HomeMy WebLinkAboutCOM2025-00022 CHANGE INTENANT APPLICATION - COM Application - 3/17/2025 s
MASON COUNTY (360)427-9670 Shelton ext.352
4'�J'—'r`fr DEPARTMENT OF COMMUNITY SERVICES (360)275-4467 Belfair ext. 352
BUILDING• PLANNING• FIRE MARSHAL (360)482-5269 Elma ext. 352
*� Mason County Bldg. 8
615 W.Alder Street, Shelton, WA 98584 www.co.mason.wa.us
COM 1 Dd' 0Ct,22
CHANGE IN TENANT APPLICATION
PROPERTY INFORMATION
Date:03/12/2025 Assessor's Parcel Number: 22129-34-90010
Legal Description:TR 1 OF GOVT LOT 1 LOT 1 OF SP#1398 CORR
Building Site Address:2810 E Spencer Lake Rd, Shelton,WA 98584
APPLICANT INFORMATION
Name of Applicant: Caralyn Valdeman obo C and R Properties,LLC dba Cara's Corner Country Store
Mailing address:PO Box loos
City:Hoodsport State:WA Zip: 98548-1008
Day phone:206-310-4239 Contact Person: Caralyn Valdeman Message phone: 206-310-4239
PROJECT INFORMATION
Proposed business name: Cara's Corner Country Store
Proposed use: Corner store Number of employees:4
Previous business name:Wicked Delights Describe previous use: Marijuana Bakery
STRUCTURE DETAILS
Check one: CI Detached single level!single tenant 0 Single level/ multi tenant
0 Multi level/ single tenant ❑ Multi IeveUmulti tenant
Age of structure: Is structure currently If not occupied, how long has it been vacant?
—40 years occupied? OYes ❑No Yr. Mo.
Square A ') 2 Basement: NSA First: 4,212 N Mezzanine:/A Second: NIA Third: NIA
footage:
Is the structure Type of Heat: Circle one: OFurnace DHeat Pump DElectric wall DRadiant
heated?
Circle onej:Yes ❑No Fuel type: Circle one: DElectric ❑✓ Liquid Propane :Natural Gas ❑Oil
Will there be any changes to the following? Circle yes or no, if applicable:
Floor lay-out: Dyes ONo Lighting: ❑YesEiNo HeatingElYes ONo
Exterior Finishes❑Yes ❑✓ No Interior Finishes❑Yes❑No Parking❑✓Yes DNo
Number of restrooms provided: Number of fixtures in each:
3 Water Closets 5 Lavatories 3 Bath/Shower 1 .
Is structure handicap accessible? Entry❑Yes❑No Restroom(s): ✓❑Yes ❑No
Is the structure equipped with a fire sprinkler system1Yes❑✓No Fire alarm system? DYes ❑No
Monitoring Station Name:ADT Security Phone number: (253)260-7710
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 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 e� 03/12/2025
Signature of Applicant Date
Caralyn Valdeman
X (wner Owners Representative/Contractor
Print Name (circle to indicate which one)
Official Use Only
Accepted by(..,' V)L? Dat 3 I7-2S Submittal Amount$ Receipt number
Department R view 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
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EH APPRCVED
m ��• t °p3npa Thompson 14/28/2025
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,.,-� , appli�anYs rQspQnsif�ility,to comply with setback �� ����� y
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