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Home My WebLink AboutBLD2019-00491 SFR - BLD Application - 5/13/2019 14 .coU�r MASON COUNTY COMMUNITY SERVICES U PERMIT ASSISTANCE CENTER: Permit No: b •BUILDING•PLANNING.PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 R E C E I V E D — Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 1834 Belfair.•(360)275-4467•Phone Elma:(360)482-5269 MAY 13 2019 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Riley Wyw.,kAis NAME:_ S•�r'-e o•S t9wcke�.0 MAILING AD RESS: IS110 4Nfa a-✓d A1U MAILING ADDRESS: CITY: fA IA k^4—b9r STATE: 0.^, ZIP:_ CITY: STATE: ZIP: PHONE#1: Z-C3— 3 SS — D%?5Z PHONE: CELL: PHONE#2: EMAIL : EMAIL: (2 ,.tol ld �..•�,,11 Own- L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING_LJ(TA LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE XDDRESS '32_1 W * 5& CITY S!I wt DIRECTIONS TO SITE ADDRESS } 1S THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO Pf 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 R ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg, IS USE: PRIMARY Q/'SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[j]of Bldg)❑ NO ❑ DESCRIBE WORK IVY✓ S�- SOUARE FOOTAGE: (propose+existing) I ST FLOOR 15 5 D sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR ')C sq. ft. BASEMENT sq.ft. DECK sq `t. COVERED DECK_life'L sq.ft. STORAGE sq. ft. OTHER sq. ft. GARAGE 152E _sq.ft. Attached Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INF T *4 COPIES OF THE FLOOR PLAN RE D* MAKE MODEL YEAR WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER DK / NEW 9K EXISTING ❑ PLUMBING IN STRUCTURE? YES &r NO ❑ Ijyes, 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 COUNTY CODE 14.08.42) x�� — 05�13Z1�I Igna ure dTOWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICS f RECEIVED Building.Planning,Environmental Health Community Health r MAY 13 2% Physical and Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 98584 ' Shelton Phone: (360)427-9670 ext 352 •8 Fax (360)427-7798 615 w Alder Ste. 0 PLUMBING & MECHANICAL PERMIT APPLICATION Permit# \� f L, q uJy"1 OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: _&v-^e- �--S e_).j"e MAILING AD ESS: 4 i slew, �l F-+ .wy� MAILING ADDRESS: CITY: b..r STATE: WA ZIP: 3zR CITY: STATE: ZIP: 1st PHONE: 25 3-- 3eW_ pf 8V__ PHONE: CELL: 2nd PHONE: EMAIL: EMAIL:_ Z', ►ec9, .,VS 2-age 0g L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): L1?_vj.i,q sw ztn Zoning: LEGAL DESCRIPTION (Abbreviated):_k/,-d 51`Q SITE ADDRESS: 321 W 11 CITY: 4 HAe -, DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW ✓ ADD ALT REPAIR OTHER USE OF BUILDING bl&5ii P-imr-1214 he's PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) Z Furnace _ [E/G/LPG] Bathroom Sink(s) Z- Heat Pump _ [E/G/LPG] Bath Tub(s) 2 o Ductless H.P. k - [E/G/LPG] Shower(s) ($3` Spot Vent Fan Water Heater(s) 1 [E/G/LPG] Propane Tank Clothes Washer(s) I [E/G/LPG] Gas Outlet(s) Kitchen Sink(s) 1 Heat Stove [E/G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) Dryer Vent i 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. rgnatur of Xp-plicant Date X 2;lam 12��,a�id 5 wn /Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O� O Permit Tech (OTC permit only) 1',T1a:>1'/WWW.CO.I'lcSOn.Wa.Lls/cctn11?iunity dev/ -Lev�3i0E�� '7 e c� r c ock j ' I r PLANNING PLANNING: - ALL SETBACKS ARE MEASURED qq' - FROM THE FURTHEST PROJECTION OF ICH BUILDING � � G i_ RECEIVED MAY 13 2019 t 615 W. Alder Street i ED APPROVED MASON COUNTY DCD PLANNING l« SITE PLAN REQUIRED TO BE ON SITE CHAMES-S"JEOT TO.-APPROVAL. 8 7L d sea � Q va yr ear s-s w• v-i• ra yr ,b yr r+ sao .o ease ev wt eao to � m'en mime V L �✓�t on m 4 KITCHEN BEDROOM Y 4 °y uro5nro DION� A MASTER y00�O 'l ka�C I 3roki.ro 0 9 I r oo yr � i 1Ye B� Y I R n ra yr x� .§h 4 so�ur< >re ® •` ra mm V zu All � ^ " ° � •� -"'� REVISIONS a LIVING w•sac rae: sn.sc ynm ,s nro'.n»• mtw re Data ar..m e BEDROOM uro•. o.e u.eR a�•s.ex+Rac< E— dm � o rtw+a..e sr�esc.e•ac. z, g quo ae urv�.cow.x wau W 8 D x�o evm GARAGE % d. p a o"oo I Z ea yr ee yr rr ra I A v-r r.• r•a I I Z I I d na Dvlr. JAN 20i8 FLOOR PLAN y' RECEI v`EI D 0 .I'-0' 1550 50.FT. we. S H E E T MAY 1_3 2019 JLN 615 W. Alder Street x'a vwrvoe r c«c exc •..0 urn i e�nn rre.macs•x ac. t�s.0 tw.w Roorw. k-a»dewn.w w•r ecr®m veers a eama vr�eee C cart�Me ra rd ra t rcar.W RJV Nw.urox lAn•Ique eMiet _ _ u�__El— Tu _ 1—L _ _I -1 El 4W V M 1lALete b ILJ'T •e1AM1T1 V 0.-T 1b1Ai10M S PKf/Ip[01t Si. y'6YYG wore sewm•s k 4 p w Slnlw Yy mo i 30o i so M 1NW Q W VBIR R-Y•eLL�itlR HTI2.•IIV ro aTs+s•w•oc. rc•sws.w•oi. D a•as ne }d•P.I.SILL N a'tT43 O fl coe yr�ewv.o wrae e•raw.mR d .w•vos�s e. �,�� 0�-+•ounertvriw�or oR� G +•wmew w.M +•car+en s,re tarn�wr k GRO55ECT ION y.ro• ri qd d— FOUNDATION PLANRECEIVED S H E E T MAY 0 9 W9 TWO ELTON rf6.1RJR°•N'aG. 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T 4`, �'` 42 013 50 04006 � 4Ls17,S*UUi UUL 420130060010 420134200000 3 'lf 2101 N1ONROE ST • 420135007003 317 WH ST ` 42 5 t 420114500200 42013 42 00120 321tivHST � 420134#00210 407 VV H S T • 409 i H ST 420134500220 T 420134260000 �t 13 450 420134500230 '�f 420134500280 4?{113 4?001180 2009 PATTERS ON RD v 402 G ! T 42(33 Js'4w G LV 1 4201345002r 0 420134500240 2006 PATTERS ON RD ��+3�'�T0260 • Bureau of Land Management, Esri Canada RECEIVED MAY 0 9 2019 CITY OF SHELTON 60ft https://gis.co.mason.wa.us/mason/?find=420134500210 1/1