HomeMy WebLinkAboutBLD2024-00968 Change Garage to Living ADU2023-00762 - BLD Application - 8/12/2024 MASON COUNTY COMMUNITY SERVICES Permit No:f✓ICI Z)a 44 -&Y'l I&
PERMIT ASSISTANCE CENTER:
-BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
Phone Shelton:(360)427-9670 ext 352-Far(360)427-7798 Phone
Belfair.(360)275-4467•Phone Elena:(360)482-5269
BUILDING PERMIT APPLICATION AUG 12 2024
PROPERTY OWNER MORMA.TION: CONTRA.CTORINFORMATION• 615 W. Alder Street
- NAME:
MAILING ADWSS: I J,Vi MAILING ADDRESS:_
CITY:r)hL1 141 STA ZIP: e4e S''1;A - ZIP:
PHONE#1: 1 'h I t ) PHONE:
PHONE#2:-T`- EMAIL
�'-� 1.1 ' CELL:
EMAIL: k:` I C' L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER I]
NAME _ EMAIL
MAILINGADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION: f Q
PARCEL NUMBER(12 Digit Number) .4IZ 1 Z J I I - *,tj�n i ZONING r J
LEGAL DESCRIPTION(Abbrevi ) FIRE DISTRICT
SITEADDRESs CITY one I G
TIONS TO SITE ADDRESS CO
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14° YE NO❑ SNOW LOAD:
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: pj=kaulharapply):
SALTWATER❑ LABE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,GaragS Commercial Bldg,Dc)0 b .64-( C , rL?��l�. > L -
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDR- MS `NUMBER OF BATHROOMS
AEATED STRUCTnnURIlE? YES(Whole Bldg)❑ YES(Pa Pj)fBlag)g NO❑
DESCRIBE WORZf�I '1( G/ s7 ` 1 �Vl f�Ci
SQUARE FOOTAGE:
1ST FLOOR sq.R 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.fL
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.fL
GARAGE sq.fL Attached[] Detached❑ CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED * COPIES OF THE FLOOR PLAN REQUIRED-
MODEL YEAR
TTi BEDROOMS BATHS SERIALNUMBER
ENVIRONTYIENTAL HEALTH: -
SEWAGFISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YESA NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NX EXISTING SQ.F1.
EXISTING BEDROOMS \13 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 penult and to do the work as proposed I have _
obtained permission from an the necessary parties,including g a easement holder or parties of interest It
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 structum(s)for review and inspection.This permitiapplication becomes null$void tiwork 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 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON t�J
COUNTY CODE 14.08.42)
x n 'C-
Signature of OWNER TMust be signed by the OWNER Date �—
�EPART1KLrNTAI_REVIEW u APPROVED`'= DATE=::= D f - • - _ v i
DATES:=TAGS/NOTES/CONDITIONS_}:
BUILDING DEPARTMENT D (' •2 i r
PLANMNG DEPARTMENT
FIRE N ARSAAL
PUBLIC HEALTH `]\i
V C-C- ��1,�- a
.� 1 , 2,GZt•I vrlcS I � -
Iel 2-6Z3 - Of,\l toZ- - Jf)�Oe6AIcti''-- �`91"1(,)CO. ��e ()
Permit No:}�J(.� ,�()�,'-� - QQq(Q�'
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: - � NAME:
MAILING ADDRESS: ' A MAILING ADDRESS:
CITY: STA : ZIP: CITY: STATE: ZIP:
11 PHONE: PHONE: CELL:
2"d PHONE: EMAIL :
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Z Z� —ti�jQQ I Q Zoning:
LEGAL DESCRIPTION(Abbre ' #
SITE ADDRESS: 101 PAOI CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW=ADD=AL'II—=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS-I IT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixture Fees Fuel Type:ElectriccOLPGONatural Gas=Ductless
Toilets ,Z I zinc I4Wa2 n 00-702- Type of Unit No.of Units Fees p�
Bathroom Sink 2. tl }1r id 2pL3-n0`11a2 Furnace
Bath Tubs Heat Pump
Showers I FXIh C iG�2p23 UO�ZLpc7 Spot Vent Fan
Water Heater I Propane Tank
Clothes Washer I li�l 81L�211 �. Gas Outlets
Kitchen Sinks f I W 202' - - Wood/Gas/Pellet Stove
Dishwasher V Kitchen Exhaust Hood
Hose bibs V Dryer Vent 23yCl070Z,
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 THE APPLICATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT EL p•��•Z
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 1 B N
SEE ALSO ADU2024-00010
09/09/2024
APPROVED
lI� 20L� • OC�)��' �
MASON COUNTY DCD PLANNING — ! {�•;��;;2>� f,�1.Je� RR20
Zoning
9 Nook Front Yard Setback. 25'.
Di Side & Rear Yard Setbacks. Residential dwelling
J�� and accessory structures is 20'.
\ OR 10% width of lot if not more than 100' wide
OR approved ADV
���__ 'it EH SETBACKS
A)Drainfiel/Reserve requres 10'setback from footing foundations
B)Septic to (s)requires 5'setback hom all footing/foundat ons
Q No found ton/perimeter drains within 39 down-gradient of drainfield
reserve area
------��� ---VL'' D)No cut(s),�.f
nk(s)(greater than 5'&over 45 degrees)within 50'
down-gradie drainfi ld/reserve area
*NOT AN APPROVED SEPTIC DESIGN•
••) Lr { �� r,zfU' t, U.approsed septa design for septic system inxtallalion
___L\� _ �tj EH APPROVED
' u '� o.nndlr 0
9109 oA 4
i L.z
` z
4
Disclaimer: Mason County does not require a
survey to obtain a building permit.As a result, site
/ plans may not reflect accurate data. It is the
r. --- applicant's responsibility to comply with setback
" —�s requirements.