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Home My WebLink AboutBLD2018-00745 SFR - BLD Application - 7/12/2018 MASON COUNTY COMMUNI TY SERVI CES Permit No: c �S PERMIT ASSISTANCE CENTER: Lbu,Lo,IVG LP "lA � eoT J 1:D I N G 1Wldetreet Shelton RECEIVED Phone Shelton: 360 427-9670 ext.352•Fax: 360 427-7798 Phone Be,fair.(360)275-4467• Phone Elma:(360)482-5269 J U L 12 2018 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: g�� MAILING ADDRESS: "ILING ADDRESS:Z i CITY:51� STATE: _ZIP: ' ' _ CITY:'jW\kt7yi STATE:WA ZIP: PHONE 41:_ PHONE: CELL: . PHONE 42: EMAIL :1( W v b W— it t ,dot �.t c Vv4 EMAIL: YY'O L&I REG# EXP. / / PRIMARY CONTACT: OWNER IV CONTRACTOR❑ OTHER❑ NAME t11,C4 fros EMAIL : .l(�r& MAI LI NGADDRESS cCT rl CITY c STATE P PHONE CELL _ Z PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) otc-) 1%- I D-Qt oo w ZONING LEGAL DESCRIPTION(Abbreviated) L.0+ 14-Vw i PTA l 0; 140 MEFIRE DISTRIICT SITE ADDRESS 1 l-I CITY_S Vv,i` DIRECTIONS TO SITE ADDRESS ' t r 3 Q ', IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YE59 NO ❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM U TYPE OF WORK: NEW 9 ADDITION❑ ALTERA-TIiON ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) )—i 1C`' V-It`,i&-- IS USE: PRIMARY� SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS I HEATED STRUCTURE? YES(Whole Bldg)t YES(Part[s]q/'Bldg) ❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE: (propose+existing) t 1ST FLOOR_8 4 5_sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. 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: t(I It *4 COPIES OF THE FLOOR PLAN REQUIRED* e� MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTICAr SEWER❑ / NEW}4 EXISTING ❑ PLUMBING IN STRUCTURE? YES-1� NO ❑ If yes, attach completed Water Adequacy Form J PERIMETERNOUNDATION DRAINS PROPOSED? YES'K NO❑ EXI STI NG M Fr. EXISTING BEDROOMS PROPOSED BEDROOMS In 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. MASON COUNTY COMM UN I TY SERVICES Permit No: PERMIT ASSISTANCE CENTER: BUILDING LPLANNING LTIRE MARSHAL 615 W. AI It www.co.m v 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: —J-ZZke_t-u 1 L C);I I i A-f-n S NAME: !S C MAILING ADDRESS: `l(�� ,�,� (�rr,1'11��1cx {k(1 MAILING ADDRESS: CITY: STATE: lC4 ZIP:!][" , CITY: S ATE: x ZIP. 1st PHONE: 2 1(07L PHONE: CELL:' F _ 2°d PHONE: EMAIL 1n11)Y nP— p p el __wl t�f�1CV� EMAIL: Yl l,c;r tip�u� (p� q �i I,Cp YYl L&I REG# EXP. PARCEL INFORMATION: �� PARCEL NUMBER(12 Digit Number): D C IS-I - G1 00% Zoning: LEGAL DESCRIPTION(Abbreviated): L o S SITE ADDRESS: —7 15 � YYl CITY: DIRECTIONS TO SITE ADDRESS:'1 a; 1 r C TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING�Qg�derl+Ce.r LOCATION OF FIXTURES/UNITS—1ssT FLOOR_ 2NDFLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric:!L_LPG Natural Gas Ductless Toilets i Type of Unit No. of Units Fees Bathroom Sink � Furnace Bath Tubs Heat Pump Showers �_ Spot Vent Fan Water Heater Propane Tank Clothes Washer Ga Outlets Kitchen Sinks _( ood as/Pellet Stove Dishwasher 4E7 Kitchen Exhaust Hood Hose bibs Dryer Vent Otherh.�� _ Solar Panels ft YA, Other"44 f 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 WILLJWALIDATE THE APPLICATION. X ignature of Owner Date DEPARTMENTAL REVIEW APPROVED D T DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN 1A RECEIVED JUL 12 2018 II - 615 W. Aider Street IOU 3i0' 3 f o a3`I.91' 3-2 s 1 22 . loo 10310.E i , Y. T i ;•(\ i' iSjJ \ j i r 1 300 ob 1 1 r 100, s — 1 r is�iY� i Iod \ EY,\5N rwj Exlshrw��litrkInA c 3 Set �c •`� i- �Y t V•2 L � i 1