HomeMy WebLinkAboutChange Tenant Application - PLN General - 11/17/2017 Cov MASON COUNTY (360)427-9670 Shelton ext.352
-*r DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Mason County Bldg. III, 426 West Cedar Street
PO Box 279, Shelton,WA 98584 www.co.mason.wa.us
COM 261 Co i 2-1-1
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: 11/16/2017 Assessor's Parcel Number: 12220-50-20001
Legal Description: anjuana Processing ace i y
Building Site Address: 213 East North Bay Road, Allyn WA 98524
APPLICANT INFORMATION �J
Name of Applicant: Anna Kantzer '9!
Mailing address: PO Box 2083
City: Allyn State: WA Zip: 98524
Day phone:253-226-776 Contact Person:Anna Kantzer Message phone:253-226-7763
PROJECT INFORMATION
Proposed business name: Stash 121 IRA
Proposed use: Mari'uana Processing Facility Number of employees: 4 iG
Previous business name: Describe previous use:
STRUCTURE DETAILS
Check one: O Detached single level/ single tenant O Single level/ multi tenant
O Multi level/ single tenant Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
42 years occupied? Yes No Yr. Mo.
Square Basement: First: Mezzanine: Second: Third:
foots e:780 sq ft 780 sq ft
Is the structure Type of Heat: Circle one: Furnac Heat Pum Electric wall Radiant
heated?
Circle one: Yes No Fuel Type:
pe: Circle one: lectric Liquid Propane Natural Gas Oil
Will there be any changes to the fo owing.1. le yes or no, if applicable•
Floor lay-out: Yes Lighting: Yes Heating: Yes No
Exterior Finishes: Yes o Interior Finishes: Yes Parking: Yes o
Number of restrooms prove ed: Number of fixtures in each:
1 ater Closets 0 Lavatories 1 Bath/Shower 0
Is structure handicap accessible? Entry: TpNo Restroom(s): Ye k No
Is the structure equipped with a fire sprinkler system? Yes (N71 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 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
360.427.7262 or 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.
PRQA'OF� O T NUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
i PLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X�, / I
Signature of Applicant Date
X "J y 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
^fir cop MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352
I BUILDING •PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Mason County Bldg. III, 426 West Cedar Street
rs.:4 PO Box 279, Shelton,WA 98584 www.co.mason.wa.us
COM 2c' il - ooi2-Li
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: 11/16/2017 Assessor's Parcel Number: 12220-50-20001
Legal Description: Marijuana Processing Facility
Building Site Address: 213 East North Bay Road, Allyn WA 98524
APPLICANT INFORMATION % lj
Name of Applicant: Anna Kantzer • �/
Mailing address: PO Box 2083
City: Allyn State: WA Zip: 98524
Day phone:253-226-776 Contact Person:Anna Kantzer Message phone:253-226-7763
PROJECT INFORMATION
Proposed business name: Stash
Proposed use: Marijuana Processing Facility Number of employees: 4
A+A A ft-
Previous business name: Describe previous use:
STRUCTURE DETAILS
Check one: O Detached single level/single tenant O Single level/ multi tenant
O Multi level/single tenant A Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
42 years occupied? Yes No Yr. Mo.
Square Basement: First: Mezzanine: Second: Third:
footage: 780 sq ft 780 sq ft
Is the structure FFue
f Heat: Circle one: Furnac Heat Pum Electric wall Radiant
heated?
Circle one: Yes Nope: Circle one: lectric,) Liquid Propane Natural Gas Oil
Will there be any changes to the fo owing?le yes or no, if applicable
Floor lay-out: Yes Lighting: Yes Heating: Yes No
Exterior Finishes: Yes o Interior Finishes: Yes Parking: YesJ o
Number of restrooms prove ed: Number of fixtures in each:
1 Water Closets 0 Lavatories 1 Bath/Shower 0
Is structure handicap accessible? Entry: es No Restroom(s): Yes(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 & 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
360.427.7262 or 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.
PR �OF O T NUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
PLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X� �`
Signature of Applicant Date
X ODA 4\ 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 2 C,p N r Cd
1 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
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
FIRE MARSHAL
Mason County Bldg. III,
426 West Cedar Street, Shelton, WA 98584
www.co.mason.wa.us Shelton (360)427-9670 Beltair(360)275-4467 Elma (360)482-5269
December 4,2017
Fire Marshal Notes: f ILE
Permit: C0M2017-00124 i
Name: Stash
Phone: Anna Kantzer 253-226-7763
• 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'.
