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HomeMy WebLinkAboutBLD2020-01545 Final 2 Story Detached Garage - BLD Permit / Conditions - 3/9/2022 Mason County Mason County - Division of Community Development � 615 W.Alder St. Bldg.8 Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us F 0-01545 GARAGE/ STORAGE ESCRIPTION: CONSTRUCT NEW TWO STORY DETACHEC ISSUED: 03/10/2021 ITH BATHROOM ESS: 260 NE LAKE DR TAHUYA EXPIRES: 12/04/2021 PARCEL: 223305000187 APPLICANT: SECHREST MICHAEL R&DEBRA D OWNER: SECHREST MICHAEL R&DEBRA D PO BOX 2238 PO BOX 2238 BELFAIR,WA98528 BELFAIR,WA98528 360.908.0795 CONTRACTOR: MORGAN BUILT HOMES 10233 YATES LN NVVBREMERTON,WA98312 360-801-4140 GENERAL CONTRACTOR'S LICENSE: MORGAN BUILT HOMES License: MORGABH876LC 10233 YATES LN NVM3REMERTON,WA98312 Expires: 07/08/2021 360-801-4140 VALUATIONS: FEES: Paid Due U VB Utility, miscellaneous 728.00 $35,519.12 Technology Surcharge $32.51 $0.00 U VB Utility, miscellaneous 728.00 $35,519.12 Plan Check Fee $590.41 $0.00 Covered Deck/Carport 260.00 $5,720.00 Building Permit Fee $908.32 $0.00 Mechanical Base Fee $30.00 $0.00 Planning Review Fee $240.00 $0.00 Plumbing Fees $52.00 $0.00 Change in Tenant- Minor EH $120.00 $0.00 Plan Review Mechanical Fees $10.00 $0.00 Plumbing Base Fee $25.00 $0.00 State Fee-Residential $6.50 $0.00 Water Adequacy Review $110.00 $0.00 Mechanical Revision Base Fee $10.00 $0.00 Total: $76,758.24 Totals : $2,134.74 $0.00 Printed by:Ariane Paysse on:06/08/2021 02:35 PM Page 1 of 5 4 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2020-01545 When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at(360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * WIND LOADS Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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 contractor. 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 authorized agent 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 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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled"Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. Printed by:Kati Dooley on:03/10/2021 11:33 AM Page 3 of 5 Mason County Mason County - Division of Community Development �u 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2020-01545 * The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. * CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. * By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor & Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415- 4000. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. * All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. * All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * The foundation/footing must be placed on undisturbed, firm-native soil. * Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. Printed by:Kati Dooley on:03/10/2021 11:33 AM Page 4 of 5 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 is Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us GARAGE/ STORAGE BLD2020-01545 * This structure is approved as unheated space. To be considered unheated space the area may be provided with a heating system that does not exceed maxium output of 1 watt per square foot., or 3.4 Btu/h per square foot. A permit and approval is required prior to installation of any heating system. When a heating system exceeds 1 watt per sq. ft (or 3.4 btu/h per sq.ft)the heated space shall be insulated in accordance with the energy code in effect at the time of permit application. * Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/Reserve