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
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PLANNI�EG:
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ALL SETBACKS T EASURED-
ED
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ARE MEASURED
FROM THE FURTHEST
PROJSCTION OF THE BUILDING
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PUMP V'3k
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7 RECEIVED
I 1,j E MAR 0 12021
615 W.Alder Street •:Ll—•rCAL;
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sagk�,-m sj—T�k Appa^VED
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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\
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.�•.•+� RECEIVED
_ MAR 01 n21
615 W.Alder Street
i
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APPROVED --- --- AI 'NC'Nul y0` FEET
APR 2 6 2021
- _ 1�o r--� s�olk, 801
MASON COUNTY ENVIRONMENTAL HEALTH
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