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Home My WebLink AboutCOM2009-00091 Change Tenant Pet Grooming - COM Application - 9/1/2009 PPF- com 21' -(Joo 1 I MASON COUNTY TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan, site plan, septic pumper's report, septic records and $141.00 fee to the Mason County Permit Center, P.O. Box 186, Shelton, WA 98584. During the evaluation of your Tenant Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed/required a separate building permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule a site 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 ,':. hA�tji� j h, rN"fic V dp{sf. . . �f! :+R'..R..:15TP^�. w .•4 . a 1 t '{ Date: l Assessor's Parcel Number: M-,3iq j 7ZZ C CX>3 Legal Description: SP Z l I (S PIF AIL4) Building Site Address: !„� " ►1P, ! Method of sewage disposal: P Septic O Sewer- name of district: Water source: O Individual Well 0 Community Well O Public System, name of system: PEOPLE INVOLVED IN THE PROJECT .'.. ' Name of Applicant: LCA 1,U .e-4 •- Mailing address: I r, City: C r %k I State. W4 Zip: E-Mail Address: L'JOAC4060L Day phone:&Cgo 'j3 FAX phone: Contact Person: Proposed business name: Alph ke -r Proposed use: P Number of employees: Previous business name: Describe previous use: STRUCTURE DETAILS Check one: 4W Detached single level/ single tenant 0 Single level/ multi tenant 0 Multi level/ single tenant Q Multi level/multi tenant Age of structure: Is structure currently If not ccupied, how.long has it been vacant? occupied? Yes N Yrs mos. ice=' Square footage: I Basement: I First: (p�� Mezzanine: Second: Third— Is the structur heated? Heating type: Circle Circle one: es No lectric Li uid Pro ane Nat �LGa Oil Type of he rcle one: Furnace Heat Pump le diant Will there be an c nges to the following? Circle yes or no, if applicable: Floor lay-cut: Yes Lighting: Yes Heating: Ye Exterior Finishes: Yes (�E Interior Finishes: Yes Parking: Yes NO' Number of restrooms provided: l I Number of fixtures in each 7—,14,24 Is structure handicap accessible? Circle on Y No Is the structure equipped with a fire sprinkler system? Yes N Fire alarm system? Yes No Monitoring Station Name:C Phone number �; ;ii °(1 r q: .. '. •:. s , his a pplicatiori'with. {t Return t 1. 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 Interior doors with swing radius 2. Site Plan (5 sets): Note scale used • 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 drain fields, & reserve Well location • Surface& storm water run-off routes Parking areas (number&arrangement) • Location of fire hydrants&vehicle access roads 3. Septic records, pumper's report or O&M report. --/UQT 4. Fees will be collected at time of submittal. Balance due will be collected when the permit is approved and issued. Accepted by Date C{- Submittal Amount $ 1�; ` Receipt number Department Review Initials Date Comments Building Environmental Health Fire Marshal Planning f�,ra.l C.vw�wevc�a/3 Public Works Pre Application required? (circle one) Yes 0 Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes Type of construction Occupancy Change? (circle one) Yes No New Occupant load: persons Occupancy classification change from to Existing occupant load design persons. Valuation: $ INVESTIGATION REPORT FORM Revised 11/14/06 � ( 2 Case Number: CokeParcel# 3�a I� - � - o03 Violation Site Address: L:�)Y)G �4C . Property Owner(s): (; a r Telephone: Mailing Address: pm7 S,VYA(.pmKxl nN 1 1fp inj 51' \i-V y1 , WA ASS 5q) Occupant of Site or Operator: 1j Complainant Name: C�'101�� Telephone: Complainant Address:—�� Location of Concern/Directions to Site: WouS Ck Y Cx o o l r-, Nature of Concern: ��Q ir[C, < ms Vlp ('�(' T4lfU or Iy151A I IA Gv�p t o SKIS ,YYI . Department of Concern: JoBuilding ZfEH Septic ❑EH Solid ❑Planning ❑Fire ❑Public Works (For Official Use Only Beyond This Point) Received By: k &��,U' Date: '911% 10A Referred To: z�, 4- CAMAA Date: Investigation Date and Findings: iA do, S)icl V.5fr S �k,,(J 5"g1-1 S st,I rOnN%%Ac , 0 D 'A o n C11 osf cj uat a-10 "14 4C44 o`er, Ie, i�7. �►�. f �,�, i>,t �I��,la�� L,O� Resolution: Name: Date: Permit# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION N077CE Job Location 6�2 !�-aE LViWIA This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance et=�P� '�G 4Lrr`� D1vi fill F2:!!- �' �IILz►�L'`' F if You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT a CORRECTION NOTICE Date�� Department L� Inspector ■ ve N�"AT , r-�1 �4 ' THIqx T ' * mv