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HomeMy WebLinkAboutBLD2024-00766 SFR - BLD Application - 6/25/2024 MASON COUNTY Permit No: IN I— COMMUNITY DEVELOPMENT JUN 2 5 2024 Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION 615 W.Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Ali Afahar NAME:Yimi Garay MAILING ADDRESS:PO Box 794 MAILING ADDRESS: CITY:18-i-in STATE:w1k ZIP:9e027 CITY: STATE: ZIP: PHONE#1:200-280-80557 PHONE:206-422-0522 CELL: PHONE#2:42tr83"708 EMAIL:yknlpamyt991@9ma w m EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER El CONTRACTOR❑ OTHER❑ NAME Aiimst- EMAIL Allenafshar99@yatwo.c MAILING ADDRESS PO Boa 794 CITY'saagaah STATE 1Me ZIP 118027 PHONE 206-m4w CELL PARCEL INFORMATION• PARCEL NUMBER(12 Digit Number) 122324001080 ZONING residential LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 2s2 E t}onatriet Road C11Y Allyn DIItECTIONS TO SITE ADDRESS r1°"MiO Ow owo.�..or�na.00nwmMbaonam o.aexnrubanwn.aaaawreM.arena.r+rxhbl ad-b.m gin. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESQ NO❑ 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❑ ADDMON❑ ALTERATION❑ REPAIR© OTHER n USE OF STRUCTURE(Residence.Garage,Cammmaa►Bld&F*.)residence IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(WhoteBW© YES(Pan[s)ofBW❑ NO❑ DESCRIBE WORK----'"m er°° "'°'"-'°e""'ro° .nmieQ.r..r.w.e.o.,on d—ld SQUARE FOOTAGE:(pmpaaa) I ST FLOOR 415 sq.ft. 2ND FLOOR sq.& 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK 149 sq.& COVERED DECK 231 sq.& STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached a 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 El SEWER❑ / NEW❑ EXISTING E PLUMBING IN STRUCTURE? YES Q NO❑ Ifyes,attach completed Water Adequacy Form PERDAETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. I EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS -- —i 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 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) Signafiiroif OWNER(Must be akwwd by the OWNER) Dates e DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J-rL PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH O� 'AP 1° 'ZO r000 I X_ O C f Utl V ti MASON COUNTY Shelton(360)427 9670 ext.352 DEPARTMENT OF COMMUNITY SERVICES Belfair(360)275-4467 r Mason County Bldg. 8, 615 W. Alder Street Elma(360)482-5269 Shelton, WA 98584 www.co.mason.wa.us REQUEST FOR BUILDING PERMIT EXPEDITION Date: (v —� —a t Permit No.: I Name: A�I �sn y- Mailing Address:�7� � Y, Parcel Number: �e� �� �o 0 i C) V Site Address: ag a. ctz)y �,, ';\ Q-D Request due to: ❑Medical Hardship 0 Fire Damage Kother Explanation of Hardship: p,�40t-k 11ee_S )�601 fnC� CKKC Must include supporting documents.This may be a letter from a doctor, insurance claim report, report of fire damage from appropriate fire district representative or other relevant documentation. I (WE)understand the intention of this form to determine and document justification for expedition of a building permit to alter or reconstruct a structure on the above named property. Signature Owner/Agent: OFFICIAL USE ONL Request:)(Approved Denied Date: (e �25q ❑ I Request denied for the following reasons: Signature: Director of Community Services