HomeMy WebLinkAboutBLD2024-00898 Garage - BLD Application - 7/23/2024 'a�_
Docusign Envelope ID:E4DBBB06-9869-4D2A-8839-8292F3B9966B
4PMASON COUNTY Permit No:
COMMUNITY DEVELOPMENT JUL 2 3 2024
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:SOHAN SINGH NAME: South Shore Construction
MAILING ADDRESS:691 E EAGLE POINT DR MAILING ADDRESS: PO BOX 963
CITY:SHELTON STATE:WA ZIP:98584 Crry:BELFAIR STATE:WA ZIP:98528
PHONE#l: 1-818-606-3761 PHONE:360-801-4432 CELL:
PHONE#2: EMAIL:southshore@q.com
EMAIL: L&I REG#SOUTHSC016NL BXP, 02/10/2026
PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑
NAME South Shore Construction EMAIL southshoreQq.com
MAILING ADDRESS PO BOX 963 CITY BELFAIR STATE WA ZIP 98528
PHONE 360-801-u32 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 42122-76-90061 ZONING RR10
LEGAL DESCRIPTION(Abbreviated) s 1s 6 S""4aos3 AF#524853 PTN OF NE NW d SE NW FIRE DISTRICT 16
SITE ADDRESS 691 E EAGLE POINT DR CITY SHELTON
DIRECTIONS TO SITE ADDRESS Head W on W Alder St,Continue onto Olympic Hwy N,left onto W Wallace Blvd/Wallace
Kneeland Blvd,right to merge onto US-101 N,right onto E Eagle Point Dr,continue onto E Eagle Point Dr,property will be on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOQr SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW V ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)DETACHED GARAGE
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS b
HEATED STRUCTURE? YES(Whole 8tdg)❑ YES(Part[V ojBW❑ NOV
DESCRIBE WORK INSTALL DETACHED GARAGE
SQUARE FOOTAGE:(proposed)
CIIST FLOOR 511.p sq.ft. 2ND FLOORS sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft.
DECK 224" sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
(:!TAM`GlD1152 sq.ft. Attached❑ Detached 2f CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE M YEAR
WID BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES❑ NOV Ijyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOV EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
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 8 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)
7/10/2024
of OWNER(Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH