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HomeMy WebLinkAboutBLD2020-01574 Final Detached Garage with Bathroom - 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 B DD2020-01574 GARAGE/ STORAGE PROJECT DESCRIPTION: DETACHED GARAGE WITH BATHROOM ISSUED: 03/26/2021 SITE ADDRESS: 311 NE LAKE DR TAHUYA EXPIRES: 09/22/2021 PARCEL: 223305000265 APPLICANT: MILETTE THERESA A OWNER: MILETTE THERESA A 16540 164TH PL SE 16540 164TH PL SE RENTON,WA 98058 RENTON,WA 98058 1.206.174.7168 GENERAL CONTRACTOR'S LICENSE: MORGAN BUILT HOMES License: MORGABH876LC 10233 YATES LN NVM3REMERTON,WA98312 Expires: 07/08/2021 1.360.830-5065 VALUATIONS: FEES: Paid Due U VB Utility, miscellaneous 1872.00 $91,334.88 Plan Check Fee $665.48 $0.00 Plumbing Base Fee $25.00 Mechanical Base Fee $30.00 Technology Surcharge $36.09 Plumbing Fees $50.00 Mechanical Fees $10.00 Change in Tenant- Minor EH $110.00 $0.00 Plan Review Building Permit Fee $1,023.82 State Fee-Residential $6.50 Planning Review Fee $240.00 $0.00 Total: $91,334.88 Totals : $1,015.48 $1,181.41 FIXTURES Qty Mechanical Fixtures Qty Plumbing Fixtures 1.0000 Spot Vent Fan(s) 1.0000 Number of Bath Tubs 1.0000 Bathroom Sink 1.0000 Number of Toilets Printed by:Kati Dooley on:03/26/2021 11:31 AM Page 1 of 5 t M 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 BLD2020-01574 QW Plumbing Fixtures 1.0000 Number of Water Heaters and or Vent 2.0000 Number of Hose Bibs REQUIRED INSPECTIONS Setback Inspection Rough- Plumbing Inspection Footing Inspection Mechanical Inspection Foundation Wall-Pre-Pour Inspection Insulation Inspection Shearwall Inspection BLD-Final Inspection Framing Inspection CONDITIONS * 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. * The plan review checklist 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. * Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. * 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. * 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. * 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. * The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. * 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. Printed by:Kati Dooley on:03/26/2021 11:31 AM Page 2 of 5 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 BLD2020-01574 * 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. * Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * The foundation/footing must be placed on undisturbed, firm-native soil. • REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall be provided at eaves and gables of shingle roofs. " 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 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. * 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. " All property lines shall be clearly identified at the time of foundation inspection. * 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. * 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. " Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. Printed by:Kati Dooley on:03/26/2021 11:31 AM Page 3 of 5 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 BLD2020-01574 * 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. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * 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. * 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. " 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. * 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. * 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. * 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. Printed by:Kati Dooley on:03/26/2021 11:31 AM Page 4 of 5 Mason County 106 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 BLD2020-01574 Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. 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. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * Horizontal setbacks per WAC246-272A-0210 must be maintained,unless prior approval is obtained * 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. 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 provisions f other /local law regulating construction or the performance of construction. Issued By. Contractor or Authorized Agent: 6 �� Date: Printed by:Kati Dooley on:03/26/2021 11:31 AM Page 5 of 5 MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 COMMUNITY SERVICES SHELTON:360-427-9670,EXT 352 BELFAIR:360-275-4467,EXT 352 Building,Planning,Environmental H4Wtk Community Health ELMA•360-482-5269,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/bid-inspection.php Permit Number BLD2020-01574 Date Issued 03/26/2021 Issued 6447 Project DETACHED GARAGE WITH BATHROOM `"��� ��' Site Address 311 NE Lake Dr Applicant MILETTE THERESA A 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 Department Building Official: Community Services Designee Concrete Setbacks 2 Slab Footing Perimeter Zt, Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls -Q-2.( J7Z Other Rough-in Groundwork Plumbing 5-10-2r J2 Framing Groundwork Mechanical Plumbing -2-1-2 t J7Z Groundwork Gas Pipe Mechanical Ct-10 ?k � Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab , 2,6 - Z-( Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building Zz Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other 4wvv� Sv t t �rlavM `� � ��-1.V-?_l ` c� Ate. j tt V_- (;I ej Jts G 4 em* t MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY SERVICES 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: U - o r�iLl ADDRESS/LOCATION: '?�A FINDINGS: cn-) 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. KOK to Date: C1—k ,. t ❑ Please contact our office regarding possible Department: ,i�_ structural damage incurred by recent Inspector: natural/man made disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 RECEIVED om >1 . o DEC 2 8 2020 gp 0""F ��Fa2 �xm oar F DOCK CON51pUMN 615 W. Alder Street 6�1-8 .