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Home My WebLink AboutBLD2024-01175 Add Bath - BLD Application - 10/1/2024 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL vNG E C E I V E D 615 W.Alder Street,Shelton,WA 9 t-- Phone Shelton:(360)427-9670 ext 352•Fax:(36 Belfair.(360)275-4467•Phone Elma:(3608aA OC t - 12024 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:W. AlderSlreet NAME: G !1 Ghrt9'-nC, COAADrS NAME: 1 CM M(.�iu UL MAILING ADDRESS: S A/F. 01 l it W MAILING ADD SS: PQ So%. ZGD CITY:&C 1Fc.i'r STATE::,W ZIP:9%Cj?,!B CITY:6-cicGIir STATE:_ 4 ZIP.j g52S PHONE#1:3(ob- -%i-3ZJ5I PHONE: •1 -5D3 CELL: Z53;S1Y-y3S1 PHONE#2: EMAIL:Arp i kegki% �anS}rw��an«G•Gvw► EMAIL: 1 6� `I n rl.401A L&I REG# EALE C� 97 02 EXPA9 /,56 25 PRIMARY CONTACT: OWNER❑ CONTRACTOR V_ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: /� PARCEL NUMBER(12 Digit Number)N232ca-1 Z-fJ 1 lso ZONING R R 20 LEGAL DESCRIPTION(Abbreviated) TR I5 Of N 1/Z Al W N E FIRE DISTRICTNM (1i9 SITE ADDRESS I S 4 1 N E OIL &C1 FG;r Hwy CITY 661f4r VrD CTIONS TO SITE ADDRESS Twin OA 44 OIL Ard fn(r HW Y OPf Of N E WA-1 _ 6P3tr+a will ht on +kt Itf+- hang, 5"2t_ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOW 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❑ T ALTERATION&( REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 1'� s i w\e-e, IS USE: PRIMARY ErNI/2 ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_LS HEATED STRUCTURE? ldg) YES(Pn(..,1of Bldg)❑ NO❑DESCRIBE WORK Ii. !(i P+lt fOD �1� t 6 G }tq k riY+ SQUARE FOOTAGE:(propose+existing) 1ST FLOORf 67•'i sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq,ft. DECK33'�> sq.fL COVERED DECK I I I, sq.& STORAGE sq.ft. OTHER sq.ft. GARAGE{3_!J—sq.ft. Attached❑ 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 Nf SEWER❑ / NEW❑ EXISTING[' PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOg' EXISTING SO.FT. 1(019 EXISTING BEDROOMS 3 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 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 wo*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 COUNTY CODE 14.08.42) ,,pp W'of'4�1 61.2z Signature of OWNER(Must be signed by the OWNER) —� ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: 2,5 PERMIT ASSISTANCE CENTER: cc ( M5' .BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St-Shelton, WA 98584 www.co.mason.wa.us 'v E Phone Shelton:(360)427-9670 ext. 352- Fax:(360)427-7798 Phone Belfair:(360)275-4467- Phone Elma:(360)482-5269 2024 n(�rr PLUMBING & MECHANICAL PERMIT APPLICATION"T - street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:J.p!6tDti 9, Gkr;S},n r5 NAME: 4eAltw Constrw-1;tin LLL MAILING ADDRESS: IS41 /V E OIL LSt1f4;r MAILING ADD SS:PO &J( 2007 CITY: &alIi4I r STATE: w R ZIP:q%S2Q CITY: GI;A;r_STATE:W A ZIP:'I�% Pt PHONE: - Z 1 PHONE: CELL: 25'5-S14-0361 2'PHONE: EMAIL : APtw AQ_ hwv j GW►S}�,�c+Ion LI.G.Go i^1 EMAIL:(lrtgtl babes 9$qN C 'I. vW� L&I REG# HEALECL.1S5D2 EXP.Q�L/ /Ja PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): I2 -L - -O 111&0 Zoning: R R ZD LEGAL DESCRIPTION(Abbreviated): T K 15 of' Al 1/Z AA J )v SITE ADDRESS: IS41 At E 0ll Atik;r 14\-YY CITY: 6c1FA�r DIRECTIONS TO SITE ADDRESS: TLAr r1 CU 40 OIL 01F Are \f,/A-3 Pr0Fr'ft j \'JI It bc. 0n 01 ItF,� 6e.AL S,AG. TYPE OF JOB: NEW 0 ADD=AL I�REPAIR=OTHER]USE OF BUILDING LOCATION OF FIXTURES/UNITS— I sT FLOOR_2ND FLOOR=BASEMENT=GARAGED OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric-LPGQNatural Gas[�Ductless= Toilets 1 Tie of Unit No.of Units Fees Bathroom Sink 7.. 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 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 permittapplication 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 09 / 2S/ 2Z1q Signature of ner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 1)6G (- •z�/ PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1 B N Date Received: MASON COUNTY COMMUNITY SERVICES DEPARTMENT . t= E I V E D BUILDING•PLANNING•HRE MARSHAL OCT - 1 2024 — Mason County Bldg.8,615 W.Alder St Shelton,WA 98584 www.co.mason.wa.us 360427-9670 ext 352 �.N. Alder Stre t Permit 4:B199OZ Property Owner's Authorization Letter I (we): J e-r—F- '4- L' 2ts Can yw rs (Print Property Owners Name/Firm/Organization) Hereby Authorize: i Q rG%.✓ Np o (Applicant-Name of Person to Sign Permit) Representative of: -e-' (Applic#g Company Name/Organization) To apply for, sign, and pick-up building permits for the following proposed work: Pr i'maN bot4(oof✓1 adz. ;OA in - (Brief Description of Rork to be Done) Job Location: P!// iU E 0/CV/ Ee_ &i- (Property Site Address) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign, and pick- up the building permit for the work as indicated above. All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). (Property Owner Signature) (Date) Rev.03/10,12016 jlbn