HomeMy WebLinkAboutBLD2017-00315 Final Chimney - BLD Permit / Conditions - 3/30/2020 e
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Date S -2(4-I-j By J-7?-- Date By FIRE DEPARTMENT
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Date BY Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
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Date By Type,
Date By Date Sy
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CD Data By Date By Date By CD_&
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Fail Date Date Done By Comments
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MASON COUNTY COMMUNITY SERVICES
PERMIT ASSISTANCE CENTER: Vet-mil. No:
Al -.T)1J, 2.01 q -/A I
BUILDING-PLANNING#PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Street,Shelton,WA 90684
J Phone Shelton:P60)427-9670 ext 352-Fax:P60)427-7796 Phone RECEIVED
Bellair.(360)276-4407•-Phone Elms:(360)482-5269
AM 18 20P
BUILDING PERMIT APPLICATION 615 W. Alder Sti-eo
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: P I(trl�l NAME---firasia Lad!2�/SiA5051NI:1,
MAILIN"ADDRESS-4351 Ej G ADDRESS: -1, �,
CITY: STATE: ZIP: MAILING ADDRESS:
CITY: STATE: ZI :Ift 5 Iq
-Al 6K ai��Im
PHONE#1: -S
PHONE#2: 36C) q 49 9
EMAIL :'
EMAIL: L&I REG# SC S Q EXP. '8 1-111bL
PRIMARY CONTACT: OWNER)K CONTRACTORX OTHER[]
N LLnl EMAIL
MAILING ADDRESS 4VY I 7=-, 4'a, CITY STATE zipc
PHONE CELL '-
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 0 1 '�C) ZONING
LEGAL DESCRIPTION(Abbreviated) --rrgcYt- It 9
-S-E� 6J 1AJ- FIRE DISTRICT
SITE ADDRESS 635 Qv1 - L c CITY J/
/
DIRECTIONS TO SITE ADDRESS
46 A" V 3 a Q J a
Z ,014mgnt +-.rep -5,4.k
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES[] No
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER[] LAKE[] RIVER/CREEK[] POND [] WETLAND [] SEASONAL RUNOFF[I STREAME]
TYPE OF WORK: NEW-N' ADDITIONE] ALTERATIONE] REPAIR[I OTHER ❑
USE OF STRUCTURE(Residence,Gat-age,Continercial Bldg,Etc)
13 USE: PRIMARYE] SEASONALE] NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATEDSTRUCTURL-7 YES ONtole Bldg) EI YES(Part[sJof Bldg) [I NOE]
DESCRIBE WORK. I y �x tL-O,I x la,
SQUARE FOOTAGE: (propose A-exuano
1ST FLOOR sq. It. 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. AttachedE] Detached.[] CARPORT sq. ft. Attached E] Detached[]
MANUFACTURED HOME INFORMATION: *4 COPIE,S OF THE, FLOOR PLAN REQUIRED*
D*
MAKE MO Y LENGTH
ENVIRONMENTAL HEALTH:
SE WAGE/SEWER SOURCE: SEPTICE] SEWER[I NEW n EXISTING❑
PLUMBING IN STRUCTURE7 YES [] NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED7 YES [-J NOE] 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 100
days or If construction work Is suspended for a period of 180 days. RECEIVED
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF TI-115
PERMIT APPLICATION OF 100 D4YS OF MORE WILL CAUSE THE APPLICATION TO BE Exrok&?(M4S`01\1
COUNTY CODE 14.08.42)
�5 W. Alder Strect
signat4re of OW-NM(Must-be signed by the OWNER) Date
DEPARTMENTAL NTAL REVIEW APPROVED DATE, DENIED DATE, TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT :7M2
171-All"OftEl DEPARTMENT
HEALTH