HomeMy WebLinkAboutBLD2021-01044 - BLD Application - 7/6/2021 Authentisign ID:B - 45-463C-B8A2-20FA82COF2F0
MASON COUNTY COMMUNITY SERVICES Permit No: �.42 l0'-�`�
PERMIT ASSISTANCE CENTER: RECEIVED
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670ext.352•Fax:(360)427-7798Phone JUL 0 6 2021
Belfair(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Charles&Cynthia Parkinson NAME: Yellow Ribbon Homes, Inc
MAILING ADDRESS: 140 E Sterling Dr MAILING ADDRESS: 4161 E State Route 106
CITY: Allyn STATE: WA ZIP: 98524 CITY: Union STATE: WA ZIP: 98592
PHONE#1: 253-752-5729 PHONE: CELL: 360-600-6041
PHONE#2: EMAIL : kevin@yellowribbonhomes.net
EMAIL: cparkin7@icloud.com L&I REG# YELLORH876M3 EXP. 07/23 /2023
PRIMARY CONTACT: OWNER❑ CONTRACTOR® OTHER❑
NAME Kevin Warner EMAIL kevin yellowribbonhomes.net
MAILING ADDRESS 4161 E State Route 106 CITY Union STATE WA ZIP 98592
PHONE CELL 360-600-6041
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12217-53-0001 1 ZONING t 1-Residential-Single Family
LEGAL DESCRIPTION(Abbreviated) 1 AKE AND VILLAGE#12-PRASE I LOT- 11 FIRE DISTRICT
SITE ADDRESS 140 E Sterling Dr CITY Union
DIRECTIONS TO SITE ADDRESS North on Highway 3 Left on Homestead Dr Right on E Old Ranch Rd.Right on Sterling Dr
" IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO N SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF N STREAM ❑
V
TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ® REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Residence
IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) ❑x YES(Part[s]ofBldg) ❑ NO ❑
DESCRIBE WORK Convert 455SF of Garage(Unheated Space)to heated space to be used as family room
SQUARE FOOTAGE: (proposed)
existing+455 converted =2,351
1 ST FLOOR X sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER ft.
—988-4 5=533SF(Note A se recurs o nclude stairs water heater an�FfVlCCarea n Garage SF �x .)
GARAGE sq.ft. AttaAedsMC Detac ea CARPORT sq. . Attached'f Detache
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❑ / NEW❑ EXISTING ❑
PLUMBING IN STRUCTURE? YES ❑ NO❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION 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
F�=
w COUNTY CODE 14.08.42)
07/OS/2021
X -laxl won
7/51"PiM?ebfOWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Authentisign ID:B2520517-3445-483C-B8A2-20FA82COF2FO
MASON COUNTY COMMUNITY SERVICES Permit No:?�IC1202i- 61o14y
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Charles & Cynthia Parkinson NAME: Yellow Ribbon Homes, Inc.
MAILING ADDRESS: 140 E Sterling Dr. MAILING ADDRESS: 4161 E State Route 106
CITY: Allyn STATE: WA ZIP: 98524 CITY: Union STATE: WA ZIP: 98592
111 PHONE: 253-752-5729 PHONE: CELL:
2"d PHONE: EMAIL : kevin@yellowribbonhomes.net
EMAIL: cparkin7naicloud.com L&I REG# YELLORH876M3 EXP. 07/23/2023
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12217-53-00011 Zoning:I1-Residential-Single Family
LEGAL DESCRIPTION(Abbreviated): Lakeland Village#12-Phase I Lot:l1
SITE ADDRESS: 140 E Sterling Dr CITY: Allyn
DIRECTIONS TO SITE ADDRESS: North on Highway 3.Left on Homestead Dr.,Right on E Old Ranch Rd,Right on Sterling Dr
TYPE OF JOB Convert 455SF of Garagc(Unheated Space)to heated space to be used as family room
NEW ADD ALT X REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1ST FLOOR X 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas—Ductless—
asDuctless_
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 Ou
Kitchen Sinks I Pellet Stove 1 Gas Fireplace
Dishwasher Kitchen xhaust 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 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 JNVA�IDATE THE APPLICATION.
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X ��g��on 07/05/2021
L 7&451gh@ft& @WlJP0wner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
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Not expanding footprint. This is the approved
_ Site Plan from Original Building Permit
BLD2004-00265 Page 8
Printed from Mason County DMS PLANNI ING
Printed from Masan County DMS