HomeMy WebLinkAboutCOM2009-00087 Cancelled Espresso Stand - COM Permit / Conditions - 5/20/2010 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
COMMERCIAL BUILDING PERMIT COM2009-00087
OWNER: COURTNEY BASILE RECEIVED: 8/14/2009
CONTRACTOR: LICENSE: EXP: ISSUED: 11/20/200�
SITE ADDRESS: 25605 NE STATE ROUTE 3 BELFAIR EXPIRES: 5/20/2010
PARCEL NUMBER: 123211400020
LEGAL DESCRIPTION: TR 2 OF SE NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ESPRESSO STAND NORTH OF BELFAIR HWY 3 ON YOUR LEFT JUST BEFORE LAKE FLORA
RD TO ADDR
General Information onstruction &Occupancy Information
nits: Type of Constr.: VB
Type of Use: B Insp. Area: of Bathrooms: Occ. Group: B
Type of Work: NEW Fire Dist.:
Valuation: $ 16,672.00 No. of Stories: 1 Occ. Load: 2
Building Height: 12
Pre-Manufactur d Unit Infor ati Square Footage Information
Make: ngth: Lot Size:
Model: Width: Building: 160
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline& Planning Information
Front: E 25.00 Ft. Shoreline: Ft.
Rear: W 225.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable
Side 1: N 165.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area
Side 2: S 125.00 Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Y Standpipe?.-
Auto Fire Sprinkler System?: Access Road?: Y Fire Extinguishers?: Y
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: Y
COM2009-00087 Please refer to the following pages for conditions of this permit. 1 of 5
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Kitchen Sink 3 Plan Check Fee TAA/ RiiannnQ s1R1 51 ct9nnoon
' Plan Check Fee TnA1 Riiannnp ctRt Fi qt?nnQnn
EH Plan Review Tnnr Rndi?nn4 �in,;nn ct?nngnn
Planning Review Fee T\A/ RiIdnnnQ 4,7nR nn c»nnQnn
Fire Warden Review T\A/ R/iA/9nnQ Q71 nn gignngnn
Plan Check Fee i AIAI QiiRnnn4 OiAi 5/ S1?nngnn
IFC Plan Check Fee i AIAI Q/i1;i7nn4 aQn 7R ct?nnQnn
Building State Fee i AIAI QnR/gnn4 �,a Rn -qi?nnann
Building Permit Fee i AIA/ Qiic;nnn4 IZ97Q?5 glgnngnn
Plumbing Base Fee i AAA/ Qi1Fignn4 '�7a 7n gt9nnann
Plumbing Permit Fee i AIAI Qiic;nnnQ "F; in ,qt?nnQnn
Total $1,350.84
CASE NOTES FOR
COM2009-00087
CONDITIONS FOR
COM2009-00087
1) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.;,
X
2) 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X ! `k` ?
3) Approved, per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X �r .
4) Parking shall be sufficient for 1 standard parking stalls (9 feet by 20 feet) and 1 handicap parking stalls (12.5 feet by 20 feet) with sufficient
maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the building entry, and shall be
signed with the International Symbol of Access. Screening from adjacent residential properties is required. X ` l, ,
5) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Business -
X Industrial., -��
V / J
COM2009-00087 2 of 5
6) PER TITLE 14 MASON COUNTY BUILDING CODE - CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS - 14.17.110:
A fire apparatus access road in excess of 14% grade and more than 150' to new residential or commercial structures will require an automatic fire
sprinkler system installed. Contact the Mason County Fire Marshal at(360) 427-9670, extension 273, for further information.
x � _ �)
7) Install a 2A10BC fire extinguisher, mounted no more than 60 inches above the floor to the top of the unit.
X 0 `.
8) 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
9) 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_0e charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X sd
10) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
X
11) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.
X 1 .
12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
13) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air
Quality Code (VIAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X '�ul
14) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason Qounty Building Inspector shall be made prior to requesting additional inspections.
X �(
15) All property lines shall be clearly identified at the time of foundation inspection. X
16) 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-compliant with Mason County ordinances and building regulations.
X
COM2009-00087 3 of 5
17) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit holder have prevented action from being taken. No more than one extension may be granted.
X
18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X '
19) Must obtain a food permit prior to open.
X �
This permit becomes null and void if work or construction 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 owner or 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 inspection.
OWN ER OR AGENT: " DATE:
COM2009-00087 4 of 5
n
O
N
CONCRETE MECHANICAL MANUFACTURED HOME
o Data B y ...v r
cfl Footings !Setbacks Gas Piping Ribbons m
ointer#or Date By Interior-Date By Date By 0
00 Exterior Date By Exterior-Date B Set-up C
INSULATION
Point load!Isolated Footings Date By
BG!SLAB INSULATION --- - —i
Date By Date By FIRE DEPARTMENT Z
Foundation Walls Floors Date ay m
-<
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type-
Date By Date By Date By
D.W.v DRYWALL Type- n
Int.Brace Wall 0
Date Byic
Date By Date By FINAL INSPECTION IQ
(D
Water Line Firs Separation 0
Date By Date By Date By p
0
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments 4
0
MASON COUNTY PERMIT
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Yl�� :1 lt` Company NameF S ' q�s ell
Mailing Address t? :� t���' t� �f' Maili ss C V
City e0W:fk-ja State�_Zip Code s18 lC City �1'�' ate l9" Zip
Phone2id.'"Q-20-9L- 15 Other Ph.'2' _1 i �� 'i:%� Phone-3b0��Sf— O� Other P — 7
Lien/Title Holder ContradVr_13q1'-#F&f0'SS�f 9/OSI�
' p.
E mail address •�2��. '`� ��h �-a n E Mail Addressk6v mac! nj tefis pc C'►"
Drivers Lic.# DOB -1�(• - Drivers Lic.# AOB
SEPTIC /WATER SYSTEM I�LFCIRMATION - Connect to New S tic Existing Septic
Connect to Water System V Name of Water System
Well L::L Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. -001171Q U, Fire District
Legal Description
Site Address (Please include str t nam tregt number and city)
Directions to s,
Will timber be cut and sold in parcel preparation?Yes(/N
Is property within 200'of Saltwater Ad Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or B s 15%
Is this IYermit submittal the result 4Fa Stop Work Nollee,Correction Notice or other enforcem t action?Yes/No
TYPE OF JOB - New Add All /fepair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building S O 4r e Work
No. of Bedrooms____S No. of Bathrooms 0 Square Footage- 1st Floor ,ZA O 2nd Floor
3rd Floor— 0 Basement—V Deck--2-.0-overed Deck IV Other Sq. ft.
Garage_ Attached Detached __V — Carport____0_ Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
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 the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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
M \S OFA PROGRESS IN(�P�JECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WI L INVALIDATE THE APPLICATION.
X s � r Date:
Owner/Owne epresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepte by: Date
DEPARTMENTAL REVIEW 4P ROVED DENIED NOTES
Building Department c -_1U
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT VO�=aM9 `
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner( '-W-Y-kYK�4 Company Name fcw-�- ' - NA-VS
Mailing Address i?�"'--' Maili ss C
City Y State OiN Yip Code E18'=3tC' City 1/I'ti ate ktPiq Zip
Phone? Q� 10-9L 15 Other Ph.�i,� lc�� 't���(v Phong3bD�„�Sl D� g� Other P — 7
Lien/Title Holder Contra &g— eGtk SS,Ef 9/OSI� P.
E mail address L e ,moA c.avn E Mail Addressgev xc n' fats �e �'�'►'�
Drivers Lic.# DOB -1G(• - Drivers Lic.# OB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New S tic Existing Septic
Connect to Water System Name of Water System if
Well y Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. - Fire District
Legal Description
Site Address (Please include str t in tregt number and city)
Directions to site
iId
Will timber be cut and sold in parcel preparation?Yes/N
Is property ithin 200'of Saltwater �L.ake YjjLRiver/Creek Pond
Wetland KAA. Seasonal Runoffoo Stream Slopes or B s 15%
Is this IYermit submittal the result 4Fa Stop Work Notae,Correction Notice or other enforcem t action?Yes/No
TYPE OF JOB - New V Add Alt epair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building sty SSO e Work
No. of Bedrooms—0No. of Bathrooms Q Square Footage- 1st Floor ,ZAQ 2nd Floor C-7
3rd Floor_Basement 9_ Deck vered Deck !7 Other Sq. ft. D
Garage_ Attached Detached Carport—A2— Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/No
Installer Name Certification No.
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 the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on 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 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
M NS OF PROGRESS IN PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WI L INVALIDATE THE APPLICATION.
X ' , Date: e
Owner/Owne epresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepte by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT I �
BUILDING PERMIT APPLICATION C� -
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLINT INFORMATION CONTRACTOR INFORMATION
Owner 'jOL VY`�,YNP-4 t 51 Company Name F r ' N k�S
Mailing Address i Pue Maili ss C
City EKe "% State�'Zip Code Z18=31G City � ate Zip
Phone&L Q-20-LiL l5 Other Ph.3G�C`� -&--5 PhonejiW;�Sl O Other Ph: - 7
Lien/Title Holder Contra �g-1 FeLt/�SS�f 9/OSI� P.
Email address(' •���� `� C"\n - zvn E Mail Addressk6v ;xci njVvM41
Drivers Lic.# DOB -1G(. Drivers Lic.#R i2aeg AOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New S tic Existing Septic
Connect to Water System I/ Name of Water System`'P if
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. -000Q r, Fire District
Legal Description
Site Address (Please include str t nam treat number and city)
Directions to s
Will timber be cut and sold in parcel preparation?Yes/N
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland-J&A Seasonal Runoffo7 Stream Slopes or B s 15%
Is this permit submittal the result 4Fa Stop Work No e,Correction Notice or other enforcem t action?Yes/No
TYPE OF JOB - New Add Alt_ *epair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building -s6 e Work
No. of Bedrooms— 0' No. of Bathrooms 0 Square Footage- 1st Floor /b 0 2nd Floor
3rd Floor_Basement Deck-- o-.0overed Deck 'V Other Sq. ft.
Garaged Attached Detached __Y— Carport___12— Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/No
Installer Name Certification No.
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 the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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
M NS OFA PROGRESS IN PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WI L INVALIDATE THE APPLICATION.
X Date: d
Owner/Owne epresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepte by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department 11 Z
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee I'0,3• C��
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
Shelton (360) 427-9670• Belfair (360) 275-4467 • Elma (360) 482-5269 1?
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone Other Ph. 3 Phone Other Ph.
Lien/Title Holder Contractor Reg.4 Exp.
E mail address E Mail Address
Drivers Lic.# DOB a'�s(. Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. ;=x' Fire District
Legal Description »
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPG Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on 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 inspection.
PROOF OF CONTINUATION OF WORK IS SY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.
64
Planning Department
Environmental Health Depart ent
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES