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HomeMy WebLinkAboutBLD2020-00477 - BLD Plot / Site Plans - 6/27/2022 • .:ti-r .,t r z rcj ,rt �714"P7Ars.:;• ,. _§ r " ' 7vr- •.y:ti ++' '111 fit ® � © !� ��. © F n o ® 0 © i MASONCOUNTY COMMUNITY SERVICES l 140(d i nci3 CAI � Permit Numbe BLD/R OM: 20 -Cot- pplicant Name-jA"�J a— Email: W VA01-.L'(Ej, Phone#: Project Title:6Fe., Parcel Number: 1 Z (SD/„ Com W Please provide a complete, detailed description of the proposed revisions to the approved plans. Please return this form to the Mason County Permit Center. i $ I . I,kit& 0 —6 4 . •.I -11 sob P � .1 a, . -50 -- IA Co DO 1 410 cu , u La. 1 . 2.a0 - o - _ ..• &., - The following documents are required to be submitted with this form. > One set of revised plans or addendum indicating the changes. Yes_ No_ > One set of the approved construction plans. Yes_ No_ (The"Red Stamped" approved site plan must be included) > Revisions are to be clouded with delta's clearly and accurately identified on the revised plan/s or addendum. Yes_ No_ > Does the plan contain a structural, architectural or soils engineer analysis? Yes_ No_ (If yes,has the Registered Professional/s approved this revision) Yes_ No_ (Is a stamped and signed approval included with this request) Yes_ No_ (If no engineering or other changes requiring a registered professional have been made,the plan may be approved without written consent of the engineer or architect of record) > Does the proposed revision modify the footprint or location of the structure/s? Yes_ No_ (If YES, is a revised site plan,with all new setback dimensions included with this request?) Yes_ No Additional Information: ,L ,f)Lr • n taki IniQ-rr t.e-fr-ef, 2J I i](.' "P1_ r hEA 5t t1 P 1 Ci.it-- Applicants Si 1t'ature: Date: PP 9 STAFF REVIEW SECTION Reviewed by: 1 kji l L.L1 Department Date Assigned Date Reviewers for Review Received Reviewer Approved Approval Or inal Valuation: $ Additional Valuation: $ Building J 054t.. Sq.Ft. X $ Sq.Ft. X $ Planning eitY(t' Additional Fees: $ Additional Plan Review: $ Public (0/2..r/ �hu-natt.,6 , Additional Building Permit: $ Health 22. bl Additional Plumbing: $ Additional Mechanical: $ Fire Other: $ Marshal Total Due: $ Public Works Page 1 of 1