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
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01/23/2024 \l
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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
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Ruedy r
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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
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