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Home My WebLink AboutCOM2017-0012 Cancelled Produce Tent - COM Application - 2/15/2017 MASON COUNTY COMMUNITY SERVICES r PERMIT ASSISTANCE CENTER: Permit No: o �/7— 601.21.Z .BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair.(360)275-4467•Phone Elma:(360)482-5269 E`j 15 2017i 1654 f7 BUILOINGBUILDING PERMIT( APPLICAT Y N 615 W. Alder Street PROPERTY OWNER INFORMATION:T(ION: CONTRACTOR 2�TION: NAME:W I I f A I C ' tA�e I L5 NAME: MAILING ADDRESS:. .,6 j ESt, MAILING AD CITY:�Q _STATE: \AJN ZIP:C CITY: STATE: ZIP: PHONE 1,3��. L116- -J C16•i+ PHONE: CEL PHONE#2: 366- SC[S- `, A CZ� EMAIL EMAIL: L&I RE EXP PRIMARY CONTACT: OWNER❑ CONT OTH ❑ NAME L MAILING ADDRESS CI Y STATE :' ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 3 213A'w-X- 0) 4 D ZO G LEGAL DESCRIPTION(Abbreviated) a DISTRICT SITE ADDRESS S 1,61 e CIT S'n if 1 d DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF OPE(S)G EATER T AN 14%: f.'S❑ NO,® IS PROPERTY WITHIN 200 FT OF THE LO G: (ch all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK POND ❑ WETLAND SEASONAL RUNOFF ❑ STREAM❑ TYPE OF WORK: NE ADDITION❑ AL.I. RATION REPAIR❑ OTHER ❑ USE OF STRUCTURE4Residence,Gara ommercial Bldg,Etc. - IS USE: PRIMARY❑ SEASONAL NU R OF BEDRO S NUMBER OF BATHROOMS HEATED STRUC ? YES d ❑ YES art[s]of Bldg) NO ❑ '[~�P f-af!-& �v+G�✓ DESCRIBE WORK I°"(�i i V, wo&a6fn r6..L7 I-Q �:LAr SQUARE FOOTAG : ( ose+existing) dam . 1ST 2ND FLOOR sq.ft. RD FLOOR sq.ft. BASEMENT sq.ft. D CK sq. ft. COVERED DE sq.ft. . STORAGE sq.ft. OTHER sq. ft. ARAGE ttached❑ etached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFA ORMATI *4 COPIES OF THE FLOOR PLAN REQU D* M MODEL YEAR LENGTH :IDTH BEDR MS BATHS SERI ENVIRONMENTAL HEALTH: Ak) PIQ m6t U SEWAGE/SEWER SOURCE: SEPTItC SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES NO�, If yes, attach completed Water Adequacy Form PERIMETERTOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT, EXISTING BEDROOMS -- PROPOSED BEDROOMS -e�r 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 1 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 PE RMI PPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT s PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 4' a i MASON COUNTY PLANNING INTAKE CHECKLI ffECEIVED Planner Assigned: Grace (GBM) Kell (KJM) Ron (REB) Permit M - 0Mo?D17 Date: FEB 15 2011 ! lA� 615 W. Alder Street Owners Name: o/l d � Cl yye� Project: I'1 — �-S�r ` Commercial pr 'ect?: es o i Site Plan:r North Arrow ❑ Property Dimensions: x Irregular Shape ? yes no ❑ Streets and Driveways shown ❑ Road Frontage Name: ❑ All Existing Structures Shown with setbacks and use. ❑ Identified Surface water(streams, ponds, shoreline,wetlands, natural/historic drainage,defined drainage) ❑ Topography (slopes) ❑ Minimum Structure Setbacks (direction/setback): F: / R: / S1 / S2 / ❑ Utility and Drainage Easements: yes no (if yes enter condition #5022) ❑ Other Easements ❑ Accessory Appurtenances: propane tank Heat pump ❑ Does