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HomeMy WebLinkAboutBLD2018-00395 SFR - BLD Application - 4/23/2018 MASON COUNTY COMMUNITY SERVICES 6)32cA--063q5PERMIT ASSISTANCE CENTER: Permit No: •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 ECEI 1 Belfalr.(360)275-4467•Phone Elma:(360)482-5269 V CD 5 BUILDING PERMIT APPLICATION APR ?3 2018 PROPERTY OWNER INFORMATION: CONTRACTOR INFO er Sjr NAME: NAME: eet MAIL A .DRESS: MAILING ADDRESS: CITY: STATE: ZIP: CITY:�`�( �(,� STATE: ZIP: PHONE#I: PHONE: f­7y b 0 — UPA-QX CELL: Z 53-' 533-zy8} PHONE#2: 1 EMAIL : EMAIL: L&I REG# CO V A L B L S g y Q p EXP. it H / t q PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME ain CY FIR EMAIL MAILING DDRESS CITY STATE ZIP PHONE 15u n YW A13&3 CELL ` PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)110r - 23^ t)D ZQ ZONING 2 U LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT ( �.Q SITE ADDRESS CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 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 ADDITION❑ ALTERATIOON E] REPAIR❑ OTHER ❑ USE OF STRUCTURE( stdence,Garage,Commercial Bldg,Etc,f-i'"��I L/�G I 1 C� IS USE: PRIMARY v7 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)W YES(Pa4sI of Bldg) ❑ NO ❑ DESCRIBE WORK kl' SQUARE FOOTAGE: (propose+existing) I ST FLOOR ZZ 88 sq.ft. 2ND FLOOR •0'- ©sq.ft. 3RD FLOOR - ' sq.ft. BASEMENT -e—'_ (1. 11. DECK -A" sq.ft. COVERED DECK-&+4 sq ft. STORAGE sq.ft. OTHER -8" sq. ft. GARAGE S 76 sq.ft. Attached ta 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 L�' EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ If yes, attach completed Water Adequacy Form PERIMETERMOUNDATION DRAINS PROPOSED? YES W NO❑ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS .3 TOTAL BEDROOMS Z 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 1£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) Signature of OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENTly- PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY ,. R COMMUNITY SERVICES" ' EC��V Ep Building,Planning,Environmental Health,Community Health APR 23 2018 Physical and Mailing Address: 615 W Alder St., Bldg 8, Shelton, WA 98584 VV Shelton Phone: (360)427-9670 ext 352 •:• Fax (360)427-7798 Aker PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: I d2ol -0539S OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: NAME: ova ryu- MAILIN RES : 2 MAILING ADDRESS:U12,S03 CITY: S TE:A�ZIP: CITY: _STATE: ZIP: S 15i PHONE: - - 3 PHONE: CELL: Z53~!,3b- Z1A4 4- 2nd PH - EMAIL: EMAIL:ONE: L&I REG# bo S I Ny Z Z EXP. I I / o4 / I q PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): 91019 i, )_ DDO 2_0 Zoning: _P_L)1'A_� LEGAL DESCRIPTION (Abbreviated: SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW AD ALT REPAIR OTHER USE OF BUILDING PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(notee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) .3 Furnace I G/LPG] Bathroom Sink(s) S Heat Pump 1 8G/LPG] Bath Tub(s) 'L o Ductless H.P. [E/G/LPG] Shower(s) 2 Spot Vent Fan Water Heater(s) E /LPG] Propane Tank L_gal.] Clothes Washer(s) G/LPG] Gas Outlet(s) Kitchen Sink(s) 1 Heat Stove [E/G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood 1 Hose bib(s) Dryer Vent 1 Other I 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 ��- `� LI/20118 Signature of Applicant ynawners x �yro� or'-, e Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) '`•'ISii u.> olz-i:i. i?t,r:.,`/www.co.mason.wa.uS/Community dev/ Rev:3/08/20!.7 Permit number BLD Mechanical Permit Checklist • Name of owner: Name of Installer: C o J A L li o M r-- S • Fuel Type? LPG Nat Gas Electric Other • If propane, what is the proposed size of tank(s)? • Whams of mechanical uniwill be installed?(i.e�eestanding stove,forced air furnace, etc.) rr-e , r J r me eat- PU • If the unit is a wood stove,provide: Make Model Year Label Number • What is the use of the structure? (Circle one) (],E�SidentialL Commercial (A permit application for a commercial mechanical permit won satisfactory review by staff. Include a floor plan showing the location of units)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? Gat ra 9 c • 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,etc.) • What year was the structure constructed? o g Was this structure art of a PUD upgrade? Y P P� • What type of controls will be installed? (i.e. thermostat, etc.) Tk e r v610S*a • Will the proposed mechanical unit be a heat source?(circle one) es No • Additional information: Signature of Applicant 1 Date Z O I Typical mechanical fees: Forced air furnace $ 18.30 Heat pump 18.20 Propane tank 73..00 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 Shelton-Matlock Rd 223' North — H +z Scaler 1" = 60' Orme, Byron Parcel # 420182300020 Proposed o OwElL 1 Garage o I dZv1� -00 3R5 i 20 30'x 36' " ate, 1 , 1 A% I Pr sed Hous 60 x 68 40 hI� • '.;, ' ,;.::K Septic 60' 525' •Drain Field 1 1 o I I I 1 � I 1 1 I I 1 1 I 1 I I I I I I i I __ ____J 245'