HomeMy WebLinkAboutBLD97-1431 Tanning and Fitness Center - BLD Application - 6/8/1976 Permit No.
` MASON COUNTY
BUILDING PERMIT APPLICATION N' �
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670
(Calling From: Seattle 464-6968, Belfalr 276-4467, Elma 482-5269)
PLEASE PRINT
11 ner Marilyn Thayer/CocoNutts , Inc . Phone # ( 360) 2773383
Site Address 23781. t R t 3 (Suites 103 & 10 5) Fire District # 2
City Belfair Styr_--Zip 98528
Directions to Job Site Offices located in Beynon Center in ,the heart of
Belfair ,
Owner Mailing Address P . O . Box 579
City Belfair St- Wa ZIP. 98.528
Hen/Title Holder Dave Be non--- Owner of
V 0 Addiess _ P . O . Box 556
City Belfair St Wa Zip_ 98528
#2 Contractor Name N/A UBI N
Address _ Contractor Reg#
City St Zip Phone# Expiration Date__/_)
#3 If septic is located on project site,,include records. Water and Septic are part of lease .
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
rceDescription �l No. 1.2329 _ 41. _ 90111
#
Trk 11—A NE/SE, Trk B of SP 1321In�n Legal
#5 Building Square Footage: Suite 103 = 1118±sq. ft . Suite 105 = 1194±sq . ft .
1st FI 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building Commercial Tanning & Fitness Center Describe work
Plcmbers11 i 1' & walk-i n 1-.an11111g &. r i r.ness sn_r" ces . -~---- -------- --
#7 Type of Job: New _Add Alt Repair Other XX
(Change of Use Permit)
98 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source If any water Is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, VV)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
SEE ATTACHED DRAWING
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
N/A
1
Flumbinq Fixtures_($�, e Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins _ Heatpump, Other
Bath Tubs Nq.. "n EeU
Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
Floor Drains Ng Boilers/Compressors
—Laundry Basins HP
Dishwasher UQ, Air Handling Units
_Disposal _ cfm#
Urinals RQ� Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixers Firn Supp.Sys 50.00
Permit Basic Fee 16.75 Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ Other
Gas Outlets
Wood, Gas, Pellet Stove
140TICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT• I AM A GURHENTLY HEGIS1-ERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE 1N CONFORMANCE
CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE 0 — S9- 79 DATE
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: 'TV,% C e co Nukt +yi--y..titi �:Oc\n �6AU\ A- b-%Y SAb,
46 t�4 AJ4 CUAufs , 111� t44-9 J o S\no�c/n ✓"SGId,
11 ,� co—yy o r-SUL M V� t k2 MA- M -S WgS
�►1�5� Inns��h,v. 01 V,..
Building Plan Review C�T. a� car. „y.- y�
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditi ns: FEES - l�
Q/ Building Permit
Plan CheckOf U
'
Plumbing Fee
LCU 0 Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other uo
Other
Other
Building Valuation: TOTAL FEE
o�
Dec.. 18, 1997
-oT"T',
Mason County Building Dept.
426 W. Cedar
Shelton, Wa., 98584
Ref: Correction Notice (Attached)
Dear Sirs,
Enclosed please find Building Permit Application for a Change of Use Permit, two sets of plans,
and copy of Correction Notice issued Dec. 1 Oth 1997.
There have been no structural changes to the Suites occupied by CocoNutts.
If additional information is required, please contact me or my agent,Don Ghylin, (360) 275-8228.
Sincerely,
Marilyn Thayer, Owner
CocoNutts,Inc.
P.O. Box 579
Belfair, Wa., 98528
(360) 275-8228
BuildingPermit # \I
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670xj-
CORRECTION ' NOTICE
Job Location ��
fE� �
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
A0A9G/ Foy of els%
C� Rio C /T�rfili=� /97�i��l C
�) //YID C- 7-
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
/WrMake corrections, items will be checked on next inspection
❑OK to .
Department A/3cD
Date / z -/o-� 7 Inspector z--'�
NnT Mo *V T141 TA
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