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Home My WebLink AboutCOM2014-00073 Change in Tenant - COM Application - 5/28/2014 1 Ov ,tiL �jirnZ014-6w--73 MASON COUNTY (360)427-9670 Shelton ext.352 �A9 ANT` 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 rNs,J PO Box 279, Shelton, WA 98584 o.mason.wa.us O CHANGE IN TENANT APPLICATION i PROPERTY INFORMATION Date: - _ I Assessor's Parcel Number: — Legal Description: Building Site Address: J � , t r APPLICANT INFORMATIQN Name of Applicant: Mailing address: XAZ a;, s� City: � qw ANa j State: Zi 3 Day phone:_Q�pv ZWkMJ Contact Person:. Message one: PRO ECT O TION Proposed business name: Proposed use: j mber of employees: Previous business name: Describe previous use: STRUCTURE DETAILS Check one: eDetached single le I/ sipale tenant Single level/ multi tenant O Multi level/ single to X Multi level/multi tenant Age of structure: Is structure ently I not occupied, how long has it been vacant? occupied? a No r. Mo. Square O Basement: first: / Mezzanine: __[`Second: Third: foots 1/ Is the ructure Ty f at: Circle/e (ilec?ri Furnace Heat Pump Electric wall Radiant I ? Circl on Y No ue e: Circle o Liquid Propane Natural Gas Oil ill t e any changes the fo owin �, ircle yes or no, if applicable Floor y-out: Lighting Yes _ Heating: Yes Exterior Finishes: Y No Interior Finishes: Ye No Parkin : Yes o Numt er of restroom provided: Nu of fixtures in ch: ber Water Closets Lavat ies Bath/Shower Is structure handicap accessible? Entry Yes No Restroom(s): Is the structure equipped with a fire sprink r system? Yes Fire alar stem? Yes o Monitoring Station Name: Pho number: APPLICATION NLL NOT BE ACC ED 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. PROOF OF CONTINUATION 9F WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATI OF 180 DAYS WILL INVALIDATE THE APPLICATION. ignature df Applicant Date x 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 9 3 i O a VID 31 a u APPROVED MASON COUNTY DCD PLANNI JG SITE PLAN REQUIRED TO BE ON SIT CHAN r X ECT TO APPR VAL BY Date MASON COUNTY (360)427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352 w 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 Mason County Dept. of Community Development Fire Marshals Office P.O. Box 279 Shelton WA.98584 Oct 18, 2012 Washington State Fire Marshal Office Attn:Chief Deputy Dan Johnson Re:Investigation report for fireworks explosion 25603 NE State Route 3 Belfair WA 98528 Dear Mr.Johnson, This letter is to follow up on the phone conversation you had with Mason County Chief Deputy Prosecuting Attorney Timothy Whitehead in regards to the explosion of 1.3g fireworks that'occurred at 25603 NE State Route 3 Belfair Auto Wrecking on 6/25/2012, please see attached fire investigation report from Mason County Fire District 2. Pursuant to WAC 212-17-470 (3) The fire investigation report is being forwarded to your office for prosecution. Please free to contact me if you have any question or require further information. . 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