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Home My WebLink AboutBLD2024-01071 Remodel, Rebuild SFR - BLD Application - 9/4/2024 Docusign Envelope ID:3BE22B79-9544-4F63-A696-4EDA27D3EA57 Permit No ROC tftq MASON COUNTY COMMUNITY DEVELOPMENT SEP 0 4 2024 - Permit Assistance Cater,euilding,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:!! NAME: NAME: MAILING ADDRESS: MAIL �ADDRESS: CITY. STATE: ZIP: CITY i A STA ZIPCM PHONE#I•b ' �'130: � PHONE: 'C� PHONE#2: EMAIL: 1 ,n C 4 Gon Z pII; L&I REG# EXP. / / e�retel P Y CONTACT, OWNER❑ CONTRACTOR I THER❑ NAME EMAIL MAILING ADDRES . W CITY 1 STATE 11% ZIP PHONE 0 LL ss PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS bO c CTIONS TO SI"E D 11 t i IS THE PROJECT WITHIN 300 FT OF PE(S)GREATER THAN 14%: YES[] NO SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheekafl dwaA*): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM E TYPE OF WORK:^ NEW❑ ADDITION❑ ALTERATION❑ REPAIR BY OTHER ❑ USE OF STRUCTURE(R.rddeacc Garage Commarw Bldg,Fda) IS USA: PRIMARY 18 SEASONAL❑ Ni7M 3ER OF BEDROOMS NUMBER OF 13ATHROOMS HEATED STRUCTURE? YjE(-S-(-W___boIrB�Wg) p-YES(Ppart(s)of )❑ NO❑ DESCRIBE WORK7j1 ,{ E+�IU C1 � i'e.Ifr+uICl T Sdh� kaw_ PV" S. UARE FOOTAGE:Ijpropared) 1ST FLOOR __sq.ft. 2ND FLOOR sq.& 3RD FLOOR sq.fL BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.& STORAGE sq.& OTHER sq.& GARAGE _sq.R Attached P1 Detached❑ CARPORT sq.& Attached❑ Detached❑ MANUFAC *4 COPIES OF THE FLOOR PLAN REQUIRED* MODEL LENGTH TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC Iff SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES' , NO❑ lfyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO'p 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 entised 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 8 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTWITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) 8/23/2024 x , Signature of OWNER(Must be stoned by the OWNER) Dale DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT ^G ft-S.Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH PermitNo� � .� MASON COUNTY COMMUNITY DEVELOPMENT C Permit Assistance Center, Building,Planning PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 1S N NAME: MAILING ADDRESS:' MAILING ADDRESS: CITY: STATE: ZIP: CITY: i STATE: _ZIP: IS'PHONE: ' .Oln PHONE: 5 L3'li 1 `t' a? 2°d PHONE: EMAIL : J , EMAIL:1jr, \r\ am � ,. CZ M L&I REG# 4 EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): '� `�� 2t}p(� Zoning: LEGAL DESCRIPTION(Abbreviated): t) SITE ADDRESS:, 1,0 C SG "ncA J) > /U i�. CITY: S �( ,, D CTIONS Tq SITE DRESS: ov\ V-V, tk V ok 1Pi� SA-- V �fnks'�l L�� . C. SAL Y4m"-'s On '� v'Q�c y\ TYPE OF JOB: NEW=ADD=ALT=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:ElectricMLPG=Natural Gas=Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater t Propane Tank Clothes Washer Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent / I 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 HE APPLICATION. X �a� lay Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/227/2016 JBN Docusign Envelope ID:746C4F8B-lCAD-478C-902A-7769308C38DD Re e' MASON COUNTY' ,�'� COMMUNITY SERVICES DEPARTMENT SEP 0 4 2024 BUILDING•PLANNING•FIRE MARSHAL Mason County Bldg.8,615 W.Alder St 15 W. Alder Street Shelton,WA 98584 www.co.mason.wa.us 360-427-9670 ext 352 Permit#: yl 2D M .016 Property Owner's Authorization Letter I (we): Sandra Austin _ (Print Property Owners Name/Firm/Organization) Hereby Authorize: Cedar Crest Homes, LLC/ (Applicant-Nome of Person to Sign Permit) Representative of- Cedar Crest Homes, LLC (Applicant Company Name/Organiation) To apply for, sign, and pick-up building permits for the following proposed work: Repair home from fire. (Brief Description of Work to be Done) Job Location: 360 E Shamrock Dr Shelton, WA 98584 (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(ItCW 18.2.7). 8/7/2024 (Property Owner (Date) Rev.0311012016jlbn