HomeMy WebLinkAboutBLD2023-01295 - - 10/25/2023 • MASON COUNTY Permit No: 5LDO3—O I a615 7
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Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION 615 W. A't ci Strect <
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
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NAME:Ken Goguen NAME:DeTrays LLC D Z
MAILING ADDRESS:1714 7th Ave SE MAILING ADDRESS:3801 Pacific Ave SE r..
CTTy:Shelton STATE:WA ZIP:9858a CITY:oympia STATE:WA ZIP:98503 ....I ai
PHONE#1:360-561.8750 PHONE:360-491-9500 CELL: 3650-239-7208 x 111
PHONE#2: EMAIL:gary.detray@gmail.com 2
EMAIL: L&I REG#DETRAL•9783BT EXP.03092025
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 r
NAME owyo.T"r EMAIL
MAILING ADDRESS 3801 Pacific Ave SE CITY o'r w'' STATE WA ZIp98503 CD
PHONE 36049,-9500 ' CELL 386239-7208 m —t nn
PARCEL INFORMATION: m 1`' u�u
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PARCEL NUMBER(12 Digit Number) 31904-51-00114 ZONING m No
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT ED cNv
SITE ADDRESS 1510 SE Crescent Dr. my Shelton
DIRECTIONS TO SITE ADDRESS Cole Rd.to Fawn Lake Connumity. Enter then turn Left to address
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14'Yo: YESO NO 0 SNOW LOAD: apsf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY El SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Partls]of Bldg)❑ NO❑
DESCRIBE WORKInstall manufactured home onto lot
SQUARE FOOTAGE:(proposed)
1ST FLOOR 1174, _sq.ft. 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. Attached❑ Detached 0 CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Palm Harbor won 4G28362B yEAR2023 LENGTH42
WIDTH27 BEDROOMS 2 BATHS 1 SERIAL NUMBER TBD
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Q SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.972
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 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
PERM 7 APPLIC OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X /6 (7-Z3
Sign re of OWNE Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED,.F DATE.' TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL PUBLIC HEALTH tr at7A(-I,3 I; cTUa,S 4Q(�
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