HomeMy WebLinkAboutCOM2021-00071 Cancelled Change Tenant - COM Application - 7/14/2021 coUNrA MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
x Mason County Bldg. 8
�e. 615 W. Alder Street, Shelton,WA 98584 www.co.mason.wa.us
COM
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: July 13, 2021 Assessor's Parcel Number: 12329-41-00010, 20, 21
Legal Description: a portion of section 29,township 23 North, nge 1 Wes , W.M., Mason county, WA
Building Site Address:23969 State Route#3 North, Belfair, WN,98528
APPLICANT INF ION
Name of Applicant: Han-Kyou Lee
Mailing address: 23969 State Route#3 North, Suite'A 4W '
City: Belfair St A Zip: 98528 61
Day phone: 360-275-11111 Contact Person: Lee a you I Message phone: 425-244-8199
P O INFORMATION
Proposed business name: Haru Sushi Teri ki Wok
Proposed use: restaurant Number of employees: 2
Previous business name: Belfair Ter aki Wok Describe previous use: restaurant
STRUCTURE DETAILS
Check one: OCDeta he in lei a single tenant O Single level/ multi tenant
O Multi evel si I nant O Multi level/multi tenant
Age of structure: 25 tIscupiie/d?
stru a currently If not occupied, how long has it been vacant?
Yes X No Yr. Mo.
Square Basemen First: Mezzanine: Second: Third: n/a
footage: 1,364 n/a n/a n/a
Is the structure Type of Heat: Circle one: Furnace Heat Pump Electric wall Radiant
heated?
Circle one: Yes X No Fuel e: Circle one: Electric Liquid Propane Natural Gas X Oil
Will there_bq any changes to the following? ircle yes or no, if applicable.
Floor lay-out: Yes No Lighting: Yes Heating: Yes
Exterior Finishes: Yes Pbt Interior Finishes: Yes h2o ) Parking: Yes o
Number of restrooms prove Number of fixtures in eac :
1 I Water Closets 1 Lavato s 1 Bath/Shower n/a
Is structure handicap accessible? Entry: Yes No 0en, Restroom(s): es No
Is the structure equipped with a fire sprinkler system? es No Fire alar tem? Yes No
Monitoring Station Name: I 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
360.427.9670 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
l APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X L. e-L I F1 , K July 13, 2021
Signature of Applicant Date
X Lee, Han-Kyou Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by Date 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
R� ��" � PROJECT DESCRIPTION: PROPERTY OWNER ('S REPRESENTpT 1
V CCC��...../// BEIFAIR VALLEY PLAZA
20'-B' ABAR NEAR(FRONT COUNTER TOBE ADDED.E SUSHI 5312 PACIFIC HWY. EAST, FIFE WA 98424
JHOGANOCITATIONMGT.COM
J !4 It 20210 T: 425-455-2848
PROJECT ADDf�sl PROJECT OWNER:
615 ® -TABLE 'TERIYAKI WOK do SUSHI'
Alder Sleet / \ 23969 NE STATE ROUTE J3, SUITE A, 23 LEE, HAT STATE
ROOU,UTE
EJ3, SITE A
U�J LEI EXIST. 23969 NE STATE ROUTE�3, SUITE A,
CONSTRUCTION BELFAIR,WA 98528 BEIFAIR,WA 98528
D ANEW I M I 360-275-1111 HANKYOU76779GMAILCOM
II �J ��l CONSTRUCTION i PARCEL TAX NO:12329-41-00010,20,21
® EXIT LIGHT
SEC/TOWNSHIP/RANGE•29-23 N-1 W GENERAL CONTRACTOR-
® VENT TO T I
OUTSIDE 19'-26' LEGAL DESCRIPTION
(� MIN. 50 CFM A PORTION OF SECTION 29,TOWNSHIP 23 NORTH, ARCHITECT:
El11 Cz DTI CLEAR MIN. 30'IN WIDTH AND MIN.27' IN RANGE 1 WEST,W,M•, MASON COUNTY,WA 10116 12TH AVE SO.,TACOMA,WA 98444T:
483 SF HEIGHT, MAX 25'IN DEPTH (206) 355-9686-YOUNG KIM, ALA
\ KNEE AND TOE CLEARANCE / ZONING: COMMERCIAL
ACCESSIBLE SEAT _ LAND USE: - TABLE OF CONTENTS,
N CODE '18 LB.C,
OCCUPANCY:'A-2' AM: PROJECT INFO,, VICINITY MAP, DETAILS,
OCCUPANT LOAD: SEE-/A1.1,TOTAL. 38 NOTES, SITE PLAN, FL PLAN, EQ. PLAN, FIN.
