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HomeMy WebLinkAboutBLD2021-01208 Replace Deck - BLD Application - 8/2/2021 MASON COUNTY COMMUNITY SERVICES Permit No.'-E)Ici PERMIT ASSISTANCE CENTER: BUILDING•PLANNING.PUBLIC HEALTH•FIRE MARSHAL 40 615 W.Alder Street,Shelton,WA 98584 RECEIVED Phone Shelton:(360)427-9670 ext.352,Fax:(360)427-7798 Phone Belfalr.(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION AUG 0 2 2021 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:, NAME: P 5 W. AlderStreet u w( E. ,ems 4�csa_� NAME: MAILING ADDRESS: 7 �_3 ,�co �� MAILING ADDRESS: CITY: 0( ,t i A- STATE. Ar ZIP:q9313 CITY: ST VE: ZIP: PHONE#1: 340- 70/- ` r4 2 PHONE: LL: PHONE#2: 3 4 a- - 4#i b EMAIL: EMAIL: pq h lv i S E&c fo- L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME I EMAIL ®� MAILING ADDRE CITY STATE ZIP PHONE CELL PARCEL INFORMATION: p !�_ PARCEL NUMBER(12 Digit Number) i 2 i f� 1 5-3 0` 0 ( 3 Z ZONING ��./ ,.., LEGAL DESCRIPTION(Abbreviated) �aL 6^qq{���cst :yt t #y �J J.Z FIRE DISTRICT y SITEADDRESS 3(o I E /'Otyt^J-GS 1i✓ t CITY XA-e 'JN DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOR SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all Mar apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERAATION E] REPAIR' OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Elc.) is-re— IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YE ale Bldg) //❑ S(Parils]of Bldg)❑ NO❑ DESCRIBE WORK Gl�. SQUARE FOOTAGE:(proposed) IST FLOOR Q sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. it DECK GO sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 C IF�aF"fHE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTA EALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? Y NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUND DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT. EXISTING OOMS 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.1 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 8 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 PE APPLICATIO OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON `O COUNTY CODE 14.08.42) X TL g -2 - 2.021 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH RECEIVED PLANNING AUG 02 2021 EXH I MAP PROPERTY DESCRIPTION 61 �A bla 2,022 ( — O 120 8 LOT 132 OF THE PLAT OF HARTSTENE POINTE ADDITION 4 AS RECORDED UNDER VOLUME 8 OF PLATS, PAGE I22, RECORDS OF � `�' MASON COUNTY WASHWGTON 1.r • Co m mu n -r APPROVED MASON COUNTY DCD PLANNING LOT 132 SITE PLAN REQUIRED TO BE ON SITE CH SS JECTTO APPR VA By Date v 45 EXISTING PORCH 1 EXISTING CABIN 2.51 � 5' SETBACK LINE 6 / EXISTING PIER 4PLANNING: \ PADS (TYP) ALLSETBAC.KS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BLrtLDIt-1 0' 15' 30, 45' fi Jr- �Q gN SCALE: 1' =15' JD9: 21007 EXHIBIT MAP JACOB EDMINSTER P.L.S. DATE: 6 2021 OF A PORTION OF SHEET 1 of 1 265-33 PLOMONDON RD TOLEDO WA 98591 SEC.19 TWP21 N, R1 W, W.M., °�`. DRAWING 21007 AT THE REQUEST OF PHONE: 360-807-3670 4780E -..,.,�,� ss�ON��D 9J PAUL ISAACSON r, seALE a y. RECEIVED PLANNtNG I �` \, 2 �Z C.edar_ shjes AUG 02 2021 � \ 615 W. Alder Street J 1 i.� 1 x [© 1_ sPs j • o LOT C)-9:-A/7-iF9 'i. / I Xd y � j.ArzX&vM Lo- __ : . j ----- .... 10 •• y tr d !i �� h A_ ` - _ -� r .r.-.-,_--,._...�,,._v__.__.._.__ - � -- - _...._.-- . --- -- h �. i3� w � 5���"� � � 4� --- • i 0 r , j t � Joists: o IV C,F-NT:.E PA.)L.e n.t� � Pv. -r5 -36 �j,a v f �q p�r:oi� - I 9"too V el - { i (+rem Flea�� f Ledo e �� r ; i vy p k �M/1©�:�,-� - - ,.1���a-yb� ' -�fM � �a� i 1 � I i � '= 1 i i i 1��J1 9�� ,� 1 M � i� � 1 . ,i ii ri �. � - - �.--r......, ,K.ids 1�a� � .,��' � I � � r �» .�'��a�""'-�`'" ''*";�'"gip`�!�,'�,�r'":"�:-°�-�i'`• �,.,y�_+ ":�+A"''.�'=""#'�'-'2",4�' � -- -�-- 7�er���a"l ��� �� .