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Home My WebLink AboutBLD2016-00727 Cancelled SFR - BLD Application - 10/20/2016 ►1 o imlkW.04'r@�"11 rS ors coo MASON COUNTY COMMUNITY SER'vICES PERMIT ASSISTANCE CENTER: t► Permit No: IGI 0-?0 f l o - to`1 ' ` • BUILDING• PLANNING• FIRE'Ik1ARSIYAL Recv'd.• ' 615 W. Alder St - Shelton, WA 98584 Phone Shelton:(360)427-9670 ext. 352 Fax:(360)42Y-7798 ►as Phone Belfair:(360)275-4467 Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: �wi,n,Uvr� \ S �hC• NAME` i 14YI w sV►A Wu� \h(. MAILING ADDRE S: , D. 0 ci MAI NG ADDRESS:V a q CITY:Q6�caC0-cc STATE: _ZIP: IAI 3 CITYvrck ST : V4 : ZIP: PHONE#1: 3 fl,,,a- '34l- 4L1'Z- PHONES o-Jgcl-34 %11E LL: 3 0-� 4b 344 2� PHONE#2:—:k b- EMA ; bvfh InC 1616 a EMAIL: t e n R.�,M 1wkAWT i hC Q L&I G s %-A i 11111 E)Z /0 /Axit4l CONTACT PERSON : OWNERV ONT CT R * THER/ a Below ❑ *NAME: r(1 � \ff ILIN AD RE S: t m4 CITY:?-* STATE: ZIP: PH E: CELL:3 o- q.1-- EMAIL: \0 t^ ti k�l nn PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING I P I Upe- LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS 1211 F.. CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOVGREAAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT: (Check att thSALTWATER❑ LAI{E ❑ RIVER/C EITLAND ❑ SEASONAL N F ❑ STREAM ❑ TYPE OF WORt( +, EW)r DiT ❑ ALTERA ON ❑ PAIR OT ER ❑ USE OF STR e Gar ,Coin •ial Bldg,Etc.)__sFZ IS USE: P MAR NA UMBER OF BEDROO I MBER OF BATHROOMS HEATED S UCTS hole YES (Pa s Bldg) ❑ NO ❑ DESCRIBE RI{ aluation/ roject Bid Amount: $ ), SQUARE AFTAGE:1ST FLOORsq. ft. D FLOOR -VI sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. ERED DECK 101 L) 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 MAK MODEL EAR LENGTH IDTH BEDROOMS BATHS SERIAL NUMBER 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 or owner's legal representative. 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 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 APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE'EXPIRED. (MASON COUNTY CODE 14.08.42) 5E��I�mb�n W'rrY)X -ZG - Zd I Co Signature of OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS Intake: Approved&Ready for Pick-Up: Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev. 112712016 by AN 5 oa MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER; Permit No. k •BUILDING•PLANNING•FIRE MARSHAL � 615 W. Alder St-Shelton, WA 98584 Phone Shelton:(360)427-9670 e:,t. 352 Fax:(360)427-7798 - - Phone Belfair. (360)275-4467 Phone Elma: (360)462-5269 4 1854 rY:. PLUMBING & MECHANICAL PERMIT APPLICATION OW'N'ER INFORMATION: CONTRACTOR INFORMATION: NAME:�;o�rCr �k l <_ lac. NAME: MAILING ADDRESS:?0 39X 1 fAy MAILING ADDRESS: CITY:' „-F D,,,,O STATE: V4 ZIP: 116164 CITY: STATE: ZIP: 1"PHONE: 36y $-jy p31/ PHONE: CELL: 2nd PHONE: EMAIL : EMAIL: a'1 L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 1 222(2 Zoning. LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: 271 (~ CITY: All, DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1 sr FLOOR`�n 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 3 Furnace Bath Tubs Heat Pump Showers L Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer I Gas Z��Kitchen Sinks Wooellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel 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 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 APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 21-Zo i to Signat a of Applicant Date X Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ REV: 314 JUL 2 9 2 615 W. P.1der ,?--41&12a►lp - 0012z - - PLANNING SF'MA Gk — 1611 .0 q ALL SETBACKS ARE MEASURED Ul cY `v �4�A PROJECOM THE FURTHEST o / Q / ION OF THE BUILDING �11 JJ / ►a ��' PPROVED jje ASON COUNTY 1)1-'D PLANIV IT SITE PLAN REQUIRED TO BE ON SITE / CHANGES SUBJET TO APPR V t �s / Oste�- NEW HOME �0,2p 1 i _ ... / ►1 - AbM Ouor -QiluoQdL � WOILA:A bx b+gck. THIS 51TE PLAN 15 DRAWN BASED ON 51 TE PLAN DATA SUPPLIED BY CLIENT AND WITHOUT BENEFIT OF SURVEY OR TOP06RAPHY III _ 201_011