• Provide keys for Knox Box for Fire Department Access. Contact Chief Mike Patti to facilitate. 360-275-
2889-x 501
• Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED V;IME THE BUII_DING 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.
i
Reviewed by. c s
MUST MEET ALL CURRENT
WASHINGTON STATE CODES
THESE PLANS MUST BE
ON THE JOB SITE
AppROVE� ARS"A- FOR INSPECTION
NTY F�
MASON O 1V IN PE 110N
pAT� ItL� pP1.Y. ERRORS
SUB EC'
SS OODES SHAH RE SOLE RESPON
ON p�NS A CORRECSIONS
�P S N�Rp,DtOR ��BE A
pND OR OwNEWOO WSPED�ION N1S RPPRO-T0
SI81�1�OF M F1E EXPENSSO THE R1GH
REONIREDON u0s.
0WNEW NS Z 0 ANY P OR SI NIE
DOES NOj NRDI�,DODNn
V101.PTE A
Fbrgnt M i'sluras
Exit Sign Sink Toilet rtamom x
Water Heater Foyer l
b a
* P—aq tx
e Stooge
Foyer yo i+i
Water Heater
Aaess Dane,
Electrinl vanel
Sink
Asphalt
Parking Stall T Window
M swaura,ve:< —
1 Processing& _
Packaging Room
Exit Sign Heat Pump Security
cl=9� � Onset
— Folding Tabk Folding Table �
32'6' t—0' --►
SUITE B
RECEIVED
Nov
qjJg W.Alder Street
FIRE
MARSHAL
� a
I I I I I I 1 I I I I I I r5t•irs
42" 1 1 1 1 1 1 1 1 1 1 1 1 1
Attic Arsess Panel
Attic Aaers Panel
31'6"
Upper Storage
Floor
Attic Access Panel
3?,
Stone Closet
32'6"
RECEIVE®
Nov 17 2017
615 W.Alder Street
FIRE
MARSHA .,
MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352
BUILDING •PLANNING• FIRE MARSHAL (360) 482-5269 Elma ext. 352
Mason County Bldg. III,426 West Cedar Street
lr�. PO Box 279, Shelton, WA 98584 www.co.mason.wa.us
COM 2 ooi,?_Li
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: 11/16/2017 Assessor's Parcel Number: 12220-50-20001
Legal Description: Marijuana Processing ace i y AM
Building Site Address: 213 East North Bay Road, Allyn WA 98524
APPLICANT INFORMATION ft �J
Name of Applicant: Anna Kantzer .qlry-
Mailing address: PO Box 2083
City: Allyn State: WA Zip: 98524
Day phone:253-226-7760Contact Person:Anna Kantzer Message phone:2§MW7.63
PROJECT INFORMATION
Proposed business name: Stash
Proposed use: Mari'uana Processing Facility Number of employees: 4
Previous business name: Describe previous use:
STRUCTURE DETAILS
Check one: O Detached single level/single tenant O Single level/ multi tenant
O Multi level/ single tenant A Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
42 years occupied? Yes No Yr. Mo.
Square Basement: First: Mezzanine: !!Second: Third:
foota e:780 sq ft 780 sq ft
Is the structure Type of Heat: Circle one: Furnac Heat Pum Electric wall Radiant
heated?
Circle one: Yes No Fuel type: Circle one: Iecto Liquid Propane Natural Gas Oil
Will there be any changes to the fo owing?�c/e yes or no, if applicable•
Floor lay-out: Yes Lighting: Yes Heating: Yes �(A
Exterior Finishes: Yes o Interior Finishes: Yes N'o� Parking: Yes
Number of restrooms prove ed: Number of fixtures in each:
1 ater Closets 0 Lavatories 1 Bath/Shower 0
Is structure handicap accessible? Entry: EE No Restroom(s): Yek No
Is the structure equipped with a fire sprinkler system? Yes (IN—ol 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 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
360.427.7262 or 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.
PR OF 00 T NUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
j ! PLICATaQN OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X
Signature of Applicant Date
e
X 100�1 �,' V�wl- 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 7
�(/� (OrXt Y W I M (4
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
Information for permit: PAR2014-00068 Page 1 of 2
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Assessor/Treasurer items since April 1st, 1992
a Parcel Information ii Please contact the Permit Center(360)427-9670 ext 352 to verify any information
i This information was last updated: 11/28/2017 at 11:02 am
r' Building permits are NOT ready to issue until Case Status is APP and an activity
"Approved for Issuance"is listed
Information for Permit: PAR2014-00068
CasePAR2014-00068
Number CHRISTINE MARSHALL
Case StatusREC Applicant P O BOX 1270
? BELFAIR WA 98528
Parcel122205020001
Number
Project211 E NORTH BAY RD ALLYN
Address
Valuation y$0.00
Description PRE-APPLICATION CONFERENCE FOR CANNABIS RETAIL STORE
Activities
Description Date Assigned Date Done Status Assigned To Done By
Planning Review 09/17/2014 10/01/2014 DONE AHB AHB
PAR2014-00068
APPLICANT:Christine Marshall
MEETING DATE/TIME:WEDNESDAY,Oct.1,2014,11:00 am
PARCEL NUMBER:12220-50-20001
SITE ADDRESS:211 E North Bay Rd.,Allyn WA
PROJECT DESCRIPTION:Location of new retailer business under 1 502 program
REVIEW COMMENTS BY PLANNER:Allan Borden(360.427-9670 ext.365)[from Belfair360.275-4467]
Proposed land use:retail business in existing building,located 38 feet from county road(North Bay Rd.)right-of-way,and 126 feet from north property
line.
