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HomeMy WebLinkAboutCOM2019-00016 - COM Permit / Conditions - 6/5/2019 MASON COUNTY COMMUNITY SERVICES Permit No M 12o�� " I cf PERMIT ASSISTANCE CENTER: BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ezt.352•Fax:(360)427-7798 Phone 2019 Belfair.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION 4 W. Alder eet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI N: NAME:Washington State Department of Transportation NAME. Saybr Contractors Inc. MAILING ADDRESS: 7345 Linderson Way SW MAILING ADDRESS: 3852 S 66th Street CITY:Olympia STATE: WA ZIP: 98501 CITY:Tacoma STATE: WA ZIP: 98409 PHONE#1: (360)705-7885 PHONE:(253)531-2144 CELL: ( 5533)882-4546 PHONE#2: EMAIL.: a rindle saybr.com EMAIL: SchroeAa)-wsdot.wa.gov L&I REG# SAYBRC1033L7 EXP. 06/27/20 PRIMARY CONTACT: OWNER❑ CONTRACTOR`S OTHER❑ NAME Amanda Grindle,Permit Coordinator,Savbr Contractors EMAIL anrindle(ailsaybr.com MAILING ADDRESS 3852 S 66th Street CITY Tacoma STATE WA ZIP 98409 PHONE (253)531-2144 CELL (253)882-4546 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 42002-32-60010 ZONING Commercial LEGAL DESCRIPTION(Abbreviated) TR 1 of N 1/2 SW FIRE DISTRICT SITE ADDRESS 633 W.Dayton Airport Road CITY Shelton,WA 98584 DIRECTIONS TO SITE ADDRESS From Highway 101 head west on Highwav 102 West.Turn left into Washington State Patrols headquarters Turn left into WSDOT Maintenance Facility. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOV IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION V REPAIR[:I OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) WSDOT Maintenance Facility Fuel System IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]of Bldg)❑ NO❑ DESCRIBE WORK Remove existing fuel system and install new fuel system(aboveground storage tanks,dispensers,etc.) SOUARE FOOTAGE:(propose+existing) 1 ST FLOOR 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.It GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ 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❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Fonn PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING 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 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) r Signature of OWNER(Must be signed by the OWNER) Date � DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT 09 FIRE MARSHAL PUBLIC HEALTH B I I V1 1 I I V 1 I I I Z I ® 1 I 1 I ® I Z 1 I I co_ I I 1 N ® 1 1 IX j I ® I lJ 1 o m m I ' I rn N -n in -s N ' — -n N o 0 1 m :0m -p cc D D O. i � I O = ) D -i I I = Mm -- ° ° ° ° � � I _ I> > ® . cmy � Z Cl) z z { 1 m. A* Z �i I I � © -� T- 1 gy p' T m y! Lzl tZ1 r —