(� (� SCHLE
LJD D N TYPE OF CONSTRUCTION: N/A
G. FL AREA 1,364 SF
PLUMBING SCHEDULE (FOR HEALTH DEPT.) PLUMB'G SUM:
D FIXTURE D COLD HOT ATER OTES SEE A1.1
III
(� 3 COMPARTMENT SINK
lJ� (EXIST.) 1 DIRECT YES YES LOT SUMMARY:
WITH 1 DRAIN BOARD
-1-0-OW.S110K PARK( • NO CHANGE NE cTJn 2 RD
CASH (2) 1 DRAT BOARD INDIRECT
N WIND SINK DIRECT SPRINKLER' EXIST.SPRINKLER - NO CHANGE
a 6'-71/2' 7'-7'
(EXIST.)MOP SINK MOP SINK IN KITCHEN DIRECT HVAC SYSTEM(HEATING &COOLING): NO CHANGE
(A SEPARATE PERMIT BY CONTRACTOR AS REQ'D)
SODA FN1N/ICE L — —1 vM 'a SEPARATE PERMIT FIRE /BY COMNiRACTOR�ASEREO'D) AREA
MACHINE ABOVE J — N o
BY PEPSI CO.
REDUCED PRESSURE NANO SUSHI KTTCH i !y�•
BACK FLOW ASSEMBLY, SINK 70 SF CT
SEE NOTE FOR HEALTH
DEPT. ® 9 8 IRO- 7 F l EQUIPMENT/FIXTURE TABLE(ALL EQUIP.TO BE NSF APPROVED OR BETTER)
J ICOOLERI NAME MANUFACTURER MODEL SIZE(WxDxH H.P. VOLT. BTU
HAND W E S WORK TABLA D�CH 290 00D
SINK PREP TABLE L -1 EXIST. 1 3 COMP. SINK REGENCY 60OS3171718GRT 76,24,44 1/2
O O O O EXIST. (2)(2) PREP SINKS GREEN WORLD TSA-1-1_1 39x24x44 1/2 PROJECT INFORMATION n VINCINITY MAP
�(1 -� EXIST. 3 STOCK POT BURN RADIANCE TASP-18 18x30X24 '� - � SCALE N.T.S.
IIIIIIIIIIIIIIIIIilllll ���
KTIT H I IIIIII I I I IIIII I 1 _ _ ��J EXIST. 4 STOCK POT RADIANCE - 54x3OX36
381 SF _ _ _ _ _ _ _ EXIST. 5 DEEP FRYER DEAN SR52G 15-1/2x29 1/ 45
1 2 ® EXIST. 6 CHAR BROILER RADIANCE TARB-36 36 x 29.5 x 1 3/2 115/60 FINISH SCHEDULE(EXIST): NO CHANGE
L— J FLOOR I WALL(EXIST.) CEIUNG (EXIST.)
EXIST. 7 P12ZA PREP TABLE ADMIRAL CRAFT USPZ-3D 7Ox31X43
SINK 16'HIGH SPLASH EX: t
MICROWAVE AMANA RMSIODSA DINING AREA 16'VB�ASE 36 Pad 2'X 4' SUSPENDED
N0, REVISION DATE
EXIST, GREASE GAD' ' a KITCHEN LATEX ENAMEL PUNT 2'X 4' SUSPENDED AKINVORK
SyO
N EX RICE COOK HIAMILTON BEAC 37950 FRP PANEL WASHABLE
TRAP,IYP. HEALTH DEPARTMENT REVIEW
SUSHI DISP Y RFSTROOM GWB, EXISTING GWB, EXISTING
� COOI ER GREEN WORLD 1SSC-6' - 23961 NE STATE ROUTE#3,
WALK-IN SINK �WH SiOR. GWB, EXISTING I GWB, EXISTING g�pM WA 98528
COOLER
MR LEE,HANKYOU
*_F_
EQ. TABLE/ ADA SEAT/FIN. SCHLE (425)244-8199
SCALE 1/4'=1'-0' NOTES FOR HEALTH DEFT,
1.ALL POST MIX FOUNTAIN SOFT DRINK MACHINES MUST PERWr SET
1�&F 6 BE EQUIPPED WITH A REDUCED PRESSURE BACK FLOW
L� ASSEMBLY.
N Cou" IF&p TO yp1. FF7FIR — _ 2.THE SINK SFWl BE BIG ENOUGH TO SUBMERGE THE A x c N i T E c T UN
°l1i� Q�M f� E T� REFIG BIGGEST UTENSIL OR PIECE OF EQUIPMENT. T K E K o c E a r A N a o.c a Y
R NOTES FOR HEALTH DEPARTMENT
iT T ® 3. DRAIN BOARD SPACE IS NEEDED FOR SOILED AS WELL 20 6.88 1.4 a i z
�E.3 5U - REQUIREMENT REGARDING PAIt/SffE DESTRUCTION: RAW OR UNDERCOOKED FISH (EXCEPT TUNA) MUSE BE AS CLEAN UTENSILS. 7W0 DRAIN BOARDS ARE NEEDED
FROZEN AND STORED AT A TEMPERATURE OF-20 DEGREES CELSIUS (-4 DEGREES FAHRENHEIT) OR BELOW FOR THE UTENSIL-WASHING SINK.
FOR 7 DAYS IN A FREEZER OR FROZEN AT-35 DEGREES CELSIUS (-31 DEGREES FAHRENHEIT) OR BELOW 4. PROVIDE SPLASHGUARDS OR BARRIERS 12 INCHES HIGH,
UNTIL SOLID AND STORED AT-35 C (-35 F) FOR 15 HOURS. WILL THIS OCCUR AT THIS FOOD MADE OF SMOOTH, EASILY CLEANABLE, NON-ABSORBENT
ESTABLISHMENT USING THE FREEZER. OR,THIS SHOULD BE ACHIEVED BY THE SUPPLIER MATERIAL ON BOTH SIDES OF ALL HAND SINKS,
5.SOUP AND PAPER TOWEL DISPENSERS ARE NEEDED ON
- RECORDS REQUIREMENT: EACH HAND SINK. aecam-noN
PLEASE BE ADVISED THAT THERE IS A REQUIREMENT FOR RECORDS,CREATION AND RETENTION:THE THE TOXIC CHEMICALS AND CLEANING EQUIPMENT
FLOOR PLAN PERSON-IN-CHARGE MUST RECORD THE FREEZING TEMPERATURE AND TIME TO WHICH THE FISH ARE
�� STORED AT A SEPARATE SHELVES,AND AT AND e,» BEGis Eam
SCALE 1/4'=1'-0' SUBJECTED AND MUSE RETAIN THE RECORDS OF THE FOOD ESTABl15HMETYT FOR 90 CALENDAR DAYS BEYOND �u MCHAfECT
THE TIME OF SERVICE OR SALE OF THE FISH. IF THE FISH ARE FROZEN BY A SUPPLER, A WRITTEN FROM BOTTOM OF THE SHELVES. 1 / qq L ,
AGREEMENT OR STATEMENT FROM THE SUPPLIER STIPULATING THAT THE FISH SUPPLIED ARE FROZEN TO A ®EMPLOYEE BELONGS STORED AT A SEPARATE SHELVES Y°YOUNG T,KIM
TEMPERATURE AND FOR A TIME SPECIFIED ABOVE UNDER PARASITE DESTRUCTION MAY SUBSTITUTE FOR THE
RECORDS. aF WAMINSI°N
- EMPLOYEES BELONGINGS AND STEERAGES: SEE FLOOR PLAN ABOVE NOTE FOR HEN TH DEPT,
1. DIPPER WELL: COOKING UTENSILS INCLUDING RICE SCOOPS
STAY IN THE ICED WATER FOR HYGENE PURPOSE NWA PROTECT NO. 301-114
2. LGHTINGS WITH SHATTERPROOF LIGHT SHIELDING WILL BE USED DRAWN BY7AS
CHK BY YK
IN KITCHEN, DATE 06 25/2021
3.VENTILATION: HOOD SYSTEM TO BE INSPECTED BY FIRE DEFT. SCALE NOTED4, GARBAGE/TRASH DISPOSAL EXIST, DUMPSTER AT REAR AREAON ASPHALT. NTDIEE PLAN
5. GET A PLUMBING PERMIT FOR GREASE TRAP WORK.
NUMBER Al.1
x
BELFAIR VALLEY PLAZA
A PORTION OF SECTION 29. TOWNSHIP 23 NORTH. RANGE 1 WEST. W.M.