requires a 1 Oft setback from all footing/foundations. B.) Septic tank(s) requires 5ft setback from all footing/foundations. C.) No foundation/ Perimeter Drains within 30ft, down gradient of Drainfield/ Reserve area. D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area. " Must follow common line mitigation plan I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of a othe ate/local law regulating construction or the performance of construction. Issued By. Contractor or Authorized Agent: �� Date: Printed by:Kati Dooley on:03/10/2021 11:33 AM Page 5 of 5 MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 COMMUNITY SERVICES ICE�7 SHELTON:360-427-9670,EXT 352 BELFAIR:360-275-4467,EXT 352 Budding,Plmnin%Envnonmental Health Community H"th ELMA•360482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bld-inspection.php Permit Number BLD2020-01545 Date Issued 03/10/2021 Issued . Project CONSTRUCT NEW TWO STORY DETACHED GARAGE WITH BATHROOM Site Address 260 NE Lake Dr Applicant SECHREST MICHAEL R&DEBRA D Contractor MORGAN BUILT HOMES Contractor Phone 1.360.830-5065 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type Permit Type GARAGE/STORAGE Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. "THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED." PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment _ Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setback _ _ Slab Footing Perimeter Point load Footing Footing Interior -4-Z-( j Footing Decks/Porches - Gl- Foundation Stem Walls Q, Other Rough-In Groundwork Plumbing �t-l-�-Zt J7L Framing •ZZ-Z t J7Z- Groundwork Mechanical Plumbing 43t^� 6-I 1-I-\ Groundwork Gas Pipe Mechanical fj Z?-z.t J-It- Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling pqj-� -yi to Floor t <i_w_+` Vaulted Ceiling Wallsr,,, '-,v' -t� _+t Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building 3-a(•ZZ .3TZ Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other 4- v��� �, IH rPf;4l(CA( < 0.50 1 .�• v�� *— (,)(kWGWS ws A 44rz- L� MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 36 60-482-52 Be lm ext.352 360-482-5269 Elma ext.352 Building,Planning,Environmental Health,Community Health 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTIONANSPECTION REPORT PERMIT/CASE NUMBER:_ /3 Z-D Zozo — D /5 44�;— ADDRESS/LOCATION: 240 D 4— Le, Kc- t7,, ✓✓ca, L►v H � FINDINGS: t -4-U '1-4 S-five., a 0 c,- o 6a v a 4 /i f�,,. S.c,c_ 1a ...� s. s Y 14A .t f l vt► (ti Cd, '7f L1/S W4, yet' Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. ❑ Make corrections, items will be checked on the next inspection. ❑ OK to Date: 69—7—Z/ ❑ Please contact our office regarding possible Department: structural damage incurred by recent Inspector: �A— "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC 14.12 MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 36 60-482-52 Be lm ext.352 360-482-5269 Elma ext.352 Building,Planning,Environmental Health,Community Health 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: �, �' ADDRESS/LOCATION: ,QC, Ni- J,pjix�- Do. FINDINGS:X N npqq � -z( 3 7L_ Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. `[�t Make corrections, items will be checked on the next inspection. OK to Date: ❑ Please contact our office regarding possible Department: structural damage incurred by recent Inspector: "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 r 24"t?IBr1EI7 24"laomV —LAKE WOOLEN , MEP W/5mW f;15EE W/5cfflW 4' CLEANOUf ON LID ON in € a a NE MOMMN —/— PINi5;fD�P� aH gm 2-g R= IY 11, �/i FEN5MR , I �� � �i g j HAVEN LAKE wnerN �a � m MN'l LARSpN LAKE /� FcuKroa ran; I� OF FOE �> �e c g $w Fwmouuf PA1 CEL#22330'S0 00187 NE HAVEN LAKE W IN5TALL W 4" omro x F �' a ��w�$ 4 13AME5 wwx a wn=a — VIA"Y"fOTIE M5�rr� saa x� \� INTG NEW 4° CAST-IN�I,[3 v 7NC O NE WINI7pLCW WAY �r / NE HAVEN WAY TERN or,-I U1 0-KING FINNG DIVIt71NG W'.aJ L Ff;Oh1 GARAGE � � — — 120C CJLLGIJ V L IT TANWA N-ACK5AMN W �vnc rwx +' l N p N5 Nj',fPnC fMK m a M14M!LAKE '-'-QWC1 ON PFf& Z - L NE PiELpAJR TAHLIYA q7 VICINITY MAP 5EE A5-I31,111,T MAWI`4 5CM u 5NG 2007-CC7'�99- (E) WELL APPROVED VATE196/15%2007 � � MASON OOU e`� :BCD PLANNING I Ex5T5EpTIC& ' SITE PLAN Rtv TO BE ON SITE NEVVpOWEPLINE CHANGE S ?0 APPROVAL'' I UJ =-v. v3-� Q I cl I <GxIsnNG � W By - --- --- Date yx5t ME,Er? �.% '��! 5F") i PE4V 4" l i i Q 3 PLANNING: Litt o LINE PLAN I I W o CKS ARE MEASURED _ � ; 2�' �� �wr��ax 108' ALL SETBACKS ! ! _ _ _ _ `, o , '� To GMM ¢m M THE FURTHEST : w o FR4 OF THE BUILDING 40' -1_ _ 1 _ PROJECTION � - -�_'� i26 - ' __ % HAVEN LAKE IL/ �J RECEIVED ' 7c____ -- 1 84' w LIPJc 28'- �I x'i I " 1 f DEC 2 2020 Ex5T GRAVEL ITIVEWAY i, I i w 240' 615 W. Alder Street I ` ' ExsT-� �• ��;1 `�� LLJ EDLn NOT TO SCALE SITE PLAN HAS BEEN REDUCED I Q g ' I I OC z �?LA1�1NI1�T 26 x I�BECK 0 0 _ L p�Op05ED NEW C °&LO'V57;R) N � c�v SITS pl AN Cw 728 5= SHEET NO. 5C& :i 20'-0" W 5TO-9k E ABOVE 128 5F 10-19-2020 Al CCWmeno p I_1 p E Yi—i GA-T 10 , PLAN P.A9,CCL .4-4 7-70 0-50-CO 16�tt Pc,-i�.l MAMMA MTAL WIR Zigo pe, "rr Ile- 9N(4 200'1'00'�99' 'Aft I- -T- qBsJ3,5 PAM 96,,'157/ 2001 .At.jtAO, wA f -4 AN s,, fit ILrI, �fw 41 i Tm5rokIT Trr wwrix 1061 "M 40, RAWN LAKE 126� 7 LI - Q 6 4- P 91 90 Ply 28' 240' ►fw Ex5f r WATEP OW MLL 26 X 10 MCK LMP LCIAM Korc)5EP IV w 6Wa 726 9- 2.4, Vil`,f"Z 4-�%T- 728 5r y ir Ale;A kA110 k-cz A MIC+tAeL -s-V7WJ- J,1.jej 3/Z t/ 1176 - lea yea Pf1uFiL - C4) 14 F r r err •13�. r- . 7oi 1 i y7 Nam D Parcel# 2il�J� 00 BLD# 20 0 I�� DEC 21 2020 Mason County BUILDING Department of Community Development 61 SYnA1�CreeW10�rmwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. o Calculate Impervious Surfaces Please Complete This Table % P A FF/F/ Surface Type Length X Width = Area All dimensions in feet Buildings aQ X X = Measurements for buildings are taken at the perimeter of the f ections example: X = eaves/gutters X = Driveways % X = X = Length of drive begins at the right of way X = Parking Areas �5�� X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = I X = Any paved, gravel or packed area per definition I above table X = Others X „O X = f"the to alimpervfous area of tie proposetl site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plants Required i Total Impervious Surface Area (sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Age Contractor cle one)Date:j? 7 LZO If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. i Page 1 of 2 i 1 SECHREST PROPERTY — PROPOSED PLANTING PL! t �{ 19 s P Shed 1 (;abin 1 1. i � Hock Spot Treat for English I+y ..-. 1 A O raA It1 ah011 ' Mitigation Area A . Shed Area B (Short Pinej tsiitigatioa Area S I00'Canacrvation �w`�" {Scoulu'a Vi'iUon•) -_—, Zone ODock -——• OH1Y' t,N�:. Existing Gabin Site Boundary Ciabin r' ihu•, ���� nd h�^e15 Usor C�nxry�ndy SECHREST PROPERTY t�:L 3itriz<,19 270 NE LAKE DRI Sou pCiV1C�V C.Oil6lll Sul s.Bra�. TMUYA,WA 99588 awvr.wnewrr+N a..e..^ijie n.•.r+•a• SOA()IAOpI 77p1 Il.rir.,rviav Ue.,wire tl•[:ia 1{.rtnr,q'A 4s+]t Yhnwer t33,1}RIJ•!+?52 Y.v,ts.