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HomeMy WebLinkAboutBLD2022-01216 SFR - BLD Application - 9/15/2022 MASON COUNTY COMMUNITY SERVICES Permit No L. "Q 102 1 PERMIT ASSISTANCE CENTER: � ' •BUILDING.PLANNING-PUBLIC HEALTH•FIRE MARSHAL I�' '' 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Far:(360)427-7798 Phone (_` ' LULL Belfair.(360)275-0467•Phone Elms:(360)482-5269 BUILDING PERMIT APPLICATIOP! PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: L®ING NAME M---il-6I)rn-sr! Co �-t tN NAME: Covn1 14e,• .e.5. LL MAILING ADDRESS: 44 1 3 A 0 MAILING ADDRESS:Z•0 2,S ]I S S .'ra CITY:A IL4 r id;ov STATE: ZIP:J9,<1] CITY: _r%C..M,, STA_TE:__W,q ZIP98 yys PHONE#1: - S S'_'PHONE:LA y PHONE#2: S'7 S EMAIL- in o� o VN I Ko,,e s_ C owl EMAIL: L&I REG# (•O VAI 14 L 4 4Q bEXP.J( [_�J_/_23 PRIMARY CONTACT- OWNER® CONTRACTOR❑ OTHER❑ NAME £ tJen6C CA-rt e EMAIL mCO` —!%5 t eJoud• Cow. MAILING ADDRESS '1413 1 I..OTL A.i 16 CITY OI�v%-.-R STATE td4 ZIP Q$SlX PHONE C A(P0) A�7,9 — a SSA CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) I a. S a 8 3 fl o a ZONING IZ — LEGAL DESCRIPTION(Abbreviated) A 1t!�, . L.o� 4 �.'3 (et�lc 3 0.3 IRE DISTRICT S SITE ADDRESS 2.'1 I E. (.Il.1tl°J1fyS l k S I.. CITY DIRECTIONS TO SITE ADDRESS an h•!,Kw� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES11 NO 0 SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc..) Jr..,c.Ci IS USE: PRIMARY 11 SEASONAL❑ NUMBER OF BEDROOMS_._ NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)® YES(Part[sj ofBldg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE:(proposed) I ST FLOOR I .& 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft DECK sq.ft COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE OR)J�pq.ft. Attached IR 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 0 NO❑ Ifyes,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 pernitlapplicetion 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 APPLICATI OF VIOZAMPOF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X _ � / I � l 'Signature of OVtNER(Must be sia ed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT -J rL PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:C;2419a?Dav2- PERMIT ASSISTANCE CENTER: •BUILDING *PLANNING •FIRE MARSHAL RECEIVED W 615 W. Alder St-Shelton, WA 98584 vvww.co.mason.wa.us wSdD 15 2022 Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269, , A r.., Y �,, + 1:. , . ...__. ...,,.w PLUMBING & MECHANICAL PERMIT APPLICATMj I L®I G OWNER INFORMATION: I CONTRACTOR INFORMATION: NAME: r y e �:S e ed-{� NAME: COVAI �� L L C MAILING ADDRESS: 4 &0--% 50 MAILING ADDRESS: a o 3 CITY: O[ti w7 d•fl STATE: I.)4, ZIP: c'8 5,1a CITY:-rh C e,ram+A STATE: W g. ZIP:9 8 y y 1st PHONE: ( 3(,o) 02 8 - o SSS PHONEka53)(cR 3•VWY(oCELL: 2nd PHONE: C 3t0) 5-S(o - _�"378 EMAIL : i h o (u) Coy Co,+n EMAIL: m c o}r K _s8 Q CIO(-4 - Co wl L&I REG#Co v io-1 14 1. g4 q(J 0 EXP. /L•� / -3 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): ( a a Q ' SO - g 3 6 0 a Zoning: LEGAL DESCRIPTION(Abbreviated): 141) n Lo4 a- 3 SITE ADDRESS: a_-7 1 E . (J" I w -�'A h $l . CITY: 6 (N ✓l DIRECTIONS TO SITE ADDRESS: , � Loe 14 Dr �o>r4� r�:s�►r�v l Z � 1J R �. TYPE OF JOB: NEW®ADD=AL=REPAI OTHER=USE OF BUILDING {`C S•d�LG LOCATION OF FIXTURES/UNITS JNITS—1 sT FLOOR 2ND FLOOR=BASEMENT=GARAGED OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric@!fflLPGONatural GasODuctless0 Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace t Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater { Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood 1 Hose bibs Dryer Vent 1 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 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 PEJWIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE HE A . x q _ - ate Signature of OwnerV Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J Iz PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 )BN f I e)L-o 0 ( a-1 (Q Mason County WA GIS Mason County Homepage 1— 15 13 �� •� r Q 050840 SEP ' Z Z1 12220SO84005 5 W. Alder S reet 18181 ESTATE 122205083 005 1 050 006 241 E WHEELWRIGHT ST k c cc V;W 0auu 4 22205085000 251 E WHEELWRIGHTS 2 5083004 - r -- 05052004 122200-960010 122205083002 261 E WHEELWRIGHT ST 12220%0 84001 �� 18158 E-S T+TE ROUTE 3 A 5 /5 J. fn4e rv%.c. 12220508 01 12220508200 V) 30 e�xw�t•-t-f' C Vp }� Fp WG2TT S4.) ti 1 40014 ~y 18121 E STATE/1I 18101.E STATE ROU TE 3 • 60ft - 12 220 43 0011 0 0 https://gis.masoncountywa.gov/mason/?_g1=1*2c9nww*_ga*MTg3MDEONjUlNS4xNjYyMjMxNDcz*_ga_81PlQX4XM5*MTY2MzIwMDMOOS4xMS4xLiE2NjMyMDAzNTAuMC4wLiA. 9/14/22, 5:23 PM Page 1 of 1 Lio 91D aR_ 0� 3ti LQ RECEIVE SEP 1 LEGAL DESCRIPTION BASIS OF BEARINGS ryN••• Jp (PER EASEMENT DOCUMENIT RECORDED UNDER AFN BETWEEN THE THE FOUND SOUTHWEST AND THE SOUTHEAST 6�V W. 'C f # e��� C7. V. 1916145.RECORDS OF MASON COUNTY,WA) CORNERS OF LOT 1,BLOCK 84,OF RECORD OF SURVEY RECORDED UNDER AFN:1889542,IN VOLUME 33,PAGE 00, LOTS 1,2,AND 3,BLOCK 63.PLATS OF THE TOWN OF ALLYN. RECORDS OF MASON COUNTY,WASHINGTON,AUDITOR. ACCORDING TO THE RECORDED PLAT IN VOLUME 1 OF PLATS,PAGE 17.RECORDS OF MASON COUNTY, WASHINGTON.TOGETHER WITH A PORTION OF THE VACATED EAST ONE-HALF OF THE ALLEY IN SAID BLOCK ADJOINING SAID LOTS ON THE WEST;ALSO TOGETHER WITH THAT PORTION OF VACATED FAWCETT STREET IN SAID PLAT WHICH ATTACHED HERETO BY OPERATION OF LAW INAO 65, UPON ITS VACATION.WHICH WAS RECORDED UNDER AUDITOR'S FILE NO.546376;AND ALSO TOGETHER WITH THAT PORTION OF THE VACATED WEST 30 FEET OF SULLIVAN STREET IN SAID PLAT WHICH ATTACHED THERETO BY OPERATION OF LAW UPON ITS VACATION, WHICH WAS RECORDED UNDER AUDITORS FILE NO.2MM; SURVEYOR'S NOTES PROPERTY CORNERS AND ALL LINE STAKES SHOWN WERE THE ONLY POINTS SET DURING THIS SURVEY.EXCEPT AS SHOWN,ALL PROPERTY LINES WERE NOT CHECKED FOR ENCROACHMETS. NO