The URL can be used to link to this page

Home My WebLink AboutBLD2018-00804 Change Garage to Living - BLD Application - 7/25/2018 �oN Got" MASON COUNTY COMMUNITY SERVICES �� `�la ,0� ., PERMIT ASSISTANCE CENTER: Permit No: t-t .BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED / — Phone Shelton:(360)427-9670 ext 352-Fax:(360)427-7798 Phone 1834 RECEIVED Belfair. (360)275-4467-Phone Elma:(360)482-5269 JUL 2 5 2018 JUL 2 5 2018 BUILDING-BUILDING PERMIT APL9APT 614treet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: G i —f e�� ryJ NAME: MAILING ADDRESS: j ec �(. MAILING ADD CITY: , 1 f-d / STATE: ZIP:y� CITY: ATE: ZIP: PHONE#1: � .$3 ,3 3 �/ /��' PHONE: !7��ECELL: PHONE#2: EMAIL : EMAIL: L&I REG EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 2QZ (-5�] - b L O 5 ZONING 5 LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS '6 1_ �, Qr6h(,tAcL Lcwie CITY Slrt�.l�-uVl, DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑ 6EE -16"Z615, CDL4y 1S PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER LAKE ❑ RIVER/CREEIC❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc) IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS N MBER OF BATI-IROOMS� HEATED STRUCTURE? YES (Whole Bldg) ❑ YES (Part[s]of Bldg ❑ NO DESCRIBE WORK - LW i I(1 SQUARE FOOTAGE: (propose+existing) 5 P 1ST FLOOR sq. ft. 2ND FL00R�-�15 sq. ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq. ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq. ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED H ORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAI MODEL YEAR LENGTH IDTH BEDROOMS BATHS SERIAL ENVIRONMENTAL HEALTH: 7 -Zolg Iq0 up SEWAGE/SEWER SOURCE: SEPTIC I�( SEWER❑ / JW N� EXISTING' PLUMBING IN STRUCTURE? YES ' NO ❑ ,f yes, attach completed Water Adequacy Forin PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOX EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS , TOTAL BEDROOMS V 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 1 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&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) X Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT L'(� PLANNING DEPARTMENT tS FIRE MARSHAL PUBLIC HEALTH MASON COUNTY RECEIVED COMMUNITY SERVICES RECEIVED uil n l�rrentalHealth,Community Health JUL 2 5 2018 JUL 2 5 e018 Physical and Mailing Address: 615 W Alder St.,Bldg 8,Shelton, WA 98584 615 W. Alder Street Shelton Phone: (360)427-9670 ext 352 C• Fax (360)427-7798 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:"�it12-6�6 • 00 2) OWNER INFORM TION: CONTRACTOR I ORMATION: NAME: NAME: MAILING ADDRESS: MAILING ADDRESS: CITY: e-I tc rV STATE:u0?9 .. ZIP:�TS / CITY: E: ZIP: 1st PHONE: ` e? ® PHONE: CE 211d PHONE: EMAIL: EMAIL: �_ T� �i' C a L&I REG# EXP. I l PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): 3202, -5 006 Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER USE OF BUILDING Celtlo Lty t tt PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) �i— Furnace [E/G/LPG] Bathroom Sink(s) SrJ. Heat Pump Lf2G/LPG] 3 Bath Tub(s) o Ductless H.P. �— [E/G/LPG] Shower(s) Spot Vent Far�i.•�ffF�/3[�1�_(AO Gf�^ a„ Z:� 1_74't Water Heater(s) (C- [E/G/LPG] Propane Tank gal.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) Kitchen Sink(s) I 5-a ufi (la's">44K 7,1P7 Heat Stove [E/G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood 1 too cf'^ r-oj 4V4fe ' Hose bib(s) Dryer Vent Other 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/APPICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. r x of Applicaxgginature -Owned owners Representative/Contractor Print Name (�/e one) DEPARTMENTAL REVIEW APPROVED QATE DENIED DATE TAGS/NOTES/CONDITIONS O Building edT 6)k),' C, 4JTC, - O Fire MarshalIr�„�' O Permit Tech (OTC permit only) w C� \-isit us on-hri,,• htrl:://www.co.inason.wa.us,'comniunity_dev/ Rev:3/08/2017 - ....i ,. , • APPROVED 111WASO;N COUNTY CCC PLANNING S1 ! , ! ! t '- � •!.' ' 1 .�. ( !. .:�_ ! _ ,.-..! _�.. j I. ..I f .,� AN REQUIRED TO BE ON SITE ES SU�J I i 'CHANGES ECT TO APPROVAL• Date i �Y I ! r I _ +i- , I , ! 1 ; 1 � I _ ,} I ! i W ! { i ! i ► I ' ro i -� ! I t Ilr I r � I : i 1 , , f J. , A .f �y NiS ov - 3 ' ; 1 i , t , .t i I i I ! ? �b i t i ! i I i t TOPOGRAPHY PROFILE: • Direction: Scale; / D/ Approval: foro(fice use P P R Q V E Building Permit number: / Building: Owner/Applicant: i c� /��h (��t,-, Planning- AUG 16 2018 Date of Parcel Number: 10 L/D � 0 �} D $- I application: Env. Health: ENVIRONMENTAL HEALTI � �'� MASON COUNTY WL.1 i s r�� it 5q5 f i