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HomeMy WebLinkAboutCOM2024-00046 Concrete Pad - COM Application - 7/15/2024 MASON COUNTY Permit No: E D COMMUNITY DEVELOPMENT JUL 15 2024 Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIrO,N: /l NAME:MASON COUNTY PUD NO.1 NAME:DBS.ELECTRICAL •—'�`J'�Y'i�' r'Y. MAILING ADDRESS:21.971 N HWY 101 MAILING ADDRESS:P.O.BOx289 CITY:SHELTON STATE:WA ZIP:9e5e4 CITY:BRUSH PRAIRIE STATE:WA •ZIP:gasos ,. PHONE#I:360-e77-5249 PI.IONE:360-66e-8070 CELL: LID PHONE#2: EMAIL: fd t AA EMAIL:KRISTINM@MASON-PUDI.OR© L&I REG# (C EXP:�l f l o M. PRIMARY CONTACT: OWNER I] CONTRACTOR❑ OTHER❑ ®` NAME.KRISTIN MASTELLER ENTAIL KRISTINM@MASON-PUDI.ORG MAILING ADDRESS 21971 N.HWY 101 CITY SHELTON STATE WA ZIP sass PHONE 360-877s249,x.202. CELL(360)4904895 PARCEL INFORMATION: �® PARCEL NUMBER(12 Digit Number) 422343200010 ZONING LEGAL DESCRIPTION(Abbreviated) N 43e'of w 466'of NW SW FIRE DISTRICT SITE ADDRESS NIA-Range 4w,Township 22N,section 34 CITY Shelton DIRECTIONS TO SITE ADDRESS Take Indian Hill Road across from Potlatch Stale Palk.Must be escorted through Tdba1/GDRCd gale.Travel past gale onto GORCD,rood.Turn left,Follow SPA Transmission line road approx.114 mile.Substation Ic on left adjacent to SPA Transmission lines: IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOR] 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 E ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Btc J C01168te pad for substation breaker IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(hole mdg)❑ YES(Parr(sl of Bldg)❑ NO❑ DESCRIBE WORK Pour concrete pad Inside substation fence to set a breaker. SQUARE FOOTAGE:(proposers) 1ST FLOOR sq.ft., 2ND FLOOR sq.ft. 3RD FLOOR sq.ft.. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER100 sq:ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THRFLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO El Ifyes,attach completed-Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES[I NOE] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate Information may result In a stop work order or permif 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 permittappllcallon 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 CODE14.08.42) x (�'t/�/ '/G `�"` 07/08/2024 -S ggnnilture of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH