HomeMy WebLinkAboutCOM2019-00026 Replace Canopy, Signs - COM - 3/28/2019 --�;` MASON COUNTY COMMUNITY SERVICES Permit NoL YYl o la- 6MI LO
\a. `` PERMIT ASSISTANCE CENTER:
UC
.TL+� - - •8UILDING-PLANNING•PUB HEALTH-FIRE MARSHAL
q"I r• - I,k 615 W.Alder Stroet,Shahan,WA 98584 2 A �O»
l /l Phone SheRom rAO427."M ext 352•Par.'(`W)427-7798 Phone v
B U ' L D' - f Belle!r.(380)275.446T.Phone Elne:(J80)482�3269
BUILDING PERMIT APPLICATION 615 W. Alder Street
I PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: J
I NAME: Y45C13 SwEt-L NAME: 4iA71+ N09-T"!,_:'�T
MAKING ADDRESS: i Y1' T MAILING ADDRESS:`(' 5. G46 th 3T
C11Y:'-'�LLYN STATE:WA ZIP. 52_4 CITY: 5E4�TZL_ STATE:WAZIP �
PHONE#1: PHONE: -18-h tZ
PHONE#2: EMAIL:i_i WN c C&_0Z ADE-;�i C'i S ;CO M
EMAIL: - L&I REG# RIEA'fI-I�N 19 A 1.3Z.EXP.
PRIMARY CONTACT' OW ER CONTRACTOR OTHER
1 NAME 5 C �OO Y i= EMAIL—.--
MAILING ADDRESS CITY STATE, ZIP
PHONE CELL
! PARCEL INFORMATION: n
PARCEL NUMBER(12 Digit Number) I o�as O - 70" 15 1 00 I
LEGAL DESCRIPTION fAbbrevir• 1) _ FIRE DISTRICT
SITE ADDRESS- 13 tEjAziZ C i C -3 CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YESQ NOX I
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: tDwk.11,*w rFb):
SALTWATER❑ LAKE D RIVE'RICREEK D PON9❑ WETLAND❑ SEASONAL RUNOFF C STREAM
TYPE OF WORK: NEW G ADDITION D ALTERATION❑ REPAIR[] OTHER gt 3�
i
USE OF STRUCTURE(ReWrom Garcge,commercial Nda E•_)
IS USE: PRIMARYD SEASONAL[) NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES fil&1cBklgl❑ YES(Part)sjofBrdg�❑ NO G
DESCRIBE WORK R1E2LA i7_ CArf t5Cur s C415�1G G o" AL9 2,16N_
SQU& E FOOTAGE: fpmpare akrinx) —
I I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.R BASEMENT sq,It.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached D CARPORT sq.ft. Attached❑ Demched❑
A UFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQLIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS_ BATHS__, __ -----SERIAL NUMBER —__.,�_
E NVI RONMENTAL HEALTH:
SEWAGE/SEWERSOURCE: SEPTIC C] SEWER ID / NEW C] EXISTING❑
PLUMBING IN STRUCTURE? YES Q NO❑ ljyes.attach completed]Parer Adequacy Form
PERIMETEWFOUNDATION DRAINS PROPOSED? YES❑ NOG EXISTING SQ,FT,
1 EXISTING BEDROOMS PROPOSED BEDROOMS - , _ TOTAL BEDROOMS I
OWNER admoWedges Mal submission of Inaccurate information may result in a stop writ order or permit revoretion.AdimoMedgemenl of such is by
signature below.I declare that I am the owner end t further declare that I am entitled to receive this permit and to do the we*as proposed.1 have
obtahed permission from an the necessary parties,including any easement holder or parties of interest regarding this protect The owner or legal
representative,represerds that the Information provided Is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspeWon. This permitlapplicatiwm becomes n0l&void S work or au8morded Construction is not oornmenced within 180 {
days or 8 construction work is suspended fora period of 18e days. 1
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.(MASON I
COUNTY CODE 14,08.42)
I Signature of OWNER(Must be s!artad bv4he owNER1 Date
j DEPARTMENTAL REVIEW APPROVEDD DATE DENIED 1 DATE TAGSNOTMCONDITIONS
BUILDING DEPARTMENT ✓ -
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit NoL lag-
.., ` PERMIT ASSISTANCE CENTER:
i/P •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
I 1!II3 e• !. 615 W,Alder Street,Sharon,WA 95584 6;)
t /• Phone Shelton:(360)427,"70 ext 352•Fan(3b0)427-7748 Phone
e-s�eQ 2 8 20
i9
\ BeUe!r.(360)275-4467•Phone Births:(360)482,V69 ns` 1
P LA N N I BUILDING PERMIT APPLICATION 615 W. Alder Street
1 PROPERTY OWNER INFORMATION: CONTRACTO12 INFORMATION:
NAME:V45cz SWF-LL NAME: 4 4oA7t•4-
MAILING ADDRESS: , 9 gT�T MAILING ADDRESS: 2 T s. Ct 9 th 0 r
CIIY:"A LLYN STATE:WA ZIP-If 95et} CITY: Z5FA-TTLf- STATE:—WA . L)
PHONE 1;1: PHONE: r
PHONE#2: _ — - EMAIL:,Li WVA CA-CCAP (AN 5
EMAIL: L&1 REG4 RIP0 f+NII 9I13Z EXP.�JJWJ-5
PRIMA RY CONTACT: ON ER(n� CONTRACTOR OTHER p
I NAME �J C Rf30Vr=. EMAIL_.1 MAILING ADDRESS CITY STATE_ _ZIP---- ,
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)_LP,as o `20- 2100 1 ZONING
LEGAL DESCRIPTION(Abbrevir• 1) FIRE DISTRICT__
SITEADDRESS_ 18443rl OM11Z_j;0C7r- - CITY_Al.L'Y-Lj
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITi4IN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ Nox
WITHINIS PROPERTY OF THE
SALTWATER CI D RIVER/CREEK❑ ,PO D Q WETLAND❑ SEASONAL RUNOFF C STREAM O
TYPE OF WORK: NEW El ADDITION❑ ALTERATION❑ REPAIR❑ OTHER S!I<
i
USE OF STRUCTURE(Itestdrnet Gorage,Commexial ftZ,E•.)
IS USE: PRIMARY❑ SEASONAL(j NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(B2rreBktgl❑ YES ft fjs)ofBldg)[3 NO Cj
DESCRIBE WORK LAt';;.- CAIb Fyy 5I10N5 4 c-ppojel Oft i� e -516.!
SQLJX-U FOOTAGE: -
4 I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.R BASEMENT sq.fl.
1 DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
i
GARAGE sq.ft. Attached❑ Detached 0 CARPORT sq.fL Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQI:IRED*
MAKE MODEL YEAR LENGTH
I
WIDTH BEDROOMS— BATHS __ SERIAL NUMBER
ENVI RONMENTAL HEALTH:
SEWAGE/SEWERSOURCE: SEPTIC❑ SEWER!] / NEW C] EXISTING 0
PLUMBING IN STRUCTURE? YES❑ NO❑ IJyes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAWS PROPOSED? YES❑ NO[] EXISTING SQ.FT. j
EXISTING BEDROOMS PROPOSED BEDROOMS _ _ TOTAL BEDROOMS
OWNER that submission of Inaccurate hdormation may result In a stop work order or petmh revocation.Acknowledgement Of such is by
signature below.I declare that i am the o%%ner end I further declare that 1 am entitled to receive this permit and to do Cie wok as proposed.I have
obtahed permission from all the nooessary pa",including any easement holder or parties or inter"regarding this prv;ecL The owner or legal I
representative,represents#0 the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspoWan. This perrniUapplication becomes r%!I&void if work or auCwrt:md construction is not commenced within 180
days or if construction wor8 Is suspended for a period of 1 W 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.(MASON
COUNTY CODE 14.08.42) If
X_
Signature of OWNER(Must be slaved bhr ttte OWNERi Date
DEPARTMENTAL REVIEW i APPROVED DATE j DENIED TDATE I TAGSNNOTES/CUNDITIONS
BUILDING DEPARTMENT j
PLANNING DEPARTMENT
FIRE MARSHAL !V
PUBLIC HEALTH _I
PLANNING
7o 5 h41 --&A'
--- MAR-2-8 2019
615 W. Alder Strut
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PLANNING : 4 �PPR eCD BITE
ALL SETBACKS ARE MEASUREC MAg�N COR QUIREDTDBE
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Washington State Department of
Labor & Industries
HEATH NW INC
Owner or tradesperson 727 S 96TH ST
SEATTLE,WA 98108
Principals 206-623-3100
Gibson,Wendy D,PRESIDENT KING County
GIBSON,JOE,VICE PRESIDENT
Gibson,Wendy,AGENT
PAULSEN,DARRYL, PRESIDENT
(End:08/09/2011)
GIBSON,Joseph, PRESIDENT
(End:08/09/2011)
OLDS,JOHN,VICE PRESIDENT
(End:08/09/2011)
PIBSON,JOE,TREASURER
(End:08/09/2011)
PAULSEN,DARRYL,AGENT
(End:08/09/2011)
Doing business as
HEATH NW INC
WA UBI No. Business type
602 195 548 Corporation
Parent company Governing persons
JJ&D SIGNS INC WENDY
GIBSON
JOSEPH P GIBSON;
License
Verify the contractor's active registration/license/certification(depending on trade)and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
SIGN
License no.
