HomeMy WebLinkAboutCOM2015-00060 Change in Tenant - COM Application - 4/25/2015 I . A Ij qe-Cj
Permit MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
CORRECTION NOTICE
Job Location /ZZZ&q
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 compliance
(084o1y (i-- LA1 nj De,pT i r,5►� W R) 360- Li27- 9 6 70
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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 ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
This is not a complete inspection "natural/man made"
❑ P +gyp disasters.This is NOT a
Department_ 1�/ I �1� l 1i CORRECTION NOTICE.
Date
Inspector LO1(i
r MASON COUNTY
oo�� (360)427-9670 Shelton ext.352
-� DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
eCounty Bldg. III, 426 West Cedar Street
279, Shelton, WA 98584 www.co.mason.wa.us
APR 0 3 2015 C M 2DIs- 000Lob
CEDAR ST CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: ;c 02 0 ( 5 Assessor's Parcel Number:
Legal Desc tion"
Building Site Address: (p
APPLICANT INFORMATION .
Name of Applicant: y+, �N O
Mailing address: 1 e o
City: Z2elhaz State: Zip: --,-
Day phone.,)—lr 3 -Contact Person Qr r, o„ o s Me safge phone:4.2- ., 3 -Y 9 7 1
PROJECT INFO ON 3
Proposed business name: ' -T r
Proposed use: � orP mbe f employees: C
O
Previous business name: a�,,,g�, Des ibe previous use:
STRUC ETAILS _r.
Check one: >K5etached single level/ ingle tenant O Sin level/ multi tenant
O Multi level/sin 1 0 MjAi level/multi tenant
Age of structure: Is structure c ly If not o cupied, how long has it been vacant? N�
occup d? Yes o Yr. Mo. —7 �
Square Base�rr�R-�e : First: !t!14_
: Sec o d Thir 1
foota e: NX ri N
Is the stru re Type of He t: Circle one: c Heat Pump Electric wall Radiant
heateCirc ;one: No F e: Circle one: /1'Furna
ctric Liquid Propane atural Gas Oil
1N�11 there ny changes to thets
Ilowing? Circle yes or no, if app ica e:
FI or lay-out: Lighting: Yes Heating: Yes N
E erior Finis s:' Interior Finish Yes N Parkin : Yes No
N mber of re ms r vided: Number of fixtures in each:
% -1 1 W ter Closets .1 Lavatories
1. Bath/Shower
Is structure handiCIND accessible? Entry: Ye No Restroom(s): ej No IS-
Is the structure equipped with a fire sprinkler syst ? Yes o Fire alarm system? Yes No �
Monitoring Station Name: Phone nu
APPLICATION WILL Llik BE ACCEPT THOUT:
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). vl
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
• Parking 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
360.427.7262 or 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.
Sig urejof Applicant Date
X_ ( �' :i� '� °1`^'t�"� Owne(Owners RepreseA�i/ ontractor
Print Name (circle to in ica ene)
Official Use Only
Accepted by Date Submittal Amount$ Receipt number
Department Review Initials Date Comments
Building �'�' � Z/ I:5 — CIS COlrt c/` /bc���
Fire Marshal
Planning
Occupancy Change? (circle one) Yes No Land Use Designation:
Occupancy classification change from to New occupant load calculated: persons
Existing occupant load design persons. Type of construction
RECEIVED
APR 0 3 2015
t'
426
! W. CEDARIT--
Note: Setbacks are historical; no further encroachemt allowed
o siy
40 18 ft± eta
/ I ev
r
/ \ leek /
' - Exist.FH 1200 gpm+
/ E
12232-50-00063f
h
NNN i�
G
I ALL SET ACKS ARE ME
• ASU D j
Exist.pavement F OM i
THE FURTHEST/
PRO CTION OFTHE SUI ING
.11
Exist.ro approach
Exist.drainfield I
�
/ ' ;� t 5i •e f Proposed /-`enant Improvement
12232-50-00064 ;
Buifding 1
s APPROVEDI' 56$ sf sf ,Lob
MASON COUNTY DCD PLANNINQ
i SITE PLAN REQUIRED TO BE ON SITE
CHANGE SUBJECTTOAPPROVAL
I /
Existseptic tank � By Date/
I +1 /
�I tin
• / / Currently the b ding setback to the property line is non-compliant
A 4 ft boundr line adjustment or easement to the west
would provi the necessary protection to the western walls.
32-50-0Q062 I /
/ Modifications to Site are minimal