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Home My WebLink AboutBLD2023-01260 Basement Remodel Living - BLD Application - 10/17/2023 aw-DW1uul*--PV1MunPP.PW .,.y...........................).....p....�_..... __..___y��. t.' MASON COUNTY Permit o: L1a 15W61- D 1Pd COMMUNITY DEVELOPMENT OCT 17 2023 Permit Assistance Center,Building,Planning 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: � n r *.J�+ c �S C NAME: MAILING D SS: G JMAILING ADDRESS: STATE:LJ ZIP: 01CITY: STATE: ZIP: PHONE#1: O^ —5 % PHONE: CELL: BUILDING PHONE# : EMAIL: EMAIL: t L&I REG# EXP. PRIMARY CO ACT: NER CONTRACTOR❑ OTH ER❑ NAME r< EMAIL r `fh � (' MAILINGADDRESS CI STATE ZIP 41 PHONE ELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) / J 19' � -a on 3 J ZONING-0-% /t ,. ! LEGAL DESCRIPTI N(Abbreviated) FIRE DISTRICT' C�- r'c SITE ADDRESS E. L'.� 4 r CITY r/� D CIION TOPADDRESS e /t 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: whf k oAda,whr SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ E OF WORK: NEW 0 0 REPAIR USE P F STRUCTURE(R'.'kler ADDITION G i"cADIg O!N 4 / /I] OTHERa IS USE: PRIMARY❑ SEASONAL Ir NUMBER OF BEDROOMS NUMBER OF B MS--L— HEATED STRUCT E? YES finale mig) YES rPa y ofBldgl❑ J NO❑ 1 DESCRIBE woRKC a ti ✓`r r /� S G • a 1�-9 -s f et G e— SQUARE FOOTAGE:rpropmedl �1 1ST FLOOR sq.& 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT 7 671 sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.& OTHER sq.ft. GARAGE sq.ft.Attached❑ Detached❑ CARPORT sq.ft.Arfached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAIN 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 1rs,attach completed MaterAdequanr Fia nr PERIMETER/FOUNDATION DRAINS PROPOSED! ITS❑ 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.1 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 structures)for review and inspection.This permillapplication 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 CATI N OF 180 DAYS OF MORE WIL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUN C DE 14.08.42) —14P, :�� X gnat re of OWWR Must be si ne the OWNER) Date DEPARTMENTAL REVIEW PR ♦TED DATE DENIED DATE TAGS/NOTES/CONTITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVIq EJ PERMIT ASSISTANCE CENTER: `' •BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 0 C T 17 2023 9 www.co.mason.wa.us : y Y y Phone Shelton:(360)427-9670 ext. 352• Fax: (360� Alder S IA 1�' 1R �A Phone Belfair (360)275-4467• Phone Elma:(360)482-5269 e PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: �7 CONTRACTOR INFORMATION: NAME: —r` z�,�� s,rc � r e_,'�` NAME: MAILING ADDRESS:Ve-l E• c� 1"r- 2 e�� /• MAILING ADDRESS: CITY: -S•`� /�br STATE:��" :`L CITY: STATE: ZIP:_ I"PHONE: PHONE: CELL: 2"PHONE: EMAIL : EMAIL: L&I REG# EXP. / PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): j 2.// Zoning:Ng r ' [Y LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: L. Q l • CITY: �( DIRECTIONS TO SITE ADDRESS: J/ / pe� TYPE OF JOB: J NEW 0 ADD ALT=REPAIR=OTHER]USE OF BUILDING LOCATION OF FIXTURES/UNITS-l sT FLOOR=2ND FLOOR=BASEMENT GARAGE OTHER= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNIT 0D Type of Fixture No.of Fixtures Fees Fuel Type:Electri PC>ONatural Ga uctles Toilets I Type of Unit No.of Units Fees Bathroom Sink 1 Furnace Bath Tubs Heat Pump _ Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee f�" Base Fee TOTAL PLUMBI r 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. XJ w`� Signature of Oner Date DEPARTMENTAL REVIE APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS L BUILDING DEPARTMENT h— PLANNING DEPARTMENT FIRE MARSHAL Rev-1/27/2016 JBN aw-Duuung5-peru lumPP.Pui (� iT &n a Cad MASON COUNTY Permit No: COMMUNITY DEVELOPMENT OCT 17 2023 Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:t '�' G iS NAME: {{�� •?�, MAILING D SS: e_e, MAILING ADDRESS: E N V I R O E ;i�'{E N TA L CITY:-C D 1 STATE:.'.c> ZIP: — CITY: STATE: ZIP: HE hLTH PHONE#I: G PHONE: CELL: PHONE# : EMAIL: EMAIL: e e L&I REG# EXP. PRIMARY CO ACT: CONTRACTOR❑ OTHER❑ NAME NER EMAIL r (01 r I Jow c e"-e-! MAILING ADDRESS CI STATEU ZIP PHONE CELL - PARCEL INFORMATION: ! /t .... /) r PARCEL NUMBER(12 Digit Number) J g- d d O ZONING.t"i.% ! / n LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT e SITE ADDRESS . tr c Dr CITY 'd e r ti D CTION TO TE ADDRES. 6 , ,it , Git o e ^-- L.7,a 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: 1CLrck nI!drat nyyb l: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION ALTER TION 0 REPAIR P OTHER r❑ l USE OF STRUCTURE(Rak n ,Gnrogr,Conmre in!Bldg,Er,) f J CC 1 / it.",/1 IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS NUMBER OF B MS— HEATED STRU j ? YES fmwleBldg/ YES(Pa y'rBldg)❑ NO❑ / I DESCRIBE woRKKt e7�. 1 I J /� _j , n� Cf y l�` j S��.C SQUARE FOOTAGE:rpnp..i ISTFLO0R_jq71sq.ft. 2ND FLOOR N.ft. 3RD FLOOR sq.ft. BASEMENT!0.f sq.ft. DECK sq.ft. COVERED DECK sq.fi. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft.Attached❑ Detached❑ CARPORT sq.ft. Anached❑ 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 / NEW[I EXISTING PLUMBING IN STRUCTURE? YES 1; NO❑ If-Irs,attach completed Water Adequam Fonn PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS J 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 permil1application 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 \mil PERMIT LICATI N OF 180 DAYS OF MORE WIL CAUSE THE APPLICATION TO BE EXPIRED.(MASON /� COUNTY C DE 14.08.42) ` 0 / �{` X � -�\j\�/ �` gnat re of R Must be si ne the OWNER) Date El i DEPARTMENTAL REVIEW PR VED DATE DENIED DATE TAGS/NOTESJCONDITIONS 1 (_�l BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH