HomeMy WebLinkAboutBLD2025-00492 Roof Repairs - BLD Application - 4/21/2025 MASON COUNTY Permit No:-?-)\ D.I 025= DO'9 q 2
COMMUNITY DEVELOPMENTS EC E I V E
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION APR 21 2025
PROPERTY OV�NE:R INFORMATION: CONTRACTOR INFORMATI9% 5 W.Alder Street
NAME:Gary Olson NAME:Cp General LLC _
MAILING ADDRESS:_110 SE LOW RD _ MAILING ADDRESS: PO Box 1242
CITY:Shelton STATE:WA ZIP:98W_ CITY:Tenino _STATE: WA ZIP:_9M9
PHONE#1:36MI3793 PHONE: CELL: 253-617-6882
PHONE#2: _ EMAIL:cpgeneraf20156outlook.00m
EMAIL:gmolson5CrDmsn.00m _ L&I REG#CPGENGL851KE EXP. 07 p1 26
PRIMARY CONTACT: OWNER❑ CONTRACTOR(a OTHER❑
NAME Cory Peters-CP General LLC EMAIL cpgenera12015@outlookoom
MAILING ADDRESS PO Box 1242 Clay Tenlno STATE WA ZIP 98589
PHONE CELL 253-617-8N2
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 31901-51-00010 Z01,1ING19-RceaeMW-VWaimamcmn
LEGAL DESCRIPTION(Abbreviated) BAY EAST TR 10 FIRE DISTRICT
SITE ADDRESS 80 SE Hight Rd CITY Shelton
DIRECTIONS TO SITE ADDRESS Off Hwy 101 take SE Lynch Rd. 4.4 miles turn right of Sells Rd. .2 mile turn left on Bay East Dr.
25V turn left on High Rd. Parcel is 6W ahead on the right.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Q SNOW LOAD:`psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Crocked that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK NEW❑ ADDITION❑ ALTERATION❑ REPAIR[a OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commemial B14 Btc.)Residence
IS USE: PRIMARY I] SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(noleBkW 0 YES(Part[s]ofBldg)❑ NO❑
DESCRIBE WORK Repak:e 3-4 damaged Roof Trusses and replace roofing/gutters.
SQUARE FOOTAGE: iprapased)
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.
GARAGE sq.ft. Attached❑ Detached❑ 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:
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 BEDROOM[S 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 perrnisslon from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that tie 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE IT APPLIC I N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X April 19th, 2025 _
Sl§tatdrer OWNqP Must be slaned by the O Date
DEPART: ENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY Shelton(360)427-9670 ext.352
DEPARTMENT OF COMMUNITY SERVICES Belfair(360)275-4467
Mason County Bldg. 8, 615 W. Alder Street
Shelton, WA 98584 w%C461� Pma(360)482-5269
www.co.mason.wa.us ~pT Y/�i1
REQUEST FOR BUILDING PERMIT EXPEDWKW
Date: m-
Permit No.: pL-D 2n '— 00t{01 Z
Name: C P Gr A e,4-4( �L
Mailing Address: PO (�,K 1242-
Parcel Number:Site Address: So t�'� Cz± lk TJ
q\\w`
Request due to: ❑Medical Hardship ❑Fire Damage VO'ther
Explanation of Hardship: -a� �ct�C�o�P S 1i
Must include supporting documents.This may be a letter from a doctor, insurance claim report, report of fire damage
from appropriate fire district representative or other relevant documentation.
I (WE) understand the intention of this form to determine and document justification for expedition of a building
permit to alter or reconstruct str 'ct �.on- -abov named property.
Signature Owner/Agent:
OFFICIAL USE ONLY/
Request: Approved ❑Denied Date:
Request denied for the following reasons:
Signature:
Director of Community Services