL SITE PLAN-0I •00 SCALE:1'=20-17' NomH 5L IF THIS SHEET IS NOT PRINTED AT M-X 36.OR AT 1 T X IW THIS DRAWING IS NOT TO SCALE. IF A DIMENSION ON THIS$NEU 15 NOT CLEAR.CONTACT ARCHITECT.DO NOT MEASURE DRAWINGS.