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Home My WebLink AboutBLD2024-00456 ATF Remodel - BLD Application - 4/8/2024 i I Permit No: v46. � MASON COUNTY. RECE VED' COMMUNITY DEVELOPMENT PermitAssistance Center,Building,Planning APR D 2024 1 BUILDING PERMIT APPLICATION eet PROPERTY OWNE��RJJIIVFOR.... ION: CONTRACTOR I]YFORIVIATION: NAME: ti c c1G t� tt i5z4� NAME: , ` MAILING ADDRESS: Lie- a-t C pi.,,L MAIL IIVO ADDRESS: ZIP: CITY: 6LVnjj g4 STATEw�_ZIP; V,qr3. CITY; SCEL TATE PHONEtl10-GB�g'�34 PHONE: L' - '. • ., PHONE#2: u o E1v1AII. EMAIL:i<KL srz rt-tvE ►+nc*tTS eF.WVVc Ldtl —OFF--�' PRIMARY CONTACT: O)VNER` CONTRACTOR tl OTHER❑ NAME r=tuQ< . ( t-�(c EMAILI�NIrcSTc^�T[�"•",Tr,.Fr.tT PEA <<.L(' � MAILINGADDRESS CC 'S- Me SM. CLAfr+.'wk CITY «t�tr4s+iA —STATEti"eA- ZlP --r PHONE CELL PARCEL INFORMATION: PARCEL"IBER(12DigitNumber) q'LO('L -'SZ ,f9my,4. _. ZONING LEGALDESCRIPTION(Abbreviated) Pl ks 49c> CiSs r t4 FIRE DISTRICT SITEADDRESS '1�! C Mal< .R-D _CITY 1 (4C-L rah! DIRECTIONS TO SITE ADDRESS "3irr.►at T Q b to G ltLj4t+-O L4at<E ft E� 7 L dlY c PRN4 a-b � uou� oIv fLI'aHT — IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER TITAN 14e/: YESQ NO J1 SNOW LOAD:-:-psf IS PROPERTYWICIUN200FTOFTIIETOLLOWI7VG: (C/ec#otlAwrgrli9: SALTWATER❑ LAKE I] RIVER/CREEK❑ .POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION.❑ .REPAIRJ] OTHER Q USE OF STRUCTURE(Raldcror Gamye CoeuncrclalDldF 6rcJ ^t 4� Lc IS USE PRBwWLY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS ,-- ` HEATED STRUCTURE? YES(Invite 1041� YES(rorrfjl e/eh4J❑ NCI[] DESCRIBE WORK RM -j2J- A"04 1 SQUARE OR FOOTAGE:fpmp— ISTFI O tCt32 sq.R 2ND FLOOR scj:11L. 3RD FLOOR iq:ft NT. BASEME ' sq.fL d'- DECK sq.R COVERED DECK .aq,ft. STORAGE sq.R OTHER sq.R GARAGE sq.R Arrached❑ Detached❑ CARPORT . sq.fL Ai(adied❑ De(ichede MANUFACTURED HOME INFORMATION: *4 COPIES OF TI&FLOOR PLAN RRQUE1 D* MAKE MODEL LENGTH WIDTH B)DROOMS -- BATHS , SERIALNUNIBER. . ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE:. SEPTIC SEWER❑ f. NEW❑' EXISTING PLUNIDING IN STRUCTURE? YES❑ NO❑ ' �/yat,mtacli completed6'a(crAdegnnry Fornr ERIMEIERIFOUNDATIONDRAINS PROPOSED? YES❑ NO❑ EXISTING SQ,FT: EXISTING.BIDIt00Ms �i" 3 PROPOSED BEDROOMS t] TOTAL BEDROOMS OWNER adowMedgas gal submis$Ion of inaccurale Information may result In a slop vxork order or permit ravocatlon.Arknowladoam*at of such is by �Qnati re below.i dedare Mal I am the owar and I furtherdedaie that IBM enWled to racenre this parmll and to do the vwrk as proposed.I have obtained pemisslon from al the necessary parties,Including any easement hoiden or paNes of inlerasl regarzfing Ihls project.The owner or legal i representative,represents that the Information Provided fs accurate and grants employees of Mason County access to the above described property and structure(s)for review and Inspection.This permlVappocailon Becomes null&void Ir+wk or authorized cons"ction is not carvnenced Wititi 180 days or d eonstrudlon vvofk Is suspended faro period oI 180 days. INUATI N OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PROOF OF0ONTPERM PPLI OF 180 DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON COUNTY CODE 14.OW) signalu of OWNER(Must bar alpnetl bV the OWNER) la DEPARTMENTAL REVIEW, APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT TIRE MARSHAL PUBLICHEALTH '"� Permit No:� O ! MASON COUNTY RE C C 1'.'rE a 00 COMMUNITY DEVELOPMENT On Permit Assistance Center,Building,Planning APR 0 3 202w BUILDING PERMIT APPLICATION 61.5 eet 1 PR ON:PROPERTY OWNER INFORMATI CONTRACTOR INFORMATION: NAME: C-2+C(L K,t tLirSzt�n r' NAME". MAILING ADDRESS:G(35 ij< 5z Ct_(�rS MAILINGADDRESS: CITY: Opt VK +Cl STATEw_ ZIP [.3 ATE: ZII': PRONE It �I -G�t�- ?