HomeMy WebLinkAboutBLD2020-00476 SFR - BLD Application - 5/26/2020 MASON COUNTY COMMUNITY SERVICES Permit No:.D lid 202b - ODOP
PERMIT ASSISTANCE CENTER: ^r C C I\�//C[—
D
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED
G
615 W.Alder Street,Shelton,WA 98584
Phone Shelton,(360)427-9670 exL 352-Fax:(360)427-7798 Phone
Belfair.PW)275-4467•Phone Elma:(360)482-5269 MAY 2 6 2020
���• BUILDING PERMIT APPLICATION
1%1� Ider Street
VIX PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J&J Development LLC NAME: J&J Development,LLC
MAILING ADDRESS:PO BOX 623 MAILING ADDRESS: PO BOX 623
CITY: Burley STATE:WA ZIP:98335 CITY: Burley STATE:WA ZIP:98322
PHONE 41: 253,208.8136 PHONE: CELL: 253-208.8136
PHONE#2: 253.732.5115 EMAIL:angle(cDcedadandforestresources.com
EMAIL: angle@cedadandforestresources.com L&I REG# iiiinFV 1n>zs9nw _EXP. 121b12021
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME JOECEDARLAND EMAILIoIXlacedarlandforestresources.con
MAILING ADDRESS SAME AS ABOVE CITY STATE ZIP
PHONE CELL 253-208-8136
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)_ 1 W V—_ � U ZONING
LEGAL DESCRIPTION(Abbreviated) _ FIRE DISTRICT
SITE ADDRESS CITY ALLYN
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ O
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ O
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage.Commerclat Bldg,Etc.) GARAGE Z T—
IS USE: PRIMAR SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0 ,� N
HEATED STRUC ? YES(Whole Bldg)❑ YES(Partfs)ofBldg)❑ NOX O
DESCRIBE WORK NEW CONSTRUCTION-SFR+DETACHED GARAGE
SOUARE FOOTAGE:(propose+ea st ng) Z Z
I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. O J
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. IA a
GARAGE 840 sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached[]
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* V
MAKE MODEL YEAR LENGTH O
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NOS I If yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT,
EXISTING BEDROOMS PROPOSED BEDROOMS--I)--- TOTAL BEDROOMS_0
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 APPLICATION OF 18
9 DAYS OF MORE WILL CAUSE THE APPLICAT ON TO BE EXPIRED.(MASON
COU DE 14.08.42) _ AbO
';�Z
Stgrfature of OWNER(Must be stoned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT G'
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
PLANNING
Ml
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST POTABLE WATER AND
PRr?JECTION OF THE BUILDING SANITARY BY TOWN OFyALL_�" VEC e
SITE PLAN REQUIRED TO I
CH " ET TO AP V _ 1
_1-) z
615 W. Alder St eet
1" = 30'
BCK S7
r COT 9
W
S
Q O COTE 720.00 A6A 1 r% 3
0
14-71
131
2 Gq,QgG4 �„ J
r�l
HpT c� 27 6A
8 Sf w
>43�C S
20 3.
r
72p 00
COT /� v
- i 5 1Gl 2020 -Cam'-!`7(o_ _ '4 /
- 20 tWhs n A Du lei t o rbc+k - GA y `1 XWi ' /
5 IaA,S - 5 o�i -�- off' �Ilt c,tn�..(�c�.�.e-�
LEGAL DESCRIP77ON ADDRESS
LOT 8 BLOCK 52, E BLACKWELL ST.
PLAT OF ALLYN, ALLYN, WA. 98524 CEDAR LAND HOMES LLC
VOLUME 1 OF PLATS, PAGE 17 P.O. BOX 2264
AP No. 12220-50-52008 GIG HARBOR, WA 98335
CED 2307 CED 008 (253) 208-8136
SITE PLAN MAP AGATE LAND SURVEYING, PI1C
G,B E C� PROFESSIONAL LAND SURVEYOR
OF WAS
FOR 2680 E. AGATE RD. - P.O. BOX 246
0
2 CEDARLANO HOMES LLC 'TON, WA 98584 - (360) 426-4172 `
b IN THE DRAWN BY DATE: 03/16/2020 4J gB N,
x
08
28237 NW114 NE114 MJB
`ssfoNcGSLANE: 4 t SCALE INCH =30' SHEET.- OF 1
_ SEC 20, T22N, RO 1 W, W.M. CHECKED BY
SGB I FILE NO. 4148-5206-CH_SIIEPLAN.DWG