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Home My WebLink AboutCOM2009-00041 Guest Lodge - COM Application - 4/21/2009 Harmony Hill West Cabin MASON COUNTY PERMIT NO. 0� ` . BUILDING PERMIT APPLICATION I/ 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Harmony Hill Retreat Center Company Name T.B.D. Mailing Address 7362 East S.R. 106 Mailing Address City Union State Wa Zip Code 98562 City State Zip Code Phone 360-898-2363 Other Ph. Phone Other Ph. Lien/Title Holder Chuck Hammond Contractor Reg. # Exp. E mail address Eric@HarmonyHili.org E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic_X Existing Septic Connect to Water System X Name of Water System P&ate—Harmony Hill of Union Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No 3223 It Fire District Legal Description West 1/2 of Gov.Lot 1 Sec 33 Township 22 N. 03 W.WillImette Mer. Site Address(Please include street name, street number and city) 7 63jast S.R, Union Directions to site 1/4 mile East of Alderbrook Lodge. Will timber be cut and sold in parcel preparation?Yes U Is property within 200'of Saltwater A Lake R r reek Pond Wetland Seasonal Runoff Strea p or Oluffs > 15% X Is this permit submittal the result of a Stop Work'MCce,correftlAtice or other enforcement action?Yes/No TYPE OF JOB - New X Add Alt Repair_, ther oor""^M\/9cSIDENCE ❑ SEASONAL ❑ Use of Building Guest Lodee Describe Work i No. of Bedrooms 3 No. of Bathrooms 3 Square oo ge- 1 st Floor 825 sf 2nd Floor 480 sf 3rd Floor — Basement — Deck Cdkered Deck 213 sf Other Sq. ft. Garage Attached De he arport Attached Detached MANUFACTURED HOME INFORMATIO - Ma k Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price Replacement Unit? Yes/No Installer Name Certification No. OWNER/BUILDER Acknowledges submission inaccu ' ormation may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am r,owne I representative,or the contractor.I further declare that I am entitled to receive this permit and t4ease as proposed i I declare that I have obtained the permission from all the necessary parties.If permission is required froholder or other pa rest regarding this application or the work proposed in the application,I have obtained permission ffor this it cond a work proposed. The owner or agent on owners behalf,represents that the information provided is aran emploof Co ty a�to the above described property and structure for review and inspection. PROOFOFON OF WOR BY F A PROGRESS INSPECTION. X Date: �` Owner wners Re resentativ /Con for indicate which one FOR OFFICI ND THIS OINT Accepted by: I OL. 1 Date -Q DEPARTMENTA EVIEW APPRftp DENIED NOTES Building Department Planning Department Environmental Health Departmen Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee 13 - —76 Planning Review Fee Mechanical & Base fee S Sal Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee eVIA7 Pre-Paid at Submittal Valuation $ 3 7 TOTAL FEES Harmony Hill West Cabin MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 r Shelton (360)427-9670•Belfair(360) 275-4467• Elma(360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Harmony Hill Retreat Center Company Name I.B.D. Mailing Address7362 Fast S.R. 106 Mailing Address City U ion StaOLa Zip Code98562 City State Zip Code Phone360-898-2363 Other Ph. Phone Other Ph. Lien/Title HoldelChuck Hammond Contractor Reg. # Exp. E mail addressEric@HarmonyHill.org E Mail Address Drivers Lic. # DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No 32233 44 00040 Fire District Legal Description West 1/2 of Gov. Lot 1,Sec 33 Township 22 N. Range 03,W. Willamette Mer. Site Address (Please include street name, street number and city)7362 East S.R. 106,Union Directions to site]/4 mile East ofAlderbrook Lodge. Is property within 200'of Saltwater X Lake River/Creek X Pond Wetland Seasonal Runoff Stream Slopes or Bluffs J 15% X TYPE OF JOB - New X Add Alt Repair Other Use of Building Guest Lodging Location of Fixtures/Units- 1 st Floor--X 2nd Floor X Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric X LPG—Natural Gas Heat Pump_ Toilets 3 Type of Unit No. of Units Fees Bathroom Sink 3 Furnace Bath Tubs = Heatpumps Showers '�� Spot Vent Fan 3 Water Heater — Propane Tank Clothes Washer — Gas Outlets Kithen Sinks 3 Wood/Gas/Pellet Stove Dishwasher — Kitchen Exhaust Hood Hosebibs i Dryer Vent Other Other Base Fee Base 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 the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CO N N OF WORK IS BY MEANS OF A PROGRESS INSPECTION. _ X Date: ` 6 Owner/dwners Representative/ ontractor (indicate which one) �.__ FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date _Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/ Pellet Stove Fee Other Violation Fee TOTAL FEES