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Fail Date Dante Dane By Comments N lras"t�u y s 2 - /y-( 0 0 rn CD M m CIO PI Z,04 0- T`f p z.",q Pf ct>ric,. SCA6 � rp r L 00 II To G� 1 WA—f (limp d 5 Aux �a�c boo� A bon I . l o RECEIVED �� � OCT 17 2018 Q" 5CACa 615 W. Alder Street UN` ,, RECEIVED OCT 17 2018 615 W. Alder Street ' ui N PLANNING : U 3 ALL SETBACKS ARE MEASURED Lu p FROM THE FURTHEST PROJECTION OF THE BUILDING co APPROVED PLANNING MASC' COUNTY DCD PLANNING SITE rL `,N REQUIRED TO BE ON SITE Ci ES SUBJECT TO APPRO :A By___ ( Date ICJ i 6 l MASON COUNTY (360)427-9670 Shelton ext.352 �e9o� coL�'Tr DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 BUILDING PLANNING, FIRE MARSHAL RECEIVED (360)482-5269 Elma ext. 352 Mason County Bldg. 8 Af`T 7 2018 1F 615 W. Alder Street, Shelton, WA 98584 Vtb� www.co.mason.wa.us er Weet COM GO m 261 CHANGE IN TENANT APPLICATION OGI a PROPERTY INFORMATION Date: p_ _ Assessor's Parcel Number: 7-31 DOO I O Legal Description: 5E Z. _Z W - 1k) Building Site Address: f 21Zn t-J ' G wQ`f C-`Lk I IL W.4 Q?Sl APPLICANT INFORMATION Name of Applicant: ?/L G PLAZA LL-c Mailing address: -? N, s N City: 6411 cl Is State: W Zip: S p Day phone36o 110 $"{f Contact Person:$f�:�- S'rjL4'j Message phone: Jbp -7 to ) PROJECT INFORMATION Proposed business name: I GAS Proposed use: p S Number of employees: 3 Previous business name: VA c A -r_' '" Describe previous use: -- STRUCTURE DETAILS Check one: O Detached single level/ single tenant X Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure cygently If not occupied, how long has it been vacant? 11 occupied? (Ye-Ns,, No Yr. Mo. Square � Basement: F�rst� .fX1C zz eanine: Second: Third: foots e:5 Is the structure EFue f Heat: Circle one: Furnace Heat Pum Electric wall Radiant heated? Circle one: Yes Npe: Circle one: 6zri Liquid Propane Natural Gas Oil Will ere be any changes to the fol owing? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting: Ye No Heating: Yes o Exterior Finishes: Yes o Interior Finishes: e No Parking. Yes No Number of restrooms provided: Number of fixtures in each: 2 Water Closets Z Lavatories 2 Bath/Shower Is structure handicap accessible? Entry: Ye No Restroom(s): es No oeszN Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No Monitoring Station Name: 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 structureF}'Ed sjgr F D • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards C l�C! V l • Location of fire hydrants & vehicle access roads . Well location OCT 17 2018 • Parking areas (number & arrangement) r Continued on back 615 ��I t6L , UCI A i'vl,��c�2c{ U S E 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 130 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. X �2f 0 -Ir- Signature of Applicant Date X S7-0-/9 S'rlubX Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount $ Receipt number Department Review Initials Date Comments Building Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation:�Li Q.t, O(:>n - WILL- Occupancy classification change from to New occupant load calculated: _ persons Existing occupant load design persons. Type of construction V b MASON COUNTY (360) 427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 BUILDING• PLANNING•FIRE MARSHAL (360) 482-5269 Elma ext. 352 --- Mason County Bldg. 8 P�A N N I N G tau 615 W. Alder Street, Shelton, WA 985 www.co.mason.wa.us COM GO rri 24 I ?) CHANGE IN TENANT APPLICATION 601 a PROPERTY INFORMATION Date: p_ _ Assessor's Parcel Number: 17 3 7 DOO 10 Legal Description: :5 Zq-Z3tj - Ik) Building Site Address: (21Z19 I j(F 1416pody '3 G-L- 412 I„�A QksL APPLICANT INFORMATION Name of Applicant: 1k W6 PLAZA (_LC Mailing address: -7 ?Joe-TN City: 954.i 0cl 1 S State: Zip: Q p Day phone36o -71c Tq I Contact Person:sr�-Utz- STA Lj�k Message phone: J(,p -1 r o y i PROJECT INFORMATION Proposed business name: 4AMIGAS Proposed use: p S Number of employees: 3 Previous business name: VACA -r_` '" Describe previous use: STRUCTURE DETAILS Check one: O Detached single level/ single tenant 0 Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure cyLErently If not occupied, how long has it been vacant? 