HomeMy WebLinkAboutCOM2004-00054 Cancelled Change in Tenant- Deer Creek Grocery - COM Permit / Conditions - 10/30/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
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Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
� Shelton,WA 98584
COMMERCIAL BUILDING PERMIT COM2004-00054
OWNER: K K& SUN INC RECEIVED: 3/11/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 4/30/2004
SITE ADDRESS: 5881 E STATE ROUTE 3 SHELTON EXPIRES: 10/30/2004
PARCEL NUMBER: 321363800061
LEGAL DESCRIPTION: TR 6-A OF J.O. ECLER'S D.L.C. 5881 E STATE ROUTE 3 SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE IN TENANT / Deer Creek Store HWY 3 TO DEER CREEK STORE PERMIT
MUL�Ll�`VOID BY EXPIRATIM4
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General Information Construction &Occupancy Information
Type of Use: GROCERY Insp. Area: No.of Units: Type of Constr.: V-N
No.of Bathrooms: Occ. Group: Group M
Type of Work: TRA Fire Dist.: 5 No.of Stories: 2 Occ. Load:
Valuation: Building Height: 18
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size: 2nd level: 720
Model: Width: Building: 3,000
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp.Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: N Emergency Key Box?: N Standpipe?: N
Auto Fire Sprinkler System?: N Access Road?: Y Fire Extinguishers?: Y
Fixed Fire Suppression System?: N Fire Hydrants?: N Fire Lanes?: N
COM2004-00054 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
4 Type Qty. Type Qty. Type By Date Amount Receipt
Tenant Review Fee N.IP 3/11/9nnd R1)9 Fn o99nn4nn
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EH Plan Review C.F\ni ail)ai9nna Can nn A?9nnann
Total $197.50
CASE NOTES FOR
COM2004-00054
CONDITIONS FOR
COM2004-00054
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647¢982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X y
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2) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-com plian with Mason County ordinances and building regulations.
X
3) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x
4) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality
Code (VIA Q Uniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
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5) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY
BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION
FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
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6) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be harged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X Ln
hi004-00054 2 of 4
7) Provide a minimum rated 2A 10BC fire extinguisher in an approved location on each floor no more than 48"from the finished floor to the top.
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r A ventilating hood and duct system shall be provided in accordance with the mechanical code for commercial-type food heat-processing equipment
that produces grease lade apors. An approved automatic fire-extinguishing system shall be provided for the protection of commercial-type
cooking equipment. X
This permit becomes null and void if work or co struction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspect'o
OWN ER OR AGENT: DATE: &Q-L7-'
COM2004-00054 3 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME
N
o Footings / Setbacks Date B y Ribbons
A Date B Gas Piping Date B
o Y 1P� g Y
0 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
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MASON COUNTY C , r
CHANGE IN TENANT APPLICATION �(
Complete the Change in Tenant Application and return with a floor plan,site plan, septic pumper's report, septic records and
fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. Evaluation of the Change in Tenant Application will involve
staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices who will identify compliance
requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building
permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule an
inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a
cons icuous lace on the remises.
ha`> PROPERTY INFORMATION,,,
Date: it-04 Assessor's Parcel Number: 3Z 9;3L0 -_--&B �b(p
Legal Description: T tg-ki
Building Site Address: 57E58 E- + 3
Method of sewage disposal: IrSeptic O Sewer-name of district:
Water source: Individual Well O Community Well O Public System, name of system:
PEOPLE INVOLVED IN THE PROJECT ``"
Name of Applicant:
Mailing address: W 31-60'"1 ss,°e j cw
City: WWtA+e+r State: LO Zip: I K/2.
Day phone:3E0 415-&tV32 Contact Person: SL,,k L?L,,0 Message phone:
PROJECT INFORMATION
Proposed business name: Grez vicar
Proposed use: r�o�e� Number of employees: _y
Previous business name: �y C.vc�.iL +rvice
Describe previous use: b,roz e
STRUCTURE DETAILS. y.`
Check one: O Detached single level/single tenant O Single level/multi tenant
GK-Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure currmAtv If not occupied, how long has it been vacant?
occupied? No Yr. Mo.
Square footage: Basement: First:g000 Mezzanine: Second: 720 Third:
Is the structure heated? Heating type: Circle one:
Circle one: No <_.El Liquid Propane Natural Gas Oil
Type of heat: Circle one: Furnace Heat Pump Electric baseboard or wall mount Radiant
Will there be any changes to the following? Circle yes orno,ifapplicab/e:
Floor lay-out: Yes Lighting: Yes dsRp Heating: Yes (:0;)
Exterior Finishes: Yes Interior Finishes: Yes ATD Parking: Yes
Number of restrooms provided: 2_ 1 Number of fixtures in each
Is structure handicap accessible? Circle one No
Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? Yes
Monitoring Station Name: Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
1. 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 plumbinq and mechanical fixtures • Interior doors with swing radius
2. Site Plan(5-sets) Note scale used
• Property lines easements, &right of ways • Location of all existing structures&dimensions
• Distance, in feet,from property line&structures . Landscape buffer yards
• On-site sewage tanks and drain fields,&reserve • Well location
• -Location of-fire-hydrants.&.vehicle..access roads • Parking areas number&arrangement)
3. Septic records,pumper's report or O&M report.
4. Fees will be collected at time of submittal
Official Use Only
<
Accepted by Date Submittal Amount$ Receipt number
Department Review gWrs,, 4 Comments
Building oo
Environmental Health
Fire Marshal
Planning
Public Works
Occupancy Change? (circle one) Yes No Type of construction
Occupancy classification change from to Occupant load calculated: E D
Existing occupant load design persons. Land Use Designation:
Occupancy Classification: I uhR 11 26A
426 W. CEDAR ST.,