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Home My WebLink AboutCOM2004-00111 Change in Tenant - BLD Application - 5/14/2004 COMI' � MASON COUNTY 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 conspicuous place on the premises. s a5+.P` srr ti P:R.QP: RTY l! Fk�,RT },w, 7, i Date: /sue/_ d Assessor's Parcel Number: o da Legal Description: Building Site Address: 3 i/1 Method of sewage disposal: AJA4O Septic O Sewer- name of district: Water source: O Individual Well O Community Well IT Public System, name of system: w EQ�?L .xINV .LVEQIN. QF. -: Name of Applicant: UA L Mailing address: 8-7 City: St te: L Zip: �Z 8 Day phone: rj Contact Person: o�� _ /fit e,� Message phone: , - s . RJ 7�li' Proposed business name: Proposed use: y �•�� Number of employees: g Previous business name: L- ^, �S Describe previous use: o Check one: Q<etached 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? r A:r occupied? Yes Q>_ Yr. / Mo. Square footage: I Basement: First: e a Mezzanine: Second: Third: Is the structure heated? Heating type: Circle one: Circle one: Yes Electric Liquid Propane qCatural G Oil Type of heat: Circle ondC-Eurna-a> 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 GZ> Lighting: Yes 1W Heating: Yes Q Exterior Finishes: Yes (SZ1 Interior Finishes: Yes ci Parking: Yes CR6 Number of restrooms provided: (S I Number of fixtures in each Is structure handicap accessible? Circle on No Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? Yes Monitoring Station Name: Phone number: 1. oo la ( ). • Fth oor n to scale 0 Use of rooms • V Ro D ensi s0 Location of all exits and windows (include dimensions) • Location of plumbing and mechanical fixtures 0 Interior doors with swing radius 2. Site Plan(5 sets): Note scale used • Property lines, easements, & right of ways 6 Location of all existing structures &dimensictsE`'EIVE Distance, in feet,from property line &structures . Landscape buffer yards • �On-site sewage tanks and drain fields, & reserve • Well location MAY 14 2U0 • Location of fire hydrants &vehicle access roads Parkin areas number& arrangement) 1 3. Septic records,pumper's report or O&M report. 4 1 0EDAR 7- 4. Fees will be collected at time of submittal I P Accepted by Date Submittal Amount$ Receipt number Department Review Is Pate, Comments Building Q Environmental Health Fire Marshal O 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: C O M ,� -Cyjtj ,j MASON COUNTY 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 conspicuous place on the premises. �Fk�tt, =„,a «tit P;R.QPR?Y INF�S?R ' s• Date: Assessor's Parcel Number: 2 o d dd Legal Description: Building Site Address: V X A Method of sewage disposal: O Septic O Sewer— name of district: Water source: O Individual Well O Community Well Public System, name of system: : Qir?l.'E. INY( LVEiJRIN. iIQ ( t' ,,. �M µ Name of Applicant: t, L Mailing address: $-? City: St te: LX4A Zip: 51 �Z Day phone: D2 jContact Person: E'i` /int eti Message phone: VQ Proposed business name: d a Proposed use: i•r T�� Number of employees: t g Previous business name: i t_ Describe previous use: STRIJCTURpEf Check one: 9,15etached single level/single tenant O Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? occupied? Yes Q> / Mo. Square footage: Basement: First �Mezzanine: Second: Third: Is the structure heated? Heating type: Circle one: Circle one: Yes Electric Liquid Propane atural G Oil Type of heat: Circle on Furnac Heat Pump Electric baseboard or wall mount Radiant Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes GZ> Lighting: Yes Heating: Yes Q Exterior Finishes: Yes •l Interior Finishes: Yes �'n. Parking: Yes (Za Number of restrooms provided: 6 I Number of fixtures in each Is structure handicap accessible? Circle on No Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? Yes Monitoring Station Name: Phone number: VAMP =NQ la 6 • ' *oD or n to scale Use of rooms • Floonsi s • Location of all exits and windows (include dimensions) • Location of lumbin and mechanical fixtures • Interior doors with swing radius 2. Site Plan(5 sets): Note scale used • Property lines, easements, & right of ways Location of all existing structures& dimensicsECEIVE Distance, in feet,from property line &structures Landscape buffer yards • -On-site sewage tanks and drain fields, & reserve Well location MAY 14 200 • Location of fire hydrants&vehicle access roads Parkin areas number& arrangement) 1 3. Septic records,pumper's report or O&M report. 