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Home My WebLink AboutBLD2002-01336 Final Garage - BLD Permit / Conditions - 1/8/2003 PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467.Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner, t r t,l lic I C C.L e V, Contractor Name C4,1 j_. Mailing Address A Lf/.s"` Mailing Address City j�4 J State- Zip Code City + State Zip Code �- Phone( T?'7s-►14pQther Ph.( ) Ph.(.3�'�,r))�7/ /1.�&ether PIi.L� Lien/Title Holder Contractor Reg. # GcJH Jr T At M Address (AJqZIExpiration a�LI-2,zn0o,T SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing S ptic L O"' Connect to Sewer System Name of Sewer System WellWater System Name of Water System PARCEL INFORMATION-12 digit ax P rcel No. l2/ -�l17 "�1� Fire District - Legal Description / i i #1 r Etc .t,au� 4 E Site Address(Please include street name, s rest number and city) L` _ Directions to site — F Will timber be cut and sold in parcel preparation? (Ye /No) 4 40 Ole-M . Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonai Runoff Stream Slopes or i Bluffs E PERMANENT RESIDENCE SEASONAL RESIDENCE❑ i f TYPE OF JOB New Add Alt Repair Other Use of Building { Describe Work I No. of Bedrooms No. of B%thrdbms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage ?�Attached Detached arport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: I OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance ,requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X i, t.w.c�r .,i�f J � Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by_�<,a4aD Date 9 Ico Submittal Amount Duel Receipt No. .......................... .............................__......._.................... .11................. .. ........_.. ..... _.__PP .. ............ . ....... :ROVE ._. . . . "'REVIEW.". . . . l _.. Building Department ,5, � Occ GroupType Constr. (%` JJ Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) i TOTAL FEES PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 ,�Htvi INFORMATION CONTRACTOR INFORMATION Ownerr� rat _{ ►� �"' Contractor Name �t� ,- " /11 Mailing Address fl C� . ..Af !Ii/SS"' Mailin Address City. jt1 t- State Zip Code t +._ * g City ' State Zip Code Phone( r �! tl ther Ph.( ) Ph.( ) k-71-11.A,yOther Ph.( Lien/Title Holder` Contractor Reg. # 40jod Z F Address �44Expiration 11 CJt `SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing S ptic Connect to Sewer System Name of Sewer System Well Water System Name of Water System 1 r PARCEL INFORMATION-12 digit ax P rceLNo. / , Fire District i Legal Description :< t f ;�i_ t i�t_ r t_ `>f ' �.• 1t.. I�;r •3 C. , Site Address(Please 'nclude street name, s reef number as d city) Dire tions to site +' aw r Will timber be cut and sold in parcel preparation? (Yes/No) i►''L7 00/+ a Is your property within 200' of the following: Body of Water(Name) r e�& cbg —Saltwater Lake River/Creek Pond Wetland seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE El TYPE OF JOB New_Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No of B%thrcfoms 12 SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage41& n Attached Detachedarport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. / X Date X �+4"f•1,:-,mot ✓(- , Date FOR OFFICIAL USE BEYOND THIS POINT FR Accepted by � �t�.�'- .� _Date ttk Submittal Amount Due t Receipt No. (-c ...........................................................................::............................_... . _....................._........_..............................__.....................I................ ............. >:;::`: #7�EPAR?I ENTAI»°.. V PQRt�V>w#� DENIED. CONDI :+�A#`�a*� ; ... .: _..... __. _ _ _ _ _ _ ....... . _ ........__ __. Building Department. i r Occ Group Type Constr. Planning Department t� Environmental Health Department Public Works Department Fire Marshal Valuation $ _ Building Permit Fee Site Inspection Plan RevieW Fetr EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas�Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) ,. TOTAL FEES PERMIT NO.: BLI lJ� MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION OwneiN` Contractor Name 4-f &I Mailing Address • i;` Mailing Address / .7154, City J i State ,#. Zip Code !7 W City ,t ? t =a/ . , � State Zip Code Phonb(34, e -7rr -Zt(,-Vther Ph.( Ph.( ev ) 7 -1,_.-�. M h e r Ph.�� Lien/Title Holder Contractor Reg. # t... tgX7 7 if t1- jl C,1 1 e, Y Address / jA. Expiration SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing S ptic Connect to Sewer System Name of Sewer System Well tWater System Name of Water System PARCEL INFORMATION-12 digit, Fire District T Parcel No. / / ./ r �'""',�"'f;3 ~ Legal Description ) I I : � , i fat, tar,. Site Address(Please include street name, s reet number and city) Directions to site 4AU VAI -Oft If il — Rero "0600 — /' Will timber be cut and sold in parcel preparation? (Yes/No) X^r-,J 001101'ealr� Is your property within 200' of the following: Body of Water (Name) ! f lee jc� Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ljaw�` SEASONAL RESIDENCE❑ TYPE OF JOB Newer Add Alt Repair Other Use of Building :'.