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MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-446 • Elma (360) 482-5269
On the web www.co.mason. 0.us
APPLICANT INFORMATION CONTRAC R INFORMATION
Owner Company N6 me �)
Mailing Address Mailin.9 Address f v
City State Zip Code City �� Irl State Zip Cje
Phone r Other Ph. Phoney ' '"� �`' / Lf Other Ph. 71'
Lien/Title Holder Contractor Reg. # ExpE mail address E Mail Address `
Drivers Lic.# DOB Drivers Lic.#I h DOB '
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer Syste
PARCEL INFORMATION - 1� Digit Parcel No. Fire District
Legal Description rI
Site Address (Please include street name, street number and city)
Directions to site
•.L s
Will timber be cut and sold in parcel p gpafation?Yes o
Is property within 200' of Saltwater - - Lake River/Creek Pond
Wetland Seasonal Runoff A- Stream Slopes or Bluffs 15%
Is this permit submittal the re ult of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other 4 P I AR) IDFNCE ❑ SEASONAL ❑
Use of Building escribe Work �"
No. of Bedrooms N' . of Bathrooms Square Footage- 1st Find _2nd Floor
3rd Floor Basement, Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of edrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ No
Installer Name Ce ification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result ir a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners egal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the applicatio i I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this pert i it and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grant employees of Mason County access to the above
described property and structure for review and inspection. This permit/application be c�dag�s.nPROOF
e ull & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 18 OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION O DAYS WILL INVALIDATE THE APPLICATION.
X ,,./ ��'. ,, t- ` Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department ,t
Fire Marshal
FEES
Building Permit Fee 2S— Site Ins e tion
Plan Review Fee P EH RevieA Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee y
Violation Fee G64 Pre-Paid at Submittal
Valuation $ TOTAL FE S
r
p ,
!.. ,
6
35
e�cO6 I
{(
` d y\
STREE-I
f 4
. I
rTOPOGRAPHY PROFIL_EAPPIl v`l u LAN 'N G
MASON COON l���B�"Pi N�.��Z//��i ALL SETBACKS ARE MEASURED
SITE PLAN REQUIRED TO BE ON SITE FROM THE FURTHEST
CHANGES SUBJECT TO APPROVAL PROJECTION OF THE BUILDING
(3y ���--- Date �I 1®
Direction: Scale: Approval: for office use
Building Permit number: f' '� �_p" Building:
Owner/Applicant: '//4 ! fti�f� /�;�i 1'� Date of Planning:
application: Env. Health:
Parcel Number: ,� -
Permit Number BLD200 � * � `
- - �llQ`� Name
11
Parcel Number
` -_ Phone N tuber daytime
Project Address ) -- Mailing ddress
UJA r " 5 1
Please provide a complete,detailed description of the proposed revisions to the annroved plans: .
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes O No
Are the approved site plans included? tes ❑ No
Are the revisions clearly and accurately identified on the plans or, ddendum? G-'Yes ❑ No
Does the plan contain an engineer's or architect's lateral or verb analysis? ❑ Yes ❑ No
If Yes,Has the engineer or architect approved this revisio 19 ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
Eote:No structural Pb--to a"desiened"Plan will be roved without the written consent of the en ineef and/or architect of record.
s.
Does the proposed revision modify the footprint or location of thestructure? m'Yes ❑,No
If Yes,Is a revised site plan,.with all new setback dimensi ns included with this request?
0-Yes O No
Additional Information:
Applicant's signature
Date: I/ d' D
Office use only Received by _
Date Sent Assigned To Approved By Date
B. �14 C l Original Valuation:'', $ K&q x ko
C6 Additional Valuati ` $
sq.Ft.? r $ $
Sq.Ft. x$ $
Total New Valuati' $ 77 9T.--F—
P.W. Ad Fees: See tri"us e
Addi 'onal Planning Dept.. $
New Setbacks: Front / Addi 'onal Plan Review $ 67 . G p
Rear / A onal Building Permit $ / • o F
Side I. / Side2 / Add t oral Plumbing $
Additional Conditions/Comments: Add t oral Mechanical $
Add donal E.H.Dept. $
Otlx r $
Total Amount Due: $
Amount Be Paid Up-Front$
r.k
PlWbea SAG aunooa
ACCESS & GRADE WORKSHEET DATE:. C.)c7-(K ,
DDRESS ZAP,(-'
INSPECTOR ka 54�c Q ,
DRIVEWAY ACCESS
Len the / Width: r "—`
Surfa e:
Size of turn-around• l / i -�
Condition of shoulders•
Vertical clearance• () �
X ) need Dost at end of driveway with reflective address numbers
GRADE,OF DRIVEWAY z_ -% OF R AD /_JA_— oho
ROAD ACCESS
Len the - 1� Width: Surta
Condition:
Vertical clearance•
(.._) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE SMZ, 4X4 FIRES ONLY.
LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES.
REMARKS
contin a remarks on back