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Home My WebLink AboutBLD2023-00943 Remodel - BLD Application - 8/8/2023 • MASON COUNTY COMMUNITY SERVICES Permit Not L.03ap ?j-a09�3 PERMIT ASSISTANCE CENTER: �C C I\�l,CG D •BUILDING •PLANNING .PUBLIC HEALTH.FIRE MARSHAL G G 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone AUG -8 2023 93 UILDING Belfair:(360)275-4467•Phone Elma:(360)482-5269 A BUILDING PERMIT APPL 'X5 IONlder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Catherine Bagley NAME:Gabriel Munsill MAILING ADDRESS:2090 Pacific Ave MAILING ADDRESS:690 C Street CITY:San Francisco STATE:CA ZIP:94109 CITY:Lincoln STATE:CA ZIP:95648 PHONE#1:831 915 2019 PHONE:916 425 5638 CELL: PHONE 42: EMAIL :Munsiliconstruction@gmail.com EMAIL:kkbags23@aol.com L&I REG #CC MUNSIC-783R2 EXP. 12 /22/24 PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ NAME Gabriel Munslll EMAIL Munsiliconstruction@gmail.com MAILING ADDRESS 690 C Street CITY Lincoln STATE CA Zlp95648 PHONE 916 425 5638 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) /21I4 S`Z 0001 T- ZONING ~ LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS ?10Z 1�' '?pe0y„ta*n-j6y.1 CITY Oft- 06A DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑ SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ❑✓ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY ❑ SEASONAL ❑✓ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑� YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK Remodel laudry room.Replace hot water heater with ttankless.Plumb in new sink. Install new recessed washing machine box SOUARE FOOTAGE: (proposed)//1 -./ 1 ST FLOOR sq. ft. 2ND hi6R sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft / 5 /7C DECK sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq. ft. s/ GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. 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 ❑ SEWER 0 / NEW ❑ EXISTING s❑ PLUMBING IN STRUCTURE? YES ❑s NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER&OUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X Signature of OWNER(Must be signed by the OWNER) d Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT tL - PLANNING DEPARTMENT 2 _ FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No —DD/y3 ,BUILDING •PERMITASS1 PLANNING STANCE CENTER MARSHAL RE C E IV E 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us hyG -8 2023 BUI Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427- 8 ..ra Phone Belfair:(360)275-4467• Phone Elma:(360)g 82?J Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: ins. MAILING ADDRESS: MAILING ADDRESS: �(qV 6 Sf Cct CITY: t�cn�;_yn STATE: 6 ZIP: 9�/c�9 CITY:L, STATE: _ZIP: f I`PHONE: S3/- q IS 19 PHONE: 15V CELL: 2"d PHONE: E EMAIL: s 7' AOL Cow L&I REG# Cx EXP. /2) ` PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW[=ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS—IST FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:E lectri c=LP G[D atural Gas=Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan �L Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bib�s,s� 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 INVALIDATE THE APPLICATION. Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT TZ 5 tG-Z PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN