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
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https://gis.masoncountywa.gov/mason/?_g1=1*2c9nww*_ga*MTg3MDEONjUlNS4xNjYyMjMxNDcz*_ga_81PlQX4XM5*MTY2MzIwMDMOOS4xMS4xLiE2NjMyMDAzNTAuMC4wLiA. 9/14/22, 5:23 PM
Page 1 of 1
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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.