HomeMy WebLinkAboutCOM2001-00102 Cancelled Tenant Review - COM Application - 8/16/2001 LG
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Case number:
1 AUG 16 2091 Mason County
TENANT REVIEW APPLICATION
CompletTa�Tt1r�a�x� vi 9 return with a floor plan. site plan, pumpers report, septic records and
$100.00 fee to the Mast?17nti As e Center, P.O. Box 186, Shelton,WA 98584. The tenant review
application will be evaluated on Wednesday after the application has been received. During the evaluation Mason County
staff members from the Building, Fire Marshal, Environmental Health, Planning, and Public Works offices will identify
compliance requirements, if needed, and advise whether a separate building permit will be required.
Date: Assessor's Parcel Number:
Legal Description:
Building Site Address:
Method of sewage disposal: O Septic O Sewer- name of district:
Water source: O Well O Community Well Public System, name of system: 6 1
PEOPLE and FIRMS INVOLVED IN THE PROJECT
Name of property owner: i U E2
Mailing address: t3C i3p Sc��j c3Gi� /Z L,% 9 aSZS
Day phone:3�tp S IS Contact Person: Message phone:
Name of applicant: m"o N7,-- 2PR15E
Mailing address: `tl( S, t t`11 S E 8 s l
Day phone: 3�p Z8o3q Contact person: S Message phone:3Gv 7440
Name of Tenant:
Mailing address:
Day phone: Contact person: Message phone:
PROJECT INFORMATION
Proposed business name: P" 1-iTC—%P__ & S
Proposed use: M (jF . K2i2Fj_) [_�OMFS4 S (294jjjZ Number of employees:
Previous business name:
Previous use:
INFORMATION ABOUT STRUCTURE
Check one: 3r5iached single level/single tenant O single level/multi tenant
O Multi level/sin le tenant O Multi level/multi tenant
Age of structure: Is structure qurrentLily occupied? If not occupied, how long has it been vacant?
Circle one: es) No I Yrs mos.
List square footage for each floor level
Basement: First. Mezzanine: Second: Third:
Will structure_be heated: Type heating fuel: Circle e:
Circle one Yes No I Electric 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 or no, if applicable:
Floor lay-out: Yes No Lighting: Yes No Heating: Yes No
Exterior Finishes: Yes No Interior Finishes Yes No Parking: Yes No
Number of restrooms prove e : / Numbe f fixtures in each
Is structure ADA Accessible? Circle one Yes No
Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No
Return this application with:
1) Floor Plan, 2) Site Plan, 3) Pumpers Report and septic records and 4) $100 Fee
1) Floor Plan: Include existing walls,proposed walls,and walls that will be removed.
• Draw the floor plan to scale, '/:' = 1 foot min. • 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: Note scale
• 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 drainfields, & reserve • Well location
• Surface & stormwater run-off routes Parking areas (number& arrangement
• Location of fire hydrants &vehicle access roads Slope of property
3) Pumpers Report and septic records
4) Fee: $100.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit is
issued.
APPROVED
MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVAL
DATE
&A" e o f
ocG v��n�
Documents attached to approved plans:
FEE Site Plan--
THESE PLANS M .
ON THE JOB
ITE Han feview
FOR INSPECTION. N-,MhpCnf p� _-
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• Office Use Only dD �D�
Pre-Application Review
Departmental Re�ie.IYAMP/o �
Env. Health 4Env. Health �!
Plannin lannin
Public Works ublic Works
Fire Marshal Fire Marshal
Building Building
NREC
NREC
Pre Application required? (circle one) Yes No
Building Permit required? (circle one) Yes Engineering Required? (circle one) Yes No
Occupancy P y Classification:—
lassification:_ /5 Occupancy Change? (circle one) Yes �No
Occuanc
P y classification change from
Type of construction_
Occupant load calculated: persons. Existing occupant load design —_persons.