4 r EDAR ST, 4. Fees will be collected at time of submittal r Tn Accepted by Date Submittal Amount$ Receipt number Department Review Initials Date Comments Building Environmental Health Fire Marshal Planning yl 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_�J�— MASON COUNTY 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 conspicuous place on the Rremises. WN NJR s " rs?r ' ` P,RQPRTY IN.FrQR. TAN� "n�'._ Date: p Assessor's Parcel Number: &2 p 0 da Legal Description: - Building Site Address: A Method of sewage disposal: AJ14 O Septic O Sewer-name of district: Water source: O Individual Well O Community Well Public System, name of system: EARL E. INY,t ,LVED Name of Applicant: Mailing address: $-1 City: St te: L,,-f Zip: Day phone: rj Contact Person: RReJiE` I ,04 ert, Message phone: '�b��•A'. � d'e" .n, A"',4'w3FH'-'fY�M�i}� ': '"'}b0.`. �# '.., _...- ` Proposed business name: d Proposed use: �,� i•c '- Number of employees: t g Previous business name: Describe previous use: ; SRU•,CTUR A fir.. Check one: etached 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 ® Yr. / Mo. _ Square footage: Basement: First: e n Mezzanine: Second: Third: Is the structure heated? Heating type: Circle one: Circle one: Yes 1� Electric Liquid Propane qTatural G Oil Type of heat: Circle on f urnacia> 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 GIZ> Lighting: Yes 1W Heating: Yes Exterior Finishes: Yes (SL1 Interior Finishes: Yes 01 Parking: Yes (Za Number of restrooms provided: is I Number of fixtures in each Is structure handicap accessible? Circle on No Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? Yes Monitoring Station Name: Phone number: fie 1. Floo la ( ). • th oor n to scale Use of rooms • �Ro D ensi s Location of all exits and windows (include dimensions) • Location of lumbin and mechanical fixtures • Interior doors with swing radius 2. Site Plan (5 sets): Note scale used • Property lines, easements, & right of ways 0 Location of all existing structures& dimensicMEG'EIVE Distance, in feet,from property line &structures 0 Landscape buffer yards • -On-site sewage tanks and drain fields, & reserve • Well location MAY 14 20 • Location of fire hydrants&vehicle access roads Parking areas number&arrangement) 3. Septic records,pumper's report or O&M report. 416 w. CEDAR T- 4. Fees will be collected at time of submittal H7��I�•�� x�,fis 'a.5` or L t Accepted by Date Submittal Amount $ Receipt number Department Review Initials Date Comments Building Environmental Health Tl,4 Aqt A,ca,/,+r For yaw vNN �W C�•, � 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: oN.srgTF MASON COUNTY A C DEPARTMENT OF COMMUNITY DEVELOPMENT N E Planning Division N Y ? P O Box 279,Shelton,WA 98584 of boy (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION May 28, 2004 PACIFIC NW SALMON CNTR B Parcel No.: 123325000059 Project Description: SIGN Dear Applicant: You have submitted a permit application (case no. COM2004-00113) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 577 if you have questions. S' , Ri k Mraz Land Use Planner Mason County PI ning Department 5/28/2004 1 of 2 COM2004-00113 I NOTIFICATION OF INCOMPLETE APPLICATION • 5/28/2004 Case No.: COM2004-00113 Comments: The proposed construction under this permit and under COM2004-00112 are within the stream buffer and setback for Sweetwater Creek, a type III stream. Per the Mason County Resource Ordinance, the minimum setback from a type III stream is 165', which is comprised of an undisturbed 150' vegetative buffer+ a 15' building setback. The proposal requires a variance from the Resource Ordinance. A Habitat Management Plan (HMP), prepared by a qualified biologist, is required to support the variance request. The HMP addresses impacts to the buffer and offers measures to preserve and protect the buffer or mitigate impacts. A copy of the Fish