site plan show landings at all exits ? ❑ Variance applied for: yes no Parking spaces allotted: yes no ❑ County Access Permit Needed (add condition #0010) ❑ State Access Permit needed (add condition #0020) ❑ Standard Planning conditions: #5019 and #700 ❑ Are there any impediments (dogs/gates) that may restrict access to your site? yes no ❑ If yes, do we need appointment? yes no ❑ Is site clearly marked? Address (❑ Will be posted when address assigned) Name Other: ZONING UGA'S ALLYNBELFAI ,HELTON R I LAND DESIGNATIONS GC PF R-1 R-1P RR 2.5 AGRICULTURAL POS FR R-2 R-1R RC RR 5 PRIBAL L BI GC-CI R-3 RI RC 3 RR 10 G HC LTA R-5 RT RMF RR 20 T MU R-10 RT/RTC RNR MHP BP VC RAC NR Critical Areas: (stream shoreline, wetlands &steep slopes) Shoreline Designation: r ❑ Urban ❑ Rural ❑ Conservancy ❑ Natural Water Body: SEPA: yes no unknown Flood Plain: yes no unknown Map# Aquifer Recharge: yes no unknown Map# Taszs/Cases: RLC/SPI: i 6 year Reforestation: yes no DDR/GRD: Eagle Nest Tag: yes no GEO/SEP/SHX: OTHER Parcel Tags?: yes no MASON COUNTYBUILDING COMMUNITY SERVICES Adding,P1-6g,Enviren -.1 H.1d,C.--ly Henldl . Name � n Permit#: W5W w l2 �^ w" lit,r, Type .. - , Residence /Addition /Basement $112.65 $ Garage/Storage $44.63 $ Unfinished Basement $15.00 $ Deck $14.34 $ Carport/Covered Deck $20.38 $ Other C $ TOTAL VALUATION $ Estimated Plan Review Fee: $ Planning Dept. Review Fee [$205,$330,$70]: $ GEO - Geo-technical Review Fee [$255.00].• $ Addressing Fee [$173.50]: $ Fire Access & Grade Review Fee [$73.00]: $ Environmental Health Review Fee ($21 105 $ Other: $ The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees,and plumbing permit fees will be calculated during plan review. The balance of all other fees will be collected when permit is issued. p L INGP�RNIIT, ES, Building Permit Fee (ICC, Table 1 — Building Valuation Data) $ Estimated Mechanical Fees (U.M.C., Table 1-A). $ Estimated Plumbing Fees U.P.C. Table 1-1 State Fee: $ 4.50 Other: $ ft rrraftd`buff n+ : ' it tt .:F .1NF.l R T'1 Y. GRAND TOTAL2 1 3 a BUILDIN 0` 7- )o,Z- FEB 15 2017 6151iV.Alder Street � G e �� F 2Y 4 . Q 1 -t� 4tk F 01, 4111 k <7 RECEIVED EB 15 2017 615 W. Alder Street y A s RECEIVE® FEB 15 2017 615 V'1. Alder!13.trast CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION OFFICE OF THE STATE 'FIRE 1,,MRSHAL REGISTERED FLAME RESISTANT PRODUCT Product: Registration No. VINYL LAMINATED pOLYE S TES F-914 01 Product Marketed By: -PRECOMP LLC 69 GOOSE ?ILL D CF `STFXR, CT 06412 'l 11tL roduct ;fleets to I2 i imuiTi rc�3U1r�iTit ill ,t t'��eiFl]l' rttii ztiin'e esmN ished l?, the Cwffoilil i St�`ll_' lire ;�l�ir�h:ti {C?r p-odLi 5 i��tl t'CwL{ iTi :�.'i'ii,`W. 1 ;11 5. lil,' fli:§ AFC'ttLi] etil `satCC4 "ode. Thz: scope tit ilie atpprw Cd we of this J)D)L11IL"t iS PFCI\i:j1J ii3 01;:' Cll['i'Cilt tditit'1i7 of rill CA1.I!F0RNi -X .XI'PR0VF.D LIST OF FLAME ETARI)ANT C'i1E.-NUCALS AND FABRICS, GENEkA.L AND LIMITED,AFTLICATIONS C'O CERNS ntlNIShed by i1ie C alifomia SlaTO Fi.r:N•lar,;hcal- 6/30/2013 r Plao OLI L