11T-) occupied? Yes No Yr. 3 Mo. � Square p Basement: Fjrs .C1C =z eanine: Second: Third: foota e: `` Is the structure =NoF'upel e of Heat: Circle one: Furnace Heat Pum Electric wall Radiant heated? Ye Circle one: s t pe: Circle one: Electri Liquid Propane Natural Gas Oil Wil ere be any changes to the fol owing? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting: Ye No Heating: Yes o Exterior Finishes: Yes o Interior Finishes: e No Parking: Yes No Number of restrooms provided: Number of fixtures in each: 2 Water Closets 7- Lavatories 2 Bath/Shower Is structure handicap accessible? Entry: Ye No Restroom(s): es No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No Monitoring Station Name: 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 • Distance, in feet, from property line & structures . Location of all existing structur KD • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards ? • Location of fire hydrants & vehicle access roads • Well location QC 71211$ • Parking areas (number & arrangement) Continued on back 1010 W. A 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 190 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. X f 0 Signature of Applicant Date X S7-0'1g ST1UJa(- Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by7— J2=JSDate 6' Submittal Amount $ Receipt number Department Review Initials Date Comments Buildin Fire Marshal Planning /✓J �� 2 �4 Occupancy Change? (circle one) Yes f No Land Use Designation:i�Ei-fauc) UeTA - Er'u-, Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction V b r Asor coLNT MASON COUNTY (360)427-9670 Shelton ext.352 .� DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 BUILDING•PLANNING• FIRE MARSHAL (360)482-5269 Elma ext. 352 -- Mason County Bldg. 8 ls�a 615 W. Alder Street, Shelton, WA 98584 www.co.mason.wa.us coM �o n 1 20 I - CHANGE IN TENANT APPLICATION COI a PROPERTY INFORMATION Date: p_ Assessor's Parcel Number: 17-37-1 liq oOo l p Legal Description: 5E Z -z 3 P — 1lk� Building Site Address: 12'37.'9 I•J(C' 1416 04-f 13 tj(_�Lk IIL wA Q YZ APPLICANT INFORMATION Name of Applicant: 1A. LoG PLAZA L L Mailing address: --? IJ, s tJOAT14 . City: An,,oce is State: WA Zip: S p Day phone36o -110 Tq jj Contact Person:SfL�V(F ST Ujk Message phone: J60 ) PROJECT INFORMATION Proposed business name: 4 GA_T Proposed use: p S Number of employees: 3 Previous business name: VACAIIJT Describe previous use: STRUCTURE DETAILS Check one: O Detached single level/ single tenant 0 Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure cgrxently If not occupied, how long has it been vacant? 11 occupied? QYe_sN,, No Yr. Mo. Square -5pNrcll Basement: F(rs : i ezzanine: Second: Third: footage: Is the structure Type of Heat: Circle one: Furnace Heat HP um wall Radiant heated? Circle one: Yes No Fuel type: Circle one: Electri Liquid Propane Natural Gas Oil Wil ere be any changes to the fol o ing? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting: Y No Heating: Yes o Exterior Finishes: Yes o Interior Finishes: e No Parkin : Yes No Number of restrooms provi ed: Number of fixtures in each: 2- ater Closets 2- Lavatories 2- Bath/Shower Is structure handicap accessible? Entry: Ye No Restroom(s): QeD No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No Monitoring Station Name: 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 structur V�nr�0Nss+4,59 - • On-site sewage tanks and drain fields, & reserve • Landscape buffer yards V C I V �-- • Location of fire hydrants & vehicle access roads • Well location OCT 1 7 2018 • Parkin areas (number & arrangement) Continued on back 615 W. ��I AA x�eC U S E i 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. X52�c /0 Signature of Applicant Date X S-roju S-rA't)JL Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by 1 Date Submittal Amount $ Receipt number Department Review Initials Date Comments Building Fire Marshal Planning Occupancy Change? (circle one) Yes GD Land Use Designation UGTA - MCI Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction V b