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HomeMy WebLinkAboutCOM2024-00001 Addition 768 sf - COM Application - 12/7/2023 ' MASON COUNTY Permit No:t4,0 M COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER EODRMATION: CONTRACTOR INFORMATION: NAME:Meson Cooky Fie Distrid 03 MAW NA MAILING ADDRESS:PO box 129,4350 Grapeview Loop Rd. MA IJNG ADDRESS: CITY:Grapeview3 STATE:WA ZIP:98546 CITY: STATE: ZIP: PHONE#1:360-2754483 PHONE: CELL: PHONE#2: EMAIL: EMAIL:chiiftilillwavacwbie.cam L&I REG# EXP. PRIMARY CONTACT: OWNER I] CONTRACTOR❑ OTHER❑ NAME P.LGrasbsr,tYs~ EMAIL chiefg@wavecable.com MAILING ADDRESS PO box 129,4350 Grape—LOOP Rd- CITY c,-- STATE WA ZIP98546 PHONE NO-27"m CELL 6181 PARCEL INFORMATION• PARCEL NUMBER(12 Digit Number)12108-21-60041 ZONING RR5 LEGAL DESCRIPTION(Abbreviated)tot 3 of short plat#1940 records of Mason County,Wash. FIRE DISTRICT 3 SITE ADDRESS G1eP—Loop Rd. CITYGraPOVIDW DIRECTIONS TO SITE ADDRESS*Nn no r w 3%m rrt ism south w 3 urns spit m b Grapsvisr Lsop Rmd b*for ft FWD scion at abma Ilrs macs or me Loop. IS THE PROJECT WITHIN 3M FT OF SLOPE(S)GREATER THAN 14N: YES❑ NO 0 SNOW LOAD:25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: fch of aB 8w apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Rendawc G nw Cors.rrrid Bldg.Ere)support space for extstng apparatus morn d the fire station IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(while Bldg)Q YES(Part(sl gfBldg)❑ NO❑ DESCRIBE WORKcon$* d a 768 sf.of support space connecting to the existing apparatus room of the existing fire station SQUARE FOOTAGE:(prrpsard) 1ST FLOOR768 sq.R 2ND FLOOR sq.& 3RD FLOOR sq.& BASEMENT sq.IL DECK sq.R COVERED DECK sq.& STORAGE sq.fL OTHER sq.fL GARAGE sq.IL Attached❑ Detached❑ CARPORT sq.& 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 0 SEWER❑ / NEW❑ EXISTING 0 PLUMBING IN STRUCTURE? YES 0 NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.32M EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Aduwwledgement of such is by signature below.I declare that I am the owner and 1 further declare that I am entitled to receive this permit and to do the work as proposed.1 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 =ATIONF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY fCODE 14.08.42) S' of OWNER @166t be signed by the OWNER) Doe DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS✓NOTES/CONDPPIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 'AhPermit No: Cbm 'v(W MASON COUNTY COMMUNITY DEVELOPMENT 1WPermit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATI N: :e CONTRACTOR INFORMATION: NAME: .0 H a-e e KLci �3 NAME: d MAILING ADDRESS: Pd �-12-9 o MAILING ADD S: CITY: ATE:b/ _ZI : CITY: STATE: ZIP: 1 s`PHONE: 3(aCJ ?��_ �_ PHONE: CELL: 2'PHONE: EMAIL : EMAIL: L&I REG# EXP. PARCEL INFORMATION: �^,'� PARCEL NUMBER(12 Digit Number): 1, Ica —ZC `6�(wy�/ Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JO NEW=AD LT=REPAIR=OTHER=USE OF BUILDING &C OkK B$L fi4 LOCATION OF FIXTURES/UNITS—I sT FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric[=LPGE Natural GasE::]Ductles Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Woo&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 1 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 LL INVALI A�E APPLICATION. ignature oftwner Date DEPARTMENTAL REVIEW APPROVED DATE I DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 1 BN l 'CrV �_ S l 01/23/2024 \l "d 1 urEas�vwuT t APPROVED t MASON COUNTY DCD PLANNING " 1. 5•• •, 1 z SAI w Tamp 1 rb 2 l.Vrr �U�Yl.f' ISWG202a.000881 « 1'. ��' 2 Digitally ¢ signed Scort%edy by Scott �L Ruedy r t RR5 Zoning --' —";, --�,___ '�✓ Front Yard Setback.25'. "A Side& Rear Yard Setbacks. Residential dwelling — and accessory structures is 20'. Llkpj OR 10%width of lot if not more than 100'wide slM P OR approved ADV 41NC I EH APPROVED Rhonda Thompson 03/22/2024 zflfz, ; EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations I I' B.)Septic tank(s)requires 5'setback from all footing/foundations A d C.)No foundation/Perimeter Drains within 301t,downgradient of I Drainfieid/Reserve area _ i f Reserve/ D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within -,a• / / i 50h,down gradient of Drainfield/Reserve area a A1 .1 i