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HomeMy WebLinkAboutCOM2010-00080 Final Tenant Review Pizza Factory to Caspers Pizza - COM Application - 11/10/2010 = =m Emmons iii®®®ii�i �i i iiiiiimii I�i37Ti7■■■■■■■■■■■■■■■■■�#�.I I,�■■■■I■■■■■■■■■■■■■■■■■■■■■ .�■■■■■■■■■■■■■■■■■■■■■iiw ILJ�MMMM■■■■■■MM■■■■■■■■MM■■■■ ■MMMMM■■■M■■■■M■MMMMM■■E■■ommmmumommommmmMMMMMUMMMUMMIS L�'�L$MEEMEM■■■E■■■■■■■E---- ■MMM■MMM■M■■■■MMMMM■■■■■■■ ■MM■■PA■■■ ■■■■■■ ; ■■■ - ■■M■M■MMM■■■■■■MMMM■■M■■ ■■MM■I■■■■ ,� ■■■■■1----■EE ■MMMM■■M■M■M■M■MM■M■MMq!� - - . - ■MMM■■M■M■■■mw ■■■WA■■■■■■■■■M■■■MMM■■■■ M■■M■MM■M ME �'� M■!I■■■■■■■■■■■■■■■MM■■■■ -----�-- ■� 1■■■■■■■■■■■■MM■■ ■_ M■ ■ L IT©■■■■ u■■■■■ ■ - • . _1® ■ ■■■■■■■■ g ■■■■■ M■ Existing Type 2 Hood .. ■iii��� :0 iiiiiiiiiiii■iii i � . - - . - ■■■■■■■■■■■■�■■■■■■■■■■■ ME mom ■ ■ - - - . - ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■EEIRefrigerated �■■■■■■■■■■■■■ ■■■■�...■■■■■■■■■■■■ .. �� �. . • ■■■■■I Prep Table �■■■■■■■■■■■■■■■■■■■■■ ■■■■■====■■■ ,, ,, ■■■EMI �■■■■■■■■■■■■■■■■■■■■■_ . . ■■■■� ■■■ � . : • ©i■i©�■■■■■■■■■■■■■■■■■ice■■■■■■■■■■■■■■ ■■■■WORM�"!.■■■ � • ■ri■r■■■■■■■■■■■■■■■■I■■■■■■■■.. ■■■■■■■■■■■■■ ■■■ ... �3E■■■■■■■■■■■■■■■■■■■■■■■■■■ = ■■■■■■■■■■■■■SAE ■■■ �.. ■■■■■■EM■■■M■■■■■ ■■MEMO■■■■■■ ■■■M■EM0M■■■ ME■■■■M■■M■■M■■■■ ■■M■MMEME■■■ :: EMENI< - ■■■ ... MEMMEMEEMEMOMM mom ■M■■■■■■■■M■M■M■ M■M■MM■■■M■■■■■■■■■ ■M■M■■■■M■■■MEME M■MEMM■■E■■■■E■■■■■ M■■■E■M■■M■■■■■■■M■■■■■■M■ ■■■: wM■■■I■w■■M■■■■■ ■■■■■■■■MOM■M■E■■■OEM■■■■■ • ■■---�■�.:wu�;,■■■■■■ ,,. . . ., .. , ,. lyl' � , ! COM do y - 00080 MASON COUNTY TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan,site plan, septic pumper's report, septic records and $141.00 fee to the Mason County Permit Center, P.O. Box 186, Shelton,WA 98584. During the evaluation of your Tenant Review Application staff members from the Building, Fire Marshal, Environmental Health, Planning and Public Works offices will identify compliance requirements. This application is intended for tenant change only. If construction or remodeling is proposed/required a separate building permit will be necessary. Upon approval the permit will be issued to the applicant/tenant. After the permit is issued, schedule a site inspection by calling (360)427-7262. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous lace on the premises. PROPERTY INFORMATION Date: Assessor's Parcel Number: ®p • v Legal Description: P _ SIE s :� 2A Building Site Address: 29 fD -'r 9 C4 Method of sewage disposal: A Septic O Sewer—name of district: Water source: O Individual Well O Community Well ;a Public System, name of system:be ,r ry PEOPLE INVOLVED IN THE PROJECT Name of Applicant: Mailing address: "'I 3050 or C c City: State: 1� Zip: E-Mail Address:, �` t Day phon 2583tn_ FAX phone: Contact Person: PROJECT INFORMATION Proposed business name: f e` Proposed use: 'Zzo7. b Cu P_ S Wq Number of employees: Previous business name: , Describe previous use: . ate.. Me 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 c If not occupied, how long has it been vacant? occupied? Yes No Yrs mos. Square footage: I Basement: I first: 21 Mezzanine: Second: Third: Is the strut eated? Heating type: Circle one: Circle one: Yes No Electric Liquid Propane atural G ' Oil Type of he : rrc/e one Furnace Heat Pump Electric baseboard or wa nt Radiant Will here be any changes to the following? Circle yes or no, if applicable: Floor lay-out: Yes No Lighting: No Heating: Yes POO Exterior Finishes: Yes o Interior Finishes: No Parking: Yes Number of restroo provided: NuTUkr of fixtures in each Is structure handicap accessible? Circle one Yes No Is the structure equipped with a fire sprinkler system? Yes No Fire alarm system? Yes No Monitoring Station Name: Phone number: Return this application with: 1. Floor Plan (5 sets): • Draw the floor plan to scale 0 Use of rooms • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2. Site Plan (5 sets): Note scale used • Property lines, easements, &right of ways • Location of all existi ructures&dimensions • Distance, in feet,from property line&str ures Landscape er yards • On-site sewage tanks and drain fi &reserve Well to on • Surface&storm water run-o utes • P ing areas(number&arrangement) n • Location of fire hydrant vehicle access roads l U t ,,� bin 1� 3. Septic records, mper's report or O&M report. 4. Fees will be collected at time of submittal. Balance due will be collected when the permit is approved and issued. Official Use Only Accepted b Date j TZ016 Submittal Amount $ Receipt number De artme q eview 1 itials Date Comments Building �2 / Environmental Health Fire Marshal g 23/o Planning Public Works Pre Application required? (circle one) Yes No Building Permit required? (circle one) Yes No Engineering Required? (circle one) Yes No Type of construction Occupancy Change? (circle one) Yes No New Occupant load: persons Occupancy classification change from to Valuation: $