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Box 186, Shelton, WA 98584 Shelton (360) 427-9670• Belfair(360) 275-4467• Elma(360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION _ CONTRACTOR FORMATION OwnerC,RA*-L-u t7F-' t-AOL_ Company Name EI)Adjf. � � t- Mailin Address ISSI Mailing Address g t Et-:a � ' City �-� Stat `'0+ Zp Code City State th Zip Code Phone �- Y7%o Other h. Phone . 2-(G ' 54109 Other Ph. ���� ��„� .� I Lien/Title Holder Contractor Reg.# p E mail address E Mail Addressl�L 't>�e" t p+►"' 6 o t� rzl Drivers Lic.# DOB Drivers Lic.#5'P4VSTW 4G2-CA DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Water System �_Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No At` 01"2-- " 2- iic Fire District Legal Description ?Ar-*-� c111> it c% to Site Address(Please inclyde street name, street number and city) O � '►� � �`' ' Directions to site 0 r r :�✓`-°+'�N ab L4kV'e L-All- o-j c. "; 0t_j a is itT Will timber be cut and sold in parcel preparation?Yes GOP Is property within 200'of Saltwater t' Lake N' River/Creek- ' Pond =' o Wetland Seasonal Runoff Stream t� v Slopes or Bluffs > 15% Y Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o TYPE OF JOB-New Add Alt Repair Other _PRIMARY RESIDENCE [a SEASONAL [� Use of Building Describe Work '0 � 1�Stk' SV ve%_c *:A" %%, Ikk No. of Bedrooms —No.of Bathrooms Square Footage-1 st Floor ® �c 2nd Floor - ,- 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage�Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make Model Year Length Width Serial No. No.of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder,or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF QF CONTINUATION 9F WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date- 1 1 7 I Owner/Ow'hers Representativ Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Buildinq Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing& Base Fee Plannin Review Fee Mechanical &Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670-Belfair (360)275-4467- Elma(360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR !fit FORMATION Owner 64AIILL-C"C'T`a FAJ«--Y--tj Company Name icg-ti tv:VS CAN i��titap3 t �. Mailing Address0 A- -- Mailing Address � V- l.S51 Sf f__-L-TCVi City tate Zip Code City�H��-'t` eta e ''� Zip Code ��S ` Phone �c ' Other Ph. Phone 1 " -7 Other Ph. Lien/Title Holder Contractor Reg. '---t-lb 5-7,147- 1 E mail address E Mail Address ` + �`� 1 do.^ � he te4 If z Drivers Lic.# DOB Drivers Lic.#61A1JSTvJ A-'0 2- ,DOB 1 t- 2A 6 G SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMkTION- 12 Digit Parcel No. �-' �' 2 OO 0 0 Fire District Legal Description A Pt�-W CC Site Address (Please include street name, street number and city)-9-0-� � Ert �%'To Directions to site O F P S.L,AtJb L-Av-e, Ti � Is property within 200'of Saltwater V-' C Lake ;�" River/Creek ` Pond Wetland i!.! _Seasonal Runoff k O Stream %%' Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage—Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electrir)C LPQ_. Natural Gas Heat Pump Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace ii Bath Tubs HeaSpot Vent Ft Showers �— Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer I Gas Ou lets Kithen Sinks ` Woo Ga elletStove_ I Dishwasher 1 Kitchen aust Hood I Hosebibs Dryer Vent i Other Other Base Fee Base 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF CONTINUATI�ntative WORK IS BY MEANS OF A PROGRESS INSPECTION. X -��� Date:Owner/Ow rs /Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW I APPROVED DENIED NOTES Building Department Occ Grou T e Constr. Planning Department Environmental Health Department FEES Plumbin & Base Fee ISite Inspection Mechanical &Base fee IUFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT } WSEC/Ventilation Code Compliance Application P Owner:c;K��L �' prcv �wt Parcel#:*Zct2-.y�-Gcc - Type of project:— c Total Sq. Ft. 1' Floor: 2" floor: Heated Basement: Tof heated area:: �- o ' �a 1 Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump O Boiler, specify fuel type: O Other: Specify: Glazing Compliance ® Prescriptive Option see reverse side circle one: I II III Percentage: Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: O Other (Specify): Check one O Whole House Ventilation system • Whole House Ventilation o Other, Ventilation using exhaust fans&window or Integrated with a Forced Air describe: System wall fresh air vents(M1508.4) System (M1508.5) Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements,"all NEW residential units must develop 1credit from Table 9-1. Identify and describe which option(s)will be used ENERGY to comply. if the table is not attached to this form you can access the table on our website at: CREDITS http://www.co.mason.wa.us/forms/Community Dev/index. h . Option: Description: Table 9-1 p Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size i Quantity Square Feet Windows: ®t 7-1b k9 IL 17 ?tc. � I'a o , 2,® 3 c-A,e 2-% Windows: Total Sq. ft. Doors: s,I>ck, S r=iv P 0. 1 io 3' lo 1 _ ZO Doors: Total Sq. Ft Total window and door area Total window& door area 15 20 7 3 73 L = r /(divided by)total sq.ft of heated area r"l %of glazing CRA.%e_L_ %T T t �C BLD# Name ��p�r � �6 Parcel# I Z'�'i —— S Z 'G C G C' Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page I of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area "All dimensions in feet Buildings X = `4153111, X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways X = (0 X = Length of drive begins at the right of way X Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = j X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater,Site Plan.is Required Total Impervious Surface Area(sum of all areas) j 100,21 If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X- Owner/Agen(EP circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2