HomeMy WebLinkAboutBLD2002-00544 Deck - BLD Application - 5/16/2002 FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD 00P- W�
PLEASE PRESS HARD MASON COUNTY �6appa.&0013 -
BUILDING PERMIT APPLICATION
426 W.tedar/P.O.Box 186,Shelton,WA 98584
Shelton(360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 Seattle(206)464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 4QN £ ≤(J Pi4IQ lO N Contractor Name SQL
Mailing Address O. Mailing Address
City State Zip Code City State Zip Code
Phone o_) F79464 Other Ph.( Ph.(_ Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / / / O Fire District
Legal Description 7' 3 !1 lc LT 1X / ?. v ' a?
Site Address(Please include street name, street number and city)
Directions to site / A/• d
1 « 1
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) e2O�Aaf/ffL... Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Ba hrooms SQUAB FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No chap shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining app oval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
• APPRQVEp D .NIiD< GNDITiN +C1d
Building Department
Occ Group Type Constr.
Planning Department Lof
a
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
I FEES I
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
PERMIT NO.: BL
MASON cothvTY rl c1 ,a-cuv/;
BUI G PERMIT APPLICATION =�
426 edtr/P.O.Bgx 186,Shelton,WA 98584
Q @torf 3 0 427-9670 Belfair(360)275-4467 Elma(360)482-5269 Seattle(206)464-6968
APPLICANT MAT ON , CONTRACTOR INFORMATION
Owner /'4i. 7D4-"4-" Contractor Name 1''
Mailin ddress '*' Mailing Address
City r 1z St eZip Code City State Zip Code
Phone Other Ph.( ) . Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System �•
PARCEL INFORMATION-12 digit Tax Parcel No. iji4li Ga '= Fire District
Legal Description // ( ' '
Site Address(Please include street name, street number and city)
Directions to site = tI71 .4err_L's .,. )fE I
4 e T
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) 'f 4 L . Saltwater
Lake River/Creek. Pond. Wetland Seasonal Runoff Stream Slopes or
Bluffs . . .r .,.
PERMANENT RESIINCE SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of. uilding
Describe Work 2 flu ' IG-'r e' T/,
No. of Bedrooms o. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
�wh +5
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S''AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. ND changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. f first obtaining approval.
( X Date X Date
FOR OFFICIAL USE BEYOND THIS POI } .3c
Accepted bey G1T Da5.J1tQ4Jbmittal Amount Due Receipt No. _
:DEPARTMENT E�f1 1111 AP:PROVEp DENIED! ONDITi [ +
Building Department
Occ Grou T e Constr.
Planning Department o� /
D�
Environmental Health Department _ W_1 _ üj
._D
/ Public Works Department LIQ
Fire Marshal
i pe
I �✓:4� � R �•� t }^p P'• PST, �� �
Valuation $
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
t na
JFORM MUST 1! IN INK _c�j VP, -TU PERMIT NO.: BLl79"PLEASE PRRD riASON COC�
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
9670 Belfair(360)275-4467 Elma 360 482.5269 Seattle(206)464-6968
APPLICANT JNEQRMAXLON _ / CONTRACTOR INFORMATISN
Owner Y /1 Contractor Name sal
MaiAn%o
ddress Mailing Address
City ip Code City State Zip Code
Pho Other Ph.(______ Ph.( _ Other Ph.(_______
Lien/Title Holder Contractor Reg. #
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 di it Tax Parcel No. 42.2I1_/j/411 !J Fire District
Legal Description P //
Site Address(Please includ� street name, street number a d city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) C%¢/tJ/9 L Saltwater
Lake River/Cre.ek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work t?7�- 3 /1 • 4 END DEC ,477 ylse_
�No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport -Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. chap es shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval, first obtaining approval.
X `'W Date ,0 7, X Date
�'�fj � 1 FOR OFFICIAL USE BEYOND THIS POI "I 5a•3�
Accepted by 1 1_'�' Da V .Ibmittal Amount Due fl Receipt No.t-lI
.. .
1 !~PARTMN Iui APROVfl ;t?� I#»
Building Department iJY
Occ Group Type Constr.
Planning Department
Environmental Health Department {� n
2 > , ii 7 a0 s li'
Public Works Department
I �
Fire Marshal
Valuation $
. .. .�•{k� �'a�..,�s '�
Building Permit Fee Site Inspection
li Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid of Submittal ( )
TOTAL FEES
/1Y/ /- - )Ap
3I L) PERMIT NO.: BLD
1RA5ON COUNTY " _ f�
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
'r'' 38 7-9870 Belfair(360)275-4467 Elma(360)482-5269 Seattle(206)464-6968
APPLICANT NFO MM I+ON 2 CONTRACTOR INFORMATION
Owner / 72/f) Contractor game =, _,
Mailing Address /)5_ _ ,_S' /_pMailing Addtess
City St e i_p City State Zip Code
Phone(M OtherPh.( ) Ph.( _ Other Ph.L
Lien/Title Holder Contractor Reg. #
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / !) Fire District
Legal Description /!
': Site Address(Please iesameç 'street number and city)
_S /fl 1
Directions to site O
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) { �q, /r t.r - Saltwater
Lake River/Creek Pond: Wetland Seasonal Runoff_______Stream Slopes or
Bluffs
{ PERMANENT RESID'EF4CE, - SEASONAL RESIDENCE❑
TYPE OF JOB New. `. Add Alt Repair Other Use of Building
Describe Work () ft1 • t/1L—„off -'1J c'
No. of Bedrooms o. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the ' CONTRACTOR'S'AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval, first obtaining approval.
Date X
fff ,
' y t�z.. X Date{
I r1q FOR OFFICIAL USE BEYOND THIS POINT))'C -3c
Accepted by I Da bmittal Amount Due Receipt No.Cr�J1J''-`�-
..
DEPF►RTMENT V W APPRQVEfl• D; NtED Ct NDITI N CoDiE
Building Department 2 OCR tt v�l
Occ Grou T e Constr. '13
Planning Department
Environmental Health Department D
/ Public Works Department
Fire Marshal
Valuation $____________
C_ _
FEES.
Building Permit Fee `a 5 Site Inspection 3t
Plan Review Fee b1 EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee L go
Violation Fee ` C Pre-Paid at Submittal ( \ Q(
I )
r m�
TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name SUE P -PARCEL NUMBER '2.1O// 7 Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW(include adjacent properties if on shoreline or within 100 feet of adjacent property ert line.)
adjacent property line--> 1'J, .1 >O / , -adjacent property line
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1 p u�wit� 3d I
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adjacent property lined I I f-ad'acent property line
SAMPLE SITE PLAN
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adjacnt property line- 3zo' I Fadjacent property line
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adjacent property line-> ; ► ' <-adjacent property line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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