HomeMy WebLinkAboutBLD2024-00821 Retaining Wall - BLD Application - 7/9/2024 MASON COUNTY Permit No: I'DaD24
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning JUL 0 9 2024
BUILDING PERMIT APPLICATION 615 W. Alder SkeetW
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C
NAME:Pioneer Builders Inc, NAME:same
MAILING ADDRESS:PO Box 1094 MAILING ADDRESS: r
CITY:Port Orchard STATE:WA ZIP:98366 CITY: STATE: ZIP:
PHONE#1:3603403319 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL.:pioneerbuildersinc@yahoo.com L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Bryan Uhler EMAIL ploneerbuildersino@yahoo.com
MAILING ADDRESS PO Box 1094 CITY Port Orchard STATE WA ZIP98366
PHONE 3603403319 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12217-51-00008 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 130 E.Olympic Court CITYAIIyn
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 an that appl,):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,commercial Bldg,Etc.
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(whale Bldg)❑ YES(Part[.r/of Bldg)❑ NO❑
DESCRIBE WORKRetaining Wall
A SQUARE FOOTAGE:(propased)
1ST FLOOR sq.ft. 2ND FLOOR sq.ft, 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.R COVERED DECK sq.fL STORAGE sq.ft. OTHER sq.fL
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.1 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❑ SEWER❑ / NEW EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ If yec,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of Inaccurete 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,induding 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 per mittapplication 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)
Signatur of OWNER(Must be signed by the OWNER) 7 Date
DEPARTMENTAL REVIEW kPFJROVED ATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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