Fee Schedule
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EXISTFNG PROPERTY UNEcc
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EX. EMERGENCY 51
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08-15 0
Alterations for an
Accessible Bathroom
TOP OF GRAB BAR-. --- -
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1106.11.5.3 Grab bars. Grab bars shall be installed at
one side and at the back of the water closet. The top of
grab bars shall be not less than 33 inches (840 mm)
(840 mm)and not more than 36 inches(915 mm)above
and parallel to the floor. Grab bars located at the side
shall be a minimum 42 inches (1065 mm) in length
located not more than 12 inches(305 mm)from the rear
wall and extending at least 54 inches(1370 mm)from
the rear wall. Grab bars located at the back shall be a
minimum of 36 inches (915 mm) in length and shall
extend at least 12 inches(305 mm)beyond the center
of the water closet toward the side wall and at least 24
inches (610 mm) toward the open side of the water
closet. Grab bars located at the back shall be mounted
not more than 9 inches (230 mm) behind the water
closet seat.
THEN TPLANS MuSfi .
FOR INSPEC SITE€
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VICINITY MAP o
SCALE: 1' - 3000'
s, CLIFTON RIDGE BUSINESS PARK, PHASE-2
PROJECT DATA
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DEVELOPER/OWNER: RICK A. & LESLIE KRUEGER a
P.O. BOX 548
BELFAIR, WA 98528 W
(360) -275-9415
ASSESSORS ACCO 0. : 12332 50 00002 C;
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12332 50 00007
12332 50 00012 o
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COMPREHENSIVE PL A
PROJECT TYPE: COMMERCIAL LOT DEVELOPMENT m
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TOTAL ACREAGE: 9 ACRES t (3 ASSESSOR'S PARCELS) <
DEVELOPMENT ACREAGE: 1.5t ACRES (B.L.A. "PARCEL-B)
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BUFFER YARDS: (n a;
PROPOSED LAND USE = CATEGORY IV (COMMERCIAL TYPE I) o
SEE BUFFER YARD TABLE
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PARKING:
FOR MIXED USE (OFFICE/RETAIL) : 5.5 STALLS PER 1, 000 sf
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MASON COUNTY
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' DEPARTMENT Or HEALTH SERVICEc
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r}�± 110 Lis :rON,NYA 98584
x'Fc L(360)427 9G70
AA 482-5269
l a M1_:. Lt✓ 464-6968
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Mason County.Environmental Health Dep:rfinent
Septic Tank Pumping Report Fomr
Property Owner/MaiHrig Address ' e
; .Site Address :11 `
; Tax Parcel Number(Utalmn Legal Description 5A vt As Abo--. _
'(Pumper's Finding's) All Items must be filled out completely, circle answer 4s needed.
Septic Tank infonnation
t 1)Tank pumped and inspededor no
Effluent level: high l<IT>l low
2)Tank s'�a: �p U gallons
3)Tan',-.c:nstrudi . mane fir or homemade
Sunk material: metal wood fibergLiss other
4)How many compartments? r double
I a 5)Inlet baffle condition: /needs repair
Outlet Eaffle condition: •js a /needs repair
rs . Center Baffle condition: sa+fisfactory / needs repair / u) ,
Ef uent 5ter deoned: yes / r>ej
6)Does lire system have a pump chamber? yes /on:$unknown
Di J is pump chamber need to be pumped? yes /no ! livable
7)Tank condition: damaged
Wen:there tepair;mach to le tank or the baffles? Ycs or® If yes, Icase ex'�iain below.
Drainfiold condition: backflow into the tank / seepa-e in'drain5- ^ ued mo
8)LocaCon where ssptage was disposed .&r, ' P-ec y )c�r, �c .
9)Abnormal observations:(if«ors wars made,p6me eplain) r22 rt--
Finding. ,nd determinations of this Inspection iefluct 4onditions as they existed on the day the seq.: ,ad. No claim is
wade by this company, either expreaaod of Implied, c success or failure of the septic cyst,
Si natura of cered um er 1=
9 P P �a.c. "��'d) _
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1j. Name of Company e--�— , }— Y11•''t Q .