TITLE REPORT WAS FURNISHED TO THE SURVEYOR.THERE MAY SEC TOLD LS 2B737'0.4'E., /,FOUND REBAR AND CAP / NO OTHER DOCUMENTS OF RECORD THAT W AFFECT THIS 7 / PARCEL. FOUND REBAR AND CAP FOUND REBAR AND CAP THIS MAP IS NOT INTENDED TO SHOW ALL MATTERS RELATED TO 0,13'S.OF CALCULATED / •JOHNSW LS 24008'0.1'E.. (/ •SAUER LS 37558'OWN.OF THE PROPERTY INCLUDING.ENCROACHMENT LIMITED TO EASEMENTS. POSITION / \� VACATED ALLEY / /CALCULATED POSITION ��� S POSITIOAZ ON N CALCULATED RESTRICTIONS AND ENCROACHMENTS. POSITION ENCROACHMENTS(FENCES,VEGETATION,IMPROVEMENTS, FOUND REBAR AND CAP DRIVEWAYS.ETC.)MAY.AT TIMES,ESTABLISH LINES OF 'BECHTOLD LS 28137'o.0$N., ! S>Q. FOUND REBAR AND CAP OWNERSHIP.PROPERTY OWNER SHOULD SEEK LEGAL ADVICE IN M t JOHNSON LS 24808'0.1'E., THESE CASES. / / L0T2 POSITION LOT F/ LOTS fy.r9 16q�, $ 02'N.OF CALWIATEO J/�\ ( (TAX NO.122206083W2i POSITION SURVEY PERFORMED WITH A3•TOTAL STATION RELA RELATIVE f� RECEIVER USING FIELD TRAVERSE,ONSS BASED RELATES STATIC § ANDIOR REAL TIME KINEMATIC SURVEY METHODS.SURVEY MEETS ! ,�/ --- - `-\ 8i OR EXCEEDS ACCU �RACY REQUIREMENTS CONTAINED IN WAC ,,�•;�7 4 332.130.OY0. / R' QJJ']- ! LOT 2 -- O e (TAX NO.1272060830M) $ ALL MONUMENTS SHOWN WERE LOCATED DURING THE COURSE OF THIS SURVEY UNLESS OTHERWISE NOTED. THIS SURVEY WAS PERFORMED IN MAY AND DUNE OF 2022 AND IS t LOT 1 FOUND REBAR AND CAP INDICATIVE OF CONDITIONS EXISTING AT THAT TIME. 3, OF CALCUL T D POSITION E. �. LOT 1 / OF CALCULATED POSITK3N\ / / y $ FOUND REBARRAND CAP 1, 2p (TAX NO.122206083W7) 011 'BECHTOLD LS 28737'(MELD) —_. 130.W' ti REFERENCE SURVEYS: 6p10� �k / 5 ( �,� $g (VACATED FAWCET.STREET) QPLAT OF THE TOWN OF ALLYN RECORDED IN VOLUME 1,PAGE 17, GRAVEL DRIVE R RECORDS OF MASON COUNTY,WA.AUDITOR. R RECORD OF SURVEY RECORDED UNDER AFN:1889542 IN VOLUME 33.PAGE 11,RECORDS OF MASON COUNTY,WA AUDITOR. (CLEARED AREA W) SITE ADDRESS NO SITE ADDRESS §Q GRAPHIC SCALE LEGEND j b 0 at b ® FOUND'KEGEL 5/8'REBAR WITH CAP,LS.14D1 9e &CAP STAMPED e O F.Rm WLSON WSET SW EST3WND ENGINEERING LS 2012317T' YM•/OM AFN AUDITORS FEE NUMBER k d AUDITOR'S CERTIFICATE SURVEYOR'S CERTIFICATE pAUL RECORD OF SURVEY FILED FOR RECORD THIS_DAY OF 20— THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME s`v�oT yvy L11�1� �/V a st S o u n d E D PREPARED FOR AT M IN BOOK OF SURVEYS,AT OR UNDER MY DIRECTION IN CONFORMANCE WITH THE 0A. 2 /'► I SAACS O N PAGE AT THE REQUEST OF WESTSOUND REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE Engineering, I n C 8019 SHADY BROOK W.SE ENGINEERING,INC. REQUEST OF ED ISAACSON IN FEBRUARY,2022. TUMWATER,WA.985801 DATE: SCALE: DRAWN: RECORDING NO, �myyy°�4-' 217 S.W.Wilkins Drive Port Orchard,Wa•-98366 8'29-2022 1•'40 JW BAL LAN 0 Phone(360)876-3770 Fax(360)876-0439 Jw BY BY JAMES PAUL .. . 6/29/2022 E-mail:wse@wsengineering,com http://1Yww.wsengineering.com INDEX DEPUTY COUNTY AUDITOR SW 114,AND SE 1/4,SEC.20.T 22,R 1,W.M.