R � � MASON COUNTY. WASHINGTON
SITE PLAN
luL14 -- -- --
,J"w 11I -- � -0. ....
. Sder eat PLANTING BUFFERME- 3
- --
a
i
• _ PAPGEL LNE
r�
f
ROY BOA
5NOP5 12
A•
4.000 5.f. \�Q. a
16' I I 4.14'MANTNG BUFFER 31 FF=104.5 '
I \ 1 VICINITY MAP
wrste I �n I NOT To scut
i I I 5NOP5 \
j I MOOD 5.F.
\ 3 PAD#3 I j FF=102-0 1 G2' v` u
' LOADING
1s
3 S.F. I \ .� ' SAFEWAY Docrc
FF=q a SITE DATA
ff7.5 I I \ �w 42507 S.F. 2a' v
1° Ff-108.0 n
I 17 c I 51TE LOCATION[ NORTHEA5T CORNER OF THE INTER5EGTION
• � 100
I
9 62• 5 s OF 5R 3 AND CLIFTON LANE.
L_ Q GE\\ 9 'w co �p\���p\�\ 1G ,Q, j a rn 1 TAX ACCOUNT NUMBER[ 12329-41-00010, -41-00020.
s`�rsfiT Z7' 2� $_0 0. $ 10 t -41-00021
`. 7 \ cy s \g g 20• COMPREHENSIVE PLAN[ BELFAIR URBAN GROWTH AREA.
\ o� NUMBER OF UNT5 + TYPE5- G BUILDINGS FOR COMMERCIAL.
I 6 \ 17 s N9 TYPE-1 AND TYPE-0 U5E5.
BULDINGS 80.412 185
\\ \ � � j \\• � 'w 62 3 n � 1 SITf AREAS[ : = . : AG
- '
PARKING +
.48t AC
• •• \\\ 17 24RPNp� / ' " I 5 + LI A D5GAPING 4 12
BUFFS6 AG
TOTAL AREA = 7.59z AG
WATER[ BELFAIR WATER DISTRICT No. 1
PAD#2 17 6a 6. o 5f\EXPAN54ON 5EWER[ OFF-51TE DRAINFIELD5
3800 S.F. . \ STORM DRAINAGE[ OFF-51TE DETENTION POND
FF=101.5 \\ \ 7 • 3S POWER[
PUBLIC UTILITY D15TRICT No. 3
0 \ A TELEPHONE[
FIRE PROTECTION- M5. WEST COUNTY
FIRE
IGATIONS MASON COUNTY FlRE DISTRICT No. 2
PARKING PROPOSED[ 332 STALLS
4 \\�t^ B 1 6� zs \ 17
\ \\ B ` • o \\
• • \ \\ / LEGAL DESCRIPTION
5. w\ \ u �C,p \ FOR LEGAL DESCRIPTIONS OF E105TNG PARCELS.SEE BOLWARY Lit
\ \• ( \ S ��y� "V J/ ADJJSTMENi it9B-56 PREPARED BY ASPEN LAND 5URVETN4 RECORDED
w _ \ 24•TYP. \ \\ \\ \ / LNDER AMLCTORS FEE NO.G714-G.
9 62 4 c
NOTES
a \ BLIDNG PAD DIMENSIONS.SIZE.AND PARNNG LOT CONFlCLRATION MAY VARY
5AFEWA51YGENTRANCE DEPENDING ON THE TENANT. A REVISED LAYOUT FOR THE ACTUAL PAD WLL BE
5LEHTTED FOR OLM REVIEW BY MASON CTY PLANING DEPARTMENT AT A LATER DATE
AND WILL CONFORM TO ALL APPLICABLE ZONIG REOLREMENT5.
ss•'' .
