HomeMy WebLinkAboutBLD2023-00384 Deck - BLD Application - 4/11/2023 MASON COUNTY COMMUNITY SERVICES Permit No: L�ICI"LOZ3- �
PERMIT ASSISTANCE CENTER: R E C E I V E D
BUILDING•PLANNING-PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 Phone A rU
h 11 2023
Belfair.(360)275-4467•Phone Elma:(360)482-5269
Street
BUILDING PERMIT APPLICATION 615 W. Alder S �
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C
NAME:Ryan&Tina Toupal __ NAME:
MAILING ADDRE SS:5263 NW 152nd PL MAILING ADDRESS:
CITY:Portland STATE:OR ZIP:97229 CITY: STATE: ZIP: v
PIIONE#1:503.953.2679 PIIONE: CELL:
PHONE#2: EMAIL :
EMAIL:ryantoupal@gmail.com L&I REG# EXP.
PRIMARY CONTACT: OWNER Q CONTRACTOR❑ OTHER ❑
NAME See ownernrormadon EMAIL
MAILINGADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12119-50-00111 "ZONING
LEGAL DESCRIPTION(AbbreNiated) HARTSTENE POINTE LOT:111 ,S 49/214 FIRE DISTRICT
SITE ADDRESS680 E Portage Rd CITYShelton
DIRECTIONS TO SITE ADDRESS Harstine Island gated community,gate code 430
IS'i'HE PROJEC'1 WITHIN 300 l'Y OF SLOPE(S)GREAI'ER THAN 14%: YES[] NO❑ SNOW LOAD:_psf i
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check an that apply): i
SALTWATER❑ LAKE❑ RIVER'CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION Q ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage..Commercial Bldg,Etc)Deck
1S USE: PRIMARY ❑ SEASONAL 0 NUMBER OF BEDROOMS na NUMBER OF BATHROOMS na
HEATED STRUCTURE? YES(Whole sldg) ❑ YES(Partls)ofBldg)❑ NO❑
DESCRIBE WORKAdding a deck to the front of the house,connecting to the front porch.
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SQUARE FOOTAGE: (proposed)
1 ST FLOOR sq.ft. 2INTD FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 1 CiS sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑
NIANUFACTUR.ED 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❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES Q NO ❑ If`Yes,attach completed Water Adequacv Form
PF.RTMF.TER FOUNDATION DRAINS PROPOSED? YES❑ NO[] FXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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 1 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
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