HomeMy WebLinkAboutCOM2002-00021 Cancelled Tenant Review - COM Application - 4/14/2003 v ePA?*o 00Z WasnumqOLO a
Mason County
TENANT REVIEW APPLICA ION
Complete the tenant review application and return with floor plan. site plan, pumpers report, and $100.00 fee to
the Mason County Permit Assistance Center, attn. M MacSems, P.O. Box 186, Shelton, WA 98584. The tenant review
application will be evaluated on Wednesday after the application has been received. During the evaluation Mason County
staff members from the Building, Fire Marshal, Environmental Health, Planning, and Public Works offices will identify
compliance requirements, if needed, and advise whether a separate building permit will be required.
Date: Assessor's Parcel Number: !,13 2q q 3 oc>o SO
Legal Description: ct
Building Site Address: (� I\ PCB p=� (r, S T
Method of sewage disposal: Septic ewer- name of district:
Water source: O Well O Community Well §a'Public System, name of system:
PEOPLE and FIRMS INVOLVED IN THE PROJECT
Name of property owner: j1E r f M (T O ELA_
Mailing address: I+W ERc.t4kdt7 PmT RO 1)rZE1w1F'qTUN uw✓4 i83i--
Day phone: z}S 20 o Contact Person: T&FF M ,Tctjet4. Message phone:
Name of applicant: JEt=t= AA t T-c OC—o—
Mailing address: t. "
Day phone: Contact person: Message phone:
Name of Tenant: DC-ANNG CttErQR
Mailing address: PE7 III 1\- Q--, L-im r
Day phone: Contact person: oey,,,, Message phone:
PROJECT INFORMATION
Proposed business name: 1464 n/Cr TOu C tf 5'TLX 0 t o
Proposed use: M Ass Ac,-,E j(iC--K/gA 1 Number of employees: t- 2-
Previous business name: fft_t'-4I 07, P I i-t+-L
Previous use: V7=T-
INFORMATION ABOUT STRUCTURE
Check one: ODetached single level/single tenant ingle level/multi tenant
Multi level/single tenant Multi level/multi tenant
Age of structure: Is structure current) occupied? If not occupied, how long has it been vacant?
3o f Circle one: es No Yrs mos.
List square footage for each floor level
Basement: First: Mezzanine: I Second: Third:
Will structure be heated: Type heating fuel: Circle one: �u Circle one: Ye No Electric Liquid Propane Natural Gas
Type of heat: Circle one: �,FurnacP✓ Heat Pump Electric baseboard or wall mount Radiant
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: es� No Lighting: Yes &D Heating: Yes 60
Exterior Finishes: Yes No ) Interior Finishes Yes . No Parking: Yes No
Number of restrooms provided: l I Number of fixtures in each I
Is structure ADA Accessible? circle one Yes No
Is the structure equipped with a fire sprinkler system? Yes o Fire alarm system? Yes No
$utLD11a(�- TdTI'1� = 13�5F�+�FuT (Scx�� ripsT (aec-)
Re urri this application with:
1) Floor Plan, 2)Site Plan, 3) Pumpers Report, and 4) $100 Fee
1) Floor Plan: Include existing walls,proposed walls,and walls that will be removed.
• Draw the floor plan to scale, '/4"= 1 foot min. • 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: Note scale
• Property lines, easements, & right of ways • Location of all existing structures & dimensions
• Distance, in feet, from property line & structures • Landscape buffer yards
• On-site sewage tanks and drainfields, & reserve • Well location
• Surface & stormwater run-off routes • Parking areas (number& arrangement
• Location of fire hydrants &vehicle access roads • Slope of property
3) Pumpers Report
4) Fee: $100.00 Intake fee will be collected when submitted. Additional fees will be collected when the permit is
issued.
Office Use Only
Pre-AppFkation Review Departmental Review
r
Env. Health Env. Health
Planning Planning
Public Works Public Works
Fire Marshal Fire Marshal
Building Building
NREC C
11
Pre Application required? (circle one) Ye No
Building Permit required? (circle one es No Engineering Required? (circle one) Yej::5N7)
Occupancy Classification: Occupancy Change? (circle one) YeI�
Occupancy classification change from to ��//''
Type of construction
Occupant load calculated: persons. Existing occupant load design persons.
Fee Schedule
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Building Permit # MASON COUNTY
` BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRE TION NOTI E
Job Location 191 0 t B, ' (This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: l
nd: Items Listed below must be corrected to gain code
rcompliance /-
/ r
gzdr n' �-� 1-1 Q -4 i r
e ! e- er
R PZ 6 1319// r/c)4' t 't'4, 28
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
0 Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department f
Date y — U� Inspector `
moo * _ 10T M44V THI , TA Lot
I
IP10Mason County Dept. of Community Development
Mason County Bldg. 3
426 W. Cedar
P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma
Shelton, WA 98584 (360)275-4467 Belfair (206)464-6968 Seatt
Notification of Permit Cancellation
March 31 , 2003
JEFF MITCHELL
4755 ERLAND POINT RD
BREMERTON WA 98312
Case No.: COM2002-00021
Parcel No.: 123294300050
Project Description: TENANT REVIEW
Dear Applicant:
Upon review of our records, the Mason County Permit Assistance Center has identified
that your building permit application has been inactive since 3/11/2002. Permits must
make some progress every six months.
If you intend to keep this permit active, you need to contact me within ten (10)working
days from the date of this letter. If we do not hear from you within the that time, your
permit will be cancelled and a building inspector will make a site visit. In the event that
your project has been completed and a permit was never issued, you will be assessed
penalties as allowed under Mason County Ordinance 37-96.
If your project has been cancelled or if you wish to withdraw the permit, please notify
me as soon as possible at (360) 427-9670, ext. 287. If you feel that you have recieved
this notice in error please contact me. Thank you for your cooperation.
Sincerely,
TRICIA WAGNER
March 31, 2003 COM2002-00021