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Home My WebLink AboutCOM2025-00004 - COM CD Environmental Health Review - 1/22/2025 MASON COUNTY (360)427-9670 Shelton ext352 DEPARTMENT OF COMMUNITY SERVICES (360)275-4467Belfair ext.352 EL71DING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext.352 y, Mason County Bldg.8 615 W.Alder Street,Shelton,WA 98584 www.co.mawn.wa.us COM 202r'J• OGbO`i' CHANGE IN TENANT APPLICATION PROPERTY,INEORMATION , Date: 1—ZZ—z, Assessor's Parcel Number Legal Description: Building Site Address: ' wT 4f W $SL P APPLICANT INFORMATION Name of Applicant: ycjaylt -phi Mailing address: City: B f State: Zip: "LS Day phone' •Lp ontact Person: h(Itn Message phone: 3 -,45�S-15107 PROJECI',INEORIYiATION, Proposed business name: Proposed use: ( v� Number of employees: $ Previous business name: scribe previous use: i UC DETAH.S Check one: ❑Detached single level/single tenant S Single level/multi tenant ❑ Multi Ievell sin le tenant ❑ Mufti Ievellmulti tenant Age of structure: Is structure currently If not occupied, how long has it been vacant? UN r occupied? ❑Yes EtNo I Yr. Mo. Square Base ent: First: Me me: Sew ThIrcl. footage: I f0 rAlN Is the structure T{tJyp i of eat: Circle 2 e: ❑Fumace WHeat Pump UElectricwall ❑Radiant heated? fy1G( �186 Circle one fdYes[]No Fuel t : Ci le one: WElectriC ❑Li uid Propane []Natural Gas ❑Oil Will there be any changes to the following? Circle yes orno,Kapplicable: Floor layout: ❑Yes®No Lighting: ❑YesgNo Heating❑Yes ®No Exterior Finishes Yes®No Interior Finishes❑Yes®No Parkin ❑Yes ONo Number of restrooms provided: Number of fixtures In eacp 1 Water Closets _ Lavatories Bath/Shower Is structure handicap accessible? EntryjdYes❑ ❑No Restroom(S):*Yes No Is the structure equipped with a fire sprinkler system❑Yes§oNo I Fire alarm system? ERYes ❑No Monitoring Station Name: I(,V10+.Wt Phone number. vA kyAw n . 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 mechanlcal fixtures counters, tables,shelving, benches,fire exits • Interior doors with swlnq 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 maybe required. After permit issuance and compliance to all conditions is complete, schedule an Inspection by calling 360.427.9670 ext.352 OWNER I 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. x Clx._ f 1'22 '45" Signature of Applicant Date %S%n keP fYe, V , ne ers Re resen Contractor Print Name F. J circle to n leafs which one) Official Use Only Accepted by L.fJ Date 1'29- 25 Submittal Amount E Receipt number Department view Initials Date Comments Buildin Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy dwsfication change from to New occupant load calculated: persons Existing occupant load design persons. Type of construction APPROVED JAN 31 2025 ggON COUNTY ENVIRONMENTAL HEALTF RET EXHIBIT B BELFAIR LANDING COMPLEX PROJECT c m / wD mo a q q 4 C IO 'i s i � x y5 v ri j o �• 1 m j N N L` I ea .o = PleasB Ink1a1 N�� 3�C . I LBMlora Tenant \\ I tMNSQIBEB.yEpFT1p JMB