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Home My WebLink AboutBLD2020-01495 Remodel - BLD Application - 10/30/2020 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: W e BUILDING a PLANNING•PUBLIC HEAL7H•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 9B584 Phone Shelton:(360)427-9670 axt 352•Fax:(360)427-7798 Phone 0 C T 3 0 2020 Belfaic(360)2754467•Phone Etma:(360)462-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Sandra Jarrell NAME:Exalt Him Properties MAILING ADDRESS:122 East Hummingbird Lane MAILING ADDRESS:14119 77th Ave East CM CITY:Betair STATE:WA ZIP:98528 CTI'Y:Puyallup STATE:WA ZIP:98373 PHONE#I:2t>G Bo4156a PHONE:253 53s-1790 CELL: PHONE#2- EMAIL:ehpinclo/7@aol.com NUNN EMAIL,: L&I REG#EXALTHP927RJ EXP. 12/11 /20 PRIMARY CONTACT: OWNER❑ CONTRACTOR U OTHER❑ •..1 NAME Steve Puryew EMAIL ehpine10t7®aol.rnm MAILING ADDRESS 14119 nth Ave East CITY Puyallup STATE WA ZIP 98373 NOMA PHONE 2ss-5313-1790 CELL PARCEL INFORMATION: mPARCEL NUMBER(12 Digit Number) 12206-12-90061 ZONING LEGAL DESCRIPTION(Abbreviated) Lot 1 of SP#3022 PTN of GL 2 FIRE DISTRICT 0276 SITE ADDRESS 122 East Hummingbird Lane CITY Belfair DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf IS PROPERTY WITfIIN 200 FT OF THE FOLLOWING: (Checkatl rharappiy): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION® REPAIR❑ OTHER ❑ USE OF STRUCTURE(Resider,,Go,age.Commercial BIdR Era)Residence IS USE: PRIMARY R SEASONAL❑ NUMBER OF BEDROOMS 6 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Whole B1dg)R YES(PorljsjojBldg)❑ NO❑ �rr��s,a.,rpw. ,.�.rr..+..sac.a...,nai...r...rrm....,r...s.�.e..an..m.......er....xm.e...rwu.r.Am,..:,�.y..... DESCRIBEWORK .,.aro..,. SO ARE FOOTAGE:(pn paved) I ST FLOOR sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq_ft. STORAGE sq.ft. OTHER sq_ft_ GARAGE sq-fL Attached❑ Detached❑ CARPORT sq.fl- 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 t4 SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ijyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS B PROPOSED BEDROOMS TOTAL BEDROOMS 6 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 A PLICATIOWQF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON UNTY CODE 14.08.42) m til .VIv x nc Signature of O ust ned b th WNER Date DEPARTMENTAL REVIEW APPROVED ATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 26r, PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY RECEIVED COMMUNITY SERV Building,Planning,Environmental Health,Community Hea O C T 3 0 2020 Physical and Mailing Address: 615WA/derSt.,Bldg 8,Shelton, WA 98584 615 W. Alder Street Shelton Phone: (360)427-9670 ext 352 :• Fax (360)427J798 PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:-13td262-0 -'6��-{�1 y OWNER INFORMATION: " CONTRACTOR INFORMATION: NAME: ilnA l&,t c 1 YYQJL�• NAME: MAILING ADDRESS: MAILING ADDRESS: CITY: STATE: ZIP: CITY: STATE: ZIP: 1st_PHONE: PHONE: CELL: 2nd PHONE: EMAIL:— EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW ,� ALT REPAIR OTHER F USE OF BUILDING L .eVl�)UCI PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) Furnace [E/G/LPG] Bathroom Sink(s) Heat Pump [E/G/LPG] Bath Tub(s) o Ductless H.P. [E/G/LPG] Shower(s) Spot Vent Fan Water Heater(s) PG/LPG] Propane Tank [_gal.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) Kitchen Sink(s) Heat Stove jjE!G/LPG/W] Dishwasher(s) 1 ? Kitchen Exhaust Hood ? Hose bib(s) Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL 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. r m lJ X Signature of Applicant Date X Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) V isll us on-lire• httl' :,'/www.co.inason.wa.Lls/comnls_in!ty_dev/ Rev:3/08/2017