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Home My WebLink AboutCOM2024-00048 - COM CD Environmental Health Review - 7/18/2024 MASON COUNTY ✓G (360)427-9670 Shelton ext.352 M DEPARTMENT OF COMMUNITY SERVI 60)275-4467 Belfair ext. 352 BUILDING.PLANNING.FIREMARSHAL FCr d 0)482-5269 Elma ext. 352 Mason County Bldg. 8 2F 616 W.Alder Street, Shelton,WA 98584 .co.mason.m.us D CHANGE IN TENANT APPLICATION z PROPERTY INFORMATION:- - --4 Date:07ro1rzo25 Assessors Parcel Number: 123294300010 r Legal Description:TR i or sw SE _ Building Site Address:23701 RE scare Rmn•3 BOUr ! APPLICANT,INFORMATION Name of Applicant:Ruben BNW Mailing address:Po mx n3o City:Port Orchard State:WA Zip: 96366 Day phone:360a93ae96 1 Contact Person:Ruben mgr I Message phone: PROJECT INFORMATION Proposed business name: Edward Jones-Belfeir Branch Proposed use:o®ce Number of employees:Ten Previous business name:Subway Sandwich Shop Describe previous use: Fast Food Rester STRUCTURE.DETAILS Check one: O Detached single level single tenant ❑ Single level/multi tenant ❑ Multi level/single tenant ❑ Mufti level/mufti tenant Age of structure: Is structure currently If not occupied, how long has ft been vacant? 36 1 occupied? []Yes ❑O No Yr. Mo.3 Square 1961 Basement: First: 1961 Mezzanine: Second: Third: foots e: Is the structure Type of Heat: Circle one: ❑Furnace IAHeat Pump []Electric wall ❑Radiant heated? Circle one❑O Yes ❑No Fuel e: Circle one: ❑O Electric CLiquid Propane []Natural Gas []Oil Will there be any changes to the following? Circle yes or no, ff applicable: Floor lay-out: ❑OYes❑No Lighting: ❑O Yes❑No Heating❑Yes [Z]No Exterior Finishes❑Yes [Z]No Interior FinishesElYes❑No Parkin ❑Yes ❑No Number of restrooms provided: Number of fixtures in each: Water Closets, Lavatories, Bath/Shower- Is structure handicap accessible? EMry2Yes❑No Restroom(s):❑OYes ❑No Is the structure equipped with afire sprinkler system❑Yes❑O No Fire alarm system? ❑Yes ❑O No Monitoring Station Name: i Phone number: APPLICATION WILL NOT BE ACCEPTED WITHOUT: Floor Plan(5 sets): • Draw the floor plan to scale . Use of rooms • Room Dimensions • Location of all exits and windows (include dimensions, • Location of plumbing and mechanical fixtures counters,tables, shelving, benches,fire exits • Interior doors with swing radius and exit signs). Site Plan(1): Note scale used • Property lines, easements, &right of ways • Location of all existing structures&dimensions • Distance, in feet, from property line &structures • Location of all existing structures&dimensions • On-site sewage tanks and drain fields, &reserve . Landscape buffer yards • Location of fire hydrants&vehicle access roads • Well location • Parkin areas number&arrangement) Continued on back If construction or remodeling is proposed an additional Building Permit and construction documents/drawings may be required. After permit issuance and compliance to all conditions is complete, schedule an Inspection by calling 360.427.9670 ext. 352 OWNER/BUILDER acknowledges 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. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. oNnaH ss ireeM°m.n e.pe ,, Robert Baglioo '—.o°�n.e. °_�°°°BNW ° 07/01/2025 Signature of Applicant~p Date X Robert Baglio Owner/Owners Representative/Contractor Print Name (circle to indicate which one) Official Use Only Accepted by Date Submittal Amount 6 Receipt number Department Review Initials Date Comments Building Flih Marshal Planning O EW /101Y so UGI9 Occupancy Change? (circle one) Yes No Land Use Designation:0ul 1Q?y Occupancy classification change from to New occupant load calwlated E�N�,q�,'' persons Existing occupant load design oersons. Type of construction -"H ;V44 N��