Critical Area concerns:Steep slope critical area at rear of buildings on property;new development will need to take slope into consideration during
reviews.
ill1liallillP e bWe
e
Building Height limit maximum of 35 feet. �j�I
Area/Building size.no limit. a
Setbacks:Title 17.12.450
Front:20 ft.landscaped setback.
Sides and Rear 10 ft.landscaped setback for non-residential adjacent land use or 20 ft.landscaped setback for residential adjacent land uses.
Signs:monument sign at road is allowed;and wall or facade signs on buildings per Title 17.15 for Allyn UGA.
Parking needs:1 stall per 250 sq.ft.net floor area for retail uses;provide one ADA suitable parking stall close to the entrance of the building;plan to
account for surface runoff per 2005 DOE stormwater standards as noted in MCC 17.14.030 Parking General Provisions.Existing roof and parking area
runoff could be treated on the property in drywell and infiltration trenches).
Access:existing access with Mason Co.Road Dept..
Sewer:Connection to Allyn UGA system as implemented;in coordination with Mason County Utilities&Waste Management.
Building Plan Review 09/17/2014 10/01/2014 DONE DLC
http://www.co.mason.wa.us/permits/main.php?caseno=PAR2014-00068&case type=PAR 11/28/2017
Information for permit: PAR2014-00068 ' Page 2 of 2
Met with archt and owner of property.Document created as a result of application and information submitted was distributed to reps and is attached to
this case.
It is not known whether the upper floor is usable based upon comment made in the inspection report dated 9.9.94 by bldg inspector L Waters
concerning head room height.See scanned report in bldg records,BLD94-0580.We agreed that an inspection needs to be performed by an inspector
to assess the existing structure and determine whether it can be approved for use.
The bldg dept acknowledges that the existing structure is approved for the intended use and that all changes would need to to comply with current
code including energy code,accessibility,exit,etc.M
Modifications made to the structure so that each tenant has access to the restroom will need to address accessibility requirements for persons with
disabilities.Those areas that are being changed need to comply with accessible requirements
The structure is less than 2000 sq.ft.As a result mitigation for lack of fire flow is not required.DLC 10.1.2014
Environ.Health Review 09/17/2014 10/01/2014 DONE ALP
Water:Because the property is already served with a connection to the Allyn Water System,there is no water adequacy review or form required.
Septic/Sewer:Applicant will need to satisfy all requirements from the Mason County Department of Utilities and Waste Management(extension 207),
which is the manager for the North Bay Sewer System that serves the property.EH will confirm this is done during building permit review.
Fire Marshal Review 09/17/2014 10/01/2014 DONE DLC
Document prepared as a result of the documents submitted is attached to this case and were distributed to representatives who attended the meeting.
Identify items to be stored,anticipated quantity,and confirm hazard(combustible material).When hazard materials are stored in the structure identify
containment as needed.
Identify location and type of of fire extinguishers
The structure is less than 2000 sq.ft.As a result mitigation for lack of fire flow is not required-DLC 10.1.2014
Application Received 09/17/2014 GMM
Public Works Review 09/17/2014 FJP
No access permit is on file so a Road Access Pent(RAP)will be needed to ensure existing access meets current commercial standards.
RAP was given to applicant
RAP needs to be finalized prior to final building permit approval
Permit Fees
Fee Type Amount Due Amount Paid
Planning Pre-App Fee $255.00 $255.00
Environ. Health Review $150.00 $150.00
Total Fees: $405.00 $405.00
Amount Outstanding: $0.00
Conditions
No conditions on this case
Building Home I Planning Home I Environmental Health Home I Disclaimer I Search our Site
http://www.co.mason.wa.us/permits/main.php?caseno=PAR2014-00068&case_type=PAR 11/28/2017
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Electrical Panel
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Packaging Room
Exit Sign Heat Pump
Security
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L.Af
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
360.427.7262 or 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.
PR OF O T NUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
PLICA �QN OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X V1 1 i
Signature of Applicant Date
X �L�KJ� 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
I I I I I I 1 I I r5tairs
42 I I I I I I I I I I I I I
I I I I I I I I I I I I I
Attic Access Panel
Attic Access Panel
316"
Upper Storage
Floor
Attic Access Panel
32,
Storage Closet
32'6"
REC,c/
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met
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MC PI IR1 ir. wr_All TH HEART NTq�
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