• \ �pY R \ 5�Y ENTRANCE
•\ PAD#1 \ 17 //
2BBO 5.f. \ f
SAFEWAY PYLON /-
SIGN \
,'..o;
DESCBD BY GTB • sit ""E BELFAIR VALLEY PLAZA
51TE PLAN W @ S t S O l.�n CJ
w•N IT BAG v� ��
Engineering
eloBD CLENT 217 5.W.Wtlkin Drive
aacNm eY �b RclsTte�O � BELFAIR CENTER, LLG Port Orchard,We. 9B3GG
L� SEC 29 TWIN 23N 1W �f0N1L • 7 -3770
R_- - GOG I10th AVE.N.E.STE206 FexeC360))87660439
SCALE 1' 40' e[wnsrs 4 4 BELLEVUE.WA.98004
REV. DESORPTION DATE BY PATE SEALED ' z4_ E4Z5)455-2846 JOB No. 6O3 2 17
SHT_OF_SHTS
PROJECT DESCRIPTION: PROPERTY OWNER ('S REPRESENTATIVE)
RECEIVED Front entry shall be accessible to persons with disabilities. THE DESCRIPTION G TERN I RESTAURANF,THE SUSHI BE]fAIR VALLEY PLAZA
�,-6. Y p BAR NEAR FRONT COUNTER TO BE ADDED. 6312 PACIFIC HWY. EAST, FIFE WA 98424
JHOGANOCTTATIONMGT.COM
O � --- T: 425-455-2848
2021
[1 PROJECT ADDRESS, PROJECT OWNER:
615 ,. Alder Street ® � � TABLE 23969'FERIYAKI WOKE SUSHI' MR. LEE,HAN-KYOU,425-244-8199
—:EXIST / \ 23969 BELFAIR, STATE ROUTE B3, SUITE A 23969 NE STATE ROUTE 13, SUITE A,
^ CONSTRUCT ON 3611-2,WA 98528 HANKYR, 6 98628
Ir�J1 IL�1T M 360-275-1111 HANKYW7677®GMNLCOM
NEW
( .L I PARCEL TAX NO.12329-41-00010,20,21
® EXIT LIGHT N SEC/TOWNSHIP/RANGE:29-23 N-1 W GENERAL GONTRdCTOR:
® VENT TO LEGAL DESCRIPTION
OUTSIDE. 19*- 26R A PORTION OF SECTION 29,TOWNSHIP 23 NORTH, ARCHITECT:
(� MIN. 50 CFM
❑ DI 'G � UJ CLEAR MIN. 30'IN WIDTH AND MIN. 27. IN RANGE 1 WEST, W.M.,MASON COUNTY,WA 10116 12TH AVE. 50.,TACOMA,WA 98444T;
(�(�(l___������III 483 SF �(��J HEIGHT, MAX. 25'IN DEPTH (206) 355-9606- YOUNG KIM,AIA
Condition \ KNEE AND TOE CLEARANCE / ZONING: COMMERCIAL
ACCESSIBLE SEAT LAND USE: TABLE OF CONTENTS:
CODE '18 I.B.C.
OCCUPANCY: 'A-2' A1.1: PROJECT INFO.,VICINITY MAP, DETAILS,
Exl In t pe-1 ood shall be in OCCUPANT LOAD:SEE-/A1.1,TOTAL- 38 SCHLEDIES, SUE PLAN, FL PLAN, EQ. PLAN, FIN.
C� pliance with all fire suppression, (III N TYPE OF CONSTRUCTION: N/A
G. FL AREA 1,364 SF
Cleanliness an ventilation balancing PLUMBING SCHEDULE(FOR HEALTH DEPT.) PLUMB'G SUM:
requirements. Consult the Mason FIXTURE DUN ATIIt NOTES
SEE A1.1
County Fire Marshal for specific GOLD HOT
3 COMPARTMENT SINK
(EXIST.) O1 DIRECT YES YES LOT SUMMARY: (IP7 info mation related to the fireED WITHMPOSSIIIK BOARD PARKING: NO CHANGE NEC ON RID
suppression requirements for the GASH (2) 2 1 DRAT BOARD INDIRECT EXIST SPRINKLER - NO CHANGE
N HAND SINK DIRECT
h00 system.
