HomeMy WebLinkAboutCOM20232-00080 Detached Metal Garage - COM Permit / Conditions - 5/7/2025 MASON COUNTY COMMUNITY SERVICES Permit No: t w QDOQ�V
PERMIT ASSISTANCE CENTER:
•BUILDING'PLANNING-PUBLIC 615 W.Alder Street,She
lton,n,WA FIRE MARSHAL
ARSHAL RECEIVED
- Phone Shelton:(360)427-9670 ext 35?.•-Pax_(3fi0)427-7J98 Phone
Belfair.(360)275-4467•Phone Elora:(360)482-5269
4 2023
BUILDING PERMIT APPLICATION AUG
PROPERTY OWNER INFORMATION: _ ,CONTRACTOR INFoatbrM I: e r t
NAME I Ll. n i✓ AIvIE:
MAIL ADDRESS: MAILING ADDRESS:
CTTY: STATE: ZIP: 'IPA CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2:C21 I C T _ P'144 3�(� EMAIL:
EMAIL.: L&I REG# EXP.
PRIMARY O ACT: OW15ER❑ CONTRACTOR❑ 1, OT R
NAME EMAIL tl Pi01 10'Un t&4 a-n&
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 17— ';L, — �L BLS ZONING ,
LEGAL DESCRIPTIO�N1/�(Abbrevia FIRED STRICT
SITE ADDRESS oC1) h1-� (, Rz CITY
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkon that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? ?YES(whale Bldg) YES(Part(s)offlidg)❑ ,NO❑
DESCRIBE WORK 1 1 IQ - l.(,! �XJ X 6Q X 1
SQUARE FOOTAGE:(praposedJ
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
GARAGij6o sq.ft Attached❑ Detached CARPORT, _ sq.ft. Attached❑ Detached❑
MANUFAC N: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL YEAR LENGTH
TH BEDROOMS BATHS ER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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 permitlapplication 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)
X
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH