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Home My WebLink AboutBLD2022-00258 SFR - BLD Application - 2/15/2022 ui MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL CEI�/1 ,� 615 W.Alder Street,Shelton,WA 98584 LJ Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone FEB15 Belfair.(360)275-4467•Phone Elma:(360)482-5269 6 21o22 BUILDING PERMIT APPLICATION 95 �V. A/der Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: "04 - nidInAiwl NAME:RU fain&LIGY1 Sblx. 01& MAILING ADDRESS:IbQ G I,akcilU I W44 MAILING ADDRESS: sllAiiad CITY: N STATE: 1N A 21PIObaf CITY: fM f f1fi STATE: WA ZIP: 'Cl&;�61 PHONE# :3leO. 115 - 11,0191 PHONE429-'4100-54571'7CELL: PHONE EMAIL : f EMAIL:{ EXP.a/DL/�� I� L&I REG# - PRIMARY CONTACT: OWNER❑ CONTRACTOR[X OTHER❑ NAME M,-SV1 a 34G le EMAILQJnh&@' R12,WPUU.IiS� MAILING ADDRESS yG conmapit I mig CITY STATE ZIP PHONW15-'!50�- gOtoa CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ! "rj�'( ZONING LEGAL DESCRIPTION(Abbreviated)LARIend 1IQ�� SN h ft FIRE DISTRICT SITE ADDRESS I30 & 1,fta1j Idaq CITY f I�l, DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] 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 ❑ ADDITION ❑ ALTERATIONo E] REPAIRo/o OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)I�S) n ) IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES (Whole Bldg) ❑ YES (Part[s]of Bldg) ❑ NO ❑ 1 DESCRIBE WORKAOStAll f0 Nt1i(a1 ai� S t to Wl ad7M,Si�W bg9G �U St�lb►I Irk, fi n� SQUARE FOOTAGE: (proposed)Nf , rfpdkI rs d0n t C*1a N6 fVDVn 17 . I ST 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. ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: At *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: � SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑ PLUMBING IN STRUCTURE? YES ❑ NO ❑ If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. EXISTING 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 R- M r OWNER ac Wedges that submission o accurate 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,represerus 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 permatlapplication becomes null&void it work or authorized construction is not commenced within 180 days or if construction work is suspended for a penod of 180 days. P OOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS AERMI PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) ignatu OWNER(Must be sinned by the OWNER) T Date DEPARTMENTAL REN71EW APPROVED DATE DENIED DATE TAGSINOTESrCONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Trish Woolett From: Trish Woolett Sent: Monday, April 25, 2022 1:56 PM To: 'alesha@rrspecialist.net' Subject: Cunningham/BLD2022-00258 Alesha, I have reviewed the documents for permitting for the Cunningham project located at 130 E Lakeland Way, Allyn. The following has been determined to deficiencies: 1. A Special Inspection Agreement must be completed for the deep driven foundation. I have included a link to the document. https://www.rnasoncountywa.gov/forms/Community Dev/special-inspection-agreement.pdf Please ensure the document is complete prior to return. Kind Regards, Tricia Woolett Building Inspector-Plan Review tw@masoncountywa.gov (360)427-9670 ext. 281 PLEASE NOTE: MASON COUNTY HAS A NEW WEB ADDRESS: WWW.MASON 0OUNTYWA.GOV CHANGING EMAIL ADDRESSES ALSO. MY NEW ADDRESS:TW@ MASON COUNTYWA.GOV 1