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Home My WebLink AboutCOM2004-00204 Change Use Remodel - COM Permit / Conditions - 10/14/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton,WA 98584 COMMERCIAL BUILDING PERMIT COM2004-00204 OWNER: JESSE PALMER RECEIVED: 10/14/2004 CONTRACTOR: LICENSE: EXP: ISSUED: SITE ADDRESS: 21 NE OLD BELFAIR HWY BELFAIR EXPIRES: PARCEL NUMBER: 123294200010 LEGAL DESCRIPTION: TR 1 OF NW SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT/USE AND INTERIOR FRAMING AND 1/2 BLOCK NORTH OF CORNER OF NE CLIFTON AND OLD BELFAIR INSULATION. HIGHWAY. General Information Construction &Occupancy Information No. of Units: Type of Constr.: V-B Type of Use: COMMERICAL Insp. Area: No. of Bathrooms: Occ. Group: B /A-3 Type of Work: TRA Fire Dist.: 2 No. of Stories: 1 Occ. Load: 120 Valuation: $ 2,625.04 Building Height: 14 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Tenant Space: 2,400 Model: Width: Building: 0 Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: N Emergency Key Box?: N Standpipe?: N Auto Fire Sprinkler System?: N Access Road?: Y Fire Extinguishers?: Y Fixed Fire Suppression System?: N Fire Hydrants?: Y Fire Lanes?: Y COM2004-00204 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee (.NAH inriaignn r;a 91 Rignnann Planning Review Fee r.KAH iniiar,2nn. nn Ri9nnann EH Plan Review r,F\N 11 i?ai?nn P7r,nn q?gnnAnn Building State Fee KART 1 v94r9nn ,�a sn _o99nnann Building Permit Fee NARr, 1119Q19nn twi 9s g99nnAnn UFC Plan Check Fee CAS 19/1/9nna Q97 nF g99nnAnn Total $498,92 CASE NOTES FOR COM2004-00204 CONDITIONS FOR COM2004-00204 1) There will be o plumbing in this building. X 2) Parking shall be sufficient for normal parking stalls (9 feet by 20 feet) and handicap parking stalls (12.5 feet by 20 feet with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the IkKing entry, and shall be signed with the International Symbol of Access. Screening from adjacent residential properties is required. X 3) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are n on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charge and co lected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 4) PURSUANT TO INTERNATIONAL CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADD SSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 5) Chanto approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air Quality Cod IAQ), wilding/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 6) CONSTRU TION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. X } COM2004-00204 2 of 4 7) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-com �wit Mason County ordinances and building regulations. X 8) A handicap san-c i required-to be on site, at all times. X 9) Afire hydrant, able of providing a fire flow of 1500 GPM for 2 hours is required to be within 400' of the building. X l If the fire flow requirement above cannot be met an appr ved Au matic Fire Alarm system is required to be installed. eperate plan review and permit will be required for his installation. X If AFA-i5 i stalled an emergency key (KNOX) box wil be required. Contact fire dist. #2 for purchase and installation information. (360)275-6711. X Provide a 2 C fjre extinguisher mounted in an approved location no more than 48"from the finished floor to the top. X This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owneror the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and struQtur for review and in§pectio .. OWNER OR AGENT: DATE: COM2004-00204 3 of 4 97 ed.UPC Sec.608.5: A property sized expansion tank shall be required o ma domestic er's water heaters and be installed p " I instructions on any water system provided with a to pressure regulating device or check valve. W_ -- _...