HomeMy WebLinkAboutBLD2023-00992 Garage - BLD Application - 8/21/2023 MASON COUNTY COMMUNITY SERVICES PermitN
PERMIT ASSISTANCE CENTER: WLOA�3 �—
•BUILDING•PLANNING-PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 2U23
Phone Shelton:(360)427--9670 ext 352•Fax:(360)427-7798 Phone AUG 2
Beffair.(360)2754467•Phone Etma:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: t �f/-/h, kirwrkilk NANM:
MAILING DRESS: ^. ( ' cP�L MA=GADDRESS:
CITY: r- STATE• ,S ZIP: S" CITY: STATE: ZIP:_,
PHONE#1: `2 Al '9; "�.T. PHONE: CELL: n.. `
PHONE#2• i L EMAIL � • -""
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EMAM- ° G1 V4 ni L&I REG# EXP.
PRIMARY CONTACT: gWNMV§ CONTRACTOR❑ OTHER❑ ff
NAME---&12"/ ✓ k EMAI t�/ `�' Cb,m
MAIIINGADDRESS , ��/ 61 1�!,CITY Q r A ST E ZIP
PHONE CELL _ /
PARCEL INFORMATION:
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PARCEL NUMBER(12 Digit Number) 13%.? "/ — C� s'" ZONING L
LEGAL DESCRIPTION(Abbrcviat Q G d/
c FIREDISTNCTU, •f o
SITE ADDRESS (' 6 -Va(I' CITY s ,4
DIRECTIONS TO SITW�RESS r _0 2 E
`r
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOZ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (ch=k a that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK fS POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATI02� REPAIR❑ OTHER ❑
USE OF STRUCTURE(Acrsd=4 rawgq Comma dBLdg.Etc)_
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROO'hO NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(".IeBldg)❑ YES(Pan[:]ofmdg)❑ NO�R
DESCRIBE WORK i2a,C'e,'fQ
SOUARE FOOTAGE:(propasr�
1ST FLOOR sq.ft 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.fL
DECK sq.ft_ COVERED DECK sq.ft. STORAGE sq.fL OTHER sq.fL
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 SERIAL NUMBER
ENVIRONMENTAL HEALTH: -
SEWAGE/SEWER SOURCE: SEPTIC;S SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES. NO VI Ifyes,attach completed Water Adequacy Form
PERIIAETER)FOUNDATION DRAINS PROPOSED? YES❑ N65 EXISTING SQ.FT.
EXISTING BEDROOMS 7 PROPOSED BEDROOMS I TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may insult in a stop work order or permit revocation.Admowledgement 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 irrrormation 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.D8.42)
x _ '2h 43
Sign of O (Iftist bersij-neff by the OWNER) Date
�EPARTMFIVrAI_REVIEW= - APPROVED':'- DATE(- DENIED :.DAT1 TAGSINOTES/CONDITIONS=}
BUILDING DEPARTMENT /O—1;-
PLA24NING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
BLD2023-00991 & BLD2023-00992
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EH Setbacks
W ;o$ A.) Drainfield/Reserve requires 10'setback from footing/foundations rc
J Z g B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 3011,downgradient of 1oNLL
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 51t and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
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