HomeMy WebLinkAboutCOM2020-00039 Change in Tenant Westside Pizza - COM Application - 5/18/2020 MASON COUNTY
' (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext.352
BUILDING• PLANNING. FIRE MARSHAL j�qy� -"j V-L;(3Q0)482-5269 Eima ext. 352
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Mason County Bldg. 8 a
615 W_ Alder Street, Shelton,WA 985B4 AR i I NO www.co.mason,wa.us
CHANGE IN TENANT APPLICATION r,
LNG
pR1ylA'TION
0 Assessor's Parcel Number.
7"lati r�PC�ntihYl�� -.
filding Site Address WiW
APPLICANfi INK1131►
ame of Applic-ant ——_—
Iailing_address_ 10 Sir Zip_ �.
Stater W,-\
City: t-t Message phone
?)ay p Contact Person: c�►
ORKAp ON---.
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v. ees:
P�business name: l `�- Number of empto y
P Describe previous use,:. .:
roposed us e: 5�ck ��.
Fr ,business name _ - FAILS
UCTDRE
Single level/ multi tenant
Check one: O DetacMc Single level/ Singe tenant O Multi IeveUmulti tenant as it been vacant
p Multi level/ sin le tenant if not occupied, how long
Is structure currently No, Yr. Mo. Third:
Age of st�cture occu ied? Yes Second:
tr' `5 i �� First: Mezzanine:
Square
Basement Furnace Heat Pump Electric wall Radiant
foota e: qCO Type of Heat: Circle one: _Oil
Natural Gas _
Is the sere Electr c Li uid Qro ane if applicable.
heated? e: Circle one: 1 le yes or no, No -
No FUe1 es to the following' Heating:Yes
Circle one= Yes a any changes Yes No Parkin :Yes No
Will there o Lighting: Yes -No
-out: Yes Interior Finishes: BathlShower
Floor lay No Number of fixtures in each: Lavatories
"enor Finishes: Yes vi ed: meter Closets Yes.No
Restroom(s) Yes No
Number of restrooms Pro Yes No system?
_ ssible? Entry Yes rNoJ Fire alarmJ_
_ stem• ---`�--
fire sprinkler sy Phone number:
IS structure handicap e ith a A tjUT ——-- �
is the structure equipP
Station_Name:
Monitoring.._- - - of rooms s include dimensions,
Use of all exits and window (include
rJsets) -, Location tables, shelving, benches,
Floor plan( oor plan to scale counters,
Draw the and exit si ns
m Dimensions mechanical fixtures &dimensions
Roo of plumbing and structures
Eflcation Swip radius ----`sr of all existing &dimensions
rs with . Location fisting
interior doo used all existing
Ian (�)- Note scar eats &right of ways . Location oe buffer y
Site P lines, easem ertY line , structures Landscap
property'lines,
from Prop & reserve .Wetl Location
• in fee , drain fields, s roads
Distance' e tanks and acGes _��
sewage vehicle
on-site hydrants & n ement _ on back
• Location of fire hY ber arra Continued
um
parycin areas n 1 -
31
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If construction or remodeling is proposed an additional Building Permit and construction
documents/drawings may be required. .... I
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After permit issuance and compliance to all conditions is complete,
schedule an inspection by calling APR 10
360.427.9670 ext. 352
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kOWNER 1 BUILDER acknowl dies 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 tthOr declare that I am entitled to receive this permit and to do the work as
E proposed I havE obtained v
permission from allrthe necessary parties, including any easement holder or parties F
.� a uw col c.�055�f la� N vjt w• c Gvr �ci-v� uuu wii�iu uyiii i c Ni ci%iuo a iu a iG a nv i uuun P.v. uc a iG h
accurate and grantsmpioyees of Mason County access to the above described property and structure(s)for x
IF and inspection. This permitlapplication becomes null &void if work or authorized construction is not
' ction work is suspended for a period of 180 days.
commenced within 180 days or if constru
F ?ROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
AP�LICAT ON OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Date
Applicant
Si
-
Signature;of App
}^ j Owner/Owners Representative/Contractor
i� circle to indicate which one)
X (_1 en �1; (
print Name -
•c-.iTi.. 4 Official�Use only ,
—y
Receipt number
Amount S ,,__---
Submittal Am — s �
Accepted by
ents ..
Comm � .
Initials Date
AT
p -- `
pe artrrlent Review _ ---- n
---
Fire Nlarshal�_-- ---
-- - i nation'
Land Use Designation:
persons .
Planning__� �
Yes tJ ►Jew occupant load Galcu�ted
Y 4s r
P {circle one) 5; E
occmupancy Chang te-f e of construction �-
change from.. — Typ
y classification ersons
Occupanc design -- _-
Existing occupant load
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PLAN NI N G: APR 10 2020
NING ALk SETBACKS ARE MEASURED , W. Alder
FROM THE FURTFIE T '
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