--- (Check with your water purveyor.) APPROVE f CO `�� 6 a OD OoarS sho►ll rod' SwWit �n�o awy pbr�' o ASON BU ��f OR C ChP,►-g#N9, C `n ►� urri>t sPX SU �,'f"f0"A OV L .. isles shall be a minimum width of 36"whe e ! Posh' QGCV,po,W,�' Iced s� I merchandise or obstructions are placed on one i ZC� Nol( side of the aisle,and/or 44"where obstructions I - are placed on both sides.(Req'd for all Group B M,and assembly occupancies without fixed , f seating, tV 0 P Panic Hardware. Exit doors from ; u t'ts�t�vt - Group A. Occupancies having an ; I m _,q K;K,, - occupant load of 50 or more shall not 1t , w4cL5 i �'SuAT be provided with a latch or lock unless �►11 Ce�nf�( sPQ^111 ° V018 So Q it is panic hardware. i Ft. S' ., = 12o O ccypan '. 1 bon \ THESE PLANS MUST BE ON THEJOB SITE FOR INSPECTION dam' 1 �'Lltartn•na�� 3��g I U s fan« Nntdr! T3 'Spae�. Vov� uccastla�-t st�racy� - _ F'ti b�itd{ hAhcl.�1n Par S�xS� �ancl�� R4q r►'t w, tl slplu I►�5u 2y(pRArv`1 iVa� f g (` P:l1Yt'�lV1G� O Yl .r- ,,�, 4?RA,i cj M Agol�+�Rom. C—Cw ti cyoq _ c�D 2 me eG uc. .'�-x. __ il?' - `Z 2q 4 p of 0 3 dZ,L SG.�L�.�M��Ssdr•eM�►�.� P r.��ded pP_AwiNG s p"rr" T70 �y, 1 I- % vt/ { 6. f RECEIVED 6 OCT 14 2004 r ELFAIR OFFICE 4 50 / � tottdi cr�Tl'�G loc%owt wo— fev►* ' (� o c c&c pfth00WJ i v Provide a sign on or adjacent to the door stating: "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS 1i The sign shall have letters not lees than 1" khigh,with a contrasting background49 S { 16' i w viom dam,« Rya C�"OJT 6 Vr-3 ccn k s � 1: tAv+ l�5 ua� -ry aC!>�+. A�Gf��Gn,«.t�tErtl`S �arc� ,coed vf® G�� s ll u.mt�a l><fX�l 61\ o p, z 1J a 2.-rH VIA Ll_ z-/q F 'sz 94 WCj A 0"i.. Z 1-0 RECEIVED ..rt----- �z' ,,...i Fi l 4 vQ icl space, OCT 14 2004 ,BELFAIR OFFICE ��2t V hC�/ W A t•-L.. � --- 1 t tit�STi NG i y W 51►re?rats -0 144 � 12EM6VE IZ' 5aa I NG } i I door, ¢ CW E w/zX� L � ill Wfft lu�iLL oa 24 � i � I i t � I It RECEIVED OCT 14 2004 8ELFAIR OFFICE 1 NSuu1T� 19 rAW �` X—A F,�,z,.�y luau.. 'Z Sr IFAsT yVAt 4 w�ST WALL— u2nwj?jgs Nn7 rcp SC.Wc,f/ rhfp-1 WrerweAJM Pro vI6ED• �f4 r) -- r O DECEIVED chi►-g►Nq, S ,o"` 14 2004 ' gELFAIR OFFICE Ce I I I � I s I rR,r, "'V'l i-, lNZ sin►u� ,�su r s � �(,�, rr"cwvw�� CYrT 3i6 x 6�g'' Doo2. �.A1.1:./M�raswreMw✓►�s p,r.,v�ded d-r . t p,eAwrNG -S �' 'T� J l 11 V 1- F/GfT (�wrueLr b P Q I ��► RECEIVED � OCT 14 2004 r �b 3ELFAIR OFFICE A R A 1 blt 5 Sri.. N3pe�v4ccu ��Cktl 44 i �✓ 1 � � 1 r 1� 1 it i lie q _.yip 3' GA5 _ -20 8-- --- ----__ __ z.7 j► 5'1 ACTER dr-4=rc.F. AR-C-A prove'c(e d p P9.z �J a R.-ct-+ VIA L.L. 59 t�,' _..._._ i RECEIVED �.a OCT 1 3ELFAIR OFFICI 141 j�2tvPC� WAS-L,. j 14 r 1 s�►� �r t� ►��" ram - 14' 12F-M6V E IZ' 5Ll'v l A/cr } door, JuP�1,L /ZX(o ON DECEIVED OCT 14 2004 6ELFAIR OFFICE yam'" •LrIJ �.: >Fs`�G1 ittCr i . rG. f, • INSuv1TE 4 IQ fAiAJro - zc� F+ca�•+y tu+W- �� -la !4� a q � s t g i 6$ I j ' 6 r rr >4 3 -�h�2� � —,�- fie" ._..-f__r_ _ _.. 4z ;._-__ g! _ - �.�__ _ _ - -- 21 (, 0 iZA w i NC{s kwl ~rra SCW c � Yh r`13N tt lw p 3 }fro v+D£p• r"7:`I MASON COUNTY PERMIT NO�✓"� ��1` l ^��✓ctfJ 1 BUILDING PERMIT APPLICATION 426 W. Cedar • P.O. Box 186, Shelton, WA 98584 a, Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICAN FORMATION, CONTRACTOR INFORMATION � Owner 255� f''/4 zme e Company Name //VV N MailinQ Address NE OLD 7W Mailing Address A/� o City tow Zip Code S City State Zip Code Phone 'a7 92✓� O er Ph Phone Other Ph. Lien/Title Holder NN/Q- ZARee Contractor Reg.