HomeMy WebLinkAboutCOM2017-00077 Redneck Feeds - COM Application - 6/28/2017 qpT C cc)LN
MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL RECEIVED(360)482-5269 Eima ext. 352
Mason County Bldg. 8
615 W. Alder Street, Shelton, WA 98584 mrww.co.mason.wa.us
2 R 7 ww.co.mason.wa.us
BU'LDI GE IN TENANT APPCeA-W COM Zd1� - oob77
PROPERTY INFORMATION
Date: Z�It 7 Assessor's Parcel Number: 1 'Z
Legal Description: C L_ l o 1bL CO z Z P r'n rv-23 () C :S'
Building Site Address: ®�} 'e �lr--- , r
APPLICANT INFORMATION
Name of Applicant: olac_t
Mailing address: ,Q `i?�>z5x
City: State: Zip: Z ;
Day phone-3�p Contact Person: 7p_%c-\L Message phone: 3(r(o ((qo 9
Z (-2 PROJECT INFORMATION
Proposed business name: ' � 4e�e-AS L,/- C
Proposed use: � SO �'�E Number of employees: �—
Previous business name: Describe previous use:
STRUCTURE DETAILS
Check one: Detached single level/ single tenant O Single level/ multi tenant
O Multi level/single tenant O Multi level/multi tenant
Age of structure: Is structure cur ntly If not occupied, how long has it been vacant?
occupied? ( Yej No Yr. Mo.
Square Basement: first: Mezzanine: Second: Third:
-footage: 157po --- —
Is the structure Type of Heat: Circle one: EErnac Heat Pump Electric wall Radiant
heated?
Circle one: No Fuel type: Circle one: Electric Liquid Propane Natural Gas Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: Yes .off Lighting: Yes (V Heating: Yes
Exterior Finishes: Yes Interior Finishes: Yes Parking: Yes o
Number of restrooms provided: Number of fixtures in each:
Water Closets Lavatories Bath/Shower r
Is structure handicap accessible? Entry: Ye No Restroom(s): o
Is the structure equipped with a fire sprinkler system? Yes o Fire alarm system? Yes
Monitoring Station Name: Phone number:
APPLICATION Wn L 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 130 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.
Signature of Applicant Date
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
I
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
PLANNING
��� � r•`5 �e�t��
LC
S
RECEIVED
JUN 2 8 2017
615 W.Alder Street
PLANNING
v
d
r
RECEIVED
JUN 18 2017
615 W Alder Street
d
1
1