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Home My WebLink AboutBLD2020-00577 Mobile Home - BLD Application - 6/10/2020 MASON COUNTY COMMUNITY SERVICES Permit No 7'1 PERMIT ASSISTANCE CENTER: 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 J U N 10 Ng Belfair.(360)275-4467•Phone Elms:(360)482-5269 BUILDING PERMIT APPLICATION 61 AI er r PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: �. 1 NAME: rt �od e NAME: MAILING ADDRESS: ,-Boje_ wi r? MAILING ADDRESS: CITY:'SW I-on STATE:k)it ZIP CITY: STATE: ZIP: PHONE#I: 540—9s'j Q—Iq Q'7 PHONE: CELL: PHONE#2: EMAIL: EMAIL: tr B S k !W,I'®6t,0/.Cow L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAMEhNi EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: / PARCEL NUMBER(12 Digit Number) 191) ZONING L f C�oFitM EI C/ac/ REGAL DESCRIPTION(Abbreviated) 6EAIC FIRE DISTRICT I' SITE ADDRESS r'4W sKet+on DIRECTIONS TC SITE ADDRESS_ n � 'adardl&&X& IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ►['SNOW LOAD:_psf 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 R-ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Grange,Commercial Bldg,Etc.) .S l d'e h e IS USE: PRIMARY R-SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(whole Bldg)R 'YES(Part[s]ojBldg)❑ NO❑ DESCRIBE WORK_�s SOUARE FOOTAGE:(Proposed) I ST FLOOR 4QL?4 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK_ _sq.fL COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURE_Dt HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE M 1�� (W MODEL T<e,&W,00A r YEAR 2D ZZ LENGTH 3!V WIDTH 27, BEDROOMS Z BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC Er- SEWER❑ / NEW❑ EXISTING©� PLUMBING IN STRUCTURE? YES W NO❑ #yes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOS' EXISTING SQ.FT. EXISTING BEDROOMS0 PROPOSED BEDROOMS TOTAL BEDROOMS Z- 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 d 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.(MA89N COUNTY CODE 14.08.42) 5ubml H' l XL / oZ0 la lol ZD Signature of OWNER(Must IM signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH STOCK 2-2020 41 Y Y Ili L SIDE TO SIDE FLIP SHOWN! 13'-8.0 19.-0.1 H 14 ` C, ' Was W-m W-36 W-35 e C.1nF�2NM1 ob,' BEDROOM #2 UVMdQ ROW �TM 3 RECEIVED G�vF i O • 3 JUN 10 2020 i caner 615 W. Alder Street Watdtohe W/M ------------- --- --=- ---- Panhy • Coffer BATH # 1 ppt L-u o � 3 i r MASTER BEDROOM ps 8 3 rtflLm i � o i Was Was 13'-8" 5'-2" 13'-2" 38'-0" The REDWOOD II 27x38 IKC 382E 2 Bedroom, 2 Bath - %028 SQ. FT. OPT. KITCHEN GFV/IRn' ATVCU J U N 10 2020 / za Fene e- 1 y3 344 615 W. Alder Street Q �� .� 15 R- N Y plruIdLin�iele) (tee. {rK OEM►V1 c ict 3�• 6l,ys IN /1 der yp� PLANNING: ALL SETBN�I w ARE MEASURED p o �Ot 5ROM TH.E FURTHEST PROJEC-TiON OF THE BUILDING Cm _Z EX l5tl n � dho " 1,0ef1 lo1Q� 3� i . �ti fa V _�._ --- TOPOGRAPHY PROFILE: _ SITE PLAN REQUIRED TO BE ON SITEZS�� UCH n K" ►' �� CHANGES SUBJECT TO APPROVAL nE� I' r-6i 0-0�E= 4f Date �k Ie�Z�ZU - C�D5''1�7 Exis-hh* r�tdam - -60 202� • i�5'� Direction: Scale: Approval: for office use BuildingPermit number: r 4�_ Building: �J Owner/Applicant: I� G1"� f`• a44 le Date of Planning: Parcel Number: S��/C2-�/ - `�d/8d application: Env. Health: