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HomeMy WebLinkAboutCOM2018-00106 Change Tenant - COM Application - 8/24/2018 RECEIVED MA ILDING AUG 3 0 2018 SON C 6 27-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVI��fbw• Alder 0 75 4467 Belfairext. 352 BUILDING•PLANNING•FIRE MARSHAL (360) 482-5269 Elma ext. 352 F Mason County Bldg. 8 615 W. Alder Street, Shelton,WA 98584 www.co.mason.wa.us COM a0 -oa D(P CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's Parcel Number: /�,Z ,'Z0 '<-0 'R-ama Legal Description: AU LK: W 4ah 3 -k v - VAC Building Site Address: APPLICANT INFORMATION Name of Applicant: Mailing address: Itjp City: State: W A- Zip: qks 3 Day phone: 3 Contact Person: Message phone: PROJECT INFORMATION Proposed business name: n Proposed use: el! Number of employees: Previous business name: Describe previous use: STRUCTURE DETAILS Check one: ® Detached single level/single tenant 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 vacant? /a 'ed I occupied? No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: footage: $w Fez) Is the structure Type of Heat: Circle one: Furnace Heat Pump ectric w I Radiant heated? Circle one: & No Fuel type: Circle one: c r Liquid Propane Natural Gas Oil Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes d�D Lighting: Yes Heating: Yes ao Exterior Finishes: Yes Interior Finishes: Yes Parking: Yes Number of restrooms provided: Number of fixtures in each: / Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: YesX No Restroom(s): e o Is the structure equipped with a fire sprinkler system? Yes 63 Fire alarm system? Yes o Monitoring Station Name: • As d;"I l Phone number: o 07,r- pg�q 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 Ja- �w 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 180 DAYS WILL INVALIDATE THE APPLICATION. X /il q b r Signature of Applicant <:2T Date X 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) A Land Use Designation: V G Occupancy classification change from t New occupant load calculated: EL persons Existing occupant load design 141 _persons. Type of construction V b RECEIVED AUG 3 0 2018 MASON COU4075-4467 27-9670 Shelton ext.352 W. AlderDEPARTMEN b�S Belfair ext. 352 BUILDING•PLA I NG (360)482-5269 Elma ext. 352 f Mason County Bldg. 8 615 W.Alder Street, Shelton, WA 98584 www.co.mason.wa.us CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's Parcel Number: /� ,Z 2 o 57 R-ma Legal Description: ALL #j LIG: W 4oA -3 v ' VACCaw Building Site Address: APPLICANT INFORMATION Name of Applicant: - e✓ ,,, Mailing address: ? City: IZ State: W A Zip: qk.5 3 ' Day phone: 3 Contact Person: Message phone: PROJECT INFORMATION Proposed business name: n Proposed use: aUe e I Fee of Number of employees: Previous business name: 5 t 1 Describe previous use: STRUCTURE DETAILS Check one: ® Detached single level/single tenant 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 vacant? /a y occupied? No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: footage: ?0b Is the structure =NoFyupe of Heat: Circle one: Furnace Heat Pump ectric w I Radiant heated? Circle one: e: Circle one: c r Liquid Propane Natural Gas Oil Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes d4D Lighting: Yes Heating: Yes ao Exterior Finishes: Yes Interior Finishes: Yes Parking: Yes er of fixtures in each: Number of restrooms provided: Numb Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: YesX No Restroom(s): e o Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? Yes No Monitoring Station Name: r_„C, f�;s ,;�f l Phone number: o '273- �Pggq 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 360.427.9670 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 180 DAYS WILL INVALIDATE THE APPLICATION. -75!�P- 75 2�2qbr Signature of Applicant Date X L:�31Loy,CL-, P <f!g .r 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 go-'a J6 DA 4 Occupancy Change? (circle one) � No Land Use Designation: V G Occupancy classification change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction f RECEIVED AUG 3 0 2018 MASON COUNTY 27-9670 Shelton ext.352 -i.°�u� COLhTF DEPARTMENT OF COMMUNITY SERVI��§ 75-4467 Belfair ext. 352 BUILDING• PLANNING• FIRE MARSHAL T10t 4(R36'�O)482-5269 Elma ext. 352 f Mason County Bldg. 8 MARSHAL 615 W.Alder Street, Shelton, WA 98584 www.co.mason.wa.us COM ov.9 -00\ D W CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's Parcel Number: 12.22o 5D g-ma Legal Description: (ALL iU LIG: -3 v ' VAC �w Building Site Address: APPLICANT INFORMATION Name of Applicant: e✓ Mailing address: j1jP City: G; State: w A Zip: eM3 3 ' Day phone: 3 Contact Person: Message phone: PROJECT INFORMATION Proposed business name: -, n Proposed use: Number of employees: Previous business name: Describe previous use: , STRUCTURE DETAILS Check one: ® Detached single level/single tenant 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 vacant? /. .ej occu ied? C2No Yr. Mo. Square Basement: First: Mezzanine: Second: Third: footage: $w VCY) Is the structure Type of Heat: Circle one: Furnace Heat Pump ectric w I Radiant heated? Circle one: No Fuel type: Circle one: c r Liquid Propane Natural Gas Oil Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes M Lighting: Yes Heating: Yes CA?O Exterior Finishes: Yes Interior Finishes: Yes Parking: Yes Number of restrooms provided: Number of fixtures in each: / Water Closets Lavatories Bath/Shower Is structure handicap accessible? Entry: YesX No Restroom(s): e o Is the structure equipped with a fire sprinkler system? Yes a I Fire alarm system? Yes No Monitoring Station Name: `m, As ,;,( r j41 1 Phone number: UO 07,T �96-,4 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 t 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 180 DAYS WILL INVALIDATE THE APPLICATION. I x � Signature of Applicant Date x �f d�ti � 5 ( 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) es No Land Use Designation: V G Occupancy classification change from to New occupant load calculated: persons Existing occupant load design _persons. Type of construction Sail On In, LLC 66vy-�9 RECEIVED 12220-50-80001 1 inch = 20 feet SEP 13 2018 18191 E. S R-3 Allyn, WA, 98524 �s�� 615 W. Alder 4W-t , , 120' P13 A �a 0, P 12 O P8 P9 1ZOP 11 landscape 20 landscape 1 0' Pi�P6 storage 'well ADA P7 P4 P3 P2 nT P1 zz 3 5, landscape Sail On In. LLC (-6vy-�9bb & co`ow RECEIVED 12220-50-80001 1 inch = 20 feet SEP 13 2018 18191 E. S R-3 _ Allyn, WA, 98524 �►s-� nq 615 W. Alder 404t , , 120' 01 P13 J �a 0' P 12 O P8 P9 10 P11 landscape landscape 1 0' P�6 storage ' ADA well P7 P4 ZIP P3 m m P2 H P1 35' CL landscape � Sail On In, LLC freezer freezer 18191 E. SR-3 12220-50-80001 Water tank Allyn, WA, 98524 Nstorage ' storage 1 inch = 5 feet E 36" swing 36" swing Well hea 20' 40' entrance/exit Order window window window xit T ch air ch air on 36" swing ridg bathroom ride o __ 15 _ C w ndow 36" swing ha. aj -- Barista �\ Dining area area wir dow 115.5 / i { 16x15 ® ; 9x14 order here window 7 0 U eh�tj oobll01air ch 00 Cgir chf, 't t ,air counter window window window window window Order window