HomeMy WebLinkAboutCOM2016-00062 Cancelled Change in Tenant - COM Application - 4/20/2016 MASON COUNTY DT IN
C (360)427-9670 Shelton ext.352
` DEPARTMENT OF COMMU ELOPMENT (360)275 4467 Belfair ext. 352
` BUILDING• PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
- _-- Mason County Bldg. III, 426 West Cedar Street
r 79, Shelton, WA 98584 www.co.mason.wams
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APR 2 0 2016 COM �.��(Q-(���Z..
CHANGE IN TENANT APPLICATION
15 VV. Alder Street
PROPERTY INFORMATION
Date: / ,� j Assessor's Parcel Number:
Legal escription: _ f
Building Site Address ,^,
APPLICANT INFORMA ION
Name of Applicant: ,5
Mailing address:
City State: Zip:
one: t"
Day ph — Contact Person: c Message phone'
PROJECT INFO TION
Proposed business name 2 e&
Proposed use: Number of employees:
Previous business nam a- ' Describe previous use:
STRU DETAILS
Check one: O Detached single level/single te6ant 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 aca t?
occupied? Yes Yr. Mo. foe
Square Basement: First: Mezzanine: ncond:
T rd
footage:.
Is the structure Type of Heat:'Circle one: Furnace Heat Pump Electric wall Radiant
heated?
Circle one. Ye No Fuel type: Circle one: Electri Liquid Propane Natural Gas Oil
Will there be any changes to the following? Circle yes or no, if applicable.-
Floor lay-out: Yes No Lighting: Yes So_.
Heating. Yes
Exterior Finishes: Yes Interior Finishes: Yes Parking:* es FNo.
Number of restrooms provi ed: Number of fixtures in each:
Water Closets LavajoQps Bath/Shower
Is structure handicap accessible? Entry: Yes 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:
APPLI TiON WILL NOT BE ACCEPTED WITHOUT:
Floor Plan (5 sets):
• Draw the floor plan to scale a Use of rooms
• Room Dimensions a 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 e Location of all existing structures & dimensions
• Distance, in feet, from property line & structures a Location of all existing structures & dimensions
• On-site sewage tanks and drain fields, & reserve a Landscape buffer yards
• Location of fire hydrants &vehicle access roads a Well location
• Parking areas (number & arrangement)
Continued on back -�
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
360.427.7262 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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPL N OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X 0
�¢
Signature of Applicant D e
X �v� Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by Date Submittal Amount$ v� Receipt number�Z co J(D
Department Review Initials Date Comments
Buildin
Fire Marshal r /
Planning �l 1G1(�� l�X I Vt JZC1
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 Map Output Page Page 1 of 1
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DISCLAIMER AND LIMITATION OF LIABILITY: _
The data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County
,GIF P111COMOAt OF
location of arty map features contained herein.The boundaries depicted by these data are goads [ Fodoral Lands
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability H191IMays City of Shelton
or responsibility arising from the use of this map in a manner not intended by Mason County.
In no event shall Mason County be liable for direct,indirect,incidental,consequential, R1v0r5 3 Str 3rr�g Gotxdy B3undery(UNft)
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits parcels Cotnrrii SSlonfft D5tricta
or benefits arising from use of or reliance on the information contained herein
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RECEIVED PLANdfG 4G
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FROM THE FURTHEST
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ABU MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
FIRE MARSHAL
TM Mason County Bldg. III,
426 West Cedar Street, Shelton, WA 98584
www.co.mason.waus Shelton(360)427-9670 Belfair(360)275-4467 Elma (360)482-5269
April 25,2016
Fire Marshal Notes:
Permit: COM2016-00062
Name:Grapeview Store
Phone:253-232-5534
• All exit doors must swing in the direction of travel to exit(outwards).
• Post illuminated exit signs on all exits.
• No cooking of grease latent vapors is permitted without approved commercial hood and suppression
system. If cooking is done a commercial stove and hood will be required. This was not included in
this review.
• Provide emergency lighting per IFC 1006
• Fire extinguishers(minimum rating of 2A:IOBC)shall be mounted not more than 5' above the ground.
Travel distance cannot exceed 75'.
• Occupancy load must be posted as 23.
• Fire access provided as required Mason County Title 14(Attached).
• Merchandise isles must be at least 36"wide.
• Knox box key access provided to local Fire District. Contact Patti Graber @ Mason County Fire
District 3 for ordering information.
• Posted signs above doors "THIS DOOR TO REMAIN UNLOCKED WHILE THE BUILDING IS
OCCUPIED".
Reviewed by:Jeromy Hicks
Mason County Map Output Page Page 1 of 1
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DISCLAIMER AND LIMITATION OF LIABILITY:
The data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND
-- as to labeling, — ------- ---- —- ---
location of any map features contained herein.The boundaries depicted by these data are Roans { i-e rd1 L8nd5
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability Higtmays City of Shelton
or responsibility arising from the use of this map in a manner not intended by Mason County. ti R1vors&Stroams [� Comxrly Daund ery j0f JR)
In no event shall Mason County be liable for direct,indirect,incidental,consequential,
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits P,3roels Commi sslormer D slrlds.
or benefits arising from use of or reliance on the information contained herein if
Sections � Lakes
®2009-Mason County GIS
100 W.Public Works Dr Tawrishys ',� NO Sound 8 Mal{Y Lakes
Shelton,WA 98584
RECEIVE® PL AINI'i IP
APR 2 0 20i6 AL`'SETBACKS ARE fViZ4'SURED
FROM THE FURTHEST
v+J. Alder Strut w. r ROJECTION OF THE BUILDING
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