HomeMy WebLinkAboutBLD2017-00582 Deck, Stairs - BLD Application - 6/22/2017 MASON COUNTY COMMUNITY SERVICES Permit No: ,%��I 7-6)0 5,�2-
P6PMITASSISTANCECEN7FR: Recv'd.
•BUILDING•PLANNING•FIREMARSNAL RECEIVED
615 W.Alder St-Shelton,WA 98584
Phone:360-427-9670 ext.352 Fax:360-427-7798
Imp://www.co.mason.wa.us/community dev/ ��� 2U1!
VD,� BUILDING PERMIT APPLICATION 5 W. Nder StreetPROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: SM MLL NAME:A•eT UtC
MAILING ADDRES : F QL S MAILING ADDRESS: 242
CITY: L. Al STATE:.W ZIP: $S2'{ CITY: OK "47' ZIP:
PHONE#1: '1!7 7- o-V'11 PHONE: -(n -
PHONE#2: -761 -Q,5 -50 35— EMAIL; ( a^�
EMAIL: L&I REG# Q I A5V AMA 7# EXP.
CONTACT PERSON: OWNER❑ CONTRACTOR j/2OTHER/BELOW[IME NA : 0Ce— MAILING ADDRESS: &V3
CITY: ST TE:-C&jA ZIP: PHONE: ELL:
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 'Zz 1 Sr?-0CX>&' ZONING
LEGAL DESCRIPTION(ABBREVIATED) FIRE DISTRICT
SITE ADDRESS
DIRECTIONS TO SITE ADDRESS
IS PROPERTY WITHIN 200 FT: (cl-k u&w ppty):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAK"
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES❑ NO❑
TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION❑ REPAIRe OTHER X?e✓44't'C
USE OF STRUCTURE(Readmce,Garage,Commercial Bldg•Etc) ` ~�
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK ( se\ S
SOUARE FOOTAGE:
1 ST FL 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❑
NUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REOUHtED
ODEL YEAR GTH
WIDTH BEDROOMS ATHS S ER
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 or owner's legal representative.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 CONTINUATIOR OF VJORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT
APPLICATION 7/7 CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42)
X
igna r f 7N" Date
DEPAR*ENTAf REVIE APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEP Jr T
n.._ 'fk-6
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake By: Approved&Ready for Pick-Up:
See bPC-2017-000► CP
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PLANNING 00 :5 1?
RECEIV
ED
SUN 2 2 2017
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RECORD Of SUR VEY
MASON COUNTY, WASHINGTON L" TAB�e
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APP OVED
MASON COUN Y DCD PLANN
SITE PLAN RE UIRED TO BE ON SITE
i CHANGES BJECTTOAPPRO AL
Ely Date
PLANNING:
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
PROJECTION OF THE BUILDING
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