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HomeMy WebLinkAboutBLD2018-00626 Carport 1 and 2 - BLD Application - 9/24/2020 l 1146 o e �jh lam. 7-DrZ� 4�� RECEIVED PLANNING .IUN 15 2018 615 W. Alder Street A N a VJ ` SrTBAcKS AI NG; C � "oMr r ARE ME rib As :.��� EST RED N� Eq `Y) �c Ila (') J � + ICU Mason County WA GIS Web Map 323343000000 323353390040 3233 39001 32202220000 322031100000 •' x~ 322031400000 3 2 0 322022200000 1140 NE DEWATTO RD 00000 0000 322030060000 E 322031400000 6/15/2018 9:10:43 AM 1:3,059 0 0.03 0.05 0.1 mi i _} County Boundary Non-fish 0 0.04 0.08 0.16 km • Site Address(Zoom in to 1:5,000) — Shorelines of the State ❑ Tax Parcels(Zoom in to 1:30,000) Unknown ® National Wetlands Inventory(Hyperlinked) — Waters with no type designation Sources:Esri,HERE,Garmin,Intermap,increment P Corp.,GEBCO,USGS, FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri DNR Water Courses DNR Water Bodies Japan, METI, Esri China (Hong Kong), swisstopo, © OpenSlreetMap contributors,and the GIS User Community Fish Fish Mason County WA GIs Web Map Application Esri,HERE,Garmin,FAO,USGS,NGA,EPA,NPS I C0U MASON COUNTY COMMUNITY SERVICES Ycrmit No:a - PERMIT ASSISTANCE CENTER: : •BUILDING.PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED � Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfalr. (360)275-4467•Phone Elma:(360)482-5269 JUN 15 2018 1854 BUILDING PERMIT APPLICATION 1615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: kNjpL NAME: -- - -- ----- MAILING ADDRESS: L MAILING ADDRESS: CITY:96e\Q--,Y STATE:ZIP: CITY: ITATE: ZIP: PHONE#1: PHONE: CELL: PHONE#2: IL : -- EMAIL: &I RE EXP. PRIMARY CONTACT: OWNER-ff O RACTO OTHER 1 NAME v� XEM Lc rlo�w�,; Gower MAILING ADDRESS CITY STATE �� ZIP 8�t' 52 PHONE o CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)A - NING LEGAL DESCRIPTION(Abbrevi I I T SITE ADDRESS L CITY W DIRECTIONS TO SITE ADDR% ITY HE PR ECTWNN F SLOPE(S)GREATER THA 4%: YES[] NOS` ROPERTY WF HE FOLLOWING: (Check all that apply): TWATER❑ ER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ E OF WOR ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE STRUCTURE(Residence,Garage,Commercial Bldg, IS US PRIMARYW SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED UCT 7 YES(Whole Bldg) ❑ YES(Part[s]of Bldg) NO❑ DESCRIBE WORK b 2 SQUARE FOOTAGE: (propose+existing) 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. OTHER sq. ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUHtED* MAKE MODEL EAR LENGTH W TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES ❑ NO❑ If yes, attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.1 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 permit/application 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 PPLICATION O 80 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) 61( Si ure of OWNER(Must btreigned by the OWNER) ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH