HomeMy WebLinkAboutCOM2017-00097 - COM Permit / Conditions - 8/22/2017 ��soN cop�rf
MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY SERVICES L..- 360)275-4467 Belfair ext. 352
- BUILDING•PLANNING•FIRE MARSHAL :: .I` C (360)482-5269 Elma ext. 352
Mason County Bldg. 8 r C ^� r r , JUL 2 $ 2017
615 W. Alder Street, Shelton, WA 98584 www.co.mason.wa.us
COM 2-017 - OX9��
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: ZF- 1 -7 Assessor's Parcel Number: 123-Z) -1 L1_ Opfl2a
Legal Description:
Building Site Address: 25 6-Q 1 'E 5T/- 12007" 3 ?C(.F,4\i WA
APPLICANT INFORMATION
Name of.Applicant: To,;Epl-�- jZ2E(C,4M- r
Mailing address: 11 -7 N, CIAILOU)
AVE-
City: O)ZEM State: WA- Zip: qE3 I
Day phone:3c;o- MI6-i 7 Contact Person: M'(SELf= on s ef,14Av+ Message phone: 360 7
PROJECT INFO ION
Proposed business name: VICE C i 7,-f k=S iZ C 5 S O ' Z I K I n
Proposed use: Di'21 Q p I Wo (,H ESp2t S0 Number of employees:" C, TO �
Previous business name: ALOI+`1 ►UCU Y-A Ui K i✓ Describe previous use: ot2WE ,�r�evui,►t�s�a s�
STRUCTURE DETAILS
Check one: 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?
7 occupied? Yes No Yr. 3 Mo. :'
Square ? x 20 Basement:N� First: Mezzanine: Second: Third:
footage:
Is the structure Type of Heat: Circle one: Furnace Heat Pump Electric wall Radiant
heated?
Yes Circle one No Fuel type: Circle one: Electri Liquid Propane Natural Gas Oil
Will there be any changes to the ngANo
cle yes or no, if applicable-
Floor lay-out: Yes No Lighting: Yes Heating: Yes No
Exterior Finishes: Yes No Interior Finishes: Yes Parking: Yes No
Number of restrooms provided: Number of fixtures in e c
-1 PcP--rA Poi i AAA SFP'i/C Water Closets U Lavatories a Bath/Shower G
Is structure handicap accessible? Entry: Yes No Restroom(s): es o
Is the structure equipped with a fire sprinkler system? Yes o I Fire alarm system? Yes No
Monitoring Station Name: IV02 77/ 14ti SQL✓ I Phone number:
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
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 counters, tables, shelving, benches, fire exits
• Interior doors with swing radius and exit signs).
Site Plan(1): Note scale used
Property lines, easements, & right of ways • Location of all existing structures & dimensions
• Distance, in feet, from property line & structures • Location of all existing structures & dimensions
• On-site sewage tanks and drain fields, & reserve • Landscape buffer yards
• Location of fire hydrants & vehicle access roads • Well location
• Parking areas (number& arrangement)
Continued on back
If construction or remodeling is proposed an additional Building Permit and construction
documents/drawings may be required.
After permit issuance and compliance to all conditions is complete,
schedule an inspection by calling
360.427.9670 ext. 352
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 contractor. I further declare that I am entitled to receive this permit and to do the work as
proposed. I have obtained permission from all the necessary parties, including any easement holder or parties
of interest regarding this project. The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s) 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 MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Sig ture of Applicant Date
x To; c PH �2 E l Ci-1 ct27" Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by Date-7' 2S - l� Submittal Amount$ �� v Receipt number I
is
Departme�,LRkview Initials Date Comments
Building 4
Fire Marshal
Planning no prl R+ 0-,Y 6-yt 1-:X15 A
Occupancy Change? (circle one) Yes No Land Use Designation:
Occupancy classification change from to New occupant load calculated: persons
Existing occupant load design persons. Type of construction
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MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
FIRE MARSHAL
gII Mason County Bldg. III,
426 West Cedar Street, Shelton, WA 98584
www.co.mason.wa.us Shelton (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269
September 5's 2017
Fire Marshal Notes: I L
Permit: COM2017-00097
Name:Vice City Espresso COPY
Phone:Joseph Reichert 360-824-0377
• Post exit signs on all exits.
• Fire extinguisher(1) (minimum rating of 2A:IOBC)shall be mounted not more than 5' above the ground.
Travel distance cannot exceed 75'.
• All electrical installed per NFPA 70 and inspected by WA Department of L and I prior to final.
• No Knox Box required due to size.
• Fire Access per Mason County Title 14.
• Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED WHILE THE BUILDING IS
OCCUPIED".
Plan approval does not relieve the designer/contractor from complying with all applicable codes and requirements
as adopted by Mason County and the State of Washington, not does it abrogate the requirements of the requirements
of other authorities having jurisdiction.
FIRE
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