HomeMy WebLinkAboutBLD2008-00502 Final Change of Use - BLD Permit / Conditions - 5/5/2009 \ Y
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Date BY.
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MASON COUNTY PERMIT NO. 'o�'LCl�W� C��► `
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 �Y►�_
On the web www.Co.mason.wa.us
APPLICANT INFORMATIO CONTRACTOR INFORMATION
Owner JJeAlv Company Name
Mnilinn ArlrirpcsI 7i AJE J'10A00W M#4fe Mailing Address
City State Zip Code City State Zip Code
Phone 3ltr d7? CS3 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
Email address 0A1Aj'Co," E Mail Address
Drivers Lic.# Rlbl DOB — Drivers Lic.# DOB
SEPTIC /WATER SYSTEM IbIf ORMATION - Connect to New Septic Existing Septic
Connec ater System ame of Water System
t to
Well Sewer Syste Name of Sewer System AjQ)- l L- 1CCO
PARCEL INFORM TION - 12 Vigit Parcel No. Fire District
Legal Description
Site Address (Please i clude street name street number and city) d :tAy
Djr/ections to site S" i • r ' I
f► VE [- 3M1, [� f'AV r�V�
Will timber be cut and sold in parcel preparation?Yelfokoj p
Is property within 200'of Saltwater AZo Lake =ww River/Creek Pond
Wetland�_Seasonal Runoff Stream Slopes or Bluffs 15% AZ O
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New—Add—Alt—Repair OtherPRIMARY R SIDENCEA SEASONAL ❑
Use of Building escribe Work '
No. of Bedroom - Footage No. of Bathrooms Ftage- 1st A 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HO INFORMATION - M ke Model �_� Year
Length Widt Serial No. No. of Be ms No. of ttthrooms
Type of Heat X Purchase Price$ on Repla ent Unit? Yes/ N' /
Installer Name Certificati n No.
OWNER/BUILDER Acknowledges 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,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. 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 permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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 IS BY
MEANS OFA PROGR SS INSPECTION.INACTIVITY OF THIS PE IT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
91 Date ��D 9
Owner/ wner Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPRO DENIED NOTES - -
}
BuildingDepartment � 7/0
Planning Department
Environmental Health Department -kJ� 1 0 -
Fire Marshal
FEES
Building Permit Fee 25— Site Inspection
Plan Review Fee $ EH Review Fee
Plumbinq & Base Fee - 71 Planning Review Fee
Mechanical & Base fee -24`c> Other
Wood /Gas/ Pellet Stove Fee State Fee S�
Violation Fee I Pre-Paid at Submittal 2
kVy-
Valuation $ l512_ TOTAL FEES
MASON COUNTY PERMIT NO,
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• PO. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFOR ATION CONTRACTOR INFORMATION
Owner ''� I- d!t Company Name
Mailin Address Mailing Address
City —State.&J,. Zip Code?ArAOM' City to Zip Code
Phoney 1 4 ;4' Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. U Exp.
E mail address yea, i.� E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System A)a1t wend
PARCEL INFORMATION - 12 Digit Parcel No. 0 Fire District
Legal Description
Site Address (Please include street name, stre t number and city)
Directions to site r u r e L k W4 rw
t — �e v riv
Is property ' hin 200'of Saltwater Lake od-J^ -River/Creek AM Pond
Wetland Seasonal Runoff--) Stream � '' Slopes or Bluffs > 15% e"`
TYPE OF JOB - New Add Alt Repair Otherke Use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
TVpe of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPC-L— Natural Gas_ Heat Pump_
Toilets . Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers 7-- Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks — Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges 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,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.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 permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X La"
ate: 4 -.�d �00-9
own! /Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/ Pellet Stove Fee Other
Violation Fee TOTAL FEES