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Home My WebLink AboutCOM2022-00059 - BLD Application - 6/29/2022 . `"'"`tt. MASON COUNTY COMMUNITY SERVICES Permit No:( .OVYI ZD Z V _�a r1 ,••,,,, PERMIT ASSISTANCE CENTER: I I. • r. BUILDING•6 5 W.Alder SPLANNING. treet,Shelton,WA 98 84 C HEALTH.FIRE MARSHAL RECEIVED f Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone •3t ' tt7tit+~ �y Belfair.(360)275-4467•Phone Elma:(360)482-5269 JUN 2 9 2022 hc' BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alder Street NAME:Jeff Baker NAME:Earl Lincoln Construction Inc. MAILING ADDRESS:P.O.Box 2625 MAILING ADDRESS:P.O.Box 368 CITY:Belfair STATE:WA ZTP:98528 CITY:Belfair STATE:WA ZIP:98528 PHONE#1:360-710-7066 PHONE:360-801-1540 CELL:360-649-5386 1 „ PHONE#2: EMAIL:Clincoln00@gmail.com Z EMAIL:Localwrenchauto@gmail.com L&I REG#CC EARLLLC910OT EXP. 12/19/23 PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 2 7) NAME cans Lincoln EMAIL clincoln00@gmail.com MAILING ADDRESS P.O.Box 368 CITY Bofzir STATE WA ZIP98528 rn CDo-6 PHONE 36aes3s6 CELL !' L PARCEL INFORMATION: =m PARCEL NUMBER(12 Digit Number) 12329.43-90290 ZONING MU LEGAL DESCRIPTION(Abbreviated)TR 29 OF SW SE PCL 1 OF BLA#99-74 FIRE DISTRICT Mason 2 SITE ADDRESS 100 NE Mwdical Center Rd CITY Belfair DIRECTIONS TO SITE ADDRESS Hiway 3 to Medical Center Rd,Fallow Medical Center Rd to end.Project site is on left behind Rock wall IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD:30 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM 0 TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Comercial Building IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part/s/of Bldg)Q NO 0 DESCRIBE WORKNew Construction of Comercial garage with captains quarters above SQUARE FOOTAGE: (proposed) 1ST FLOOR2892 sq.ft. 2ND FLOOR1443 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK224 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE2892 sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached❑ Detached 0 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 0 / NEW 0 EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO❑ If vex,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES El NOD EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 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 APPLICION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 4/7/22 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED _ DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT r PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH *tin_ZZ t 5 :- .CrVS ' e/e z mgmw Tin F, CA 2-‹ ire 193' wum!frnoto ,umuu - Euiu L ,6'91' Q0 - ; 0- , 1 - Fi i , L Me:asc a Road 1 DS ir " lc- 1- ED N O 3 m ,, m 3 s� 3 't7 Z W. Tit U ©urn V / t �j 3 .11 63 3 311 '