6'-7 1/2' 7'-7• HVAC SYSTEM (HEATING h COOLING):NO CHANGE
(EXIST.)MOP SINK MOP SINK IN KITCHEN DIRECT (A SEPERATE PERMIT BY CONTRACTOR AS REO'D)
FIRE SUPPRESSION/ALARM: A CHANGE E PROJECT
SODA FNTN/ICE � _ —1 � 'i � SEPERATE PERMIT BY CONTRACTOR AS REO'D) AREA
MACHINE ABOVE _j ry o
BY PEPSI CO. gt
REDUCED PRESSURE NANO SUSHI KETCH
BACK FLOW ASSEMBLY, SINK 70 SF Gay
SEE NOTE FOR HEALTH
DEPT. 9 8 I RO-O EQUIPMENT/FIXTURE TABLE(ALL EQUIP.TO BE NSF APPROVED OR BETTER)
E J h
Condition ELAND WORK TABLE S7iAD� OGLERCH r II NAME MANUFACTURER MODEL SIZE WXT3xH H.P. VOLT. BTU
290,000
SINK PREP TABLE L J EXIST. 1 3 COMP, SINK REGENCY 60OS3171718GRT 76x24x44 1/2
6 5 4 3 EXIST. (2)(2) PREP SINKS GREEN WORLD TSA-1-L1 39.24.44 1/2 PROJECT INFORMATION 2 VI UNITY MAP
SCALE - SCALE N.T.S.
IIIIIIIIhIIIIIIIIII ( �� EXIST. 3 STOCK POT BURNERRADIANCE TASP-18 18x30X24
Grease trap shall be cleaned 0
_
and operational prior to 3KrFCH 81 SF IIIIIIIIIII�IIIIIIIIIII — —���J EXIST. 4 STOCK POT RADIANCE - 64z30X36
EXIST. 6 DEEP FFYER DEAN SR52C 15-1/2x29 1/ 45
opening. — — — — — -
1 EXIST.2 6 CHAR BROILER RADU'NCE TARB-36 36 x 29.6 x 1 /2 115/ FINISH SCHEDULE(EXIST.): NO CHANGE
J FLOOR WALL (EXIST.) CEILING (EXIST.)_EXIST. 7 PIZZA M TABLE ADMIRAL CRAFT USPZ-3D 70x31X43 -- No. REVISION DATE
FL `16' HIGH SPLASH \ DINING AREA 6 VCTT BASE LAjIX FlA PAINT 2' X 4' SUSPENDED
SINK EXIST. B MICROWAVE A" RMSIODSA
EOST.GREASE GUARD,ilP. KITCHEN u REP NELPAINT 2' XW44'UPENDED TERIYAKI WORK
Condition TRAP,TYP. `� EXIST. 9 RICE COOK HAMILTON BEAC 37950 - HEALTH DEPARTWNT REVIEW
SUSHI T. Y RESTROOM GWB, EXISTING GWB, EXISTING 23961 NE STATE ROUTE A3,
COOLER 4 1D GREEN WORLD TSSC-6'
WALK-IN SINK WH STOR. GWB, EXISTING GWB, EXISTING SUITEA
BELFAER,WA 98528
[and
=eat waste GX�LER
114R.LEE,HANKYOU
be IH, H2 EQ. TABLE/ ADA SEAT/FIN, SCHLE (425)244-9199
3NOTES FOR HEALTH DEPT
maintained. artment sink PERMIT SET
1.ALL POST MIX FOUNTAIN SOFT DRINK MACHINES MUSTSTOR. STOR. BE EQUIPPED WTTH A REDUCED PRESSURE BACK FLOW
es or other 127 SF 69 SF ASSEMBLY.
