HomeMy WebLinkAboutCOM2015-00061 CANCELLED - COM Application - 4/3/2015 MASON COUNTY Permit No: C,jnm z,0 J6-0D0&J
DEPARTMENT OF COMMUNITY DEVELOP ENT
BUILDING•PLANNING•FIRE MARSHAL (360) 427-9670 Shelton ext. 352
_-_ http://www.co.mason.wa.us/community dev/ (360) 275-4467 Belfair ext. 352
1854 426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352
BUILDING PERMIT APPLI ATION RECE D
PROPERTY OWNER INFORMATION: CONTACC OR INFORMATION: APR 0 3 201
NAME: Ribs i-z t. NAME:
MAILING ADDRESS:pp. A:>,o 'L qL? MAILING ADDRESS: 426 W. CEDAF ST.
CITY: CW c,r0M 1 STATE: wA. ZIP: V, 64 " CITY: STATE: ZIP:
PHONE:, CELL: PHONE: CELL:
EMAIL: EMAIL :
� L&I REG# EXP.
CONTACT : OWNERZ CONTRACTOR ❑ BELOW ❑
NAME: A✓,r,r MAILING ADDRESS: f?
CITY: S tfFir STATE: wA. ZIP: q�o(-,.3 q PHONE
EMAIL: /'2�STy
COM2b15-�b-061
PARCEL INFORMATION: Ridge Motorspi its — MFG Bldg
PARCEL NUMBER(12 DIGIT NUMBER) 14Z o a / D v FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED)
SITE ADDRESS_ /0&,� V LLej-zS f f,1,L —CITY
DIRECTIONS TO SITE ADDRESS
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ S 1�SON L RUNOFF ❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREAT 14% YES[] NO ❑
TYPE OF JOB: NEW AD51 ALTERATION❑ PAIR 1704*41 OTHER ❑
USE OF STRUCTURE(RESIDEQCE,GARAGE ETC. r,,,bb, S c,K
IS USE: PRIMARY ❑ SEASONAL ER OF BEbRoomAL1 A..oF NUMBER OF BATHROOMS
DESCRIBE WORK
SQUARE FOOTAGE:
1ST FLOOR sq. ft. 2ND F s 3RD OOR, sq.ft. BASEMENT sq.ft.
DECK sq. ft. COVERED, sq ft. RAG sq.ft. OTHER sq. ft.
GARAGE ft. ATTACI�I✓D ETACHED ❑ CARPOR sq. ft. ATTACHED ❑ DETACHED ❑
MANUF40 ACTURE OME MATIOA� *4 PIES OF THE FLOOR PLAN REQUIRED
MAKE ODEL - YEAR LENGTH
WIDTH BE 00 BATHS SERIAL NUMBER
OWNER a knowle 'a t sub sion of in information may result in a stop work order or permit revocation.
Acknowledement of suc signature below. I declare that I am the owner or owner's legal representative. I further
declare that am entitled'to rec his permit and to do the work as proposed. I have obtained permission from all the
necessary pa , 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNT CODE 14.08.42)
x 111 Q q- 3 /
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOT S/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
FEE'S TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS,AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES _
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE _
PLANNING REVIEW FEE VIOLATION FEE
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