HomeMy WebLinkAboutBLD2024-00490 Retaining Walls - BLD Application - 3/12/2024 • MASON COUNTY COMMUNITY SERVICES Permit No:A D910p?�
PERMIT ASSISTANCE CENTER: Doll �y
•BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSRIE C E I V E D
615 W.Alder Street,Shelton,WA 985t�
Phone Shelton:(360)427-9670 ext.352•Fax.(360)42.77-7798 Phpp R 2 ZO24
Belfair.•(360)275-4467•Phone Elma:(360)482-5269 RA LA
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BUILDING PERMIT APPLICATION '+rest
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Michael & Karrie Parker NAME:Andrew Spear
MAILING ADDRESS:2870 E. Phillips Lake Rd. MAILING ADDRESS:2000 W. Shelton Valley Rd.
CITY:Shelton STATE:WA ZIP:98584 CITY:Shelton STATE:WA ZIP:98584
PHONE#1: 1-206-595-0361 PHONE:360427-4440 CELL:
PHONE#2: EMAIL :6L 5P&W:&ori cLt bH of (•Go t.+�
EMAIL:michaeldparker2l@gmail.com L&I REG#601928830 EXP._L/_3t/ 7
PRIMARY CONTACT: OWNER CONTRACTOR[] OTHER❑
EMAIL 11 (aCJ1 ,-)11(Iemc, —PECkI C'uFtnKZQL
MAILINGADDRESS ?C7 D'Z CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 220055-20-0060 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) Phillips Lake Div. 3 TR 60, S 48/141 FIRE DISTRICT
SITE ADDRESS 2860 Phillips Lake Loop Rd. Shelton CITY Shelton
DIRECTIONS TO SITE ADDRESS North on WA-3 N, Right on E. Pickering rd.
Right on E Philips Lake Loop Rd. Site is on the left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE E] RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW E] ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑_
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.)_
IS USE: PRIMARY E] SEASONAL ❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YF_S(Whole Bldg) ❑ YES(Part[s)of Bldg)❑ NO ❑r
DESCRIBE WORK Construct new retaining walls on site to control grade uphill.
SQUARE FOOTAGE: (proposed)
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❑
MA E INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL ATHS SERIA AR L NUM LENGTH
WIDTH BEDROOMS BB
mums
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 0 NO[] EXISTING SQ.FT.
EXISTING BEDROOMS n/a � ' PROPOSED BEDROOMS n/a TOTAL BEDROOMS N/A
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.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 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
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Signature of gent Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH