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HomeMy WebLinkAboutBLD2018-00086 Final Phase 1 Repair Foundation - BLD Permit / Conditions - 3/7/2018 W v CONCRETE MECHANICAL MANUFACTURED HOME Footings ISetbacks Date Gas Piping By Ribbons � z o Interior Date By interior-Gate By Date By rnEx Date By Exterior-Gate B t.0 Z INSULATION Point Load I isolated Footings Date By r— BG F SLAB INSULATION m Date By data By FIRE DEPARTMENT p Foundation Walls Floors pate By Z D Date By Data By DECKS FRAMING Walls gate By Cate By Data By PROPANE TANKS PLUMBING Vault Date By Date gy OTHER Groundvrork Attic Type, Date By Mete By Data By t7. rtr DRYWALL. -0 Date B Int,Brace Wall Date By W la i7atey FINAL INSPECTION 0 mWater line Fire Seperation CD Date By pate By Date By ..a m 00 s Pass Or Request I nspect. o Type One By c la a n CD 40 o ' v s >` z Z CD AAA/f O 0 y O N a m 3 v cQ co o Inspection Line(360)427-7262 co. MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352 Mason County 615 W Alder St _ 5 Shelton, WA 98584 '$sd RESIDENTIAL BUILDING PERMIT BLD2018-00086 OWNER: LEONA JOHNSTON RECEIVED: 1/23/2018 CONTRACTOR: ELEGANT HOMES INC 253-292-1224/253-576-5629 LICENSE: ELEGAH1923D6 EXP: 4/12/" ISSUED: 2/1/2018 SITE ADDRESS: 22501-320 NE NORTH SHORE RD TAHUYA EXPIRES: 8/1/2018 PARCEL NUMBER: 322052000050 LEGAL DESCRIPTION: TR 5 OF G. L. 3&4 MPL-r—h 4/PROJECT DESCRIPTION: DIRECTIONS TO SITE: PHASE 1-REPAIR FOUNDATION ONLY FOLLOW NORTH SHORE TO BRUMA RD, THEN FOLLOW TO 22501, MAIN ENTRANCE ON LEFT SIDE, FOLLOW RD TO 320 --�—r General Information Construction&Occupancy Information Square Footage Information No.of Bedrooms: Type of Constr.: V-B Type of Use: SF Insp.Area: No.of Bathrooms: Occ. Group: R-3 Lot Size: Deck: Type of Work: FOU Fire Dist.: 2 No.of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Seasonal Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: Rear: Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee AMP 1/31/2018 $4.50 S3201800000001 Foundation Only AMP 1/31/2018 $ 151.50 S3201800000001 Plan Check Fee TW 2/1/2018 $73.00 S3201800000001 Total $229.00 j 4 r BLD2018-00086 Please refer to the following pages for conditions of this permit. 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Alder Street Elma (360)482-5269 ::' Shelton, WA 98584 +� www.co.mason.wa.us �1 111 n11�1 REQUEST FOR BUILDING PERMIT EXPEDITION c p Date: Oil Aa 19> R CCI Permit No.. 3�RllJAN 23 20 Name: F—' w ao t �O`Cn&� 12C - 615 18 . ��j()Y J 5j� TO BE KEPT I�I*Ystre.,Mailing Address:( P� w 'Cj ToLcolgn. 1)j 4 q�qbq PARCEL FILE Parcel Number: c ) Lq W5 — aCl — 000 51.E Site Address: 0 I - (0 A) J 00iAl S�tGa Rd, c S �2,53) G-7& Request due to: ❑Medical Hardship ElFire Damage Xother C0 Explanation of Hardship: a ea, aA a,,, of kom%c cclICqRof tiwere ---Au �U C1 I �0 itxL) a'N t. b-t u Icb'y�,cG Must include supporting documents.This may be a letter from a doctor, insurance claim report, report of fire damage from appropriate fire district representative or other relevant documentation. I (WE) understand the intention of this form to determine and document justification for expedition of a building permit to alter or reconstruct a structuregD4e above named property. Signature Owner/Agent: OFFICIAL USE ONLY Request: (Approved ❑Denied Date: Request denied for the following reasons: Signature: Director of Community Services - ° d r r ' ° ' +�•° dilf, ' r It 51 SA i r = s 1 S •s, sfr e -r r " 1 h N.. a a r 'Ago a rr '3 u � • 4%16r i r n i i.�# • ",� • .T 11 ,RECEIVEE U JAN BN I a � r 1 - ,I L -.� - •/� y J6 w + •' `, Y 46 1 96. Iw VL a a � ^� "fit' �_ � / ♦ r fi f � M I•r� A ^ , i " ,� s,.',� • :,.a-. ,. __.A .aye-�, ,� Ai,�'�' <n•• �' �� --i f q� .,,,:- le AIN 00 s " "' Y aia'• .� � , aP c A k . r a� yp�yy4� � $ ♦ 3fy ... kj a .. w, - . . ...... M N a - z y a NG J41 i3 " I RECE1 VE D JAN 2 3 2018 815 �!Alder Street UIL MG O � o 0 C) V � too nT � �oN oa5� MASON COUNTY COMMUNITY SERVICES j �. PERMIT ASSISTANCE CENTER: Permit No: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 ��` c` Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone 'VED Belfair. (360)275-4467•Phone Elma:(360)482-5269 18.54 BUILDING PERMIT APPLICATION JAN 23 2018 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO : -Alder Street NAME: L 2,b'JGi J o h•)S i o ) NAME: j � 14©M e S I d MAILING ADDRESS: L i `t D(, (l O-rr, late n1c'_ MAILING ADDRESS: CITY:f tzK la.✓5 STATE:_ ZIP: CITY: "jaCn rl STATE: Ala ZIP: 9 4 E u PHONE#1:_. ( LA Z 5 � 2 C�`� - D Z('i6 PHONE:(Z5y )5)t;-6';6'Z9 CELL: PHONE#2: EMAIL : L I C vca„!mot-taM�9 ?_c�[LO c� Y Hon C M EMAIL: L&I REG# PRIMARY CONTACT: OWNER❑ CONTRACTOR10 OTHER❑ 2kca� EMAIL/CA y . 2 2010 G(�i MAILINGADDRESS P.6ASMX Cos SS�Z CITY TcXC,0L'k6L STATE—a ZIP-2KkEy PHONE �_�?L111 ,S 76-. E't 9 CELL PARCEL INFORMATION: BUILDINr PARCEL NUMBER(12 Digit Number) `- 2e� DQ ZONING LEGAL DESCRIPTION(Abbreviated) 'i S ©F , L iq FIRE DISTRICT SITE ADDRES ZO ."J� „)d "(" Q e- CITY I c1.tI CA Y Ck L OC+ DIRECTIONS O SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: (�D NO ❑ �d 1 IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ 11 TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR VOTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etta IS USE: PRIMARY❑ SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[si of Bldg) ❑ NO ❑ DESCRIBE WORK -tYLC1" SQUARE FOOTAGE: (propose+existing) 1ST FLOOR sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq. ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq. ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES ❑ NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that 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 and 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 legal representative, 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLIC- ATIPA F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON Y CODE 14.08.42) Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 8 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH