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Home My WebLink AboutCOM2024-00026 - COM CD Environmental Health Review - 5/7/2024 s ro r r w„a4 MASON COUNTY (36�t I�1 EIML DEPARTMENT OF COMMUNITY SERVICES (36d) 5-446 elf irk(. 352 BUILDING.PLANNING.FIRE MARSHAL (360)482-5 352 Mason County Bldg. 8 615 W.Alder Street, Shelton,WA 98584 www.co.mason.wa.us COM aO24'000kj CHANGE IN TENANT APPLICATION PROPERTYINFORMATION Date: Assessor's Parcel Number: ^ $` Qy Legal Description: .aU' �I (o el' 4 # t- I- '7I R N at _ Building Site Address: . '1 131 N F 1' -en t ' ^ APPLICANT INFORMATION Name of Applicant: moykb ,Mailing address: City , cl . 7- State ,-. . 7p:,, Zip: _7 Day phone: D-.7>� Contact Person: ;�; 5t. •ki yyi I d< Message phone: -7 75-2so- 1 SQ I Person Proposed business name: Ar,-v('h Alt FA �'-'� �-- _ Proposed use: I Number of employees: Previous business name: H s a V'_k'.. '.. Describe previous use: j STRUCTURE DETAILS '"- '� Check one: - Detached single level/single tenant ❑ Single Ievell multi tenant > ❑ Multi level/single tenant ❑ Multi level/multi tenant j Age of structure:' Is structure currently,..,,.GG If not occupied, how long has it been vacant? occupied? ❑ [Yes No Yr. -B"Mo. Square Basement:. First: Meaanin : Second; Third: foo e: L1 1�` 1 'J22 h AI 1 P1 P, I h GL- Is the structure Type of Heat: Circle one: WFumace LjHeat Pump ❑Electric wall ❑Radiant heated? Circle one es ❑No I Fuel : Circle one: []Electric ❑Li uid Propane Natural Gas []Oil Will there be any changes to the following? Circle yes or no, If a&licable: Floor layout: j�Yes❑No Lighting: ;E .Yes❑No Heatinga'Les�o Exterior Finishes❑Yes No Interior Finishes Yes❑No Parkin ❑Yes o Number of restrooms provided: Number of fixtures in each: Water Closets ILavatories Bath/Shower ". Is structure handicap accessible? Entry es❑No Restroom(s). es ❑No No ; y Is the structure equipped with a fire sprinkler SystemL7Yes o I Fire alarm system? es LINO Monitoring Station Name: „q,nr� ''a h f� 1��.. Phone number: _ APFUCAT1(A;YtPir LL 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 exft 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 a 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. x � `//a?/may Signature of Applicant a Date x TQf-a S��" rp` 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 Baildla Fire Marshal Planning)y 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 MASON COUNTY (360)427.9670 Shelton ext.352 DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Bell ext. 352 ° BUILDING.PLANNING.PYREMARSNAL (360)482-5269 Elma ext.352 Mason County Bldg.8 615 W.Alder Street,Shelton,WA 98584 www.co.mason.wa.us COM " O�J CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's Parcel Number: f 'L,$3 2gC) O Legal Description: - pf LA — / IQI,U Building Site Address: /Q/ i WA 01052� APPLICANT INFORMATION Name of Applicant: Vq r Mailing address: Z 1 g ( I City: Ir' State: U�1 Zip: (.> Day phone:,3 2-IS- Contact Person: cat Mt d. Message phone: •7 7 - _ cj-C> PROJECT INFORMATION Proposed business name: U� >.` Proposed use: F-pgli lNumber of employees: Previous business name: Describe previous use: '.. . V STRUCTURE DETAILS Check one: Detached single Ievell single tenant ❑ Single level/multi tenant Mulfi level/sin le tenant ❑ MuRi level/multi tenant Are , re: Is structure current) If not occupied, how long has it been vacant? occu fed? ❑Yes o Yr. Mo.Baseme First'y•� Meaani e: Second: Third:o Lk'TO(7 OL. 0�- A re ype of Heat'. Circle one: ❑Furnace ❑Heat Pump ectric wall ❑Radiant Yes ❑No Fuel t e: Circle one: Electric Li uid Propane []Natural Gas []Oil Will there be any changes to the following? Circle yes or no, If applicab�igg Floor lay-out: ❑Yes No Lighting: ❑YeszNo Heating❑Yes ,�y,N0 Exterior Finishes❑Yes o Interior Finishes❑Yes o Parkin ❑Yes No Number of restrooms provided: Number of fixtures in each: Water Closets Lavatories I Bath/Shower Is struct ure handicap accessible? Entry es❑No Restroom(s)• es LjNo a & ,J;e— Is the structure equipped with a fire sprinkler system❑Ye o Fire alarm system? ❑Yes No Monitoring Station Name: Phone number: 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 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 permittapplication 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 ;1 `/12�� 9 Signature of Applicant Date' X �a✓7T �c.h a+ f 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 Osamtl 71 Z_ V ® + All - ) a wcn Ll N W 0 C � C K G GT G Rhonda Thompson From: Dale Webb <dwebb.bwd@hcc.net> Sent: Monday,June 24, 2024 1:12 PM To: Rhonda Thompson Subject: RE: North Mason Food Bank Caution: External Email Warningl This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email,and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Good afternoon Rhonda, The backflow is installed as of Sunday the 231d and we are good at Belfair Water for this change of tenant. Let me know if you have any questions or need anything else from me. Have a wonderful day and a great week. Date Me& General Manager Belfair Water District#1 dwebb.bwd(a) cornet Cell 360-801-0119 Office 360-275-3008 From:Rhonda Thompson<RThompson@masoncountywa.gov> Sent: Monday, May 13, 2024 3:30 PM To:Dale Webb<dwebb.bwd@hcc.net> Subject: RE: North Mason Food Bank Hi Dale, Please just send me an email when all of their corrections are made on your end and you are good with us issuing the Change of Tenant permit. Thankyou! Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6'h St.Shelton,WA 98584 360-427-9670 ext.581 Rthompson@masoncou-nlywa.gov From:Todd Cunningham<TCunnineham@masoncountvwa.gov> Sent:Wednesday,May 8,2024 3:16 PM To: Dale Webb<dwebb.bwd@hcc.net> t Cc:Rhonda Thompson<RThomoson@masoncountvwa.¢ov>; Michele Remmen<MRemmen@masoncountvwa.eov> Subject:RE: North Mason Food Bank Dale: We will not be requiring a fire suppression system for this permit/change of tenant. Thanks for checking in on this. TC Todd Cunningham Building Official Mason County Community Development 615 W Alder St. Bldg 8 Shelton WA 98584 Office: (360)427-9670 Ext 359 Email:Tcunninaham(cZmasoncountywa.aov From: Rhonda Thompson<RThomoson0masoncountvwa.Pov> Sent:Wednesday, May 8,2024 2:57 PM To:Todd Cunningham<TCunninehamComasoncountvwa.¢ov> Subject: FW: North Mason Food Bank Hey Todd, Can you please respond to the water system manager for Belfair Water District?Thank you, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6'h St.Shelton,WA 98584 360-427-9670 ext..581 Rthompson@masoncountywa.gov From: Dale Webb<dwebb.bwd@hcc.net> Sent:Wednesday,May 8,2024 2:34 PM To:Rhonda Thompson<RThomoson(Smasoncountvwa.Rov>; Michele Remmen<MRemmentamasoncounlvwa,gov> Subject: RE: North Mason Food Bank 2 1 Caution:External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender,are expecting the email,and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Good afternoon Rhonda, Couple of questions,as part of any of this will the county be requiring fire sprinklers to be installed? As mentioned before we will be requiring backflow device installs on both services,RPBA devices to be exact for premise isolation. I do believe they are in process to get those installed and inspected. I will check with my cross connection person to see if he has any thing additional. If no sprinklers are to be installed or required and there is no additional need for an upgraded service or more flow or supply then that is all we are requiring at this time. Thanks, D4& ZUeZP General Manager Belfair Water District#1 dwebb bwdQ,hcc.net Cell 360-801-0119 Office 360-275-3008 From: Rhonda Thompson<RThomoson@masoncountywa xov> Sent:Wednesday, May 8,202411:29 AM To:Dale Webb<dwebb.bwd@hcc.net>;Michele Remmen<MRemmemarnasoncountywa.cov> Subject: North Mason Food Bank Hi Dale and Michele, I have a Change in Tenant application here for North Mason Food Bank located at 24121 NE Highway 3(12328-32- 90040).It is the old HD's Pub Tavern and their application and floor plans are attached.I wouldn't anticipate any significant holdups on your end,but 1 do like to send these documents to you for your review since you are responsible fortheir sewer/water. If you can just email me back to confirm you have received this, I would appreciate that.Let me know if there is anythingyou need or if you have any conditions for approval. Thanks, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N 6' St.Shelton,WA 98584 360-427-9670 ext.581 Rthom pso n@mesoncountywa.gov 3 Rhonda Thompson From: Richard Dickinson Sent: Wednesday,June 26,2024 9:05 AM To: Rhonda Thompson Cc: Michele Remmen Subject: RE: North Mason Food Bank I have no issue with this change of tenant. RD From: Rhonda Thompson<RThompson@masoncountywa.gov> Sent:Tuesday,June 25,2024 8:08 AM To: Richard Dickinson<rdickinson@masoncountywa.gov> Subject:FW:North Mason Food Bank Hi Richard, I sent this to Michele a while back.Please see below. Dale Webb from Belfair Water has just approved this Change of Tenant,so now just waiting on your green light. Thanks, Rhonda Thompson, IRS Senior Environmental Health Specialist Mason County Public Health 415 N 6' St.Shelton,WA 98584 360-427-9670 ext.581 Rthompson@masonccu ntvwa.¢ov From: Michele Remmen<MRemmen@masoncountvwa.gov> Sent:Wednesday, May 8,202411:49 AM To:Rhonda Thompson<RThomoson@masoncountvwa.gov>;Dale Webb<dwebb.bwd@hcc.net> Subject:RE: North Mason Food Bank Thanks Rhonda, Richard will be back in office tomorrow and I'll have him review Michele Remmen I Sr. Acct. Tech Utilities/Waste Management 360-427-9670 x 566 mremmenAmasoncountywa.aov From:Rhonda Thompson<RThomoson@masoncountywa.gov> Sent:Wednesday, May 8,2024 11:29 AM 1 To:Dale Webb<dwebb.bwdfalhcc.net>; Michele Remmen <MRemmenc@masoncountywa.Roy> Subject: North Mason Food Bank Hi Dale and Michele, I have a Change in Tenant application here for North Mason Food Bank located at 24121 NE Highway 3(12328-32- 90040). It is the old HD's Pub Tavern and their application and floor plans are attached. I wouldn't anticipate any significant holdups on your end,but I do like to send these documents to you for your review since you are responsible for their sewer/water. If you can just email me back to confirm you have received this, I would appreciate that. Let me know if there is anything you need or if you have any conditions for approval. Thanks, Rhonda Thompson, RS Senior Environmental Health Specialist Mason County Public Health 415 N e St.Shelton,WA 98584 360-427-9670 ext.581 Rthompson@masoncountywa.gov 2