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HomeMy WebLinkAboutBLD2024-01301 Bulkhead Repair - BLD Application - 10/30/2024 MASON COUNTY rermiirN - ( IV E D COMMUNITY DEVELOPMENT OCT 3 0 2024 Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Richard Phillips NAME:TBD 0 N AILING ADDRESS:PO Bmr 12864 MAILING ADDRESS: CITY: STATE:'0"A ZIP:98M CITY: STATE: ZIP: Z PHONE#1:36=34g-1001 PHONE: CELL: PHONE#2: EMAIL: EMAIL:rgmid#mgvs@gmw0.com L&&I REG# EXP. PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ I OTHER❑ NAME_ EMAIL rrt� MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL LNFORMATION• m PARCEL NUMBER(12 Digit Number) 42213—%-WW3 ZONING FM LEGAL DESCRIPTION(Abbreviated) Hoodspor4AQardAdd TR A SP185&TLs PTN of Lot 3 FIRE DISTRICT SITE ADDRESS 23830 North US Hwy 1Q1 CITY Hoodspon DIRECTIONS TO SITE ADDRESS North on US 101 to address.About IA south of gnxery/hardware store in Hoodspon IS THE PROJECT WTTHII 1300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO© SNOW LOAD:^psf IS PROPERTY WITHLN 200 FT OF THE FOLLOWING: (Check all that rgp4): SALTWATER Q LAKE❑ RIVER/CREEK❑ POND❑ WETLAND[] SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDMON❑ ALTERATION❑ REPAIR EI OTHER ❑ USE OF STRUCTURE(Reridanc�Garage Cmrrmrr tat Bldg Erc)REsidenrr IS USE: PRIMARY❑ SEASONAL© NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES 0vhotrsldg)❑ YES Mart[sjvfxdg)Q NO❑ DESCRIBE WORK BuUOread Repair install deadman in tm locatkm and repanitepiace Ousting concrete patio SQUARE FOOTAGE:a,.gpat«g 1ST FLOOR OW sq.ft. 2ND FLOORS sq:ft. 3RD FLOOR sq.k BASEMENT 3q.& DECK sq.ft. COVERED DECK sq.ft. STORAGE sq It_ OTHER Pee°' ` sq.ft. GARAGE 398- sq:It. attached© Detmhed❑ CARPORT sq.ft.attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED" MAKE MODEL YEAR LiGTH TH BEDROOMS BATES S ENVIRONMENTAL HEALTH: SEWAGFISEWER SOURCE: SEPTIC 8 SEWER❑ I NEW❑ EXl51ING I] PLUMBING IN STRUCTURE? YES© NO❑ .f'yes,attach coatpktad Water ddegtracv Form PERIMETERTOUNDATION DRAWS PROPOSED? YES❑ NO❑ EXISTING SQ.Ff 1350 EXISTING BEDROOMS'2 PROPOSED BEDROOMS-ch-W TOTAL BEDROOMS OWNER acknowledges that submission of inacaaate tr oration 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.including any easement holder or parties of interest regarding Otis project The owner or legal representative,represents that the information provided is accurate and grants employees of Masan County access to the above described property and stntcture(s)for review and inspection.This per idtappication becomes null&void if work or authorized construction is not commenced within 180 days or X construction work is suspended for a period of 180 days. PROOF OF CON71NUAI ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPU N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON /f�; j COUNTY CODE 14.08.42) fir, X /1/c=mil/ `Z —�.�� c_�� 10 L Signature of OWNER(Mast be s1wied bythe OWNER) — T Data DEPARTNIENTAL REVIEW APPROVED DATE DENUD DATE' TAGSI OTESICONDITIONS BUILDING DEPARTMENT a^ ^ PLANNING DEPARTMENT FIRE h1ARSHAI_ PUBLIC HEALTH MASON COUNTY Permit Nu: / v�, u i�U i `� COMMUNITY DEVELOPMENfIECEIVED Permit Assistance Center, Building,Planning OCT 3 0 2024 BUILDING PERMIT APPLICATION treat PROPERTY OWNER INFORMATION: CONTRICTORINFORNUTION: NAME:tiichare Phillips NAME:TB0 MAILING ADDRESS:PO emc IM4 MAILING ADDRESS: CITY:QIYvia STATE:wA ZIP:985M CITY: STATE: ZIP: PHONE 01:3&349 iW1 PHONE: CELL: PHONE#2: EMAIL EMAIL:rgrrr dqftivs@gmal.com L&I REG# EXP. PRIMARY CONTACT: OWNER 0 CONTRACTOR OTHER(] NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL EWORAATION: PARCEL NUMBER(12 Digit Number) 42213S0-OOo03 ZONING RRS J LEGAL DESCRIPTION(Abbreviated) Hoodspon-AllardAdd TR A SPt aS&TLs PTN of Lot 3 FIRE DISTRICT STTE ADDRESS 238M tom'US Hwy tot CITY Hoodsport DIRECTIONS TO SITE ADDRESS North an US 101 to address.About 114 south of grocery/hardware store in Hoodspat IS THE PROJECT WrIIHN 300 FT OF SLOPEM GREATER TITAN 14%: YES[] NO[a SNOWY LOAD:^psf IS PROPERTY WI 3M 200 FT OF THE FOLLOWING: (c)&eck atf rhorappty): SALTWATER(] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM Q TYPE OF WORK: NEW[] ADDITION❑ ALTERATION❑ REPAIR EI OTHER rl USE OF STRUCTURE(A ida=G qr.C,araniorci d Bldg,D-)REsd-- IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(WholeBW❑ YES 0W.T7qfB1dg)Q NO❑ DESCRIBE WORK Buadread Repair.install deadman in two lorabo s and repairnevlaaeansting concrete pafio SQUARE FOOTAGE:o,,gvrmp I ST FLOOR oee sq.$ 2ND F LAOR'-"c sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.R, DECK sq.ft. COVERED DECK tiq.ft. STORAGE sq IL OTHERP""'+'ll` sq.3L GARAGE 3W sq.ft. Attached Il Detached[] CARPORT sq.ft:Attached(] Detached❑ MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR IiGTH Tx BEDROOMS BATHS S ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC© SEWER© I NEW[] EXISTING El PLUMBING IN STRUCTURE? YES© NO❑ trj=,attach conq*ted Water Adequacy Fonn PERIIM11TER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.Fr. 1360 EXISTING BEDROOMS 2 PROPOSED BEDROOMS no change TOTAL BEDROOMS OWNER acknowledges that submissiort of inaccurate Informabon may msrta In a stop worts order or permit revocation.Ackrxm Wffwrd of SUCK is by signature below.I declare that I am the owner and I further declare that I am entitled to naceive 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 tles project The oy4w or legal representative,represents that the information provided is acwrate and grants employees of Mason Gourity access to the above described property and structure(s)for review and inspection.This permittapplication bemuses null&void if work or auBwr¢ed conshuctwn 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 PERM1ITAPP:L71N F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON �— COUNTY CODE 14.06.42) X Ci"U c=�_ / Ju Z.26 —9 Signature of OWNER(Must be sWted by the OWNERI mate DEPAR'nff-NTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE A4ARSFTAL PUBLIC HEALTH GIJLK F- U) fe;M+f ,...... ..���..._�__ l �..._ ...�._._. a13g'3'o N• U•S.�Nw _l01 QA�►�e1 � 4�a-�3- 50- 00 003 i ' a c_ )4-i NI,N G- 14Y ALL VEWAY 0, �. Vw C < yj 1 3 --- — . �L a � j z r �-•-6- oc; �X+STitiJ� , f Bu�.IKNpAD , Sc ilKke n c� C o he re r� 5TC-P OOA c ry t'