HomeMy WebLinkAboutCOM2024-00048 Change Tenant Date 07/01/25 - COM Application - 7/1/2024 j - * 5
» c MASON COUNTY (360)427-9670 Shelton ext.352
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-�, DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352
y BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
_ Mason County Bldg. 8
615 W. Alder Street, Shelton,WA 98584 www.co.mason.wa.us
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CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date:07/01/2025 Assessor's Parcel Number: 123294300010
Legal Description:TR 1 OF sw SE
Building Site Address:23701 NE state Route 3 Belfair
APPLICANT INFORMATION
Name of Applicant: Robert Bagiio
Mailing address:Po Box 2030
City: Port Orchard State:WA Zip: 98366
Day phone:360-895-0896 Contact Person: Robert Baglio Message phone:
PROJECT INFORMATION
Proposed business name: Edward Jones-Belfair Branch
Proposed use:office Number of employees:TBA
Previous business name: Subway Sandwich Shop Describe previous use: Fast Food Restar
STRUCTURE DETAILS
Check one: 0 Detached single level/single tenant ❑ Single level/multi tenant
❑ Multi level/single tenant ❑ Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
35 occupied? ❑Yes ONo Yr. Mo.3
Square 1961 Basement: First: 1961 Mezzanine: Second: Third:
foota e:
Is the structure Type of Heat: Circle one: ❑Furnace OHeat Pump ❑Electric wall ❑Radiant
heated?
Circle one[Z]Yes ❑No Fuel e: Circle one: OElectric ❑Li uid Propane ❑Natural Gas ❑Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: OYes ONO Lighting: O Yes❑No Heating❑Yes ❑✓ No
Exterior Finishes❑Yes ONO Interior FinishesOYes❑No Parkin ❑Yes ❑No
Number of restrooms provided: Number of fixtures in each:
1 Water Closets 1 Lavatories 1 Bath/Showero
Is structure handicap accessible? Entry❑✓Yes❑NO Restroom(s):OYes ❑No
Is the structure equipped with a fire sprinkler system❑Yes ONo Fire alarm system? ❑Yes ❑✓ 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
• 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
360.427.9670 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.
Digitally signed by Robert Baglio
Robert Baglio Group,
p,O E=rbag nt,C =o b rt Ba D=The BJC 07/01/2025
X Group, 24,President, 23-Robert Baglio
Date:2024.07.0'I 17:04:23-05'00'
Signature of Applicant Date
X Robert Baglio Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by Date Submittal Amount$ Receipt number
Department Review Initials Date Comments
Building
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
3
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MASON COUNTY (360)427-9670 Shelton ext.352
J°soN
DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352 cm
BUILDING•PLANNING•FIRE MARSHAL (360) 482-5269 Elma ext. 352 C
Mason County Bldg. 8 r
615 W.Alder Street, Shelton,WA 98584 www.co.mason.wa.us
v
COM
CHANGE IN TENANT APPLICATION Z�
PROPERTY INFORMATION
Date:07/01/202s Assessor's Parcel Number: 123294300010
Legal Description:TR 1 OF SW SE I l mp�� Yo
Building Site Address:23701 NE State Route 3 Belfair i
APPLICANT INFORMATION
Name of Applicant:Robert Bagiio
Mailing address:PO Box 2030
City: Port Orchard State:WA Zip: 98366
Day phone:360-895-0896 Contact Person:Robert Baglio Message phone:
PROJECT INFORMATION
Proposed business name: Edward Jones-Belfair Branch
Proposed use:Office Number of employees:Tea
Previous business name: Subway Sandwich Shop Describe previous use: Fast Food Restarn
STRUCTURE DETAILS
Check one: El Detached single level/single tenant ❑ Single level/multi tenant
❑ Multi level/single tenant ❑ Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
35 occupied? ❑Yes ❑✓ No Yr. Mo. 3
Square 1961 Basement: First: 1961 Mezzanine: Second: Third:
footage:
Is the structure Type of Heat: Circle one: ❑Furnace ❑✓ Heat Pump ❑Electric wall [-]Radiant
heated?
Circle one❑✓Yes ❑No Fuel type: Circle one: ❑✓Electric ❑Li uid Propane ❑Natural Gas ❑Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: ❑✓ Yes El No Lighting: Z Yes❑No Heating❑Yes ❑✓ No
Exterior Finishes❑Yes ❑✓No Interior Finishes❑✓ Yes❑No Parkin ❑Yes ❑No
Number of restrooms provided: Number of fixtures in each:
1 Water Closets 1 Lavatories 1 Bath/Shower o
Is structure handicap accessible? Entry❑✓Yes❑No Restroom(s): ✓❑Yes ❑No
Is the structure equipped with a fire sprinkler system❑Yes❑✓No Fire alarm system? ❑Yes ❑✓ No
Monitoring Station Name: 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
• Parking areas number & arrangement)
Continued on back
i r
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.
Digitally signed by Robert Baglio
,, Robert BagIio Group,
p,OU E resident,CN gro b rt Ba O=The BJC 07/01/2025
Group,Olt=President,CN=Robert BagIio
Date:2024.OT 01 17:04:23-05'00'
Signature of Applicant Date
X Robert BagIio Owner/Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by Date Submittal Amount$ Receipt number
Department Review Initials Date Comments
Building
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