+I sI L«vs� AfASON COUNW PARCEL NUMIDERS: Ul': p(,� .rv.w...vr..Iviea.aw.vluwn r•rs 2213n 5rl rrn;RN SCALE: t"=2n• RGURE No MASON COUNTY COMMUNITY SERVICES ' PERMIT ASSISTANCE CENTER: Permit No: � I V E D •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 DEC� 2 (jC 21j�11 BeBair.(360)275-4467•Phone Elms:(360)482-5269 u L l rase BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: W Y-f-� E S EGO ESrt" NAME:GP—WOMDQdvA7V MDt16Po�'' 60( MAIL AD SS: d MAIL G ADDRESS: DZ S CTI'Y: l STATE: ZIP: CITY: IO'N STATE: U44 ZIP: 9 (7- PHONE#I: 0 PHONE: CELL: PHONE#2: 3 b EMAIL: o — e EMAIL: r t L&I REG# 4FFg C- EXP. 7/_ PRIMARY CONTACT'CA 1 V OWNER❑ CONTRACTORX OTHER❑ NAME fe-e— EMAIL MAILING ADDRESS CITY STATE UJA DIIV(; PHONE CELL PARCEL INFORMATION: -1 Q ,.y PARCEL NUMBER(12 Digit Number) G' 3 " �� ©� FJ ZONING I ``1 LEGAL DESCRIPTION(Abbreviated) MJEO / ( FIRE DISTRICT SITE ADDRESS IOC) Pe I CITY c{.� YA �D DIREqrIONST SITE ADDRESS RON- F to— Pa-Lue- OR9 Hwy . oh kLV5C 'TuAN `i N OIL NE`` �N c A alp t e4 L 4 I THE PRO WI 300 T OF SL E(S) AT T 1 /o: E NO 6 IS PROPERTY WITHIN 20 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWX ADDITION❑ ALTERATION E] REPAIR El BOTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)c--, 'aA6,6 �L oaA&F— IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS O NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parr(s)ofBIdg)9 N ❑ DESCRIBE WORK CAPS t��Z&t X ZS I to ,S-006- 6 —71 S=� SQUARE FOOTAGE:(propose+existing) I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK U0 0 sq.ft. STORAGE 7Ze) 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 PERIIvIETERMOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FP. EXISTING BEDROOMS 0 PROPOSED BEDROOMS D TOTAL BEDROOMS O 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 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 PERM,APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON r COUNTY CODE 14.08.42) x t'3t.a---tip..-;, L� �.� , 1%171ZC Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED . DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 2e3.2 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH I JI C MASON COUNTY COMMUNITY SERVICES Permit NZ azwzl ---OsLis PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us DEC 21 2020 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 taw Phone Belfair. (360)275-4467• Phone E/ma:(360)482-5269 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATI%qU ILDI OWNER INFORMATION: CONTRACTOR INFORM TION: NAME:M tkE� V66$(15 NAMEGfiZFG -!3il1 LT MAILING ADDRESS:_0O LOW Z7-3 MAILING ADDRESS:Ate)3 :51 L/4Nlff_ 77 CITY: 6-FAcrL STATE: WA ZIP: ?05749 CITY: ZIP: 1763,70 Pt PHONE: o$ D'Zqi� — PHONE: boo 06P141 ELL: 2"d PHONE: e36V7 90S- o817 EMAIL W &n - u I C-odN EMAIL: A4 re 198 #41041 166fA4 L&I REG EXP. 7/_/2-1 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 72-330 ` 0- (90 10r7 Zoning: 12_tp_� LEGAL DESCRIPTION(Abbreviated): wE!XJ i �V. �2. 107 SITE ADDRESS: ; �O /11� 41WIE ©p_ CITY: /9 DIRECTIONS TO SITE ADDRESS: $ELh412 rT0 b�A&eP LAjrg� TYPE O JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL V;;ITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless, , Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs t Heat Pump _ Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other (" Q�-E' _ ( _ Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 contractor. 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 authorized agent 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. r e ' L X` � l 7 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT i PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev: 1/27 2m6 )BN