HomeMy WebLinkAboutBLD2022-00431 - BLD Application - 3/10/2022 /, "" MASON COUNTY COMMUNITY SERVICES Permit No: 0Id1,c0�,2"�0
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615 W.Alder Street,Shelton,WA 98584 4 ,_ a 4 -.-
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AFy °`; u.M���"ksr�, � Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone '�--.
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Belfair(360)275-4467•Phone Elma:(360)482-5269 f iI: ^°a
� � BUILDING PERMIT APPLICATION MAR 10 2( -
INFORMATION: CONTRACTOR INFORMATION: �� Alder ., C
PROPERTY OWNER t
NAME: Ron & Kim Graver NAME:
MAILING ADDRESS:530 E. Saint Andrews Dr. MAILING ADDRESS:
CITY:Shelton STATE:WA ZIP:98584 CITY: STATE: ZIP:
PHONE#1: Ron: 1-206-931-9299 PHONE: CELL: i
PHONE#2:Kim: 1-206-650-4673 EMAIL :
EMAIL:kimgraver@comcast.net, rwgraver@comcast.net L&I REG# EXP. / / ,
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER
NAME Williams-Architecture EMAIL len(u�williams-architecture.com
MAILING ADDRESS PO BOX 102, 601W. RAILROAD AVE., STE. 100 CITY SHELTON Ere A zip 98584
PHONE (360)426-0511 CELL IV i!, 'EN11L
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32127-51-00/270 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) LAKE LIMERICK 2 PCL 3 OF BLA #04-49 PTN LOT:270 FIRE DISTRICT 5
SITE ADDRESS 530 E. Saint Andrews Dr. CITY Shelton
DIRECTIONS TO SITE ADDRESS From DT Shelton, Head N. on WA-3 N. Left on E. Mason Lake Rd.
Left Again on E. St. Andrews Dr. Site is on the right
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO ❑✓ SNOW LOAD: 75 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE ❑✓ RIVER/CREEK 0 POND ❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW ✓❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)New ADU Over New NEW(G NUarr�age
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS MBER OF BATHROOMS 1
1 T. (PRIMARY)one to
HEATED STRUCTURE? YES (Whole Bldg) ❑ YES (Part[s]of Bldg) ❑ NO ❑ be converted to office
DESCRIBE WORK Construct new ADU over new garage next to existing residence.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 134. sq. ft. 2ND FLOOR 952 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq. ft. COVERED DECK 300 sq. ft. STORAGE sq.ft. OTHER sq. ft.
GARAGE 964 sq. ft. Attached❑✓ Detached 0 CARPORT 336 sq.ft. Attached❑✓ Detached 0
-MIXIVIltiA HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING ❑
PLUMBING IN STRUCTURE? YES ❑✓ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. 1421
EXISTING BEDROOMS 3
PROPOSED BEDROOMS 1 NEW 1 REMOVED TOTAL BEDROOMS 3
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 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF COUNTY CO
DE CAUSE 4 THE APPLICATION TO BE EXPIRED. (MASON
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1 ENT Date
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DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
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