HomeMy WebLinkAboutCOM2025-00004 Change Tenant Sophi Nails Spa - COM Application - 11/4/2024 ir 4
MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfairext.352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Mason County Bldg.8
�`rKsr 615 W.Alder Street,Shelton,WA 98584 www.co.mason.wa.us
COM 2026• 0000
CHANGE IN TENANT APPLICATION
PROPERTY.INFORMATION
Date: �-Z,2-�Z Assessor's Parcel Number:
Legal Description:
Building Site Address: m'TE (,J 4 T25'ZL'1�- -'6'U4e
APPLICANT INFORMATION
Name of Applicant: G nG"%k _ In
P a,
Mailing address: CAAK?
City: State: ��, Zip:
Day phone:44.443%W4VOntact Person: Message phone: 3 4M-
PROJECT INFORMATION
Proposed business name: i
Proposed use: 1 hA - Number of employees: $
Previous business name: scribe previous use:
STRUCAURE DETAILS
Check one: ❑ 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?
0i rr+ I occupied? ❑Yes ®'No Yr. Mo. ,
Square Base ent: First: Me a ine: Seco d: Thir
footage: iL/ ��4 0 4 V4 it/4
Is the structure Ty e of�I-eat: Circle e: pFurnace$Heat Pump ❑Electric wall ❑Radiant
heated? 9 j( f,,, L88C?
Circle oneZYes [:]No Fuel type: Cile 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®No Lighting: ❑Yes[tNo Heating❑Yes ®No
Exterior Finishes❑Yes 59No Interior Finishes❑Yes®No Parkin ❑Yes EiiNo
Number of restrooms provided: Number of fixtures in eac
Water Closets Lavatories 1 Bath/Shower
Is structure handicap accessible? Entryi&es❑No Restroom(s):*Yes ❑No
Is the structure equipped with a fire sprinkler system❑YesONo Fire alarm system? [RYes []No
Monitoring Station Name: y(X46Ay0 Phone number: uA A
APPLICATION WILL NOT BE ACCEPTED WITHOUT:
Floor Plan(5 sets):
• Draw the floor plan to scale a 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.
X )-& lik -G.G rf✓S
Signature of Applicant Date
X 1(t&n ne wners Represent !Contractor
Print Name circle to�indcate which one)
Official Use Only
Accepted by LL) Date l'2-1- 25 Submittal Amount$ Receipt number
Department view Initials Date Comments
Building2-�-2 S" .�✓c�� w f (oH << o.�s,
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
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Page 13 of 21
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