HomeMy WebLinkAboutChange Tenant I-502 - COM Application - 7/18/2016 t +
cc:CMMRS Neatherlin,Sheldon&Jeffreys
Clerk
TO BE KEPT IN THE (ZMacl> e3 01-44�
PARCEL FILE
Washington Stale
Liquor and Cannabis Board
NOTICE OF MARIJUANA LICENSE APPLICATION
WASHINGTON STATE LIQUOR AND CANNABIS BOARD
License Division - 3000 Pacific, P.O. Box 43075
Olympia,WA 98504-3075
Customer Service: (360) 664-1600
Fax: (360) 753-2710
Websitc: http-./Ilcb.wa.gov
RETURN TO:localauthority@sp.leb.wa.gov
TO:MASON COUNTY COMMISSIONERS DATE: 7/16/16
RE:NEW APPLICATION
U B I:603-3 59-782-001-0001
License: 415127 -7T County:23 APPLICANTS:
BOMAR HOLDINGS, INC.
Tradename:BOMAR HOLDINGS BOMAR,BRYN
1990.01-02 ,m
Loc Addr. 1B321 WA-3
ALLYN,WA 98524
Mail Addr. 1110 EJOHN ST#9 JUL � � 016
SEATTLE,WA 98102-5870
Mason County
Phone No.: 206-295-2411 BRYN BOMAR
CotTafnifisiclraf;rs
Privileges Applied For:
MARIJUANA RETAILER
As required by RCW 69.50.331(7) the Liquor and Cannabis Board is notifying you that the above has
applied for a marijuana license. You have 20 days from the date of this notice to give your input on
this application. If we do not receive this notice back within 20 days,we will assume you have no
objection to the issuance of the license. If you need additional time to respond, you must submit a
written request for an extension of up to 20 days,with the reason(s)you need more time. If you
need information on SSN, contact our Marijuana CHRI desk at(360)664-1704.
YES NO
I.Do you approve of applicant?............................ ............................... ❑ ❑
2.Do you approve of location?.... .................................................. ...... ❑
1If you disapprove and the Board contemplates issuing a license, do you wish to
request an adjudicative hearing before final action is taken?.......... ......................... ❑ ❑
(See WAC 314-55-160 for information about this process)
4.If you disapprove, per RCW 69.50331(7)(c) you MUST attach a letter to the Board
detailing the reason(s)for the objection and a staters o 11 facts on which your
objection(s)are based.
1
�.A \ SIGNATURE OF M MI'Y - GER,COIl:'YN'ICOMMISSIONTRS ORDEStGNEE
�Pe°N Cp°hrp MASON COUNTY (360)427-9670 Shelton ext. 352
COMMUNITY SERVICES DEPARTMENT (360)275-4467 Belfair ext. 352
Mason County Bldg. 8, 615 W.Alder Street (360)482-5269 Elma ext. 352
tr
Shelton, WA 98584 www.co.mason.wa.us
rasa
July 18, 2o16
Washington State Liquor and Cannabis Board
License Division
Post Office Box 43075
Olympia,WA 98504-3075
Via E-mail: localauthority@sp.icb.wa.gov
RE: BOMAR HOLDINGS LICENSE NO.:415127-7T
18321 E.WA 3
ALLYN,WA 98524
Pursuant to your Notice of Marijuana License Application dated July 16, 2o16 regarding the
Marijuana Retail license for Bomar Holdings, please accept this as our disapproval per RCW
69.50.331(7)(c)for the following reasons:
1) Location Address is within a Zoning District that does not permit Marijuana
Retailers
Thank you for this opportunity to comment, and please let me know if there is any additional
information we can provide. I can be reached at the above address,at(360)427-967o,ext. 286
or at BarbarA(a)co.mason.wa.us.
