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HomeMy WebLinkAboutCOM2024-00045 Retail LP - COM Application - 7/9/2024 tooMASON COUNTY Permit No: r bQS COMMUNITY DEVELOPMENT RFf CEIVED Permit Assistance Center,Building,Planning JUL 0 9 2024 BUILDING PERMIT APPLICATION 615 W. Alder Strut PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME-PAUL AND MEUSSA THOMPSON NAME:AMERIGAS PROPANE MAILING ADDRESS;2194 W STAR LAKE DRIVE MAILING ADDRESS:879 W VALLEY HWY SOUTH CiTY:ELMA STATE:WA ZIP-98541 CITY:PAciFic STATE:wA ZII':98aa7 PHONE#I:Sos a2s o19z PHONE:360.581.785o CELL: 360.5111.7M PHONE#2: EMAIL:maryann.hardiagQrrrerga#.can EMA[L.BUCKSPRAIRIEMERCANTILr=@GMAIL.COM L&I REG#AMERIPL055LL EXP.9292025 PRIMARY CONTACT: OWNER Q CONTRACTOR E] OTHER❑ r_ NAME ranr:Ynrrnr+wroING EMAIL maryarm.harding@arnerigas.com MAILING ADDRESS 879 W VALLEY HWY SOUTH CITY PROM STATE WA —_ZIP98047 z PHONE aeo.sstraeo CELL x.8 otaaso PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)51918.14-MIO ZONING LEGAL DESCRIPTION(Abbreviated)W 128.&OF SE NE,S OF CLOOUALLUM RD FIRE DISTRICT FIRE DIST#13 SITE ADDRESS 13435 W CLOOUALLUM RD CITY ELMA DIRECTIONS TO SITE ADDRESS hUPeytmaps.apP.gno.gMWMCBm8x4HP9J5MR8 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO 0 SNOW LOAD:_psf IS PROPERTY WrrHIN 200 FT OF THE FOLLOWING.- (cA, *au root apply): SALTWATER[] LAKE[] RIVER/CREEK❑ POND[] WETLAND Q SEASONAL RUNOFF[] STREAM[] TYPE OF WORK: NEW Q ADDITION[] ALTERATION❑ REPAIR❑ OTHER Q USE OF STRUCTURE(Awdowe,Gm,&4 comnercw Btdg Ek)INSTALL 500 GALLON LP DISPENSER FOR RETAIL USE IS USE: PRIMARY Q SEASONAL❑ NUMBER OF BEDROOMSN/A NUMBER OF BATHROOMS N/A HEATED STRUCTURE? YES(wwk Btdg)❑ YES(Pv1rxj gfXdg)❑ NO Q DESCRIBE WORK SQUARE FOOTAGE: 1ST FLOOR ft. 2ND FLOOR sq• sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.fL COVERED DECK sq.ft. STORAGE sq.& OTHER sq.ft. GARAGE sq,fL Attached 0 Detached[] CARPORT sq.fL Attached Q Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF TILE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER j ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC Q SEWER❑ / NEW 0 EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO.[] If yey attach mmpleted Water Adequaty Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOQ EXISTING SQ.FT, EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER admowledges that submission of kw=urate iniomgstion may result m a stop wait order or permit revocation.Admowiedgement of such Is by Signature below.I declare lfrai I am the owner and I further declare that I am entitled to receive this pemdt and to do the work as proposed.I hmve obtained pemrission from all dw necessary,partim including any aasemment holler or parties of interim regarding this project The owner or legs! representative,represents ttmt the htforrrrsA7orr provided is accurate and grants etftpioyees of Mason County access to the above described property and stnsCktre(S)for review and Inspection. This parmittappticaliork becanes ruA 3 void If watt or aulhaized construction is not oomm9nood v&gn 180 days or if cormtruction work B suspended for a period of 1 So days. i PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT PUCATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) i Suture , R Mu si OWN paps DEPAR,TXENTAL REVIE APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS s BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: `� fD PERMIT ASSISTANCE CENTER: o BUILDING*PLANNING-FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 J U L 0 9 2024 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext 352• Fax:(360)427-7798 Phone Belfair.(360)2754467. Phone Elma:(360)482-5269 05 W. Alder St"t PLUMBING &MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:PAUL.AND MEUSSA THOMPSON NAME:AMEwcAs PRopme i MAILING ADDRESS-zrw w sTARLAxE Drove MAILING ADDRESS:erswv&L"tmv souTH CITY:MMn STATE:— ZIP: CITY:PACE STATE:wA ZIP:gW7 i IS,PHONE:sasnz9.olsz PHONE:wo.ssr.7m CELL:NO.ser.M 2n4 PHONE: EMAIL: rnM�ar i EMAIL: wEMERCA MAx coM L&I REG i� EXP.0&2RAM / PARCEL INFORMATION: PARCEL NUMBER(12 DfgttNunz er):at91&1*o olo Zoning: LEGAL DESCRIPTION(Abbreviateet):w vss of sE Ne s OF CLODUALLUM RD z SITE ADDRESS:1—wccoouAu_ - CITY:—A z DIRECTIONS TO SITE ADDRESS: https://maps.app.goo.gl/hWMCBm8X4 HP9J5MR8 TYPE OF JOB:NEW F---I—1 ADD ' AL I=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS-I ST FLOOR©2ND FLOOR=BASEMENT=GARAGES]OTHhjR PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNIT Type of Fixture No of Fixtures Fees Fuel Type:Electri Po. Units atutal Cmbndless= Toilets Type of Unit Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank ONE 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 furdw declare that I a n 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 authortzed 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 parmtUapplicaticr 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 8Y MEANS OF INSPECTION.INACTNITY OF THIS PERMIT APPUCATION OF 180 DAYS WILL INVAUQkTE THE APPUCATION. X �n-`�' tit Signature of Ow Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FTRF MARRMAT. BUILDING �Mercantile Si Plan Scale 1"=20' Bucks Prairie M N 13435 W Cloquallum Rd Elma WA 98541 000/0 i b -Crgova