HomeMy WebLinkAboutCOM2017-00092 Cancelled Change in Tenant -New Owner - COM Application - 8/18/2017 AOT Cot,, MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL �I VEp (360) 482-5269 Elma ext. 352
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_--_-- Mason County Bldg. 8 AUG Q
rFu 615 W. Alder Street, Shelton, WA 98584 ZQi� www.co.mason.wa.us
Alder Street COMZ 0 )
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: 7 Assessor's Parcel Number: 1 2,3 Zcl - L(/ -400 2-
Legal escription:
Building Site Address: Z'3 q A N r✓ 5} t?o k L 0 U I L.LJ I N G
APPLICANT INFORMATION
Name of Applicant: — G
Mailing address:
City: pYt State: Zip:
Day phone: Contact Person: Message phone: N 2 5 -7- -�;
PROJECT INFORMATION
Proposed business name: [( j sD
Proposed use: ` « -� Number of employees:
Previous business name: 6W24 KISS �j W k_ Describe previous use:
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 structure: Is structure cur ently If not occupied, how long has it been vacant?
occupied? Ye ' ' No Yr. Mo.
Square Basement: First: Mezzanine: Second: Third:
footage:
Is the structure Type of Heat: Circle one: Furnace Heat Pump Electric wall Radiant
heated? _
Circle one: No Fuel type: Circle one: Electric Y� Liquid Propane Natural Gas Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: Yes O Lighting: Yes Heating: Yes
Exterior Finishes: Yes o' Interior Finishes: Yes No Parking: Yes No
Number of restrooms prove ed: Number of fixtures in each:
2— Water Closets Lavatories Bath/Shower l .
Is structure handicap accessible? Entry: es No Restroom(s): es No
Is the structure equipped with a fire sprinkler system? es No Fire alarm system? e 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.
A- ter permit issuance and compliance to all conditions is complete,
schedule an inspection by calling
360.427.9670 ezt 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 OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X O `7 / 17
ature of Applicant Date'
X 1 �'Q) 10 ; t 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
�Y APPRQ JED PLANNING
MASON COUNTY DCD PLANNING
m SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUBJECT TO AP RQVAL
' By date
1,200
1,646 SF \ y
I \
----- ----- ---- I�' \
1,320 S= 1,2mm j= 1,200 5F 1,200 SF I 3,600 5F \
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3ELFA I R RETAIL SHOPS 5
I r,i' '� FLOOR PLAN
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MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
FIRE MARSHAL
NM Mason County Bldg. III,
426 West Cedar Street, Shelton, WA 98584
www.co.mason.wa.us Shelton (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269
June 20,2016
Fire Marshal Notes:
Permit: COM2017-00092 f I L
Name:El Sombrero(Ramiro Lopez (1
Phone:425-466-9061 V
PY
• All exit doors must swing in the direction of travel to exit(outwards). Exit signs must be internally
illuminated and provide emergency back up power for at least 90 minutes.
• Exit door must only contain single action type locks with exception of the front door.
• Fire suppression hood and system must be UL300 listed and be current on its testing. If the current
system is not UL 300 listed then a new system will need to be installed. Separate Permit Required.
• Provide records for annual testing:
o Fire Sprinkler System
o Fire Alarm System
o Hood Cleaning
o Hood Suppression System
o Fire Extinguishers
• Fire extinguishers(minimum rating of 2A:1 OBC)shall be mounted not more than 5' above the ground.
Travel distance cannot exceed 75'. All must be current on testing.
• Class K fire extinguisher installed in kitchen area.
• Fire access provided as required Mason County Title 14.
• All electrical must be inspected and tagged by WA State L&I.
• Provide updated key for Fire department access.
Reviewed by:Jerory of,
MA
MUST MEET ALL CURRENT
WASHINGTON STATE CODES MUST
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PERMIT CONDITION
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CODE COMPLIANCE
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MASON COUNTY
B ILDiINJIG EPARTMENT
Date
THESE PLANS MUST BE
ON THE JOB SITE
FOR INSPECTION
Documents attached to approved plans:
Site plan:
Plan review checklist: Pages
Engineering: ` Y,7'Eatera vertical
Number of pages ___._
MIDST MEET ALL CURRENT
L �!�, WASHINGTON STATE CODES
MUST COMPLY WITH
MITCONDITIONSPER