« ', Vic— Describe Work f2t, -141 ,, r ` ` E No. of Bedrooms No. of thr ms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached arpoIt Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X dil ..t Date 5« FOR OFFICIAL USE BEYOND THIS POINT Accepted by I Y'f. c ;; Date •=L Submittal Amount Due # t Receipt No. DEPARTMENTAL.'R.E�/:IE11V. AP.PRQV>wD D�.NI.I~D CONDITION «d ...... _. ... _ _... Building Department Occ Group Type Constr. Planning Department Environmental Health Department ` Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review—Pee, EH Review Fee �j•Q Plumbing&Base Fee Planning Review Fee Mechanical„&Base Fee Other Wood/Gas/+Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) ' TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address / Mailing Address City State Wft Zip Code City State Zip Code Phone -Q75-I150 Other Ph.(3,60 Ph.( Other Ph.(� Lien/Title Holder Contractor Reg.# Address Expiration SEPTIC INFORMATION-Connect to New Septic' Existing Septic sk-� Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 12La 2 / Q / Fire District Legal Description Site Address(Please include street name,street number and city) I • 3 Directions to site r L Ska� fin eu3 Is your property within 200'of the following: Body of Water(Name)ShP-k j&1 00d Saltwater Lake River/Creek u--' Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Tyne of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets Tyne of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Otheri.,}111 JAl '7 0 Other Base Fee 'Pavv Base Fee TOTAL PLUMBING ;D7}.Q9- TOTAL MECHANICAL IL— A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-[certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. )( Date /z-z -U'L X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by �l f Date �; -Qubmittal Amount Due ��-� Receipt No. S EPi�f t MF 1gAL:# ..........................APPROVET.......C3FNIEf}........................... Building DeP rtment w ,� Occ Grou V— Type Constr.��J /S W —S Planning Department Other Other ........................... ................................................... :<•;:.;:.;:.;:.;:.;:.;:.;:.;:•;:.;;:.;:.;:.;: :::::::::::::::::::.,:::............................................................................................................................. Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee C -} 00 Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-96T0 Belfair 360 275.446T Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner p— Contractor Name Mailing Address Mailing Address City . State W$ Zip Code City State Zip Code Phone -Q"75A5a Other Ph.(3Gc )2&5=32�/�'�,. Ph.( Other Ph.(� Lien/Titre Holder Contractor Reg.# Address Expiration SEPTIC INFORMATION-Connect to New Sepf do Existing Septic_ Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. caq Fire District - Legal Description 2T 2 -z-,4 r-,' &I I I Q �J\Al L t`)T 4 in � Site Address(Please include street name,strefet number and Directions to site i i U� Is your property within 200'of the following: Body of Water(Name) 1Q.v U 6)0d 0 y P.Q_k—1 Saltwater Lake River/Creek ✓ Pond Wetland Seasonal Runoff Stream I Slopes or Bluffs r i i TYPE OF JOB NewL4, Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet F PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets Iyne.of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove C Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other 1 —7 bO Other Base Fee a,° Base Fee TOTAL PLUMBING --11.QR- TOTAL MECHANICAL ii A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date f Z'/�'�'L X Date FOR OFFICIAL USE BEYOND THIS POINT i Accepted by J Date/ a�7 'Qubmittal Amount Due Cam-- Receipt No. :.;: ......:.:.. ..:.....:.... .:: . :. ..:...::::::::::::::.::::.:::..::.:. .......:.....::.:::::. . ... ...:::::::::::::::::::::::.::::::::::::::::.:::::::::..:....... ......,.:.... ... C fA#t1 MEf 1 T!lE:# fEyfl.::.::.:::.::.::.:>:.;:.;:.;:.;::::..Attatt£ ..... . i Building Department Occ Grou T e Constr. - `` �: —S Planning Department i Other Other I s: Permit Fee Site Inspection t Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee -� av Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES rod o^ a Request To Revise An Approved Plan Permit Number: BLD200 Z -0/?3 Name Parcel Number ) ' 2 Z / 2 Phone Number 366 Z?SS-&S-Z Project Address /77/2 e dwZ Mailing Address ��c m1.,� 2_4 Please proved a complete, detailed description of the pro oy revisions to the approved RjTC �/V 0 c a� vc /l 42 o�4R sr Are the site building plans, approved by Mason County, included with this application? , Yes ❑No Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑No Does the plan contain an engineer's or architects lateral or vertical analysis? ❑ Yes ❑No pY If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to an engineered plan will be approved without the written consent of the engineer or architect of record.) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑No If Yes, Is a revised site plan, drawn to scale, included with this request? ❑ Yes ❑No Additional Information: Applicant's signature Date: -6-O 2- Received by: Date: 12, Forward to departments indicated below: Approval/Date Original Valuation: Building Z_�_�Z Additional Valuation: Sq Ft x Planning Sq Ft x Environmental Health � Total New Valuation: ❑ Public Works Additional Fees: Additional Plan Review Additional Conditions/Comments: Additional Building Permit Additional Plumbing Additional Mechanical Other Total Amount Due: $ j. ' 40 N nn 'sue Z o fl 0+ p LLJ 14 o W m / W Z r J Z a3 � � r oa \�OLul ' L`, Z z l Z d 144 o Us' 'moo. T L) its (A lo- ku bc,kL E to o �'Q' .� Doti J o 0 X �J \ 4 \ o � J , a i t. 4s� 4 J v s �L� \ K 41 Z c � r� i i { i i ,. 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