and Wildlife Habitat Conservation Areas chapter is enclosed. It includes details on the contents of an HMP. Please note that application for a variance does not guarantee approval. The proposal must meet specific criteria listed in the Resource Ordinance. If you have questions or require clarification of these issues, please contact me. 5/28/2004 2 of 2 COM2004-00113 Pmft Northwest Soon rmr 22PI N.E SM Kure 3 P�,Clflc FA In 2NNI BelW WA OW Nk La 360-275.3575 .P I A N�hctc cnn May 14, 2004 To whom it may concern, The PNWSC has allowed and provided to the Hood Canal Watershed Project Center and their Washington Service Corp's AmeriCorps program the use of the described building to articulate and cast a 30 foot grey whale skeleton. There is no monetary reimbursement and all costs associated with their project are donated from within the community. Parking is provided and accommodated at the Mary E. Theler south parking lot adjacent to said property and restroom facilities are also provide by the Mary E. Theler Center which are ADA accessible. This property is scheduled for demolition in the near future and there is no interest from the PNWSC to rent it in the future. This is strictly a community support project. W submitted, rner President Pacific Northwest Salmon Center RECE s VEI) ' Y .3 4� . Pacific Northwest sahnan Center 22871 tE Stab Raft 3 VaCUic Norttt s� PI Box 20 SAL 366-275,3/5 humcafttLM ri�Tlf C 1� May 14, 2004 To whom it may concern, The PNWSC has allowed and provided to the Hood Canal Watershed Project Center and their Washington Service Corp's AmeriCorps program the use of the described building to articulate and cast a 30 foot grey whale skeleton. There is no monetary reimbursement and all costs rtguircdhd.ca(J � r`p associated with their project are donated from within the community. "his provided and s�'4J• accommodated at the Mary E. Theler south pgking lot adjacent to said property and restroom facilities are also provide by the Mary E. Theler Center which are ADA accessible. This property is scheduled for demolition in the near future and there is no interest from the PNWSC to rent it in the future. This is strictly a community support project. Respect submitted, Neil W. 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Q o N c yR a N Y' Q 7,N c L E `A "' C 0) O RR °' R 0' > O m lY`o cUCo o O O W N►� E N N m 3 U 0 of Vl N L N N - a 3CL Fo- L m 3 m o o H � m �3:— 4D < o� m o:c Q ccta �' is ►- o+o [L=NE gn on or adjacent to the oor IS DOOR MUST REMAIN / DURING BUSINESS HOURS. '~ all have letters not lees than 1" �>; Cr • contrasting background. . 5. 1. q « i' • M JS1 B --OF i d •O cte` AP 4R. O A c s R RFORMIfIG 40 Q 1S 1 OT A 12 1,/��S N 0 . h N 0 V Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. The unlatching of any Separate permit leaf shall not require more than one required for signage. operation. Provide lever o erated hardware. BC 97 1003. . kavid►t 4 - , o,�. �rbu p F APPROVED at t �hele.v- Cev\.tevi aquo s9. � � . MASON i LDING INSPECTOR CcMStYc�•t�uc011A UBJECT1zUV APOVA (?Ost a s�gm dccupc�,vv� W0.01 •� DATE -� � Direction: Scam Appro I:Coro ,ce se Building Permit numberrr>�Ml 2000 - O® bt I Building: Owner/Applicant: Date of Planning: application: Env. Health: Parcel Number: Y� Provide a sign on or adjacent to the door ' r< stating: "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS.' ® The sign shall have letters not lees than 1" v • high,with a contrasting background. UBC 1007.2. u � c CL X THgeg DI �. fill o 0 I N P CT ' r 6 L t IOR Rc; Rr, �Q c s 1 0 1.3 p -e N v N to u 1r - t Exit doors shall be openable from the inside Separate permit without the use of a key or any special D knowledge or effort. The unlatching of any required for signage. leaf shall not require more than one operation. Provide lever operated hardware. UBC 97 1003. .1.8 a6L r�Posfi c� s icyn �1 MASON BUILDING INSPECTOR v"rXCCM,$I �LAA �Z CH S SUBJECT TO A PROV L v Cam` ` l DATE 6 O nV l (�,lk�rX P._ _ r ��`\ Direction: Scale: . Approvgal:for o�;ce use BuildingPermit numbe (�'y Building: Owner/Applicant: Date of Planning: application: Env. Health: Parcel Number: 23 3 Z S 6 - cgC Sq