# Exp. E mail address M36707 o A of., GonJ E Mail Address Drivers Lic.# DOB -�/o?-,�/ Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to Ney�Sep Existing Septic DNA Connect to Water System 4' ' Name of Water System LSG/ '4�� ' � Well Water System Name of Water S stem PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address Please i clude st eet 9alme, street mber�and ci /VF O t A11� cr• Directiongt sit Z oe-K � vt CoT"r-/L o AI �' oN + d/Y t .o r Will timber be cut and sold in parcel preparation?Yes No Is property within 200'of Saltwater A/* Lake IVRiver/Creek A/ Pond /tJ J Wetland--,' Seasonal Runoff /= Strew Slopes or Bluffs > 15% 111 0 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - Ne7 Add Alt Repair Other Pf, V t AWY RyJDENGE [�, SEASONAL ❑ Use of Building/1?.�t r Describe Work cAni /Ns� c COP cur A s No.of Bedrooms No.of Bathrooms 4 -- Square Footage - 1 st Floor O0 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make NON C Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocati�r I ement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that 1 d=VjVrEc i*this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permisstdh is required from any easement holder or any other party in interest regarding this application or the work proposed in the appli tJf I I�av�*ed permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,repres 4h t i tion provided is accurate and grants employees of Mason County access to the above described property and structure for revg d inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. AIR OFFICE X Date: 0,y Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYONDTHI POINT Accepted by: Date DEPARTMENTAL RE IE VIED DENIED NOTES Building Department 1 Planning Department Environmental Health Departmen Public Works Department Fire Marshal la Lc!� FEES Buildina Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 � Shelton, WA 98584 i� COMMERCIAL BUILDING PERMIT COM2004-00204 OWNER: JESSE PALMER RECEIVED: 10/14/2004 CONTRACTOR: LICENSE: EXP: ISSUED: SITE ADDRESS: 21 NE OLD BELFAIR HWY BELFAIR EXPIRES: PARCEL NUMBER: 123294200010 LEGAL DESCRIPTION: TR 1 OF NW SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE IN TENANT/USE AND INTERIOR FRAMING AND 1/2 BLOCK NORTH OF CORNER OF NE CLIFTON AND OLD BELFAIR INSULATION. HIGHWAY. General Information Construction &Occupancy Information Type of Use: COMMERICAL Insp.Area: No. of Units: Type of Constr.: V-B No.of Bathrooms: Occ. Group: B /A-3 Type of Work: TRA Fire Dist.: 2 No.of Stories: 1 Occ. Load: 120 Valuation: $ 2,625.04 Building Height: 14 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Tenant Space: 2,400 Model: Width: Building: 0 Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: Ft. SEPA?:No Comp.Plan Desig.: Urban Growth Area Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: N Emergency Key Box?: N Standpipe?: N Auto Fire Sprinkler System?: N Access Road?: Y Fire Extinguishers?: Y Fixed Fire Suppression System?: N Fire Hydrants?: Y Fire Lanes?: Y COM2004-00204 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee rnnH 1n/1a/9nn cra 11 R1?nnann Planning Review Fee rt\AH 1n/1d/?nn, Qgr,F nn R1gnndnn EH Plan Review r.Fw 11/9A/9nn �7r,nn C,)9nnAnn Building State Fee NARr 11/9Q/9nn U r;n