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COM2005-00057 Final Change in Tenant - COM Permit / Conditions - 4/24/2005
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FI NAL I NS PECTION Date By Date By Date By FRAMING walls FIRE DEPARTMENT Date By Date By Date By PLUMBING Attic OTHER Data By Groundwork ..W..�...�..—.---�. Date By WALLBOARD NAILING Date By rvt Q.w.v Data By Water[sine FINAL INSPECTION Date By I Date By Date By Type of Insp. Pass/Fail Request Date Inspect. gate Dane By Comments "s ito k' f 0 ic 0 N fn z o � o N v r O z n m z m X o h .A COMC: S` )C>5 l MASON COUNTY E� CHANGE IN TENANT APPLICATION Complete the Change in Tenant (� nt Application and return with a floor plan,site plan,septic pumpers 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 111, 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 -26 W conspicuous place on the premises. PROPERTY INFORMATION Date: Assessor's Parcel Number: 1 Z 3 3 2 S 000 r Legal Description: TR5 T125 A Bc 8 o{- ,s 3E v' v f- T r�, Z(— RECEI Building Site Address: ZZ6-ry/ /VL 5*,t k-LO- - -3 Ifs%.- Wil 9'65213 Method of sewage disposal: ffl-Septic O Sewer—name of district: Al #ater source: O Individual Well O Community Well 0Public System,name of system:(el(c,;r W�� r Di 5�ri + HI p,m P.ZOPLE INVOLVED 1N THE PROJECT �.� Nape of Applicant: 1/+/, Ma 47.6 Mailing address: p p, t3c7>` Zl�i`J City: State: 'WA Zip: 985 z$ Day phone: 3571 Contact Person: /1'Inty ,7�o rb Message phone: PROJECT1NFOI!i ATION Proposed business name: Pe,(; r, N�,;r}L wr ► 5-,1 ,.,-. ReSrc,rc.L a ;c c Proposed use: Number of employees: '3 Previous business name: ec,5� Describe previous use: p I p �� STRUCTURE DETAILS Check one: $K Detached single level/single tenant O Single level/multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied,how long has it been vacant? occupied? Yes o) Yr. Mo. Square footage: I Basement: I First: 5 I Mezzanine: Second: Third: Is the struclvre heated? Heating type:Circle one: Circle one: a No Electric Liquid Propane atur a Oil Type of heat:Circle one: urn Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following?Circle yes or no,if applicable: Floor lay-out: Yes Lighting: Yes Heating:Yes Exterior Finishes: Yes Interior Finishes: Yes Parking:Yes o Number of restrooms provided: J Num er of fixtures in each / Is structure handicap accessible?Circle one Ye No Is the structure equipped with a fire sprinkler system? Yes No TPTre alarm system? Yes Monitoring Station Name: Phone number: u i I;Pi} APPLICATION WILL NOT BIEACCEPTED WI'f MUT 1. Floor Plan(5 sets): • Draw the floor plan to scale Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2. Site Plan(5 sets): Note scale used • Property lines,easements,&right of ways . Location of all existing structures&dimensions • Distance,in feet,from property line&structures . Landscape buffer yards • On-site sewage tanks and drain fields,&reserve . Well location • Location of fire hydrants&vehicle access roads Parking areas number&arrangement) 3. Septic records,pumpers report or O&M report. 4. Fees will be collected at time of submittal Officiiif Use 0 Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Building Environmental Health Fire Marshal Planning Public Works Occupancy Change? (circle one) Yes No Type of construction Occupancy classification change from to Occupant load calculated: persons Existing occupant load design persons. Land Use Designation: Occupancy Classification: COM 0V MASON COUNTY CHANGE IN TENANT APPLICATION R C' 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,Fin;Marshal,Environmental Health,Planning and Public Works offices who will identify compliance spy c l 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 applicant1tenant. 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 4Z6 NN. conspicuous glace on the gremises. Date: S p� Assessor s Parcel Number: 1 Z 3 3 2 S ooa c>63 f Legal Description: TR5 7-kS A & oV 3' 36o o T-K, 7Z6 RECE BuildingSiteAddress: aZbq/ NC }a} 2be_ ffe,�, WA g65a Method of sewage disposal: ¢Septic O Sewer—name of district: ®h+ '` ljyater source: O Individual Well O Community Well Of Public System,name of system:(eii W,,a r Di St r�ti� L Nye of Applicant: Puy Ci �o r 4 L.wef,1 S•,lw c� Ge. d P.Y 426 W• Mailing address: P,O. City: p � r State: WA Zip: 985 z$ Day phone:(%o)275-357 Contact Person: m1 X�rb Message phone: MW Proposed business name: p,,, ,c ,�}y,�.�r ��), G }�,. RlilcAr a r•c-c Proposed use: og;c_ Number of employees: 3 Previous business name: All Seca5n ll, Pro 9,wt; Describe previous use: per, e,,v e—i p r-e— Check one: jlK Detached single level/single tenant O Single level/multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied,how long has it been vacant? occupied? Yes Cli Yr. Mo. Square footage: I Basement: First: 5 Mezzanine: Second: Third: Is the strut re heated? Heating type:Circle one: Circle one: a No Electric Li uid Propane atur a Oil Type of heat:Circle one: Wurri Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following?Circle yes orno,Happlicab/e: Floor lay-out: Yes Lighting- Yes Heating:Yes Exterior Finishes: Yes Interior Finishes: Yes Parkin a:Yes o Number of restrooms provided: Il r of fixtures in each / Is structure handicap accessible?Circle one Ye No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes Monitoring Station Name: Phone number: 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 plumbing 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 Accepted by Date Submittal Amount$ Receipt number r Department Review !Qak Comments Building Environmental Health Fire Marshal Planning Public Works Occupancy Change? (circle one) Yes No Type of construction Occupancy classification change from to Occupant load calculated: persons Existing occupant load design persons. Land Use Designation: Occupancy Classification: COMC5 MASON COUNTY R �� CHANGE IN TENANT APPLICATION� Complete the Change in Tenant Application and return with a floor plan,site plan,septic pumpers 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 1Ay �F requirements. This application is intended for tenant change only. If construction or remodeling is proposed or required a building �1 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 .426 W. conspicuous place on the remises. Date: S o� Assessor's Parcel Number: 123325 000v 63 �{ Legal Description: TA5 7-9-5A & o f f 36o I o f T tZ ZC R[CE Building Site Address: 2Z 6q/ /tIC 5}a} k-"- 3 /k > WA 985 28 L Method of sewage disposal: /dL Septic O Sewer-name of district: MAy ®A 1 1Yyater source: O Individual Well O Community Well 0 Public System,name of system: Way r pi 5{-tJ a/ ���/ ,NaJt�e of Applicant: Puu� 426 W• Mailing address: P.D. �i6q City: �, State: WA Zip: q8 s ZS Day phone:(36o)Z75-%7 Contact Person: mRlt Xo rb Message phone: Proposed business name: p..,, (i cc Ndr jr wr 4 ��Jw,oh CrA-J'e'.- 5 RC!srz,ra 1., a ;<< Proposed use: D((,,- Number of employees: 3 Previous business name: All 5-eaSn�5 Pry -ww_ Describe previous use: pro �,� ;I p �•`� Check one: j&Detached single level/single tenant O Single IeveU multi tenant O Multi le single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied,how long has it been vacant? occupied? Yes o) Yr. Mo. Square footage: I Basement: IFirst: Mezzanine: Second: Third: Is the strucWre heated? Heating type:Circle one: Circle one: a No Electric Li uid Propane atur Oil Type of heat:Circle one: WyMgO Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following?Circle yes or no,if applicable: Floor lay-out: Yes Lighting: Yes Q Heating:Yes Exterior Finishes: Yes Interior Finishes: Yes Parkin a:Yes 6110 Number of restrooms provided: I Num er of fixtures in each / Is structure handicap accessible?Circle one Ye No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes Monitoring Station Name: Phone number: 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 plumbing 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 Y(^ Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Building Environmental Health �,�J (Z— & Fire Marshal Planning Public Works Occupancy Change? (circle one) Yes No Type of construction Occupancy classification change from to Occupant load calculated: persons Existing occupant load design persons. Land Use Designation: Occupancy Classification: /7 1 Fv✓ �s� 1 !�Y/ IN COMC5 MASON COUNTY CHANGE IN TENANT APPLICATION RAC, 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 88584. 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 spy �1 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 applicantttenant. 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 426 W. conspicuous place on the remises. Date: $ o� Assessor's Parcel Number: t23325' 000a 63 r Legal Description: TKS 7-g5 A & o 3 36o' o f TYi Z6 R[CEI V Building Site Address: ZZ&q/ 64C 5}a} k-,t- 3 I ,, W A q'6S Zg L Method of sewage disposal: ¢Septic O Sewer—name of district: MAY ®� 10 Alater source: O Individual Well O Community Well 0 Public System,name of system:(-(G,,; NatMeofApplicant: P,,,c C,c- A)0,+l•.we,.4 426 W, Mallingaddress: p,o. &,,i 2?69 City: p Aj'o� State: WA Zip: 785 78 Day phone:(%b)z7S-357 nContact Person: m1lt Message phone: Proposed business name: p ; �rc Nor?rL.wc S iii Cris 2=Sn-- re-2, a r•c-t. Proposed use: ire_ I Number of employees: 3 Previous business name: All 5ra5v,5 pry p-,vie Describe previous use: p,,o ,,,,� ke-.ta;I o ,•�� Check one: ISLDetached single level/single tenant O Single level/multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied,how long has it been vacant? occupied? Yes o Yr. Mo. Square footage: I Basement: I First: Mezzanine: Second: Third: Is the strucWre heated? Heating type:Circle one: Circle one: a No Electric Li uid Propane atur a Oil Type of heat:Circle one: Zurn Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following?Circle yes orno,Ifapplicable: Floor lay-out: Yes Lighting: Yes Heating:Yes Exterior Finishes: Yes Interior Finishes: Yes Parking:Yes o Number of restrooms provided: j Num er of fixtures in each / Is structure handicap accessible?Circle one CYe No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes Monitoring Station Name: Phone number: 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 plumbing 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 Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Building Environmental Health Fire Marshal Planning Z Public Works Occupancy Change? (circle one) Yes No Type of construction Occupancy classification change from to Occupant load calculated: persons Existing occupant load design persons. Land Use Designation: Occupancy Classification: 00 L O O m n ° G .o Ml CL a� m l N ;u li O Cm N O N w Sr52 �� I fD w 0 RE g N1 mg 1 i m II 4" N it 1 5 m a i O Y i .r r, Z. � tiL 24'-0" 2-10" 2-3/. fD n i 'CD * z " z „ CI � mm o 0 N y - O0- CD f' Ulo � 1n d -, 16 Ali C a = m � fD n Lj (a fC 7 I � .l I � s I I II III 1B 4" 2,-3. d. J 4'-0" 33'-10" cn a$ C of 0 Mi NND a c�3 y � � F• n �I,� m m N � y V CT H N O O N O C a co 0 LO S d U J O i NIW 4 $ cJ ' XVICE cl to m co 1a G j i t - I' O o 0 ml � � m N 2v O O C f6 N cCID c0 N O r- N uj N kn NEjO (0 2 a> z O N O C� N o o0 0 `,�'' Q � N o tw•� cri .` o o y b o YA o N 0 v aC � a0 O 0ww � r w p -15 O - U.� .00 O G p O O O �) � / a� O p 'O ° . 1 -0 ° off ra 3