Loading...
HomeMy WebLinkAboutCOM2007-00001 Final Shed - COM Permit / Conditions - 8/6/2007 CULVERTS UNDER ROAD --------- PL EXISTING CHAIN-LINK TYPE 1 STREAM KENNELS -- - ------ - ---- TO BE REMOVED 'i\ WATER LINE APPROVED MASON COUNTY DCDPLANNING / i� SITE PLAN REQUIRED TO BE ON SITE / VEGETATION CHANGES SUBJECT TO APPROVAL \ BUFFER SOIL LOGS: BY I Date, / O ' \ / 16 E 2 0-26"GSL BLDG. OVER WATER TABLE SETBACKS FROM TILL @ 36" � BUFFER i (`b L — SOIL LOGS Tj r A �� - _ _ ` " _ - PRIMARY&RESERVE \ DRAINFIELD I ap PARKRAG d� 1 i \` NEW NEW KENNEL I �J SHOP \ PARKING 4 - 40'X4(Y J 680' Pry KST) ' SITE PLAN: /� FOR: AAP JOB#: TR O 1 V -- o PARCEL#: 32132-22-00000 DATE: 18 APRIL 2006 rn 111mdi DESIGN PAGE _OF BY: TJS _ �Q NORTH ARROW: SCALE: 1" = 60' ®6 ©TAHJA-SYRETT DESIGNS *..� MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION ��m� 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 _ Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner, Aboin - - PEr Company Name Mailing Address AO13 o S 914V Mailing Address City f�FL r'241 Statelela._Zip Cod City State Zip Code Phone f_7;E- Other Ph. Phone Other Ph. Lien/Title Holder W&ML Contractor Reg. # Exp. E mail address NDiV&w E Mail Address Drivers Lic. # DOB Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic *VG Existing Septic �G Connect to Water System WOName of Water System Well Sewer System Name of Sewer System gDAOQ;) PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description S Site Address (Please include street na e, street numbe and ci y : �,0"re- S Q G W1A1. Directions t site ® o o " �� of o.,v Will drn er be cut and sold in parcel prep ation?Yes kl �G Is property within 200' of Saltwater Lake O River/g�e Pond Wetland NO Seasonal Runoff A&g Stream / Slopes or Bluffs 15% A1 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yesifio TYPE OF JOB - New_y Add Alt Repair Other PRIMARY RESIDEN E SEASONAL ❑ Use of Building Sao Describe Work , No. of Bedrooms, No. of Bathrooms Square Footage-'-1st Flo D Sf2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. 9 Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges 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,owners legal rchr� Ttt'd� F tieactor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I de a taine the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and co�Qt]thf#10posed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees o Json County access to the above described property and structure for review and inspection.This permit/application becomes null i oyk.or,a thorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PO NTiNATION OF WORK IS BY r MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF180DA�j�j��''VOIQLI►�J►�JppA IDATE THE APPLICATION. X Date: zlz -a9 Owne ners epresentative Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department /_Toy Planning Department Environmental Health Department Fire Marshal o FEES Building Permit Fee Site Inspection Plan Review Fee 0 S EH Review Fee Plumbing & Base Fee 46 Planning Review Fee Mechanical & Base fee 49- Other Wood/Gas/ Pellet Stove Fee State Fee S 5- Violation Fee Pre-Paid at Submittal 0 Valuation $ TOTAL FEES