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Home My WebLink AboutCOM2018-00123 Gocery - COM Letters / Memos - 10/17/2018 MASON COUNTY COMMUNITY SERVICES Permit No:Ok PERMIT ASSfSTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shellon,WA 98584 B U ' L D Phone Shelton 3602 2.4167 exf Phone •Fax (360)42-52 98 Phone RECEIVED BeNair(360)2754467•Phone FJma:(360)482-5269 BUILDING PERMIT APPLICATION '117 2018 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIU!✓~L NAME: SAFEWAY,INC NAME: TRICON COMMERCIAL CONSTRUCTION der treat MAILING ADDRESS:1371 ORCHARD BLVD#200 MAILING ADDRESS:385 OLD CORVALLIS RD CITY:WALNUT CREEK STATE:CA ZIP: 94596 CITY:HAMILTON STATE:MT ZIP: 59840 PI LONE#l:(425)201-6411 PHONE: (406)381-3785 CELL: PHONE#2: EMAIL:,, I R TC NST.0 M EMAIL: JOE.JANUSEDSAFEWAY COM L&l REG# ffff x A131JO EXP.fl PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER NAME MEGAN JOHNSON EMAIL MEGA N.JOHNSON@GRAPHITEDESIGNGROUP COM MAILING ADDRESS 1809 7TH AVE SUITE 700 CITY SEATTLE STATE WA ZIP 98101 PHONE. (206)519-5139 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)12329-41-00010 ZONING 54-TRADE-FOOD LEGAL DESCRIPTION(Abbreviated)PCt 3 OF BLA#98-58 PTN NE SE SURVEY 32/67 FIRE DISTRICT Fi,=' SITE ADDRESS 23961 NE STATE RT 3 CITY BELFAIR DIRECTIONS TO SITE ADDRESS IS TILE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO IS PROPERTY WITHIY 200 F r OF THE FOLLOWING: (Chock didwteprlr): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION R REPAIR❑ OT14ER ❑ USE OF STRUCTURE(Xckelrrrcr.Garage.Coo.",al Bldg.&c.) GROCERY STORE IS USE: PRIMARY k( SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(1l''1W,1wdg/® YES(ft t/tlo/B11lg)❑ NO❑ DESCRIBEWORK REMOVE E=TmrsTA.%v4LONE w7eRJOR SALES 100M INSTALL NEW gOSK IN NEW LOCATION;NEW EOUP►tENT AND CASEWORK;RENSTALLATIDN RED. S UARE FOOTAGE:(propose-exiktvq,) I ST FLOOR '6"b Zsq.R. 2ND FLOOR sq.R. 3RD FLOOR sq.R. BASEMENT sq,ft. + DECK sq,R. COVERED DECK sq.R. STORAGE sq.R. OTHER sq.ft. GARAGE sq.R. Attached❑ Detached❑ CARPORT sq.R Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: "4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL.NUMBER ENVIRONMENTAL HEALTH: SERVAGFJSEWER SOURCE: SEPTIC❑ SEWER® ! NEW❑ EXISTING PLUMBING IN STRUCTURE? YES® NO❑ /jtirs,altach completed{Pater Adequacy rorm PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO® EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate inlamralion may rest*in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all ft 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 aaau to the above described property and structure(s)for review and inspection. This pernilfeppticatlon becomes null d void if work or authorized construction is not commenced within 180 days or N consinsetion 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 OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON G COUNTY CODE 14.08.42) x �' J G itrv��t.� M r. air�e vL(��1 /0 y-le natu f OWNER(Must be slaned by the OW NE Date ENT .REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARS]IAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: I --66 J a� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 1 615 W. Alder St- Shelton, WA 98584 RECEIVED www.co.mason.wa.us �n Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 OCT 17 Lu1 Phone Belfair.•(360)275-4467• Phone Elma:(360)482-5269 B U I L D I NOBING & MECHANICAL PERMIT APPLICATIA5 W' A'der Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: SAFEWAY, INC NAME: TRICON COMMERCIAL CONSTRUCTION MAILING ADDRESS: 1371 ORCHARD BLVD#200 MAILING ADDRESS: 385 OLD CORVALLIS RD CITY:WALNUT CREEKSTATE: CA ZIP: 94596 CITY: HAMILTON STATE: MT ZIP: 59840 1 S`PHONE:_(425) 201-6411 PHONE: (406) 381-3785 CELL: 2"d PHONE: EMAIL : BILLRaTC-CONST.COM EMAIL: JOE.JANUSO)SAFEWAY.COM L&I REG#C&TW Wftp EXP.1/-L/So PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 1 2329-41-0001 0 Zoning:54-TRADE-FOOD LEGAL DESCRIPTION(Abbreviated): PCL 3 OF BLA#98-58 PTN NE SE SURVEY 32/67 SITE ADDRESS:23961 NE STATE RT 3 CITY: BELFAIR DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW ADD ALT V REPAIR, OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—I IT FLOOR V 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets NA Type of Unit No. of Units Fees Bathroom Sink NA Furnace NA Bath Tubs NA Heat Pump NA Showers NA Spot Vent Fan NA Water Heater 1 Propane Tank NA Clothes Washer NA Gas Outlets NA Kitchen Sinks 2 Wood/Gas/Pellet Stove NA Dishwasher NA Kitchen Exhaust Hood NA Hose bibs NA Dryer Vent NA Other GREASE INTERCEPTORI Solar Panel NA Other NA Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev 1/27/2016 JBN ,,,-TRASH COMPACTOR m� (TO REMAIN AS IS) !-1: AJ ENVIRONMENTAL HEALTH GRAPHITE Graphite Design Group,LLC _. 18097111Ave ASukrI700 SeaItle,WA 98101 206224.3338 EXISTING vWvap1*deWgdq.can RECEIVEDSAFEWAY 50,274 GSF OCT 17 2018 615 W. Alder Street AREA OF WORK RETAIL P � 4,063 GSF SafewayIm 1371 CNiatl Bk AP00 Walnut C*CA94596 4257D1.6111 P P R 0 V E NOV 28 2018 U1 SON COUNTY ENVIRONMENTAL HEALTH WLJ RECEIVE __ OCT 17 2018 615 W. Alder Street - - Q — EXISTING PARKING — _....... AND SITE TO CID _ REMAIN AS-IS — O _ W __ - - Q to — z RITE AID A� ............. -- 18,360 GSF _ ---- -- eaacecw�aaerox EXISTING SHOPS MGRAI STAMP/SGNATURE 14,935 GSF Starbucks Remodel Y Safewa Store#1571 23961 NE State Route 3 ---- W*,,WA 98528 _-STARBUCKS ISSUED REVISm DATE 1,860 GSF PERMIT SET 10.16.18 SHEET SYMBOLS ` SAFEWAY GAS ✓ 3,510 GSF AccEss ROUTE ------ —— —— ACCESSIBLE PERMIT SET 416.18 Al SITE PLAN i NE OLD CLIFTON RD SITE PLAN 0 15' 30' 60' 90' SCALE:1'=37-0' NORTH 1130, A-002