gg9nnAnn Building Permit Fee NARK 11/gQ/'7nn (kR3 95 g9?nnAnn UFC Plan Check Fee RAC 19/1/,?nnd 077 nF q9?nnAnn Total $498.92 CASE NOTES FOR COM2004-00204 CONDITIONS FOR COM2004-00204 1) There will bb�o plumbing in this building. X //. / 2) P6rking shall be sufficient for normal parking stalls (9 feet by 20 feet) and handicap parking stalls (12.5 feet by 20 feet)with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the but ng e try, and shall be signed with the International Symbol of Access. Screening from adjacent residential properties is required. X _ 3) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are n on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charge and co lected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 4) PURSUANT TO INTERNATIONAL CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADD SSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF OWNER/ T OR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 5) Chan to approved building.plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air Quality Cod IAQ), ing/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 6) CONSTRU TION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING GO'bt X COM2004-00204 2 of 4 a All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-comp with-Mason County ordinances and building regulations. X f�i 8) A handicap san-c i requiredjabe�"n site, at all times. X 9) A fire hydrant able of providing a fire flow of 1500 GPM for 2 hours is required to be within 400'of the building. X If the fire flow requirement above cannot be met an app, ved Automatic Fire Alarm system is required to be installed. eperate plan review and permit will be required for-this installation. X ' If AFPy.' i sta an emergency key(KNOX) box wil e required. Contact fire dist. #2 for purchase and installation information. (360)275-6711. X Provide a 2,� C fim extinguisher mounted in an approved location no more than 48"from the finished floor to the top. X This permit becomes null and void if work or construction authorized is not oommenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.Thq owneror the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and stru or review and in�l e OWN ER OR AGENT: -77 DATE: C COM2004-00204 3 of 4 n CONCRETE MECHANICAL MANUFACTURED HOME N o Footings / Setbacks Date By Ribbons o Date By Gas Piping Date By oFoundation Walls Date B y Set-up 4-1� Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls f�u2 FIRE DEPT Date By Date / / 115 LOr By -rF2 Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date/ "��'��_ By Date By FINAL NSPECTION Water Line Date /S QS By D ate By Date B y ,S v �o i S — o OIL 3 O 5 b)S — / l o S- — . -5 v/Lt 1cJi4 //S -5 5P �4 e < <-T 2- --/ G14LL PILLs 1- o r L Ff o � N � O � •p � .A 0 h 06/30/2009 15:50 FAX 360 427 7798 MASON CO PERMIT CTR 10001 COW- MASON COUNTY TENANT REVIEW APPLICATION Complete the Tenant Review Application and return with a floor plan, site plan,septic pumper's report, septic reeohdS&bV $141.00 fee to the Via son County Permit Center, P.O.Box 186,Shelton,WA 98584. During the evaluation of your Tenant Review Application staff meriber:• from the Building, Fire Marshal,Environmental Health, Planning and Public Works offices will identify compliance requirements. This applicabon,is intended for tenant change only. If construction or remodeling is proposed/reguired a separate buildin iermi;I will be necessa,rv. Upon approval the permit will be issued to the applicant/tenant. After the permit is Issued, schedule a site inspr,�ctiorn by calling(360)427-7252. Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a cons icLious I.dace on the premises. �i01 Date: p Assessor's Parcel Number; LLS i.1 .1_"_)d O(J Legal Descdpt n: T lam. o Al,�J Building Site Address: /�(-1- 2-f. Method of sewage disposal: Septic O Sewer- name of district: Water source: O IndNidual Well o Community Well ,c§-Public System, name of system: y V Name of Applicanll: S Mailing address: .— 70 City: State: zip: "Szo E-M ail Address: Day phone: -/W a95-:5- FAX phone: z�_S__ Contact Person: , r f , r Proposed busines!5 narne. mbproposed use: , Nu :r of employees Y e es: r � Previous business name: Describe previous use'.OMMENIN ow A ;f p• �' , Check one: O Deta.:hed single level/single tenant 0 Single level/multi tenant 0 M.Ilti 1c:vel/Lingle_tenant 0 Multi level/multi tenant Age of structure: Is structure currently -_) If not occupied, how long has it been vacant? _ occupied? Yes o / Yrs mos. Square footage: Bariement: First: 3 Mezzanine: Second: Third: Is the structure heated? I Heating type: Circle one: Circle on es N is Liquid Propane Natural Gas Oil Type of heat: Cinch.-one: Furnace —Keafpum Electric baseboard or wall mount Radiant Will there an anges to the following? Circle yes or no,if applicable: Floor lay-out: Yes, � Lighting' Yes Heating: Yes �-Not Exterior Finishes: Ye4 o Interior Finishes: Yes o Parkin : Yes ' No Number of restrooms f:rovided: Number of fixtures in each Is structure handicap accessible? Girc16 one Yes� No Is the structure eq;uipp,::d with a fire sprinkler system? Yes o Fire alarm system? Yes Nor f Monitoring Station Narne: C-D .-37-,Z Phone number: UNNEWIN109 r 1. Floor Plan (5 sets;): • Draw the floor plan I,r scale 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,6aser•ients, &right of ways • Location of all existing structures&dimensions • Distance, in feet, from property line&structures Landscape buffer yards • On-site sewage-tank,and drain fields,& reserve Well location • Surface&storm watrrr run-off routes Parking areas(number&arrangement) • Location of fire.-)ydu,nts&vehicle access roads 3. Septic records, pumper's report or O&M report. 4. Fees will be co.'iectr•d at time of submittal. Balance due will be collected when the permlt Is approved and issued. in � � Accepted by_ c_L_ Date r Submittal Amount$ i I � �t Receipt numb er S��Qq 1 r, 06/30/2009 15:50 FAX 360 427 7798 MASON Co PERMIT CTR 1t001 MASON COUNTY 7 TENANT REVIEW APPLICATION ° - Complete the Tenant Review Application and return with a floor plan, site plan,septic pumper's report, septic rein dsienbk $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 menber:s 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 proposedirequired a separate building Grermi l will be necessary. Upon approval the permit will be issued to the appllcant/tenant. After the permit is Issued. schedule a site inspr.�ction by calling (360)427-7262, Upon satisfactory inspection a Certificate of Occupancy will be issued and must be. . posted in a cons icOous :dace on the Rremises. Date: � � Assessor's Parcel Nt3mber: i� i ? " "Z�cJ J(J Legal Description: Building Site Addnass: Method of sewage,disposal: Septic O Sewer— name of district: Water source: O Individual Well O Community Well ,Public System, name of system: ._5��,�„` zc� 0 9 NUNN wazwl' I Name of Applicant: S Mailing address: �o City: State: zip: E-Mail Address: Day phone: -70 FAX phone: Contact Person: , Proposed business; narne: Proposed use: Number of employees: Previous business name: _ � ,ice-�_.. •. _ Describe previous.use:77 n- ; — ty i.r S/o NONE 4 yIOO�I•m.,.d7pll I Check one: O IDeta-:hed single level/single tenant 0 Single level/multi tenant 0 M ilti level/sin le tenant 0 Multi level/multi tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? _ occupied? Yes Yrs mos. Square footage: Bwiement: First: S Mezzanine: Second: Third. Is the structure heated? Heating type: Circle one: ,4f:544. /0 Circle on es N� is Liquid Propane Natural Gas Oil Type of heat: Circh?one: Furnace,- --�atPum Electric baseboard or wall mount Radiant Will there any-cttanges to the following? Circle yes or no,if applicable: Floor lay-out: Ye,:, l Lighting: Yes JqD' Heating: Yes No Exterior Finishes: Yefl. Flo Interior Finishes: Yes ,� Parkin -. Yes �No Number of restroams f:rovided: Number of fixtures in each Is structure handicap accessible? Circlo one Yes No Is the structure eq;uipp:ad with a fire sprinkler system? Yes o Fire alarm system? Yes No Monitoring Station Name: �� .�Z Phone number: tt� r l 1. Floor Plan (5 sets): • Use of rooms D ��Dr aw the floor Ian t scale • Room Dimens c,ns Location of all exits and windows (include dimensions) • Location of plumbincl and mechanical fixtures • Interior doors with swing radius 2. Site Plan (5 sets): Note scale used • Property lines,4aser•ients. &right of ways • Location of all existing structures&dimensionsA4 • Distance, in feet,from property line&structures Landscape buffer yards • On-site sewage-tank,,and drain fields,&reserve & Well location 1/ • Surface&storm wator run-off routes Parking areas (number&arrangement) • Location of fire iydu,nts&vehicle access roads 3. Septic records, pumper's report or O&M report. 4- Fees will be co-Ilectrrd at time of submittal. Balance due will be collected when the permit Is approved and issued. OWNSt y il; i�. Acce ted b -C. Date Submittal Amount$ t i. % �l Receipt number L�&0L: Prnr Nw 5� z9-2 -� N A }, SR 300 k O � PARS V C'j Z � p y antiques j i fj U- _ P14RKrM4 d 2S S B j1tf f 1 Seabeck Pizza f S c,.t r2 r 11 B�i S w Y. • S karate OFF I C¢,, • � LJ ADIO I, LLC Latte Stand NE 21 Old Belfair Hwy • Water use is minimal as the stand has it's own contained system and utilizes only 20 gallons per day • Bathroom use in adjoining tenant space (only one employee per shift— may or may not utilize the bathroom • Hot water for sanitation purposes is accessible with the self contained system and with the adjoining tenant • Parking is more than ample as the wearhouse/karate' space is only open after 3:00 p.m. 15' ESrn'T-. `r" 0 L.D 1 FA 1 R N l UH W Ay ---� /D'^' vD • - 73' j 46 l O D SWAT r • 2ESE.R:.V E. 1 0 ca TAvERN o Z 'y - - —L— Liz d I hanks are be zo' REs E RvF- •, �� Qack�n9 ba ID o l I � l �kmP bDards or �a1� � b • I o y - -- - - — -� ' 33� ai. -L I — -- — sa fA rank • � SERVE - W `- S- - - - - - - -- Pump +ank ' ' •w• b A/.Sl. dC ra01�f'1 � � .a,8 �=._-�-.•4 2--. ;, .� pFPILe � Ir - - 123291490060 123291390042 123291490110 J, .'` 123291300050 123291490111 123291490112 123291300060 m J 123291300071 Illi- w 123291400050 123291300070 � z f`)f 123294190030 1 T23 ilV 123294190220 m M. 12329 00010 .. 123294200020 123294200030 123290060010 EEE ToN LN f .� �jlEy� t�i St v UNTY DCD�PLA N111 G 123294100050 714, SITE PLAN REQUIRED TO BE 0 SITE CHANGES WBJECT TO APPR AL ' By re Date 123294100060 ram. ,, ., 123294290001 123294100070 N 1 inch = 100 feet 1 inch = 0.02 miles �+ s �� 1 