HomeMy WebLinkAboutCOM2023-00093 Concrete Plant - COM Application - 10/4/2023 MASON COUNTY COMMUNITY SERVICES Permit No: G NYl 20 QW�
PERMIT ASSISTANCE CENTER.
•BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL RECEIVED
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(380)427-96'0 ext 352•Fax:(360)427-7798 Phone
Belfair.(360)2754467•Phone Efma:(360)482-5269
BUILDING PERMIT APPLICATION OCT 0 4 2023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIflINJ W. Alder Street
NAME:Frontier Construction SupplL LLC NAME: Foundation Specialists,LLC
MAILING ADDRESS:11012 Can own R ,,Ste 8-390 MAILING ADDRESS:11012 Canyon Rd E,Ste 8-390
CITY:Puyallup STATE:WA ZIP:98373 CITY: Puyallup_STATE: WA ZIP: 98373
PHONE#1: 253 531-6745 PHONE: -6745 CELL:(253)686-1936
686 1 PHONE#2: 253 EMAII jeanc@g scs.com
EMAIL: jeanc ;cs.com L&I REG# 602-005-377 EXP. 10/ 23( 23
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Jean-Pierre 1I EMAIL Jeans@KfsfCS..com
MAILING ADD SS 1101 Can on to 8-39b CITY_�Pu�U STATE WA zIP 98 73
PHONE (253 _53 - CELL 6-1936 -
PARCEL INFORMATION: 'Legal Cont'd)AF#1779502 PENDING BLA#13-09 AF#2007882 S
PARCEL NUMBER(12 Digit Number) 123213400010 ZONING GenBus/CornmIndustrial
LEGAL DESCRIPTION(Abbreviated)TRl of SE SW S3/106 PCL BLA#03-14#03-14(R)"FIRE DISTRICT N.MASON REGIOI,AL FIRE DISTRICT
SITE ADDRESS R1 NR Peninsula Blvd CITY Belfair
DIRECTIONS TO SITE ADDRESS HWY 3 North out Belfair,Peninsula Business Park entrance on left ox.
800'after concrete bridge over HWY3. Site is directly West of HWY 3 entrance approx 500 ft.
IS THE PROJECT WITHLN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO)D SNOW LOAD: psf
1S PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkafl rhatapph)
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW X ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Restdeace,Goroge,Conmrercio!Bldg,Ere-) MANUFACTURING MACHINERYry��
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS "J
HEATED STRUCTURE? YES rKholesrdgJ❑ YES tPa„[sjofBidg)❑ NO
DESCRIBE WORKINSTALL CONCRETE BATCH PLANT
SOUARE FOOTAGE:(pmpos4
1ST 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.R.
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 SERL4L NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTICKI SEWER❑ / NEW❑ EXISTING$]
PLUMBING IN STRUCTURE? YES❑ NOS) /f yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOtj EXISTING SQ.FT,
E7OSTING 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 penrd0app6cation becomes null&void if work or authorized construction is not commenced within 100
days or if construction work is suspended for a period of ISO days.
PROD CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS i
P 1 APP ANION F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x August 4,2023
Signature of OWNER(Must be signed by the OWNER) Date
ARTNIENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CON-DITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH