HomeMy WebLinkAboutCOM2025-00033 - COM CD Environmental Health Review - 4/28/2025 i 1
MASON COUNTY (360)427-9670 Shelton ext.352
''y DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext.352
BUILDING••PLANNING••FIRE MARSHAL (360)482-5269 Elma ext. 352
!i► Mason County Bldg. 8
615 W.Alder Street, Shelton,WA 98584 www.co.mason.wa.us
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CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date: 4/10/2025 Assessor's Parcel Number: 12329-42-00020
Legal Description: PCL 2 of BLA# 17-26 AF#2086006 PTN of NW SE S 49/144
Building Site Address: 290 NE State Route 300 y
APPLICANT INFORMATION � �� �
Name of Applicant: �r�W �7�7- s.�� co
Mailing address: .pp '26 G
City: Belfair State: WA Zip: 98528 to O
Day phone: Contact Person: Message phone:
PROJECT INFORMATION
Proposed business name: Full Steam Ahead Enrichment Center
Proposed use: Children's enrichment classes Number of employees: 2
Previous business name:-Butter-as- //ter '3 Describe previous use: Retail
STRUCTURE DETAILS
Check one: ❑ Detached single level/single tenant 0 Single level/multi tenant
0 Multi level/single tenant _ 0 Multi level/multi tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
75 yrs(Remodeled in 2020) occupied? Dyes QNo Yr. Mo.
Square 1022 Basement: NA First: 1022 rMezzanine: Second: NA Third: NA
footage:
A
Is the structure Type of Heat: Circle one: ❑Furnace eat Pump QElectric wall QRadiant
heated?
Circle oneg3Ces QNo Fuel type: Circle one: Bectric Li uid Propane 13Natural Gas DOH
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: ['Yes[to Lighting: Q Yes( 10 HeatingDYes E31Gb
Exterior Finishes❑Yes QNt interior FinishesDYes am- ParkingDYes ONe.
Number of restrooms provided: Number of fixtures in each:
1 Water Closets 1 Lavatories� 1 Bath/Shower 0
Is structure handicap accessible? Entry6esD [BNo Restroom(s): es QNo
Is the structure equipped with a fire sprinkler systemDYes®fck Fire alarm system? ['Yes [.} to
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
, • 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 bads
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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 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 1 am the owner, owners legal
representative, or contractor. f 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
AP AYS WILL INVALIDATE THE APPLICATION.
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Sign nt Date
X Frr � 5 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