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BLD2014-00246 Cancelled SFR - BLD Application - 9/15/2016
MASON COUNTY PERMIT NO.r DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 IV-1 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 BUILDING PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: william & Paula Beisley NAME: Aer Lingus Homes LLC MAILING ADDRESS: PO Box 2355 Jft- MAILING ADDRESS: PO Box 2355 CITY: Belfair STATE:WA 98528 CITY: Belfair STATE: wA ZIP: 98528 PHONE:360-275-5783 C - -3348 PHONE: 360-275-5783 CELL: EMAIL: bbeisley@beisle EMAIL : suzan@beisleyinc.com et L&I REG# AERLILH875OF EXP. 09 /19 /2015 PARCEL INFOR ON: PARCEL NUMB (12 DIGIT NUMBER) 12330-50-00088 FIRE DISTRICT No. 2 LEGAL DESCRIPTION(ABBREVIATED): Beards Cove Div 3 TYBB SITE ADDRESS 321 NE Anchor DR CITY Belfair DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIV 300 POND[I WETLAND❑ SEASONAL RUNOFF ElSTREAM[IDOES PROPERTY HAVE SLOPE(S) 1 IFT OF THE PROJECT-GREATER THAN 14% YES© NO❑ TYPE OF JOB: NEW ® 4005I)ITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) Residence IS USE: PRIMARY® SEASONAL ❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS z 1 2 DESCRIBE WORK SQUARE FOOTAGE: 1ST FLOOR 528 sq.ft. 2ND FLOOR 734 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft THER sq.ft. GARAGE 205 sq.ft. ATTACHED❑ DETACHED❑ CARP ft. ATTACHED❑ DETACHED❑ MANUFACTURED HOME INFORMATION: COPIES OF THE FLOOR PLAN MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATH SERIAL NUMBER OWNER/BUILDER acknowledges submission of inac urate 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 permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if co struction work is sqspejpbed for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSP .IN VIT PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE qE APPLICATION. Signature of Applicant Date X William Beisley OWNER / REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL ��" ?• MASON COUNTY PERMIT NO. Y DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL / WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 rxst PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: William & Paula Beisley NAME: Aer Lingus Homes LLC MAILING ADDRESS: PO Box 2355 MAILING ADDRESS: PC Box 2355 CITY: Belfair STATE: wA ZIP: 96528 CITY: Belfair STATE: wA ZIP: 98528 PHONE: 360-275-5783 CELL:360-731-3348 PHONE: 360-275-5783 CELL: EMAIL: bbeisley@beisleyinc.com EMAIL : suzanobeisleyinc.com L&I REG# AERLILHB75OF EXP. 09/ 19/ 2015 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): 12330-50-00088 LEGAL DESCRI PTION(ABBREVIA TED): Beards Cove Div 3 Tr88 SITE ADDRESS: 321 NE Anchor Dr CITY: Belfair DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW x ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1ST FLOOR 5 2NDFLOOR 6 BASEMENT N//A GARAGE 1 OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric x LPG Natural Gas Heat Pump X Toilets 3 Tvne of Unit No.of Units Fees Bathroom Sink 3 Furnace 1 Bath Tubs 2 Heatpump 1 Showers N Spot Vent Fan 4 Water Heater 1 Propane Tank N Clothes Washer 1 Gas Outlets N Kitchen Sinks 1 Wood/Gas/Pellet Stove N Dishwasher 1 Kitchen Exhaust Hood 1 Hosebibs 2 Dryer Vent 1 Other 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 4'�:y 3 - ( 4-1 � Signature of Applicant Date X William Beisley Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL - N -C �1?13, N� Z DECEIVED MAR 14 2014 a� W. 'EDAR ST pLANNING Aow Septic pesign&Landscaping 230 E.Warren Dr. P A\ ,,,,UNION.WA 98592 o) �98 z2ss P�-�'SFR�O ON OF E� ScaS� : 1 zo ` PR�� P OVED JAN 3 0 2014 MASON CO T DCD PLP !� Py o to 20 3 3 q0 SITE PLAN REQ ED TO BE 0 1i-1 Lot- ��o ,,� CHANGE S�TTOAPPROVAL 2 By Date 41 It b l LL' it-( PRELIMINARY 32-k a4ea 1bMMcIy 01103rons S39NVHO 311S NO 13 Ol G3din,id NV-ld 31.11S