HomeMy WebLinkAboutBLD2023-00963 - BLD Application - 6/21/2023 ,b _: MASON COUNTY COMMUNITY SERVICES ����0 2 �v�9Jn�
PERMIT ASSISTANCE CENTER: Permit No: _
�� •BUILDING•PLANNING.PUBLIC HEALTH.FIRE MARSHAL
613 0)Alder Street.Shelton.Fax
( 60)42 R E C E I V E D
Phone Shelton-(360)427.9670 ert.352•Fax 1360)427-7798 Phond
904h U LM
Bellair(360)275-4467.Phone Elma (360)482-5269
21
BUILDING PERMIT APPLICATj� 2023
PROPERTY OWNER INFORMATION: i CONTRACT®RAi FQ,MtrlrDj' ee
(�# NAME:gA�nn WAL10 1� NAME:Aff^ 22 0I(A"25, AMID U•kb 6JUItid
J` MAILING ADDRESS: UZ I MAILIG DRESS: f n6k sing V, 1(,):,iT
CITY: STATE: )6,/ ZIP- h_T`T F. STATE:\L�ZIP:GIR1 4
I(Y Q` PHONE#I: PHONE:2n(,,- CELL:
C PHONE#2: 2_N,• M-OZ'3O EMAIL:r Ar Y;j�4 a 2501 LDS•CCM
EMAIL:(k-(&�Aif h AL PS . CCM L&I REG# AeLd?-A 6i:1-t"-A M E..KP.U/-_ /n J
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER'g Pr�GNr?6C"C _
NAME M EMAIL P�t1.�IF_-MtcNFIS�A�C�IIFQDR4I'1C
MAILINGADDRESS / , t�{2� ��Cf c1t.I=_9(-• CITY:�_ /cTCL" STATE\'(,', ZIP ) ) CV"
PHONE W(n - t45 LA.20 T F_xT' In CELL L&4Pc
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Nlunber) ZONING 9 RS
LEGAL DESCRIPTION(Abbreviated) I FIRE DISTRICT
SITE ADDRESS ?)�6G F_ S2 ACZ 12`X•. TY Sex_rh'l�2 j
DI RE•CTIONS TO SITE.ADDRESS j
IS THE PROJECT W"IN 300 FT OF SLOPES)GREATER THAN 14%: YES.& NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: d hawk all dra ulph'I
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION W ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Rm%kacr.Garage.Oawwnial RGtR Fic.)
IS USE. PRIMARY❑ SEASONALF] NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(llhak ftUw❑ YES a'a ip f Nagi El NO
DESCRIBE WORK 1:4S j mMM61a -Co (n (-'n ktP ni_7- 7,16 QAArtti kE -m C-CM NI.IUmep S p&es .
SQUARE FOOTAGE:pa y�xrr'enfrMf()
IS'r ' R sq.A. 2ND FLOOR sq.R. 3RD FLOOR sq,11. BASEMENT sq.It
DECK sq.ft CO CK sq,0 STORAGE sq.IL OTHER sq.ft.
_yXAWXZIEGARAGE sq ft Aaaclred� lachrd CARPORT sq.ft. Attached❑ Detadrkd❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAIN REQUIRED*
MAKE MODEL YEAR LENGTH
W'ID'm BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEW FR SOURCE: SEPTIC❑ SEWER❑ ! NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? -VE&fj— NOIg Ij)Ys.attach completed lEalerAdeguac3•Fonr 110
PERIMETERIFOUNDATION DRAINS PROPOSED' YES❑ NQpg� EXISTING SQ.Fr.
EXISTING BEDROOMS_ PROPOSED BEDROOMS TOTAL BEDROOMS <<^, (X'Alr*ae-
OWNER acknowledges that submission of inaccurate Information may result in a stop work order or permit revocation.Acknowledgenenl 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 peanitlapplication becomes null 8 void 4 work or authorized construction is not commenced whNn 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 j
PERMIT AP LICATIPPN OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X 5-19-23
Signature Ot OWNER(Must be signed by the OWNER I Date
DEPARTPiENTAL REVIEW APPROVED DATE: DENIED DATE TAGS/NOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Isite information land use code information rl stormwater impery pus surface calculat on n applicable codes
owners: david chad quilici Win' rural residential 5 acres(shoreline env romental designation) lot area:10,545 sf 2018 international residential code state environmental policy ad(se pa)
DraceM class: residential (architectural) mason county amendments to the codes
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proiect address: 3760 east sr 302 of area 10,454 sf(.24 acre) main house and overhang: 1325 sf
beHair,wa 98528 garage,guest room&overhang: 1011 sf 2018 intemational building code listed above
building footprint existing house:952 sf sf proposed:no change patios/decks: 629 sf 2018 inter)
parcel number. 1222124 00100 existing guest room:288 sf proposed:no change driveway: 3874 sf 2018 international mechanical code
existing garage:352 sf proposed:527 sf boat ramp: 521 sf 2018 fuel gas code
legal description: TR 10 OF 6.L 2&TAX 1113-B&124-12 total: 7.360 sf 2020 20 uniform plumbing code
national electrical code
hard surface coverage: existing:7,360 sf(70%) 2018 washington state energy code
Win RR5-rural residential,5 acres new and replaced hard surface:1,255 sf percentage of impervious: 7,360 sf/10,545sf=70%impervious surface 2018 international fire code RECEIVED
oroDerty class: single family residence garage building height: existing:12'-5' proposed:14'-0'
max height 35' area of new and replaced hard surface:1,255 sf<2,000 sf
of area: .24 acres J U N 2 1 2023
minimum allowed hont:l0 ft w/admin variance rear.10 ft side:5 ft
setbacks:
existing:two spaces proposed:no charge
corking: 615 W. Alder Street
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(e)boat rare.r"ade as read to batched aea
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CASE INLET (e)polio / \ra dw= / / ENRY R.V"'T "g
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3760_I sr 302 STA
/
bedak wa 98528 (e)West room /
(e) / (re wok) (no work)
butldiW.
loan ypau / - /
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permit 6.21.23
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6.
ATELIER DROME
location of(e) architecture + interior design
112 prefontaine place s
Seattle,wa 98104
/ ta)drnewry k P www.atelierdrome.com
,
C ,
/ Quilici Garane
(e)bnd"long 3760 east sr 302
/ r b0air,wa 98528
- - v- - - _--------------- --__ ��\ a 1 .0
704•-61 site plan
adjacml bldp
E
N site Ian
1 1 717
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