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Home My WebLink AboutCOM2015-00152 Final Change in Tenant, Retail Medical Cannabis Dispensary - COM Permit / Conditions - 11/1/2015 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT inspection Line tsbu/4zi-tzuz Mason County Bldg. III Phone: (360)427-9670, ext. 352 426 W. Cedar Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2015-00152 OWNER: MARI MEDS RECEIVED: 10/211201E CONTRACTOR: LICENSE: EXP: ISSUED: 10/23/201 E SITE ADDRESS: 24090 NE STATE ROUTE 3 BELFAIR EXPIRES: 4/23/2016 PARCEL NUMBER: 123283290030 LEGAL DESCRIPTION: LOT: B OF SP#178 PTN TR 3 OF NW SW PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT, RETAIL MEDICAL CANNABIS FOLLOW ST RT 3 TO BELFAIR TO SITE ADDRESS ON THE RIGHT SIDE. DISPENSARY THEN FOLLOW TO SUITE I General Information Construction &Occupancy Information Type of Use: MEDICAL CANNAE Insp.Area: No. of Units: Type of Constr.: Type of Work: TRA Fire Dist.: 2 No. of Bathrooms: Occ. Group: Valuation: No. of Stories: Exit Design. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2015-00152 Please refer to the following pages for conditions of this permit. Page 1 of 3 .� 1%. Plumbing Fixtures Mechanical Fixtures rtta Type Qty. Type Qty. Type By Date Amount Receipt Totaf CASE NOTES FOR COM2015-00152 CONDITIONS FOR COM2015-00152 1) 1. Install Fire Extinguishers per IFC Chpater 906 2. All electircal appliances and circuits must be installed per NFPA 70 and inspected by State Electrical Inspector. 3. Provide Knox Box 4. All fire exit access doors must be easlily operated by staff and remain unlocked during business hours for public accessed areas. 5. Grow operatons are limited to the state mandate. These operations shall be limited in size to reduce fire risk. If grow operations become excessive as to change the Occupancy Type, additional fire protection systems will become necessary. 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 constructiA work is suspended fqrape,jjoqof 180 days. PROOF OF CONTINUATION OF WOR IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT P ICATIONj6F 180 AY W INVALIDATE THE APPLICATION. Sig ture Date (Zf13 � , Val �l�r OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) COM2015-00152 Page 2 of 3 0 3 K CONCRETE MECHANICAL MANUFACTURED HOME N cn Footings /Setbacks �s Plpl�� By Ribbons 3 o Intenor Date By Interior-Date By Date By 0 N Exterw Date By Exterior-Date By Set-up (n Point Load I Isolated Footings INSULATION Date By BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation walls Floors Date By Date By Data By DECKS FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type: Date By Date - By Date By D.w.v DRYWALL Type: 0O Int Brace wall Date By Date By &M Date By FINAL INSPECTION c Water Line Fire Seperation Date B Date By Data By y p CD Pass or Request Inspect. -TypeGof Insp. Fail Date Date Done By Comments N t�G . � � �` I �� aN 6 Nv�� l�ar✓ v cD w 0 w 0 - MASON COUNTY (360)427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352 1� 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 CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: ko - k(9- ZO -' Assessor's Parcel Number: 32- Legal Description: Building SiteAddress:z 90 _-3 S-r�• r j Q- W 85Z APPLICANT INFORMATION Name of Applicant: 1jiZ� w Z- Mailing address: gyp, �tb City: State: Zip: SZar Day ph 2 Contact Person: Message phone: -� L� PROJECT INFORMATION Proposed business name: Proposed use: ,S,N,Z Number of employees: 'L Previous business name: Describe previous use: A. STRUCTURE DETAILS Check one: O Detached single level/single tenant • Single level/ multi tenant O Multi level/ single tenant O Multi level/multi tenant Age of str cture: Is structure currently If not occupied, how long has it been vacant? J� occupied? es No Yr. Mo. Square Basement: Firs : Mezzanine: Second: Third: footage: V4 DD N D N O t19 t-10 is the structure Type of Heat: Circle one: Furnace Heat Pump ectnc wa Radiant heated? Circle one: es No Fuel type: Circle one: lectric Liquid Propane Natural Gas Oil Will there be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes (ED� Lighting: Yes (19) Heating: Yes <1�1 Exterior Finishes: Yes ® Interior Finishes: ® No e Parking: Yes o Number of restrooms provided: Number of fixtures in each: Water Closets j Lavatories Bath/Shower Is structure handicap accessible? Entry: No Restroom(s): a No Is the structure equipped with a fire sprinkler system? Yes Fire alarm system? Yes o Monitoring Station Name: I Phone number: APPLICATION WILL L 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 J�) 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 1 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 I 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 OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Si re of Applicant Date X 2C2&27—Q t wLC �� Owner/Owners Representative/Contractor Print Name (circle to indicate which one) r- Official Use Only Accepted by Date Submittal Amount$ Receipt number L Department Review Initials Date Comments Building Fire Marshal 1 i 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-S o2�ay clG C) \�CA) M_ 3. da�v df GI 1 r. 1 dT K f G •L� dy� t. a l�r �L "vv ---�- er arcs S1�'�Z+.1- rnoCN 1 Nl 1� ?C'