WALK-IN 2.THE SINK SHALL BE BIG ENOUGH TO SUBMERGE THE ECYRE FREEZER REFlG. NOTES FOR HEALTH DEPARTMENT BIGGEST UTENSIL OR PIECE OF EQUIPMENT. T z u e a o,I•r A R a Y.a Y Y
3. DRAIN BOARD SPACE IS NEEDED FOR SOILED AS WELL z u 4.E E x.4 c 1 x
® - REQUIREMENT REGARDING PARASITE DESTRUCTION: RAW OR UNDERCOOKED FISH (EXCEPT TUNA) MUST BE AS CLEAN UTENSILS. TWO DRAIN BOARDS ARE NEEDED
FROZEN AND STORED AT A TEMPERATURE OF-20 DEGREES CELSIUS (-4 DEGREES FAHRENHEIT) OR BELOW FOR THE UTENCIL-WASHING SINK.
FOR 7 DAYS IN A FREEZER OR FROZEN AT-35 DEGREES CELSIUS (-31 DEGREES FAHRENHER) OR BELOW 4. PROVIDE SPLASHGUARDS OR BARRIERS 12 INCHES HIGH,
UNTIL SOLID AND STORED AT-35 C(-36 F) FOR 15 HOURS. WILL THIS OCCUR AT THIS FOOD MADE OF SMOOTH, EASILY CLEANABLE, NON-ABSORBENT
ESTABLISHMENT USING THE FREEZER. OR, THIS SHOULD BE ACHIEVED BY THE SUPPLIER. MATERIAL ON BOTH SIDES OF ALL HAND SINKS.
5. SOUP AND PAPER TOWEL DISPENSERS ARE NEEDED ON
-"
RECORDS REQUIREMENT: EACH HAND SINK. REGimunoN
-
PLEASE BE ADVISED THAT THERE IS A REQUIREMENT FOR RECORDS,CREATION AND RETENTION:THE THE TOXIC CHEMICALS AND CLEANING EQUIPMENT
FLOOR PLAN PERSON-IN-CHARGE MUST RECORD THE FREEZING TEMPERATURE AND TIME TO WHICH THE FISH ARE THE
AT A SEPARATE SHELVES,AND AT AND am REG SIERm
4 SUBJECTED AND BUST RETAIN THE RECORDS OF THE FOOD ESTABLISHMENT FOR 90 CALENDAR DAYS BEYOND ARCLNIECf
SCALE t/4'=1'-0' THE TIME OF SEP.ICE OR SALE OF THE FISH. IF THE FISH ARE FROZEN BY A SUPPLIER,A WRITTEN FROM BOTTOM OF THE SHELVES. � q L k,m
APPROVED AS NOTED AGREEMENT OR SIATEMENT FROM THE SUPPLIER STIPULATING THAT THE FISH SUPPLIED ARE FROZEN To A ®EMPLOYEE BELONGS STORED AT A SEPARATE SHELVES I"TANC T.KIM
TEMPERATURE AN: FOR A TIME SPECIFIED ABOVE UNDER PARASITE DESTRUCTION MAY SUBSTITUTE FOR THE
RECORDS.
Plans are required to be ATC or wurwc GN
- EMPLOYEES BELONGINGS AND STEERAGES: SEE FLOOR PLAN ABOVE NOTE FOR HEALTH DEPT.
I.,r STAY PINE THE ICEDCOOKING WATER FOR UTENSILS
HYGENE PURPOSE ICE SCOOPSNO
on site at the time of DRAWN BY
301-114
2. UGHTINGS WITH SHATTERPROOF LIGHT SHIELDING WILL BE USED DRAWN BY EB CHK BY YK
N KITCHEN. DATE 06 25 2021
3.VENTILATION: HOOD SYSTEM TO BE INSPECTED BY FIRE DEPT. SCALE AS NOTED
Site C o Approved a s Noted 4. GARBAGE/TRASH DISPOSAL- EXIST, DUMPSTER AT REAR AREA w S� P�
Inspection. p Y p p ON ASPHALT. TITLE
5. GET A PLUMBING PERMIT FOR GREASE TRAP WORK. Al a NUMBER
BELFAIR VALLEY PLAZA
A PORTION OF SECTION 2G. TOWNSHIP 23 NORTH. RANGE 1 WEST. W.M.
s 1 MASON COUNT". WASHINGTON
..,._� '
SITE PLAN
---
\ ,•'ref kept PLANTING BUFFER
zx I
ROY BOA
C I / \• _ PARCE LNE —_ f
/ \ / \ \ \ F 32 W
18' 1 4-14'MAVK O1IFFER 7' 21 FF-1043 �-
I I VICINITY MAP
gHyil[ I i^ \ / Hot M SGUE
I SHOPS o\ I
j I 15.000 51.
