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Home My WebLink AboutBLD2024-00532 Addition - BLD Application - 5/14/2024 Permit MASON COUNTY COMMUNITY DEVELOPMENT MAY 14 2024 Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Stre t PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Edmund Kaufman NAME:Toellner Construction MAILING ADDRESS:1853 Edna Place NW MAILING ADDRESS:2205 S 252nd St CITY:Bainbridge Island STATE:WA ZIP:98110 CITY:Des Moines STATE:WA ZIP:98198 PHONE#1:206-313-4920 PHONE:253-380-2004 CELL: PHONE#2: EMAIL:Toelinedlc@gmail.com � EMAIL:Egk2@earlhlink.com L&I REG#TOELLC•8550M EXP.0 /19/24 lr.� PRIMARY CONTACT: OWNER❑ CONTRACTOR D OTHER[] I � NAME Cal—Toeaner EMAIL Toellnedlc@gmail.com MAILING ADDRESS 2205 s 252nd st CITY Des Moines STATE WA ZIP98198 ' PHONE 253aeo-2004 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)42318-50-00002 ZONING 19-Residential LEGAL DESCRIPTION(Abbreviated)Lake Cushman#3 TR 2 and 3 FIRE DISTRICT Hoodsport SITE ADDRESS211 North Potlatch Dr. CITyHoodsport DIRECTIONS TO SITE ADDRESS take Cushman division 2.3.4.bottom of hilt turn tea then head south on Potlatch the see is just a few lots past boat launch on left hand side. I IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOD SNOW LOAD:55 psf j IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: l(7rrckallfhatapphJ: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION Q ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garwe,Connneivial Ble(tr,F.fc.)Bonus Room IS USE: PRIMARY❑ SEASONAL D NUMBER OF BEDROOMS2 NUMBER OF BATHROOMS l HEATED STRUCTURE? YES fNratetfldl;l❑ YES parr/s/nJ'H/dtl❑ NO❑ DESCRIBE WORKausan""'- mu:sranwowseu —'NroK.00eoror.ae mnrzuasrmoaarae.woodsemencssw.warwuroeEasrr::ireuoswwrou«o.rm.«Ews o . SQUARE FOOTAGE:(J�mJxxcrd) 0 l lCT1I� IST FLOOR495.7 sq.ft. 2ND FLOOR495.7 sq-ft. 3RD FLOOR sq.ft BASEMENT sq.fL DECK�e sq.ft COVERED DECK sq.ft. STORAGE sq.ft OTHER sq.ft GARAGE sq.ft. Attached❑ 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 Q NO❑ ljyes,attach completed Water Adequacy Forn: PERIMETERJFOUNDATION DRAINS PROPOSED? YES❑Q NO[] EXISTING SQ.FT.uk" j EXISTING BEDROOMS 2 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 2 I 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 pennittapplication 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 PLICJAO OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON rJ ✓�,I{ COUNTY CODE 14.08.42) X Signature of OWNER Must ble sinfied by the OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J7Z 1-I Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH Permit No:q'�--\J MASON COUNTY RECEIVE��, �. COMMUNITY DEVELOPMENT MAY 4 2024 Permit Assistance Center, Building, Planning 6�5 w. Alder Slrep� PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: -CONTRACTOR INFORMATION: NAME:Edmond Kaufman _ NAME:Toe finer Construction MAILING ADDRESS:1853 Edna Place NW MAILING ADDRESS:2205s252 CITY:Bainbridge island STATE:wA ZIP:98110 CITY:Des Moines STATE:wA ZIP:98198 I" PHONE:2os-313-4920 PHONE:253-380-2004 CELL: 2111 PHONE: _ EMAIL :toellnedlc@gmad.com EMAIL:Egk2@earthlink.com _ _ L&I REG#TOELLC•85s0M EXP. o9 /19 /24 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):42318-50-00002 Zoning:19-residential LEGAL DESCRIPTION (Abbreviated):Lake Cushman#3 TR 2 and 3 SITE ADDRESS:211 North Potlatch Dr. C1TY:Hoodspo t DIRECTIONS TO SITE ADDRESS: Lake Cushman division 2,3,4. bottom of hill turn left then head south on Potlatch the site is just a few lots past boat launch on left hand side. TYPE OF JOB: -NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS— IS"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 Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump 1 Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent 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 PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIg,,ATE THE APPLICATION. X e / 4 Signature of Owner D to DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J PLANNING DEPARTMENT FIRE MARSHAL Rev: 1;2 i/2016 JBN PLANNING: LOCATION INFORMATION i ALL SETBACKS ARE MEASURED FROM S,A,_ 211 N POTLATCH DR THE FURTHEST PROJECTION OF THE HOODSPORT WA98516 160.00' BUILDING Pacer a23135=2 knsackn'. MASONCOUNTY I I Type oT Use. SF + _^ Tlea of Wak BUX VA OY ofCcctim-T n C- I Duerler-Section-ToenchN+ieMe: C-1B-7lN-dW e L.0 Doolao n'. LAKE CUSHMAN Ri TRS 2 EX,ALL OF 3 S E 1 Plot La 293 H'91MI 6 Bast Uee As Rkcre SINGLE FAMILY 2 pes 9ii H.agnest&EastUse Ace WMvo0. PRESENT USEP IUse: Sinpb Fom�:Rec Us 2Z ) LAM SeFC t3A NOi She ShBDe: NAm Dtd B Sm" WATER C,STR7CT I y R08dA qlc. SEWER Rose Aoass eM SY P m Sb11e0e: PAVED ~ O $ N E-- EXISTNG 5-6 i o I ORNEWAVIPARKING i O �l 84 ' � Z Q I] 1 Q p� I = ---i ;/ �i Z a 8 — -.._.._.__._\.. a( z o U. 127.W EH APPROVED ❑� ---- Rhonda Thompson 06/07/2024 �1 N. POTLATCH DR. GRAPHIC SCALE EH Setbacks ) i A. Dranfiel " — dLR�erve requires 10'setback from footing/foundations —_-- B.)Septic tank(s)requires 5'setbackTrom-att ations --- C.)No foundation/Perimeter Drains within 30ft,downgradient-of- Drainfield/Reserve area D.L.M. D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within RESIDENTIAL SITE PLAN 50ft,down gradient of Drainfield/Reserve area o3-zszoza s APPROVED =_ 211 N. POTLATCH DR PLANNING SETBACKS RE=E. SIDENTIAL MASON COUNTY DCD PLANNING Knowt«lntes below. SITE PLAN PARCEL:423185000002 Front:25' SITE PLAN REQUIRED TO BE ON SITE Rear: 10'ADV2024-00091 Cd hm!01lyftf n sneer no. CHANGES SUBJECT TO APPROVAL Side:20' xz' 'Sub ect to EH Setbacks REVA -- - - -- BY: _0ete:05/30/2024 1 - -- � '� C3 G1 3