�S PHONE:—CELL:_-__--- PFIONE t12: EMAIL: EXP. EMAIL: (<t.1tr;s2EtJT fbAViT3TWt&LT5 e6,00c L&I REG It c PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ ti� Pb�? c,k� NAME t--u4l, L title ST�`YT EMAILiCNLCS'cctt fI` MAILINGADDRESS C GS S iAkr Si. GLAIX Qt3- _CITY Ot-tlTE1 —SI'ATE1lly--__ZIP`�i2�3 _T PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 4 Lo(Z- -Sz - Own=f ZONING LEGAL DESCRIPTION(Abbreviated) M(`%V-ta.CU:> 1e -r U FIRE DISTRICT___-- SITEADDRESS t'0 C- (ARI1, RU CITY -,(4EZ rt>" DIRECTIONS TO SITE ADDRESS '+!r,µ.it M E C �PC� t2-.L`� UD1.cyE ot� RIC��d-r- IS THE PROJECT WIT11IN 300 FT OF SI.OPV4S)GREATER THAN 14%: YES❑ NO I( SNOW I.OAD:__pSI IS PROPERTY WriHIN200FTOFTIIEFOLLOWTNG: (C1-koudwf.yld)): SALTWATER❑ LAKE❑ RIVE-R/CRE•EK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORIC: NEW❑ ADDITION❑ ALTERATION❑ REPAIRP OTHER ❑ USE OF STRUCTURE(Resldaree.Cwe.rgr,Co-erelnf Bldg.Em) U-C �Tw L`c _ IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS � NUMBER OF BATHROOMS Z- HEATED STRUCTURE? YES pt9rufe Rafgi Sf YES(rarr/,/Jnfdg)❑ NO❑ DESCRIBE WORK A P rLn+n�nrL I SQUARE FOOTAGE:(p-m-4 IST FLOOR(Ct32 sq.fL 2ND FI OOR sq.IL 3RD FLOOR sq.R. BASEMENT sq.fL DECK sq.[L COVERED DECK_sq.ft. STORAGE sq.lL OTHER sq.fL GARAGE sq.R Attached❑ Detached❑ CARPORT sq.R.drtuched❑ Detached'o MANUFACTURED HOME INFORMATION: '4 COPIES OF THE FLOOR I'LAN RE,QUIPMD" MAKE MODEL _YEAR LENGTH WIDT14 BEDROOMS BATHS SERIALNUNMER ENVIRONMENTAL HEALTH: SEWAGEISEWERSOURCE: SEPTIC WL SEWER❑ ! NEW❑ EX3S-I NGtL PLUMBING IN STRUCTURE? YES❑ NO❑ ff s,attach completed Wafer Adequacl,Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ,FT, EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS — OWNER acknowledges lust submission of nacCufate Information may result In a stop work order or pernit revocel'ion.A:knovrfedgemenl of suul is by signature below.I declare that I am the.owner and I further dedare that 1 am entitled to receive this permit and to do the work as proposed.I have obtained pormission from na the neresay Parties.tnGur ing any easement holder or parties of inlefeti regarding this proiect.The owner or legal representative,represents the the Infamahon provided Is accurata and grants employees or Mason County access to the above described property and sWdure(s)for review and inspection. This permiyappUcation becomes null 6 void If work or authorized construction is no( m comenced VAthin IBO days or i1 consirudion work is twspended fora period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERM PPLICAP, OF 1811 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON / COUNTY CODE 14.OB.42) r X 5ignatu of OWNF�i(Must be signed by the OWNER) D le DEPAR'rMENTAL REV]EW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT TIRE MARSHAL PUBLIC HEALTH f Permit No:�.)'z ---OD` 6L, MASON COUNTY �. COMMUNITY DEVELOPMENT RECEAPR o aN-Ca Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Mar Sheet NVNER INFORMATION-• CONTRACTOR INFORMATION: NAME, t`cu t-C1%4cif NAME: MAIL tI�IGADDRESS: (rE3; LpK- sT MAILING ADDRESS: CITY: o� t y—'` STATE: w?A ZIP: `i' Sr CITY: STATE: ZIP: is`PIIO V>0 -y4�b- ✓1;3' r PHONE: CELL: 2°'PHONE: -LlGct- a 3 i3 EMAIL: _ EMAIL:� L&I REG# EXP. PARCEL INFORMATION• PARCEL NUMBER(12 Digit Nwnber): ct 7-ot-L- Zoning: LEGAL DESCRIPTION(Abbreviated): Pry e.te Lcic>S7 tv 7 c� SITE ADDRESS: s�T0 t= -pA ru, rLb CITY: e E�"rdK DIRECTIONS TO SITE ADDRESS: - r` Ot-1 C. -J;S LRt-tip LRV E P-C> / ?L o N C. Pr-liMt-< R-0, tAuuSC TYPE OF JOB: NEW[D ADD0 ALT=REPAIR=OTHER=USE OF BUILDING _ LOCATION OF FIXTURES/UMTS-I sr FLOOR=2ND FLOOR=]BASEMENT=GARAGED OTHER PLUMBING FMURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric[7�]I.PC> Natural Gas=Ductless0 Toilets Type ofUnit No.ofUnits Fees Bathroom Sink 2 Furnace Bath Tubs I Heat Pump Showers 1 Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher kitchen Exhaust Hood Hosebibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocabom 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 4 permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of g 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 s if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 18o days.PROOF OF CONTIN ATION OFTJittS-0ERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF I80 DAYS WILL IN EDATE TH PLICATION. }( Gt t t r/2 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIOrNS BUILDING DEPARTMENT - rj PLANNING DEPARTMENT FIRE MARSHAL Rev:l/" 2010 JBN