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Home My WebLink AboutCOM2019-00096 Change Tenant White Barn Decor - COM Application - 9/19/2019 gor cot, MASON COUNTY (360)427-9670 Shelton ext.352 "'� DEPARTMENT OF COMMUNITY SERVICERECEI -4467 Belfairext. 352 BUILDING• PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352 e� SEP 19 2019 Mason County Bldg. 8 tt�w 615 W. Alder Street, Shelton, WA 98584 al*Ader St .co.mason.wa.us COM_QCA9- 00C)q ,Q CHANGE IN TENANT APPLICATION PROPERTY INFORMATION Date: Assessor's Parcel Number: acj _ 3. C.ba 3 0 Legal Description: Building Site Address: 5M APPLICANT INFORMATION Name of Applicant: Zn Mailing address: - (o City: - �( State: c1 Zip: SZ Day phone:753.-3c,j--7S541 Contact erson: �,,,, (Ga Message phone:zST-T.LJ-`-!sS tj ROJEC ORMATION Proposed business name: 0 1ACOC, Proposed user e°. I Number of employees: 3 Previous business name: Describe previous use: C( p STRUCTURE DETAILS Check one: etached single level/ single tenant O Single level/ multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure c ntiy If not occupied, how Ion has it been vacant? Leo r-`7 occupied? C Yes No Yr. Mo. . Square�ga� Basement: irs . Mezzanine: Second: Third: foots e� y1p Is the structure Type of Heat: Circle one: F mac Heat Pump Electric wall Radiant heated? Circle one: Yes No Fuel t e: Circle one: ec Liquid Propane Natural Gas Oil ere be a e yes or no, if appl" le: Floor lay-out: Yes No Lighting: Yes No Heating. Y No Exterior Finishes: s No Interior Finishes: Yes Parkin � es No Number of restrooms prove es in each: ater Closets Lavatories Bath/Shower' Is structure handicap accessible? Entry: es No Restroom(s): Yes No { 6� Foe. lot, Is the structure equipped with a fire sprinkle ystem? Yes o Fire alarm system? Yes N 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 • PropgAy lines, easements, & right of ways • Location of all existing structures & dimensions • DistakZq4 n feet, from property line & structures • Location of all existing structures & dimensions • On-site sevV�&eWriks and drain fields, & reserve • Landscape buffer yards • Location of fire 15yd'r is &vehicle access roads • Well location • Parkingareas (num 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 CONTINUA ON RK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT N OF 80 DAYS WILL INVALIDATE THE APPLICATION. )'00l ure o Applican ate X 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 10 to - Fire Marshal Planning Occupancy Change? (circle one) Yes No Land Use Designation: Occupancy classification change from_ ry,) to New occupant load calculated: persons Existing occupant load design ersons. Type of construction V [� -,......•--�,t• , AMEM Rye.t,.�I 4 5�L CC vo i caft 1-5 cv, ol let .-.-� .,:`.��'... . ,..- I .y� t- � ,�• � ° � - -,=•1 III � ++ - w 5 clSO Z,WIa�S� Li a-1 t »V)S. Cam, - � ,z► c suers oN �.,'�'� pay U� )1 � � � .. . •.� .,� . a`'' �C", �` J/ L