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HomeMy WebLinkAboutBLD2021-00297 SFR - BLD Application - 3/1/2021 MASON COUNTY COMMUNITY SERVICES Permit No: 8"--2,1 -va2q 7 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone40) Belfair.(360)2754467•Phone Elms:(360)482-5269 (�`✓✓ / BUILDING PERMIT APPLICATIONAt� �Q PROPERTY OWNER INFORMATION:` CONTRACTOR 61 ?D�, NAME: 6cm-1 'i� &eu rA, Lek. l- -t-.-'1'r// NAME: ("C'Y iii L-�')] t �--I'� v. q MAILIN�GAD S ] � l��t' MAIL _ADDS,: CITY: �� /��"1�� TATE: ZIP: ' CITY: t(/1� /�,�TE: ZIP: �trCa�{ PHONE#1. U(rq PHONE: ' `V ` ; JO[.ELL: C PHONE#2: EMAIL: ! . UC; 1_1 "1 EMAIL: L&I REG#ZT&VAJ-H[` it0 EXP. I i PRIMARY CONTACT: AlWN5 []Jr CONTRACTOR❑ OTHER NAME V e-' 6� i� EMAIL V'2; ,C t Vi ii-G 11 L'Gf� MAILINGADDRESS >` CITY Y- V TATE WA ZIP a PHONE CELL 7 ��'�®� PARCEL INFORMATION: NG PARCEL NUMBER(12 Digit Number) ZONING LEGAL DESCRIPTION(Abbreviatcd) N (fir FIRE DISTRICT SITE ADDRESS �,V IMr 1 . cay 3elf7,J ''S/123 DIRECTIONS TO SITE ADDRESS LC C ��- IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[S/NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW to ADDITION❑ ALTERATION❑ . REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) 4 If't-,I e-ej IS USE: PRIMARYd SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YESS(Wh le Bldg)V/ S(Part[sjofBldg)❑ _�N7Oy❑ DESCRIBE WORK j / 7� (6, I'7 C' W �5 ?- SQUARE FOO�TAAGE: (proposed) 1ST FLOOR 14 1 sq.ft. 2ND FLOOR �j 7)sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. i DECK N.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE_(al_�l sq.ft. AttachedDetached❑ 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 NO❑ Ifyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NOR"' EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 1 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 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 80 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) z 2�0 Signs ure of OWN (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:BaIA? � PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 ^/ Phone Belfair.(360)275 4467• Phone Elma:(3W)482-5269 PLUMBING &MECHANICAL PERMIT APPLICATION MAR OWNER INFORMATION: CONTRA"OR INFORMATION: 61 0 2 021 NAME: �t!iLG/� NAME: VA I-- I--MAILING SS: l MAILIN ADDRESS: C �/V Alder CITY: ST Z CITY: STAT�ZIP: Str@fit 1"PHONE: PHO -IG - t'9/CE 2nd PHONE: _ EMAIL: I a C 1 brti� EMAIL: r>' — hAt le" L&I REG# EXP._/_/ 1 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): ! Zpning. LEGAL DESCRIPTION A rev'ated): 0 .L.• �} i 9-3 SITE ADDRESS: C ►" CI DIRECTIONS TO SITE ADD S: nTYPE O OB: `~� y NEW V ADD ALT REPAIR OTHER SE OF BUILDING LOCATION OF FIXTURESMMTS—1 FLOOR 2 FLOOR ,/ BASEMENT GARAGE i OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNJfS Type of Fixture No.of.Eixtureq, Fees Fuel Type:Electric_LPG Natural Gas— Ductless-Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater _ _1_ __ 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 INVALIDATE PLI T X Signat a of O ner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT S�J�ZJI PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN RECEIVED Window, Skylight and Door Schedule13UI.L�:$D11407 MAR 01 2021 Project Information Contact Information 615 W. Alder Street LAFLEUR BELFAIR RESIDENC CQVAL HOMES 142 E Victor Rd, Belfair,WA 9852cr 2023 125TH ST 5, MA WA 98445 FLAN; RAINIER 253-693-4446 Width Height Ref. U-factor Qt. Feet Inch Feet Inch Area UA Exempt Swinging Door(24 sq.ft. max.) 1 0.01 0.00 Exempt Glazed Fenestration (15 sq.ft. max.) 1 0.01 0.00 Vertical Fenestration (Windows and doors) Component �� ? Width Height Description Ref. U factor Qt. Feet Inch Feet Inch Area UA .. �. , T 20.0 6.00 ENTRY 0. 777 24.0 7.20 DINING 0. 30.0 9.00 KITCHEN 0.3 14.0 4.20 GREAT ROOM 0.3 1 2 1 8 6 s 17.8 5.33 GREAT ROOM 0.3 2 6 5 60.01 18.00 FORMAL LIVINGIBED 5 0.3 1 6 5 30.0 9.00 TEEN LIVING 16 5 30.0 9.00 BEDROOM 4 fl1 6 5 30.0 9.00BEDROOM 3 1 6 1 5 30.0 9.00 BEDROOM 2 10.3t 1 6 5 30.0 9.00 MASTER BEDROOM 0.3t 1 6 5 30.0 9.00 GARAGE/DWELLING DOOR 0.3 1 2 8 6 8 17.81 5.33 MASTER BATHROOM 0.3 1 4 14 16.0 4.80 0.0 0.00 VANITY 0.3 1 3 3 9.0 2.70 0.0 0.00 0.01 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 0.01 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 0.01 0.00 n. CEN TER PLANNING i-- !3Er 9i i 41" w m t i 40.:?2 R-Ej.7jpt1,,); 1?5 -VVICAP jllflslfbit PLANNI�EG: 21 ALL SETBACKS T EASURED- ED HEST E UILC) ARE MEASURED FROM THE FURTHEST PROJSCTION OF THE BUILDING 5c I Tli I I LLIVAA f-,BTAKCE—YLNsj c7- c La -8,57044. N IJ 61 n "45 cz. L Ll 34.64 J W.- 411.46- PUMP V'3k N 8,81'0 4".5 0: w i Q 49' ii TILI-TY EArc.t4wp-T A-,,E P, 'L-T t,.E 7 RECEIVED I 1,j E MAR 0 12021 615 W.Alder Street •:Ll—•rCAL; -=--�' N'L\54F X-9-K 01,12ba -Cozq7 E sagk�,-m sj—T�k Appa^VED 1, MA,9^,,N crJUNTY 117wcr):, FNt_CA.'-#%4 NJ rN L4 CN rEC T SITE PLAN REQUIRED IC bt0i --zTECHA> ESiUBJET TQ-APPRovAL--. No s 80 . FT SOLO V-22-1 to 01 -12- t""V\ moo ' N 4 € M N � ?. � 4�._.� ¢�t..� �. ENVIRONMENTAL � r r�BL ,..e i-�tE;=r -1tt, -� �,•L` Ni -..'_ ,t�.. F:T(PC�rFL _ t�� _ scvbr-r - n---- �APJ�C-:i_ 'a4 x o•� . . I'MLE _PAS c�Tt :ZL f;JKIJI_..L7•lE -C NCPZN.rTZCQ1ciT_ (� ,r �1 °�Sr Prl_I��.— "+� -q• — ____ � !�vF_ 4t��.5'_rf�rt. L-.R 1L[5' A-i.__`,E_Cc�NtP r.>, wkwZ..±��IZS FKi�rj LJ !pI E357 LINE 1-7,a ° rRrr7 Scun, LINE 152 ' Pc,�.IRKK - t .. _E''rgGk_F°c' �' ,r`�tl��;.)4 r�l •r _ �. Z 1 Ilo6 'fo 4n NF 2,11 l I - - -- i TIL!7Y EASEMEh' -;,,RtD t .I-!!, ,.- , ; -- -- F � ' .�•.•+� RECEIVED _ MAR 01 n21 615 W.Alder Street i Tc A E - v lxiK ��C1Zl1ZI - _ t, i. ,, :.-,-r,•_r r - ���T�FK,�� 11105'��At� .�� CK. APPROVED --- --- AI 'NC'Nul y0` FEET APR 2 6 2021 - _ 1�o r--� s�olk, 801 MASON COUNTY ENVIRONMENTAL HEALTH RET f t-0 UAIN+�VLe s tr-eci,►-, b - �eS-� S icy- 4}