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Home My WebLink AboutBLD2017-00896 Bathroom Remodel - BLD Application - 9/13/2017 P�oN oorr MASON COUNTY COMMUNITY SERVICES II � ' r l SQ PERMIT ASSISTANCE CENTER: Permit No: d •BUILDING•PLANNING.PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 —` Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone `D Belfalr.(360)275-4467•Phone Elma:(360)482-5269 SEp , 854 3 DING BUILDING PERMIT APPLICATION1AW 8� 241I d OPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO f`S pet NAME: / NAME: AlmP LLC. MAILINO ADDRE MAILING ADDRESS: P.2_�,Zu 2.%C3 CITY:�� 4 STAT ZIP: CITY: '9y. � STATE: Yew ZIP: S ! PHONE L.. PHONE: 3 CELL: Tbl-S�?O PHONE#2 p_ EMAIL �/27 EMAIL: CZr — L&I IL # S`t�� XP. /.1:'� PRIMARY CONT CT: OWNER❑ CONTRACTORS OTHER❑ NAME _ ea.� EMAIL MAILING ADDRESS CITY STATE ZIP _ PHONE CELL ` t - 5-C20 PARCEL INFORMATION: PARCEL NUMBER(12 Digit-Number fl,�tA. _� 9T�O ZONING R LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS CITY�� ST DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO.N- IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER'❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE Ok WORK: NEW❑ ADDITION ❑ ALTERATION ft REPAIR OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 9��ELb IS USE: PRIMARY 54 SEASONAL❑ NUMBER OF BEDROOMS�� _ NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Whole BW04W YES(Part fsj of Bldg) ❑ NO ❑ DESCRIBE WORK 'h - �20 00U bi'd a4-10 A)t- SOUARE FOOTAGE: (propose+existing) 1ST FLOOR - _ _)sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. It. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. 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❑ / NEW❑ EXISTING. PLUMBING IN STRUCTURE? YES JR NO❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD( 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 J e57 IM COUNTY CODE 14.08.42) Signature of OWNe NER) —� —Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY RECEIVED COMMUNITY SERVICES _I Building,Planning,Environmental Health,Community Health SEP 13 2017 Physical and Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 98584 615 W. Alder Street Shelton Phone: (360)427-9670 ext 352 •:• Fax (360)427-7798 --II ^ / PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: 'BIG?'00 —60C(,� 1r OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: LeS t e-a- f,1_t 1 C,a E 10►MohDSo". NAME: no na MAILING ADDRESS: F0 13ox 871 MAILING ADDRESS: CITY:shtttol` STATE:wq ZIP: 110S8L{ CITY: STATE: ZIP: 1st PHONE: 3b0 - ZlZb -534b PHONE: CELL: 2n'PHONE:3(P0 - 2 2 9 - 9Y3a EMAIL: EMAIL: L&I REG# EXP. / I PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): yZ0I;R- '70034 Zoning: LEGAL DESCRIPTION (Abbreviated: SITE ADDRESS:_ 5532 Q O +'1Wet ed CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER USE OF BUILDING PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(none) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) 2— Furnace [E/G/LPG] Bathroom Sink(s) Heat Pump [E/G/LPG] Bath Tub(s) 1 o Ductless H.P. [E/G/LPG] Shower(s) i Spot Vent Fan 2 Water Heater(s) [E/G/LPG] Propane Tank gal.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) Kitchen Sink(s) Heat Stove [E/G/LPG/W] Dishwasher(s) 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. x ob4Iilkld /(t Signature of 6pplicant Date x Owner/Owners Representative/Contractor _ Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal l I/— O Permit Tech (OTC permit only) Visit Lis on-hn,: i),tp://ww�h�.co.n�ason.wa.LIS/Camm;lnitv_dev/ Rev 3/08/2017 Permit number BLD Mechanical Permit Checklist • Name of owner: Name of Installer: • Fuel Type? LPG Nat Gas Electric Other • If propane,what is the proposed size of tank(s)? • What.type.of mechanical unit will be installed?(i.e.freestanding stove,forced air furnace, etc) • If the unit is a wood stove,provide: Make Model Year Label Number • What is the use of the structure? (Circle one) Residential. Commercial (A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff. Include a floor plan showing the location of unit(s)and layout of duct work with the permit application) • Type of structure: (Circle one) Site Built Home Manufactured Home Other • What room will the mechanical unit be located? • Will the unit be located in a basement?(circle one) Yes No • How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.) • How will the mechanical unit be exhausted to the outside? Applies to appliances using gas; oil or wood fuel. (Indicate B-vent, direct vent,L-vent, • What year was the structure constructed? Was this structure part of a PUD upgrade? • What type of controls will be installed? (i.e. thermostat, etc.) • Will the proposed mechanical unit be a heat source?(circle one) Yes No • Additional information: Signature of Applicant Date Typical mechanical fees: Forced air furnace $ 18.30 Heat pump 18.20 ---- -- r—P opane — 73:0� -- -- - -- --- ----- _ -- ------ - - Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5) Mechanical base fee 28.50 or$ 9.00 if base fee was paid on an active building or mechanical permit Freestanding unit, fireplace,pellet stove or wood stove $73.00 Final Inspection fee 73.00 3 f i I B 1 �R- f t 9w1 CarilwiM1 M WE NEV=N D J+ �FEXISTING AND PROPOSED FLOOR PLANS _�T�SOwMPic `" S JOHN ALLEN-ALLEN HOMES,L.I.C. DESIGN EDMONSON BATHROOM REMODEL ApOpF55: ..r,JVwaoi.vx wN 9H WAMN r Nm raEo ua Nn.e-ar rt s�Naum rNVe.Nmua Nvu�emsur.