HomeMy WebLinkAboutBLD2019-01440 SFR - BLD Application - 12/19/2019 M O COUNTY COMMUNITY SEItYICES Permit No:k+kU6 _ w
PERMIT ASSISTANCE CENTER:
.BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 DEC 19 2019
Phone� o� )27 ��a onB . 4 Phone
� �� � hEma.f 0J482-5269
BUILDING PERMIT APPLICATION 615 W. Alder Street
s PROPERTY OWNER INFORMATION: CONTRACTOR IN/n►FORMATION:
NAME: nG � MAILING Wn
MAILIN {DDRESS:
CITY: 1 STATE: ZIP: CITY: STATE: Z '
PHONE#�` PHONE LL: o
PHONE#2: L&I EMAIL:L: # #414EXP. / / at
—
EMAIL:
PRIMARY CONTACT:n�� O R ONT TOR❑ OTHER )
NAME L�IAIL 1 e
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION: /
PARCEL NUMBER(12 Digit Number) �--7-�
/a - ZONING - P
LEGAL DESCRIPTION.(/A'llbbrev-ate d) f � /K qm S
SITE ADDRESS U 1 / ° t
p Lei: Gt!R�'uG e
D CTIONS Tf 9 ADDRESS /L Ur
IS THE PROJECT WnWN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chet all that opp7 p):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW Ef ADDITION❑ ALTERATION�� REPS[I OTHER ❑
USE OF STRUCTURE( dace,Garage Commereia/Bldg,Etc)
IS USE: PRIMARY rSEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES raleBldg)d YES(parr(s)of Bldg)❑ NO❑
DESCRIBE WORK & !'t n 'W 5FR'
SQUARE FOOTAGE:(propasetq
1ST FLOOR All lgsq.ft. 2ND FLOOR sq.ft. FLOOR sq.ft BASEMENT sq.ft
DECK s .R COVERED DECK�b`I sq,ft STORAGE sq.ft.fL OTHER d R
GARAGE (7 sq.ft. Attached 5�Detached❑ CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER[(i� / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES[gam NO❑ If yes,attach completed Water Adequacy Form
PERM ETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[Y' EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inacmrate 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 tttis permit and to do the work as proposed.I have
obtained permission ftom all the necessary pelves,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 pemmitlapplication becomes null&void If work or authorized construction is not commenced within t80
days or K 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
4S THE APPLICATION TO BE EXPIRED.(MASON
,la- �hCu�� -' I� It
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Signature of OWNER(Must beswned by the OWNER)
DEPARTMENTAL REVIEW APPROVED D DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PU13LIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: G• ILJL1 d
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL RECEIVED
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us DEC 19 2019
Phone Shelton:(360)427-9670 ext 352• Fax:(360)427-7798
4;0 Phone Belfair.(360)275-4467• Phone Elma:(360)482-5269
615 W. Alder Street
S �G� P,U)MBI ?&?MECHANICAL PERMIT APPLICATION
OWNER INFORMATION:( CONTRACTOR INFORMATION:
NAME: !JL Yl NAME:
MAILIN DDRESS: Q G rG MAIL G ADDRESS: .
CITY:) STATE: ZIP: p9\ CITY: TATE: ZIP:
lst PHONE: PHONE: CE L-
2"PHONE: n i a'k «� EMAIL :
EMAIL: L&I REG EXP._
a
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): e q Zoning:
LEGAL DESCRIPTION(Abbreaiated):
SITE ADDRESS: L 4 VL l CITY:
DIItECTIONS T SAL ADDRESS: or
p� o ftr
TYPE OF JOB: 5�R
NEW V ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of fixtures. Fees Fuel Type:Electric LPG Natural Gas—Ductless—
Toilets _ _ Tyne of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas hikkhaust
u �f' ,I`ve`
Kitchen Sinks I Woo ellet Stove aDishwasher ( Kitc Hood
Hose bibs Dryer Vent
OtherJT• $10 K 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 permittapplication 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 PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
Xvu
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED D,AT/E DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 1 13
PLANNING DEPARTMENT
FUZE MARSHAL
Rev:1/27/2016 JBN
9-
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MAS N COUNTY- Date Received
COMMUNITY SERVICES DEPARTMENT RECEIVED
BUILDING-PLANNING-FIRE MARSHAL
Mason County Bldg.8,675 W.Alder St DEC 9 2019
Shelton,WA 98584 www.camason.wa us 360 427-9670 ext 352
JqR61q-01+46
5 W. Alder Strec:i
BUILDING",
Pro ert Owner's Authorization Letter
I (we):
(Print Property Owners N e/Firm/Organization)
Hereby Authorize:
(Applicant-Name of Person to Sign Permit)
Representative of:
(Applicant Company Name/Organ&ation)
To apply for, sign, and pick-up building permits for the following proposed work:
/L;� 4 ZU E
(Brief Description of Work to be Done)
Job Location: 4Zo E-
?( 't l tt (Property Site Ad4lreps)
/ Z Z Z. 0 -
SZ boOg
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for sign,
and
up the building permit for the work as indicated above.All work performed must meet all provisions of he pick-
Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
/ate/�Gi 9
(Prop dw Signature) (Date)
Rev.03./1"016 jlbn
I
PLANNING RECEIVED
I DEC 19 2019
Ms: I
— — 5.56DACK ,ap,,� 1' 15 Alder Street
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FROF05ED
50'a' RESIDENCE
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$ x i = 00
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5'5ETBACK- — — — — — — N N I N G: L1Jcg� W
0
94'�= S�6�Q SET ACKS ARE MEASURED Q
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R M THE FURTHEST
s, PAOJE TiON OF THE BUILDING
1 SITE PLAN
ISSUE DATE:
SQUARE FOOTAGE OF LOT: 13,939+/- REvsroNs
PARCEL#1222 052 0009 MASON COUNTY
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o
HEAT SOURCE: FORCED AIR/HEAT PUMP 0
MASON COUNTY ENERGY CREDITS
MAIN FLOOR AREA: 2,779 SQ.FT. '� 0
EFFICIENT BUILDING ENVELOPE: 1a-.5 CREDITS No. DATE DEscfllaTaN
COVERED PATIO AREA: 369 SQ.FT. AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: 2a-.5 CREDITS
HIGH EFFICIENCY HVAC EQUIPMENT: 3b-1.0 CREDITS
GARAGE AREA: 1,039 SQ.FT.✓ EFFICIENT WATER HEATING: 5c-ELECTRIC HEAT PUMP WATER WITH MIN
y EF OF 2.0-1.5 CREDITS
INSULATION ("R'VALUE):
"-f NEW EXTERIOR WALLS ABOVE GRADE: R-21
- «..,,�,,,,,, FLOOR @ CRAWL SPACE R-38
A40 .m CEILING SPACE R-49 or R-38 ADV DRAMA BY:SARAH MOORE
~� DESIGNED BY.TAMMIE ZECH
s GLAZING-(VERTICAL/OVERHEAD) U-.28/.50 SHEET INDEX SCALE:VARIES
0 SITE PLAN AND INFORMATION
DATE PRINTED
NOTE: CAULK AROUND ALL DOORS AND WINDOWS, CAULK AROUND ALL 1 EXTERIOR ELEVATIONS CLIENT No
2 VICINITY MAP EXTERIOR WALL PLATES.jA pPROVED 2 FLOOR PLAN SHEET TITLE
SCALE.i"=800'-0" �(M CWNTY DGD prL,q,NNING 4 EXTERIOR OEILE ELEVATIONS PLAN AND DETAILS
• �Id 20l -d�+-�'-�� =II'E PLAk REOUIRED TO BE ON Srm 5 CROSSCUT
SITE PLAN AND
GHA GES SUBJET TO APPROVAL 6 ROOF PLAN VICINITY MAP
L�,uL� w + COVER
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206-0- RECEIVED �— z
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— — 5•ft-TMCR D 19 2019
615 Alder Street
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Rl - ISSUEUATE.
SQUARE FOOTAGE OF LOT: 13,939+/- RMONS
x 0
PARCEL MASON COUNTY
p - o
HEAT SOURCE: FORCED AIR/HEAT PUMP
MASON COUNTY ENERGY CREDITS
MAIN FLOOR AREA: 2,779 SQ.FT.
R EFFICIENT BUILDING ENVELOPE: I-.5 CREDITS N0. DATE DESCRIPTION
COVERED PATIO AREA: 369 SQ.FT.i/ AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: 2a-.5 CREDITS
HIGH EFFICIENCY HVAC EQUIPMENT: 3b- 1.0 CREDITS
GARAGE AREA: 1,039 SQ.FT.✓ EFFICIENT WATER HEATING: 5c-ELECTRIC HEAT PUMP WATER WITH MIN
EF OF 2.0-1.5 CREDITS
INSULATION ("R'VALUE):
NEW EXTERIOR WALLS ABOVE GRADE: R-21
FLOOR @ CRAWL SPACE R-38
__ CEILING SPACE R-49 or R-38 ADV DRAM BYSSWMOORE
Ec _�., DESIGNED BY:TAMMIE ZECH
GLAZING-(VERTICAL/OVERHEAD) U-.28/.50 SHEET INDEX scALE:VARIES
0 SITE PLAN AND INFORMATION DATE PRINTED
NOTE: CAULK AROUND ALL DOORS AND WINDOWS. CAULK AROUND ALL 1 EXTERIOR ELEVATIONS CUENT NO.
2 VICINITY MAP EXTERIOR WALL PLATES. 2 FLOOR PLAN SNEETTITLE
SCALE:1"=800'-0"
3 FOUNDATION PLAN AND DETAILS
�I �1 261� -4 I". (, IO 4 EXTERIOR ELEVATIONS SITE PLAN AND
1(�1 1"C 5 CROSSCUT
C62,,q / „ 6 ROOF PLAN VICINITY MAP
nOv4-h 60.1-1 ��`'`'ler COVER
• nc�.- ram. PAGE