Th k you,
C4
7 -
Barbara A.Adkins,AICP
c: Mason County Commissioners
RECEIVED
MAY 14 202n
mph MASON COUNTY (360)427-9670 Shelton ext.352
m rp DEPARTMENT OF COMMUNIT EgVED (360)275-4467 Belfair ext. 352
BUILDING®PLANNING®FIRE MARSHAL (360)482-5269 Elma ext. 352
- - Mason County Bldg. 8 JUN 19 2020
rasa 615 W. Alder Street, Shelton,WA 9851M5 W. Alder Street www.co.mason.wa.us
COM_2020-0048
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: 5/4/2020 Assessor's Parcel Number: 123325000027
Legal Description: SAM B THELER'S HOME&GAR TRS
Building Site Address: 23211 SR 3, Belfair WA 98528
APPLICANT INFORMATION
Name of Applicant: TM Evans LLC
Mailing address: 15600 NE 8th ST# B1-391
City: Bellevue State: WA Zip: 98008
Day phone: 425-890-9754 Contact Person: Thomas"JAE"Evans Message phone: same
PROJECT INFORMATION
Proposed business name: Vista Financial
Proposed use: Office Number of employees: 3
Previous business name: WSDOT Describe previous use: Office
STRUCTURE DETAILS
Check one: 0 Detached single level/single tenant '8' Single level/ multi tenant
0 Multi level/single tenant 0 Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
1957 1 occupied? Yes o Yr. Mo. 6 mnths.Since Change in ownership
Square 2400 Basement: First: Mezzanine: Second: Third:
footage: 1100 1 1300
Is the structure Type of Heat: Circle one: urnace Heat Pump Electric wall Radiant
heated?
Circle one: es No Fuel e: Circle one: Electric Liquid Pro ane Natural Ga Oil
Will there be any changes to the following? Circle yes or no, if app i`ca e-
Floor lay-out: Yes No Lighting: Yes No Heating: Yes PNo�
Exterior Finishes: Yes No Interior Finishes: es No Parking: Yes
Number of restrooms provided: Number of fixtures in each:
1 I Water Closets Lavatories 1 Bath/Shower
Is structure handicap accessible? Entry: Yes No Restroom(s): Yes o
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):
0 Draw the floor plan to scale • Use of rooms
E Room Dimensions • Location of all exits and windows (include dimensions,
® Location of plumbing and mechanical fixtures counters, tables, shelving, benches, fire exits
0 Interior doors with swing radius and exit signs).
Site Plan(1): Note scale used
0 Property lines, easements, & right of ways • Location of all existing structures & dimensions
9 Distance, in feet, from property line & structures • Location of all existing structures &dimensions
0 On-site sewage tanks and drain fields, & reserve • Landscape buffer yards
® Location of fire hydrants &vehicle access roads • Well location
0 Parking areas number&arrangement)
Continued on back
Y14 k
If construction or remodeling is proposed an addition*Building,(?ermit and cons�trEIVED
documents/drawings may be required.
After permit issuance and compliance to all conditions is complete, JUN 19 20
schedule an inspection by calling
360.427.9670 ext. 352 615 W. Alder S reet
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.
��X 5/4/2020
Signature o Applicant Date
XThomas Evans 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 —t�
Fire Marshal
Planning
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 V9
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.
X 5/4/2020
Signature of/Applicant Date
X Thomas Evans 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 lox)
Fire Marshal
Planning
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 � s
f_!n"v r?-�U\w-S VqA�A-VDU y)� VqDv`l'
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.
X 5/4/2020
Signature o Applicant Date
X Thomas Evans 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 /iU5'r4tc- LAoJ9,,5 F iWJw
i(A'AV COLM20 2�--oo 6311
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
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.
X Z4--+�.� 5/4/2020
Signature of/Applicant Date
X Thomas Evans 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:
Occupancy classification change from to New occupant load calculated: persons
Existing occupant load design persons. Type of construction
AP
J U N 2 4 2020
MASON COUNTY ENVIRONMENTAL HEALTH
LYc
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.
X 5/4/2020
Signature o Applicant Date
X Thomas Evans 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 (v 23 ' Ze 5MAA �
Planning
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
RECEIVED
MAY 14 2020
61�
SITE PLAN 1
126
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PARKING
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WC RAMP MAX 2%
PARKING
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199.25'
...................................................._.........................................................................................................._.._.._._............................._...._........................................................................................
'
STATE HIGHWAY 3 �►� .
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SP
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MPSpN
RECEIVED
MAY 14 2P;29
SITE PLAN
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41
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O�
PARKING
.................................. DVED
A
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kl G UILDI 3
GAS METE
MASON rOulm
35'- Li
WC PhMP X 2%
PARKING
rn..............................................................................
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uj
199.25' -
.............. ......
STATE HIGHWAY 3
---------............-----------------------------------------------------------------------..................................................