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MASON COUNTY PERMIT NUJ
• 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
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR I OR TIO ♦N fa,�g�
Owner G� Company Name r I A,/(-
Mailing Address - Mailing Address_ 0 t 12 I P C ✓e 5t br
City State Zip Code City State V2 A Zip Code 4 75 =
Phone Other Ph. Phone U- -U 2 7 7 Other Ph.
Lien/Title Holder Contractor Reg. r O Exp. W
0
E mail address E Mail Address / U of ,
Drivers Lic.# DOB Drivers Lic.# W%L 066-S p 3 C A DOB U
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Sep Existing Septic
Connect to Water System X Name of Water System—
Well—Water System Name of Water System
PARCEL INFORMATION - 1 Digit Parcel No. -- G Fire District
Legal Description
Site Address (Please include street name, street number and city) Ge A Lt tK 0'f I- t
Directions to site
Will timber be cut and sold in parcel preparation?Yes/ o
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 1 15%
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 Other 4 PRIMARY RESIDENCE V] SEASONAL ❑
Use of Building Describe W rk „ I&Y Dw2lf')L
No. of Bedrooms No.of BathroomsSquare Footage- 1st Igor >s.2- 00 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED PIQME INFORMATION - Make VU '
Year
Length Width Serial No. No.of BedrooNo. of Bathrooms
Type of Heat Purchase Pric $ Replacemes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or pvsiwmiwo'o' ^7y
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 ty'n permis-
sion from all the necessary rties.If permission is required from any easement holder or any other party in int< e�aktlir��lfs applica-
tion or the w rk proposed i e appli fit' , I have obtained permission from them t�apply for th' permit and u t the work proposed.
X Date:
w r/Owner epresentative/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 DepartmentV-M 00
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box"" Shelton,WA 98584
Shelton(360)427-9670 Belfair(360)�75-4467 Elma(360)482-5269
APPLICANT INF RMATAI N CONTRACTOR INFORMATION
Owner 1 0A/ Contractor Name
Mailing A dress V)- r • Mailing Address
City � O State ip Code Z City State Zip Code
Phone( ther Ph.( '7 Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
I
i,
SEPTIC INFORMATION-Connect to New Septic__)L _Existing Septic_)L_Connect to Sewer System Name of
Sewer System
wPARCEL INFORMATION- 12 digit T Parcel No;TJ� OT_/ / Fire District
Legal Description -�"
Site Address(Please include street na reet number and city) Aggfi T a
Directions to site N U
Is your property within 200'of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland sonal Runoff Stream j
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
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit �jo.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 Z
Dishwasher Kitchen Exhaust Hood
l Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
j
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 cha es 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 Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
AEPARTME1VTAt RE11[E3N APPROVED t7>^NIED.. :... CONDITION CODES.
Building Dep rtment
Occ Groupa�3 T e Constr. �N /I
Planning Department
Other
Other
r .. FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES