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HomeMy WebLinkAboutCOM2016-00017 Cancelled Office Space Addition - COM Application - 11/16/2016 p00 e0z" MASON COUNTY COM'IUNITY SERVICES Permit No: ( A,201(0 — 6001-7 PERMIT ASSISTANCE CENTER: Recr'd •BUILDING•PLANNING•FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 Phone:360-427-9670 ext. 352 Fax:360-427-7798 RECEIVED !Ru http://www.co.mason.wa.us/community dev/ FEB 12 2016 BUILDING PERMIT APPLICATION LIC TION 615 W. Alaer Street PROPERTY OWNER INFORMATION: CONTR-kCTOR INFORAIATION: NAME: Q l �� e f' NAME: DG eul R Inc ! MAILING ADDRESS: P0 A 0 X , I Ua5 MAILING ADD S: 8929 Mile Hill Dr j CITY: STATE: ZIP: FS' $ CITY: ""It har° STATE:Wa ZIP: 9836e l PHONE #1: e;,p 71-D e2 .7 7 PHONE CELL: PHONE #?: 6, - r] - ( �}/ EMAIL : 11 Can ye a com I EMAIL: ©Ctc cs— �cst.' (. LEI RE # c UIG8932c8 EXP. / 1/21/2018 CONTACT PERSON : ONNTNER CON OR OTHE"ELOW ❑ NAME; Danny Gehier ,� S: 29 Mile Hill Dr CITY: '°^°R^•° STATE: wa ZIP: °°' HO "j" CELL: EMAIL: PARCEL INFOR-NUTION: �� I QQ PARCEL NUMBER(12 DIGIT NUMBER —y 3— ZONING b� , I/l LEGAL DESCRIPTION(ABBREfkTE ) FIRE DISTRIft aZ SITE ADDRESS OA2 g 15a o c CITY 5e- DIRECTIONS TO ITE ADDRES C�x ��L Cc S .� IS PROPERTY WITHIN 200 FT: lC7 k a!! ar npph): SALTWATER ❑ LAKE ❑ RIVER% EK[IPOND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM IS THE PROJECT WITHIN 300 FT SLOPE(S)GREATER THAN 14% YES❑ NON i TYPE OF NZ'ORh: NEW ADDITION ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Resides .Garage_Commercial Bldg_Etc) IS USE: PRIMARY S SONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? 'ES(Whole Bldg) YES(Part[s] of Bldg) ❑ NO ❑ DESCRIBE WORK �nc�- � Lct C1.�-. .V�_c�/ 'C .✓� Sot—ARE FOO AGE: 1ST FLOOR c�1 7 sq.ft. _ND FLOOR sq. ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. I DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft. GARAGE sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT sq,ft. ATTACHED ❑ DETACHED EUFACTt7RED HO.iE INFORMATION: *4 COPIES OF THE FLOOR PL LIRED ODEL LENGTH BEDROOMS BATHS SERIAL NUMBER i 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 or owners legal representative. 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 susDended for a Deriod of rnvvr yr �.vl•I rlwM 11WIN yr rrvr%r% w o 1 InQMIw yr i MOM IIIM%.I IV 1 1 1 yr In 1 7 rr-nnn I APPLICATION F 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) ,X 2- 6 Signature bf NER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/:'OTES/CO`DITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS Litake By: Approved&Ready for Pick-Up: RECEIVED FEB 12 2016 615 W. Alder Street oNXc& _,-.- MASON COUNTY COMMUNITY SERVICES QOb A5 ha Permit No: 4 PERMITASSISTANCE CENTER: RECEIVE •BUILDING•PLANNING• FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 _- Phone Shelton: (360)427-9670 ext. 352 Fax:(360)427-7798 FEB 12 2016 Phone Belfair. (360)275-4467 Phone Elma:(360)482-5269 18'4. 615 W. Alder Street PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: I I CONTRACTOR INFORMATION: NAME: P NAME: MAILING RESS: MAILING ADDRESS: CITY: STATE: ZIP: CITY: STATE: ZIP: 1"PHONE: PHONE: CELL: 2na PHONE: EMAIL : EMAIL: L&I REG# EXP. PARCEL INFORMATION: 2 u Q PARCEL NUMBER(12 Digit Number): 2 J�� f3 /01 -7--5 Zoning. 6elklv U6A— ^ (h LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— IT FLOOR 21''D 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 Heat Pump Showers Spot Vent Fan Water Heater 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/BUILDER acknowledges 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 OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x Signature of Applicant Date X Qa"-e.\ Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 1BN