` 3 PAD A 3
LT • LOAD4"G v �� Ts•
3rF=9.GOO.5 1 •/ • DOCK
FF=97.5 I I 5AFEWAY\ SITE DATA� 42.507 S.F. 18� v �
LI
SITE LOCATION, NORTHEAST CORNER OF THE INTER5EGTION
4 �f q 6r Qo5 1• ys t 4 1 OF SR 3 AND CLIFTON LANE.
p j TAX ACCOUNT NUMBER 12329-41-00010. -41-00020.
t11�(e 9 t�h 0Z� 8 000 O e g �� i s -41-00021
i 7 9c Zo• COMPREHENSIVE PLAN BELFAIR URBAN GROWTH AREA.
NUMBER OF UNIT5 + TYPES, G BUILDINGS FOR COMMERCIAL,
\• ' I 6 y x \\ 17 62, A�9y TYPE-I AND TYPE-II USES.
I \• w D , y 1 SITE AREAS, BUILDINGS, 80.4121 = 1.851 AC
\ j •\ n 24• PARKING + SIDEWALKS = 4.481 AG
• ♦« ' \\ \ \ G Np �pN� - BUFFERS + LANDSCAPING = 1.2G1AC
o A • TOTAL AREA = 7.59+ AG
F \ \9Q WATER BELFAIR WATER DISTRICT No. 1
PAD# 2 \\ \ 11 . ba• \\. / 6' E%PANSION ° I STORM DRAINAGE, OFF-51TE DETENT ON POND
3800 5.F. PUBLIC, UTILITY DISTRICT No. 3
Required disabled �� O \ I TELEPHONE,
\ � FF=101.5 \\A 7 ' � J TELEPHONES U.S. WEST COMMUNICATIONS
access parking and \�r 11 \\� n` \ // FIRE PROTECTION- MA50N COUNTY FIRE 015TRICT No. 2
path of travel shall be \\ 4 \\\� 18 22 ,y \ 4 J 4;, PARKING PROP05ED, 332 STALLS
�1\ \
maintained in \ • . D \\ B - �� k >s \ LNG f ' �,�`�' / LEGAL DESCRIPTION
.:
compliance with the \ 2 q • •\ gcA \ FOR LEGAL DE50RPTM,OF 14511G PARCEI5.5EE BOLTmARY LNE
\• T c^ a� AD.U51tENT M-58 PREPARED BY A5PLH LAND 51.RVEMC,RECORDED
international building ` ' ' \\ 24• TTP. \\ \ \ y / // LNOERALA(TOR5FU NO.67149D.
code. �i \ \\ \ 1 62'- '
' -v" NOTE:
\
5AFEWAY ENTRANCE 7. BULD97G PAD MEN51ONS.51M.AND PAROG LOT CONFlGURATa4 HAY VARY
(` \ // DEPENDNG ON THE TENANT. A REVI5ED LAYOUT FOR THE ACTUAL PAD WLL BE
9GN \ \ 51U1TTED FOR REVIEW BY HASON COLHTY PLAR`NG DEPARTMENT AT A LATER DATE
AND WTLL CONFDRH TO Q1 APPUGABLE ZONiG REOUIREMENTS.
R
9��`• \\ S>1CWpY ' \ \ / ��% / 5AFEWAY ENTRANCE
PAD#1 `\ 17
\ 2880 5.F. \ ��• .
FF=1o6.0
5AFEWAY PYLON /
r IXYJRDAT GTB t e' TITLE BELFAIR VALLEY PLAZA WeStSound
"�TTsa, a STEPLA" Engineering
BAG
�By �cisTs�40. ` WENT dve
BELFAIR GENTER. LLG Pwt�Orchard.0 We.D 9B3GG
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SEC 2q TW'N 23N R 1W 606 110th AVE.HE-STE206 Fax(360)876-0439
Phone C360)876-3710
�i ExP[RC9 9 B.RILVUC.WA.9600/
SCALE 1• 40' REV. DE5cWTICH DATE 8T DATE 5EALE�D�-qy-4a (425)155-2848 �G3^ 6Or] 2 17
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