=Wg �NTFMC� C�XMN6) P- � 07`12 _°� 1, Cc:�a�w whHo ANNING ��M.s / a9 a�a �5 «m� �FH i' � N O N N I N,G. W. COUNTY �D PLANNING g \ \ F�RQM ACKS ARE MEASURED 1 S PLAM REQUI TO BE ON SITE " THE FURTHESc, /CHANGES SU 'T TO APPROVAL TION OF THE BU ING \�` _ 8 v Daft Z LZ1 / 7 / NSW I-f'11 186, z to I Its . �� < z LIMIT 76, Lo� auto �\ co ICE 2026 -b 15riLA m tn 40 W �F0510N & 5�bIWW CON00L PLAN N Q 5c&L : I"—5 0'-0" 12-6-2020 Parcel# 71� B> D# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the inf � l%vided a Stormwater Site Plan IS Required far ii &14opyL)activity. Title 14 Chapter 14.48 of the Mason County Code MCC regulates compliance re uir r water C P tY (MCC) g P q e y Management in this jurisdiction.A complete copy of the ordinance can be found on th o website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". 615 W. Alder Street Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE 1 a, A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in t6ir entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 j Physical:415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact 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.Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. w g 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/Agen ontractor ircle one)Date: t L 70 a y Page 2 of 2 I a a s Name , Parcel# � BLD# Mason County Department of Community Development Small Parcel Stormwater 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 surface2. '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. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, j 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. ft Gvmplete This Ta Offil Surface Type Length X Width = Area *All dimensions in feet Buildings X = t X 336 Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) I X = j Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = i Patios/Walks X = X = Any paved, gravel or packed area per definition 9 above table X = Others X O F X i total, `ous area of tiM®re proposed site X evelopment is greater than 2000 square feet a = M,a)I„P,arcal t rrrl Ater Site Plan is Re aired y� i 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- describe r perty for review and ins ection as may be required. X Owner/Agent/Contractor(circle one)Date: I 7� 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. Pagel of 2 j oN Coop MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax.(360)427-7798 Phone14 DEC 2 8 2020 Belfaic(360)275-4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street OPERTY OWNER INFORMATION: CONTRACTOR`` NFORMAT ON: NAME:-F .A I,`J L_E� NAME• o f tI !Ll?�emrw MAIL ADDRESS: G MAIL G A DRE S. Q,;- 1t W CITY: T N. ST TE I- ZIP: CITY: � STATE:��ZIP: PHONE#1: Zt ' 1�—' PHONE: CELL: 1 ( < < PHONE#2: EMAIL: • EMAIL: 11J c L&I REG# EXP. / PRPIAU CONTACT: OWNER❑ CONTRACTORS OTHER❑ NAME ✓GLLK- yD lam')� EMAI MAILING ADDRES CITY STATE ZIP PHONE CELL PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number) W3 5 J C 4t,, v o�_16 ZONING LEGAL DESCRIPTION Abbreviated) �� 't FIRED STRICT l C3 SITE ADDRESS ✓ CITY DIRECTIONS TO SITE ADDRESS '7 N IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ N IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW i ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) CiYCr�! IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YE (note Bdg)❑ YES(Pan(s)of NO❑ Lr DESCRIBE WORK °' qatug � �i SOUARE FOOTAGE:(propose+existing) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE 3 3� sq.ft. OTHER sq.R 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❑ Ijyes,attach completed Water Adequacy Form PERDAETER/FOUNDATION DRAINS PROPOSED? YES❑ N6% EXISTING SQ.FT. EXISTING BEDROOMS-C- PROPOSED BEDROOMS__6� TOTAL BEDROOMS_A!�)_ 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 PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED JMASO I COUNTY CODE 14.08.42) r dub M LA--e - I Signature of O NER(Must be sianed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT IeL z'3 Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH cobs MASON COUNTY COMMUNITY SERVICES PermitNo:,F)1r5f aw • 61�`l`T yrr PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING .FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 RECEIVED www.co.mason.wa.us 18 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 DEC 2 8 2020 Phone Bel i ( 275-4467• Phone Elma:(360)482-5269 BING & MECHANICAL PERMIT APPLICATfdf4 W. Alder Street OWNER INFORMATION: CONTRACTOR INFORMAT ON: NAME:t 'r0 AA- C:--TyE NAME: Oc 6J4- Au'v, at'-' / u� MAILING ADDRESS: D / LL MAILING A DRESS: /dZ 3 �/ CITY: N STATE:W,4 ZIP:g� CITY: ' &` STATE:iofi ZIP: g03l-z- I"PHONE: 2e l ?t q - 171&9 PHONE: CELL: 9-O -41 2°d PHONE: EMAIL : — ", :eom EMAIL: -finr k P &q04 , -yef L&I RE # alLh 7bd e-- EXP. 7/ g/;!J PARCEL INFORMATION: _PARCEL NUMBER(12 Digit Number): Zoning: f p `fl-9 LEGAL DESCRIPTION Abbreviated): E'3U L CrC- T , Z1t57 SITE ADDRESS: TOD J CITY: -fROaVA DIRECTION§TO SITE ADDRESS: ' 40 Live-i V�✓lave TYPE OF JOB: NEW Y.,j ADD ALT REPAIR— OTHER USE OF BUILDING LOCATI N OF FIXTURES/UNITS-1ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS - Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets Type of Unit No.of Units Fees Bathroom Sink i Furnace Bath Tubs i 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 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. ` •dub ,1j�( L 191,ZbIwoo ) Signatur caner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT DE-6- 2-3-2( PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 )BN