HomeMy WebLinkAboutCOM2020-00034 - COM Application - 3/4/2020 * MASON COUNTY COMMUNITY SERVICES Permit No: � � N
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL '
615 W.Alder Street,Shelton,WA 98584 K^EcE VE®
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone ���
Belfair:(360)275-4467•Phone Elma:(360)482-5269
BUILDING PE
RMIT APPLICATION 4 204.0
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMAT . &r 8& ,t
NAME:
Qotro� S LC' l ~ NAME: 3a L v-2 r- COL- ci t 0
MAILIN A IaRESS: MAILIN ADDRESS: 2 YG 2` �'e '" Ue
CITY: ` STATE: IP: y CITY: PZ tin STATE: l.J / ZIP:
PHONE: �D`�-�S GAL: �fr
PHONE#1: (o ' �
PHONE# : EMAIL : -T l J�z n
EMAIL: S� "}
L&I REG# C S2T'�XP. /o/Y//za
PRIMARY CONTACT: Q O7 'N �y CONTRACTOR AI)J❑ OTHER❑
NAM �j CITY STATE ZIP
MAILING ADDRESS ii3O T� Z CELL
PHONE
PARCEL INFORMATION: Z002 _00 102 v00
z�
PARCEL NUMBER(12 Digit Number) FIRE DISTRICT
LEGAL DESCRIPTION(Abbreviated)
SITE ADDRESS �fev y l� Lc� e (�l �e CITY ��e �--
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ N09—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 ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
C.y,,,✓>�C C• c
USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc.) NUMBER OF BATHROOMS
IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS
HEATED STRUCTURE? YES(Whole Bldg)5d1—YES(Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK
SQUARE FOuOTAGE: (proposed)
1ST FLOOR Ids 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❑ 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 ElEXISTING❑
PLUMBING IN STRUCTURE? YES ❑ NO_�L If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ N4 — 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 APPLICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
A`COU Y CODE 14.08.42)
X �� S fit]
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 20 0
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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PROPOSED HANGAR
Port of Shelton
Kapowsin Airsports !�
Proposed Hangar Location
2-27-2020
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ALL SETBACKS ARE
114
FROM THE FUR, STRED \V
PRWE�+ F BOLDING
_
PLANNING
RECEIVED
MAR 04 2020 P. OVED
MASON CO 4 PLAN
BUILDING #3 (S.I.C.) 615 W. Alder Street SITE P NRE TO N SITE
430 W Enterprise Rd. S Su::- Ei T APPROVAL l`
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Imagery 02019 Maxar Technologies.U.S.Geological Survey,Map data 02019 100 ft
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