HomeMy WebLinkAboutBLD2020-00075 Metal Garage -scanned available pages - BLD Application - 1/22/2025 I'G/{/111/ -
•BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone RECEIVED
Belfair.(360)275-4467•Phone Elma:(360)482-5269 V
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BUILDING PERMIT APPLICATION JAIV 2 1204,0
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: W, Alder et
NAME:`X(7i \V�% J NAME: Tf=1--CSje.. CITt..rXts Stye
MAIL ADDRESS: I MAILDP ADDRESS: U S�
CITY: t`DF�9L STATE: . ZIP: Z� CT]Y: YG I Ati-S STATE: ZIP: r7
PHONE#1: ZS3- Zit-$Z PHONE: Q0- '3•• W • ELL: ZQ
PHONE#2: EMAIL:. lu c /J SA
EMAIL: V LJJ (l,K6M Gon1 'r•NFT L&I REG# 0=f C?PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ ;` L®'N G
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Z Z3 1 .5 0 T 0 01 aS ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICdT
SITE ADDRESS 20 _�U GAL- r CITYTAH(I
DIRECTIONS TO SITE ADDRESS J
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%:` YES❑ NO❑
IS PROPERTY WITHIN 2 0 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE RIVEWCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ .
TYPE OF WORK: NEW g ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,(iarage,Commercial Bldg.Eic) GEfi¢AQ(
IS USE: PRIMARY❑ SEASONAL% NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(pant jofBidg)❑ NOV
DESCRIBEWORK MCFAZ CyTrAff-- Pill lyIIN{960,A
SQUARE FOOTAGE:(prop. existing)
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.I OTHER sq.ft.
GARAGE I Z-00 sq.ft. Attached❑ Detached[Z CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO) Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ --vot EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submissi 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
X *�L— COUNTY CODE 14.08.42) �
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Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 0 6G
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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0 1 13 3 5 Appt.Time
Gate _ . _ . . AN Z '010
STEEL STRUCTURES AMERICA, INC. 61 s1V
1 -800-833-9997 -- --'v�r
'�(-r c �-�tn� Sheet
Name_�CoT.T `�U.�jIGC�Z--..---....--._-_ - _ _ _ _
Mailing Address q34
City -Q� [.AL-(,* _ State Zip Gov PAn«
Job Address_ Z3 �__r`AM4 G f _ �-N i 31�r -5. b-00 foc,
City ---`�A �Yl!_
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Count � _ r1 ------�---►-s— -►
y.._./u11a Sidewall Gable
Telephone Home_ZS'`� 'Z" k 761 Work
Building Size x x
0 10' 20' 30' 40' 50' -60' 70' 80' 90'
pLA
ALL SETBACKS ARE MEASURED
10' ._.. FROM THE FURTHEST
�- L.Fj pROJECVION OF THE BUILDING
20' �� L
30' 3 _
40'
50' S
N � S'
60' _ � 6
A
3 ASON ��VE®
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70 ,r/ SITE PLAN cr�,il1F�ED p �LANNI�;a
i BY
u cS.,ULJECT TO APPI� SITE
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3 Date vL
80' _ o
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90 �Astom6r
1 ';1 tZ — Scale: 314 = 10'
Si ature Sale ignature �.