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HomeMy WebLinkAboutBLD2025-00542 - BLD CD Environmental Health Review - 5/6/2025 MASON COUNTY COMMUNITY SERVICES Permit No: aIO2O2S-005- 2. PERMIT ASSISTANCE CENTER: R •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL i =ip RECEIVE® 0 615 W.Alder Street,Shelton,VJA 98584 C'y " S; Phone Shelton:(360)427-9570 ext.352•Fax(360)427-7798 Phone �.iz BeNalr.(360)275-4467•Phone are:(360)482-5269 �.r�, �� MAY 0 5 2025 BUILDING PERMIT APPLICATION PROPERTY OWNER ENi FORMATION: CONTRACTOR INFORMATION: 615 W.Alder Street NAME: tki k11't R tut 1-E.A NAME: MAILLNG ADDRESS: t-2.o55 BY4NNzt2 LLQ MAILING ADDRESS: CITY: 0 LAL1.A STATE: 1r.j114 LIP:qg 35'1 CITY: STATE: ZIP: PHONE#1: 3 too ."11 Q .62. t kp PHONE: CELL: PHONE#2: EMAIL: EMAIL: NR'CE1•ER 9)0f)QCEt4TI)R`IVeI.&4 r EXP._I PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME EMAIL • 17 MAILING ADDRESS CITY STATE ZIP 13 -37i4- PHONE CELL ill O PARCEL INFORMATION: G , PARC'FT NUMBER(12 Digit Number) 2 2 t O 5 _ 5 t- 0 0 0 Z O ZONING Q \e LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT STih ADDRESS 3 i 10 C. MIASOIV 1.4.,,• Da-• W • CITY WZAP6v161/4 • DIRECTIONS TO SITE ADDRESS TS liit,PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES N SNOW LOAD: psi IS PROPERTY Vv 200 FT OF TEE FOLLOWING: (Check•aII that apply): SALTWATER j /LIE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NECADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,C-eroge,Cemmercial Bldg.Etc) RCS 1 O e t.,,t Gc IS USE: PRIMARYSEASONAL L'UVBER OF BEDROOMS I NUMBER OF BATLLROOMS 2 HEATED STRUCTURE? YES(Whole BTd YES(Par[r]efBldg)❑ NO❑ DESCRBEWORK RE9LPrCtMEKT tit ME 1H txtStNE coot-PRttVT SOUARE FOOTAGE:(prepased9 1ST FLOOR (pal$sq.ft 2ND FLOOR (0`12) sq.ft 3RD FLOOR sq.3. BASEMENT sq.fi DECKr,..XISTAUCI COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE se.ft. Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: • *4 COPIES OF 1Ht,FLOOR PLAN REQUIRED* M_AEF MODEL YEAR LENGTH WITH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL 1-I Ii ALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBINGNSTRUCTURE? YES, NO If yes,attach completed Water Adequacy Form PERLMETER/FOUNDATION DRAINS PROPOSED? YES❑ NCO EXISTING SQ.FT. EXISTING BEDROOMS I PROPOSED BEDROOMS ( TOTAL BEDROOMS 1 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 dedare that I are 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 cr parties of interest regarding this project-The owner or legal representative,represents that the Information provided s accurate and grants employees of Mason County a••-evv to the above described property and structure(a)for review and inspection.This pennit✓appficatlon becomes null&void S 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 ,� E, PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON r�E� COUNTY CODE 14.08.42) X O5.05 • Z02S Signature of OWNER(Must be signed by the OWNER) Date DEP:4RTI F2TrAL REVIEW--‘,- APPROVED::==DATE' DENIED :.DATE-:=TAGSNOTES/CONDITIONS S_ BUILDING DEPARTMENT I PLANNING DEPARTMENT 1 FIRE MARSHAL PUBLIC HEALTH 1 l (( 75 i GYM' aridOPMS tiit(l • nocncn nocncn IF TrOR;f m>13i000Z/000>4 O :00 0 I�00 <vm-iorp0Amm00<3o<- v 5mpuipwam ar ff'0D9 1 Dcnr=1- Dcn�1- =x liijp>>aDm0S100cDiwzZ: r mN ,-+�-<O ° + -CO go'. D�i0ZZ0rppriip_,<Zi>a i m0 m.. -00 m.. -00 4ri= Z30;>ma is 0>>a/mrrm Cnmm cnmm Iiii Oc3 �I>OCOi- C_m ; Z 0<ZrZ31 11S070J-Ii• I ›x. 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