HEATHN1981JZ
Effective—expiration
04/09/2002—04/09/2020
Designated administrator Active.
GIBSON,JOE Meets current requirements.
License type License no.
Electrical Administrator GIBSOJ'971R9
Bond
Cincinnati Ins Co $4,000.00
Bond account no.
0581509
TerraScan TaxSifter - Mason County Washington Page 1 of 2
fi
° x , MASON COUNTY
R ,j WASHINGTON TAXSIFTER
SIMPLE SEARCH SALES SEARCH REETSIFTER COUNTY HOME PAGE CONTACT DISCLAIMER PAYMENT CART(0)
Patti Mclean
Mason County Assessor 411 N STH ST Shelton,WA 98584
Assessor Treasurer Appraisal MapSifter
Parcel
Parcel#: 12220-50-59001 Owner Name: I J CORPORATION
DOR Code: 53-Trade-General Merchandise Addressl: PO BOX 904
Situs: 18439 E STATE ROUTE 3,ALLYN Address2:
Map Number: City,State: ALLYN WA
Status: Zip: 98524
Description: ALLYN - BILK: 59 LOTS: 1, E1/2 OF 2&S 1/2 OF E 1/2 OF 3&VAC PTN SHERWOOD ST 10'WIDE ADJ&VAC UHLMAN
ST ADJ
Comment:
2019 Market Value 2019 Taxable Value 2019 Assessment Data
Land: $203,660 Land: $203,660 District: 0215-Tax District 0215
Improvements: $567,255 Improvements: $567,255 Current Use/DFL: No
Permanent Crop: $0 Permanent Crop: $0
Total $770,915 Total $770,915 Total Acres: 0.31000
Ownership
Owner's Name Ownership Ufa
I J CORPORATION 100
Sales History
Sale Date Sales Document # Parcels Excise# Grantor Grantee Price
01/22/03 1772932 1 200365210 WSCO PETROLEUM CORP I J CORPORATION $575,000
02/16/01 1726427 1 200156699 JOHN PARK&ASSOCIATES WSCO PETROLEUM CORP $0
06/30/99 1693109 1 199949609 MARK&PATRICIA NESBY* JOHN PARK&ASSOCIATES INC $400,000
06/30/99 1693110 1 199949608 JOHN PARK&ASSOC WSCO PETROLEUM CORP $150,000
09/20/88 485824 1 198810401 5 HOWARD B.WENRICH ET UX RAY&NESBY PARTNERSHIP $214,248
06/15/87 468246 1 198798866 WEST COAST OIL CO HOWARD B WENRICH ET UX $150,000
02/20/87 463638 1 198797682 RICHARD PAROUTAUD WEST COAST OIL CO $0
Historical Valuation Info
Year Billed Owner Land Impr. PermCrop Value Total Exempt Taxable
2019 I J CORPORATION $203,660 $567,255 $0 $770,915 $0 $770,915
2018 I J CORPORATION $193,960 $461,500 $0 $655,460 $0 $655,460
2017 I J CORPORATION $193,960 $443,170 $0 $637,130 $0 $637,130
2016 I J CORPORATION $112,520 $490,630 $0 $603,150 $0 $603,150
2015 13 CORPORATION $113,715 $519,155 $0 $632,870 $0 $632,870
View Tax.e...s.
Parcel Comments
No Comments Available
https://property.co.mason.wa.us/Taxsifter/Assessor.aspx?keyld=3445521&parcelNumber=... 3/28/2019
LIAR 2 8 2019
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(' This original draw>rtg is paraded as part of a
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Federal Heath Sign Company LLC or its
authoRaed agent C 200B
Colors Depicted In This Rendering May Not Match
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I l Job Number: 190550
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Grade ---- --
Date:
1.24.19
Proposed Elevation I I — —
Scale: 3/8" = 1 ' qi X
87 I I 02 5� G6 Re Name: SG190550_e
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Sheet Number: 1 Of
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