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HomeMy WebLinkAboutCOM2023-00101 - COM CD Environmental Health Review - 11/2/2023 Co 1 ' MASON COUNTY COMMUNITY SERVICES Permit No: 1 2oa"/ . polo i:, 0014 .�` PERMIT ASSISTANCE CENTER: l:. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL - RECEIVE 615 W.Alder Street.Shelton,WA 48584 \'_, ✓�- e" Phone Shelton:(360)417.9670 ext 352•Fax (360)427-7798 Phone r1~+- 1 Bother(36 012 75446 7•Phone Elms.(360)482-5269 V tJ BUILDING PERMIT APPLICATION N NOV 02 2023 NO G ! PROPERTY OWNER INFORMATION: CONTRACTOR INFORM/TON: RL+ b4U43 NAME: LUND MACHINE RENTAL LLC I NAME: TBD W. Aldertr Fiva MAILING ADDRESS:110 W METZIER MILL RD I MAILING ADDRESS: CITY: SHELTON STATE:WA ZIP:98584 ! CITY: STATE: ZIP: rn PHONE#1: (360)432-0310 PHONE: CELL: Z PHONE#2: EMAIL: EMAIL: Iundmachlne©hcc.net La( REG# EXP. / /_ C E A C = 77 NARMM CE NDACT. OWNER•X CONTRACTOR] OTHER❑ • MAILING ADDRESS_110 W METZIER MILL RD CITY SHELTON STATE WA zip 98584 D Z PHONE(360)432-0310 CELL r • PARCEL INFORMATION: , PARCEL NUMBER(I2 Digit Number)420181400030 ZONING RI I 2 • 1 I.EGAI.DESCRIPTION(Abbreviated) W 1/2 W 1/2 SE NE EX RAN FIRE DISTRICT SITE ADDRESS 7431 W SHELTON MATLOCK RD CITY SHELTON D DIRECTIONS TO SITE ADDRESHEAD WEST ON W SHELTON MATLOCK RD PAST W DAYTON AIRPORT RD.THE SITE IS 1/4 r MILE AND TO THE SOUTH.A BARE CONCRETE PAD WHERE-THE PRIOR BUILDING WAS IS ! 1 THERE - • IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES] NOX SNOW LOAD: 25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: Om*daAsop/ly). SALTWATER C LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM 0 y TYPE OF WORK: NEW X ADDITION❑ ALTERATION 0 REPAIR 0 OTHER ] USE OF STRUCTURE fRexkk7Ke.Garage,CralsatercWi lade.Fia) COMMERCIAL BLDG IS USE: PRIMARY X SEASONAL C NUMBER OF BEDROOMS NUMBER OF BATHROOMS 3 • 1IF.ATI:D STRUCTURE? YES(1rhoAeHklgt:X YES(pan/r/r/Aklw❑ NO❑ DESCRIBE WORK CONSTRUCTION OF NEW INDUSTRIAL BUILDING WITH OFFICES SOUARE FOOT/WE;fem a eai) • 1ST FLOOR 5550 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.1t. BASEMENT sq.It. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.II GARAGE sq.II. Attached] Detached❑ CARPORT sq.(1 Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH MDT!! BEDROOMS BATHS SERIAL.NUMBER ENVIRONMENTAL HEALTH: • SEWAGFJSEWER SOURCE: SEPTIC X SEWER❑ / NEW❑ EXISTING X i PLUMBING IN STRUCTURE? YES(X NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO(X EXISTING SQ.FT. , EXISTING BEDROOMS ___ PROPOSED BEDROOMS __ TOTAL BEDROOMS OWNER acknowledges that submission of Inaccurate infommation 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 proiect. 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 strudure(s)for review and inspection. This permiVapplication becomes null&void if wort or authorized construction is not commenced within 180 days or if construction wort is suspended for a period of ISO days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS F MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON CO CODE 14.08.42) X 9/20/24Z3 Signature of OWNER(Must be cloned by the OWNER) ate DEPARTMENTAL.REVIEW APPROVED DATE DENIED DATE. TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL. PUBLIC HEAI.TII