HomeMy WebLinkAboutBLD2022-00604 - BLD Application - 6/24/2022 va MASON COUNTY COMMUNITY SERVICES Permit No: p � � Q `
t F•.\ PERMIT ASSISTANCE CENTER: RECEIVED
r ���� •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
!s 17 1 615 W.Alder Street,Shelton,WA 98584
ttt ��_' 'lo�'IIII Phone Shelton.(360)427-9670 ext.352••Fax (360)427-7798 Phone
\may'% ~:,tY'� Belfair.:(360)275-4467•Phone Elma:(360)482-5269 J U N 2 4 2022
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Laura&John Bowyer NAME:ZIESER BUILT CONSTRUCTION INC
MAILING ADDRESS:14708 Connelly Rd MAILING ADDRESS:7636 NW WILDCAT LAKE RD
CITY:Snohomish STATE:WA ZIP:98296 CITY:Bremerton STATE:WA ZIP:98310
PHONE#1:206-226-4903 PHONE:360-271-3715 CELL:
PHONE#2:206-778-2024 EMAIL:zbuilt@wavecable.com Z
EMAIL:laura@solutionmakers.com L&I REG#ZIESEBC077PR EXP. 09302023 <
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ M
NAME Laura&John Bowyer EMAIL Laura@SolutionMakers.com MAILING ADDRESS 14708 Connelly Rd CITY Snohomish STATE WA ZIP 98296 1 1 T 1 0
PHONE 2oe-226-49o3 CELL 2062264903 >1 Z
PARCEL INFORMATION: qT
PARCEL NUMBER(12 Digit Number) 22212-54-00903 ZONING Rural Residential 5(RR5) fLill
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LEGAL DESCRIPTION(Abbreviated) 30 E Graham Rd,Belfair.WA 98528 FIRE DISTRICT North Mason Fire J
SITE ADDRESS 30 E Graham Rd CITY Belfair
DIRECTIONS TO SITE ADDRESS r
From Belfair Hwy 3 south to right on Hwy 106,3 miles to Graham Rd on left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all then apply).
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW p ADDITION❑ ALTERATION❑ REPAIR El OTHER El
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Err)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whale WO Q YES(Perils]0l'Blrfg)❑ NO El
DESCRIBE WORK Single family residence
SQUARE FOOTAGE:(prc,/wsed)
1ST FLOOR_ sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 257 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 536 sq.ft. Attached❑' Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE N/ MODEL LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Q SEWER❑ / NEW Q EXISTING❑
PLUMBING IN STRUCTURE? YES❑' NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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 properly
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.
P F OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P R Z APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
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Si na a of OWNER(Must be signed by the O ER) 1
9 Date
DEPART-MENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL ,QQ
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