HomeMy WebLinkAboutBLD2023-00231 SFR - BLD Application - 3/1/2023 ��� MASON COUNTY COMMUNITY SERVICES Permit No:. 31d� L3-c3aZ3!
PERMIT ASSISTANCE CENTER: 11
®BUILDING®PLANNING @PUBLIC HEALTH®FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 QE7/' !�
Phone Shelton:(360)427--9670 eut 352•Fes:(360)427-7798 Phone v o
Belfai:(360)275-4467•Phone Elms:(360)482-5269
01
BUILDING PERMIT APPLICATION 6 ' 012023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: /de
NA : Donald Kind NAME: Supreme Homes r S
ME treet
MAILING ADDRESS: 1607 Bonney Ave MAILING ADDRESS: ve
CITY: Sumner STATE:WA ZIP: 98390 CITY: Tacoma STATE:WA ZIP: 98 46
PHONE#1: 253-224-2329 PHONE: 253-331-1490 CELL:
PHONE#2: EMAIL: cons ru on supreme omes.com
EMAIL: don.ldncl@gmail.com L&I REG# #SUPREHL807Q3 EXP. 11/23/24
PRIMARY CONTACT: OWNER01 CONTRACTOR❑ OTHER❑
NAME Donald Kincl EMAIL don.kincl(agmail.com
MAILINGADDRESS 1607 Bonney Ave ciTY Sumner STATE WA zip 98390
PHONE CELL 253-224-2329
PARCEL INFORMATION: 0 ILDING
PARCEL NUMBER(12 Digit Number) 121195000145 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 640 Pitcairn Ave. CITY Shelton
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT W ITHIN 300 FT OF SLOPE(S)GREATER THAN 140/e, YES❑ NON SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (ClieckollAw4ply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ID
TYPE OF WORK: NEWS ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage,Conmreron/B1/g,E..) Residence _
IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(IVMk Bldg)a YES awilsl ofBkW❑ NO❑
DESCRIBE WORK
SOUARE FOOTAGE: W.op-4
1ST FLOOR 1480 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.R BASEMENT sq.ft.
DECK sq.ft. COVERED DECK '21 sq.it. STORAGE sq.fL OTHER sq.ft.
GARAGE_. _sq.ft. Attached❑ Detached CARPORT sq.fL Attached[3 Detached❑
MANUFACTURED HOME INFORMATION: "4 COPIES OF THE FLOOR PLAN REQUIRED•
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGFJSEWER SOURCE: SEPTIC D SEWER¢I 1 NEW❑ EXISTING 94
PLUMBING IN STRUCTURE? YES M NO❑ Ifyea,attach completed WaterAdequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES M NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 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 pe nn ission 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 pennit/applicaton becomes null 8 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.(MASON
C2�td NTY CODE 14.08.42)
-J'72�
ofOWNER(Must be signedthe WNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS(NOTES/CONDITIONS
BUILDING DEPARTMENT (��L •��.Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: .Bia2o23 -6023 l
PERMIT ASSISTANCE CENTER:
®BUILDING®PLANNING®FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
vvvvvv.co.rnason.vva.us R�
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798CQ)) 1 i�
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 I/ D
PLUMBING & MECHANICAL PERMIT APPLICATION MAR 0 ?
............__--------_.._ ... ..
OWNER INFORMATION:
ON CONTRACTORupa �mNFORMATION: "Alder
ME Don Kind NAME: str et-
MAILING
ADDRESS: 1607 Bonney Ave MAILING ADDRESS: 15315 50th Ave E
CITY: Sumner STATE:WA ZIP:98390 CITY:Tacoma STATE: WA ZIP: 98446
I'PHONE: 253-224-2329 PHONE:253-331-1490 CELL:
2`'PHONE: EMAIL : construction@supremahomes.com
EMAIL: don.kincl@gmail.com L&I REG# #SUPREHL807Q3 EXP. 11 /23/24
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Alumher): 121195000145 Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: 640 Pitcairn Ave. CITY: Shelton
DIRECTIONS TO SITE ADDRESS:
.......... BUILDiNG................................................................ ...................._'_...............
TYPE OF JOB:
NEW X ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNIT'S-1sr FLOOR X 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless X
Toilets �2 Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace
Bath Tubs 1 Heat Pump
Showers 11- 2- Spot Vent Fan
-
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Out is rl
Kitchen Sinks 1 WoodWsellet Stove
Dishwasher 1 Kitchen-Exhaust Hood �-
Hose bibs 2 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 INVA ATE THE APPLICATION. I
X
SiVrktfure of 6wner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS
BUILDING DEPARTMENT '0F_C
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1 F272016 JBN
I` R SCALE: I"=20' 90' EH APPROVED
PERMIT SERVICES 4 Rhonda Thompson 04/03/2023
Tia Schwarz 0 _5 10 20 15 T
360.930.2717 6 Public sewer and water
tia@fasttrackci.com
DATE:
\ i
Z/13/23 Propose Patio made of pavers
38 '
4SFGarage
f i to be determined i=
+DRAVVMG: _ .............
� i
SITE PLAN ,` � ~ Planning Setbacks
y4.s f r Front,rear,and sides:5'
OWNER: 'subject to EH setbacks
t '
DON KINCL&KEUY + w sg
t
KNMSON i Breezeway Between i rJ f1
Residence&Garage PLANNING:
PARCEL. 131p2o23-60231 p r All setbacks have been measured from
121195000145 p� Proposed 1480 SF i : 1 the furthest possible projection of the
RECEIVED ' Residence building
i
Existing Fire
MAR o 12023
Hydrant
615 W.Alder Street
� r+
i
PLN Approved
31'z 04/14/2023
Proposed Gravel Mason County Community Development
Gavin Scouten
Driveway Begins i 1 All Changes Subject to Approval
Symbol Legend 22
5'CONTOURS ( j
PROPOSED WATER LINE
PROPOSED UNDERGROUND POWER LINE _ i' 4.
■ EXISTING WATER METER t; ctr
iEMSTING POWER METER
■— PROPOSED SEWER&LINE
�—Existing Gravel A
BUILDING SETBACKS CO) TREE SCHEDULE
Driveway
NATURAL DRAINAGE DIRECTION 1 ,�
LEARING LIMITS
EXISTING STORMWATER DITCH Qr0 3 — 29 INCH — CEDAR
0-" ROOF DOWNSPOUTS W/SPLASHBLOCKS
Existing Culvert 5 — 15 INCH
41Trees to be removed �— •
i —��90,
N
Pitcairn Pi.
15 — 30 INCH — MAPLE
16 — 22 INCH — CEDAR
22 — 24 INCH — CEDAR