HomeMy WebLinkAboutBLD99-00754 Cancelled Dog Kennel - BLD Application - 9/2/1999 CS)
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LOAD QUAATION INCA£ASE - 1.15 r J. -E08 0 J. 700 M 1- -219 D
512E SPECIE 6PAU PANEL(SO SPACEQ 24.0 O.C_ T 2- -501 6 2- 706 M 2- 297 -
TOP CNOPOS T 3• -501 M ]- -219 -
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BOTTOM CHORO, AXIAL SUESS (It'8_lr, JOINT 1 69 OF / I.37 EF / 1 91 SPF fj
IC MAX PURL114 SPACING 92' 0C. UGN 10INT 5 B9 Oi / 4.37 HF / 1 31 SpF 6
BC MAX PUR1.IN SPACING 1204 OC, JON V,
MAX LL CEFL -.026- @ 6 L/360 - 491' 3
MAX TL OEFL -.034' @ 6 L/240 - 121' m
MAX HORIZ. LL OE1`L - 011' V 5
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Lu*9EA SPECIFICATIONS LOAD CURATIDy INCREASE . 1 .15 T 2- -605 B 2- 778 N 2• -2(12 C.
SPACEO 24.0' 0 C- t -J -606 0 3- 776 N 3• 338
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PERMIT NO.: BLD
qq-o1-y
MASON COUNTY
sd
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION 'Lr� CONTRACTOR INFOR ATION
,
Owner F� t-(*a i WEN lu. ON —4a Contractor Name -GPIlt-
Mailing Address 3 t(Zc Mailing Address
City Llcpj State W Zip Code IT59,q City State Zip Code
Phone 1 Other Ph.( )A 2A, 10 Ph.0 Other Ph.(
Lien/Title Holder MAW 5 •r xce(e55 15 rk Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 3 3- t 3 9 /�_/ 00a00 Fire District
Legal Description A4& N W Ex "TR I -I—
Site Address(Please include street name, street number and city) _Z11 00 Qt E L,,AJ5 �-
Directions to site lb M l ► ART . TiY✓00
0,0 W0oDtWi046- ft1QAJ& D m LF
Will timber be cut and sold in parcel preparation? (Yes/No) NO
Is your property within 200' of the following: Body of Wa er (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building DO RUM AXiIi6L-
Describe Work Qf�CGoNcr�E ,_F�wC�E p�Ft2(IFFU-y �UO��D f S+�E� .
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 900 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model 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.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. y� first obtaining approval.
(t
X " A Date 41±W X Date
FOR OFPCIAL USE BEYOND THIS PO(I,NT_,
Accepted by Date O Submittal Amount Due d Receipt No. ZU
DEPARTMENTAL':REVIEW APPROVED DENIED CONDITIQN.q DES....
Building Department F3Vb P,L hn (>:h
Occ Group Type Constr. G Qob W-H
Planning Department ' =116t
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
:�i:ti�:•:ivi}iiiiiiiii�i>i':jj:Y';iC:;i:::iiiiiiiiiiiii(::iiifi?:i:L?S{{:j:Ji
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:::: �.}.�.::�..::...:::::.::::.:• : TOTAL FEES
MASOWCOUNTY PROJECT SITE INFORMATION
' Case No.
Named r. Q., H►N�DY uJ• UJtL--M-tjSPARCEL NUMBER Date 6'1r105�1
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences `\
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I 'C 001-- %RTiloa?- 0 I (--adjacent property line
KI✓ i � 4 U ;,,/AMP 1504) i o
n-`AD I S�ar � J I l I�ASiti1ZE IS tENCED
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�rWATER- 3L F"e0%014ENPt. s
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wRM InoFtt THAN IVO,
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400 -ECG/^ i FANK SOA m r.
00
WIN TES- ; ¢�
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adjacent property line- I <-adjacent property line
SAMPLE SITE PLAN
adja�nt property line- aLo' _ E-adjacent property line
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TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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