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Home My WebLink AboutBLD2021-01016 SFR - BLD Application - 6/30/2021 MASON COUNTY COMMUNITY SERVICES PermitNAZeA—Q:aQ;a r D`0 110 PERMIT ASSISTANCE CENTER: -BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 i S v'N 3 0 2021 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 PhoneIGO L BeKair.(360)275.4467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: G(.oUAALIL 17,, r NAME: mot. DING MAILING ADDRESS: c W MAILING ADDRESS: CITY-R' E� STATE: W/Q-ZIP: 3I2 CITY: STATE: ZIP: PHONE#l:a(20 - PHONE: CELL: PHONE#2: EMAIL: EMAIL:(-'per 1002 &—Z G Oyet.[o e.� L&I REG# EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER❑ NAME 11%a/Ap— Gt-S Ctbwn✓o EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUM3ER(12 Digit Number) S0 - 30loo ZONING Z LEGAL DESCRIPTION(Abbreviated) %-`jJJ N3 .' 31 Lor - I FIRE DISTRICT SITE ADDRESS —CITY DIRECTIONS TO SITE ADDRESS .srf 3 -R� lry000Q ST Oly 1-Lk\744 I st- k;oosE o N 17 VT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW)< ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etta SF' IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ 'el NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole BIdg1 YES(Part[,)oJBldg)❑ NO❑ DESCRIBE WORK NEw !nJ SOUARE FOOTAGE:(praposed) 1ST FLOOR 79S sq.ft. 2ND FLOOR"I3J sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGES 30 sq.ft. Attache 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❑ NO❑ Ifyes,attach completed Water Adequate Form PERIMETERNOUNDATION DRAINS PROPOSED? YES NO❑ 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 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 permit/application becomes null&void if work or authorized construction is not commenced within 180 days or K construction work is suspended for a period of 180 days. PROOF OF CON�jN ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT ARP 1CATI LY§bFTAORE WILL CAUSE THE APPLICATION TO E EXPIRED.(MASON COUNTY CODE 14.08.42) ( �V X Signature OWWNER(Mu a signed b the OWNER W e DFPARTMENTk REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:VLf)o?(pR 'o id l k PERMIT ASSISTANCE CENTER: .BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 fC GEI D www.co.mason.wa.us RE - - r V G Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 E1� 3 0 2021 PLUMBING & MECHANICAL PERMIT AP�44Q .►TjaNstreet OWNER INFORMATION: CONTRACTOR INFORMATION r NAME:_('�C(,p2, ►CJ�t- pt.�-T�tvCRo� NAME: v ILD1 MAILING ADDRESS:3"7gS CYALo wAy JUW MAILING ADDRESS: CITY: TATE: CApi ZIP:Q 1l3t2 CITY: STATE: ZIP: 1 S`PHONE:3bc- '13l - PHONE: CELL: 2"PHONE: EMAIL : EMAIL:('ar-t 1 pp'. cAc o& •(.O r--%- L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): o��a0 - �l7- c�'�O \ Zoning: R--Z. LEGAL DESCRIPTION (Abbreviated):AL.L.y t..) [QLa4-. 3&J L.Cri SITE ADDRESS: CITY: ALL-YN DIRECTIONS TO SITE ADDRESS:]NA.� <�,y Lt.t J A-N ` 1�co y.STr o ti1 L — TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 ST FLOOR_.nV 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 Z 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 1 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 CONTIyATIOTTOFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL-INVALIDATE T X lO 1� LCJL_�/ Signet a of OAer Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT .112 -ZI-Z( PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/20'16 JBN jp b LQ a'oRt -- o l o l tD RECEIVED ( ____ __.�___ • U� ��goal � o o�o� JUIN 3 9 2021 61 15 `"l. A!dsr S+re-- '. 40 ENVIRpNM ENTAL HEALTH f x 1 Zo i r APPRO SEP 13 2( MASON COUNTY ENViRONh TA LTH RET C Lov 6 I aaao-- 5D ---Z� 00 1 RECEIVED • U� ��goat o o�o� JUN 3 0 2021 615 W. Alder Street r PLANNIN( . r � r PLANNING: ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTIOt! OF-HE BUILDING E APPRU! 1 i I IMPo�N w 01TY ncn PLANN9.40 Sn E PLAN ItEQUIR D TO OE ON SITE 5U9.1,c f TO APPROVAL c s x 1 aaao 5D oo r i Name JA C.(u2jAtC.1L (Q)JS5 Parcel# 1a900 —S'O— 3`100 ( BLD# 6 LID 202-1- D In[ Mason County RECEIVED B U I L D I N eppartment of Community Development _►WN 3 0 20?1 Small Parcel Stormwater Management Application/Worksheet Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings Sq X 2, X = Measurements for buildings are taken at the X - perimeter of the farthest projections (example: eaves/gutters) X = Driveways 4 0 X 13 = sal p X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition X _ above table Patios/Walks ac7 X X = Any paved, gravel or packed area per definition above table X = Others X X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) �(3�� If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I fuJac7ge .0 n provided is accurate and employees of Mason County are granted access to the above- dpectinn a berequired. X Owner/Agent/Contractor(circle one)Date: Ifurface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign the information provided on page 2 of 2. Pagel of 2