HomeMy WebLinkAboutBLD2024-01486 Addition - BLD Application - 12/17/2024 MASON COUP(TV Permit No: 'b I
COMMUNITY DEVELOPMEPWCEIVED
Permit Assistance Center, Building,Planning DEC 17 2024
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA Aider Street
NAME:Robert Drexler NAME:
MAILING ADDRESS:51 E Sinclair PI MAILING ADDRESS:
CITY:Shelton STATE:WA ZIP:98584 CITY: STATE: ZIP:
PHONE#I:360-620-2466 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:robdrex@gmail.com L&I REG# EXP.
PRIMARY CONTACT: OWNER Q CONTRACTOR❑ OTHER❑
NAME Rohe"Drexer EMAIL robdrex(Mgmall.com
MAILING ADDRESS 51 E Sinclair PI CITY Sh1W STATE WA Zlp 98584
PHONE CELL- 20.2468
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Nutnber)22018-51-00110 ZONING
LEGAL DESCRIPTION(Abbreviated)LT,TimberlakeNo 3,Vol 6,Pgs 103-106 FIRE DISTRICT
SITE ADDRESS 51 E Sinclair PI CITY Shelton
DIRECTIONS TO SITE ADDRESS HWY 3 to Agate Rd to Timberlake Dr to left on Eastlake Dr to right on Sinclair PII to address on left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (check all that apply):
SALTWATER❑ LAKE E] RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
r TYPE OF WORK: NEW❑ ADDITION Q ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
t IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bidg)❑' YES(Part/sj oJBW❑ NO❑
DESCRIBE WORKAddrtion of 3/4 bath in daylight basement
SQUARE FOOTAGE:(proposed)
1ST FLOOR sq.8. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER -10 sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED-
MO
DEL YEAR LENGTH
; TH BEDROOMS BATHS S
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] 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 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 suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICAT ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X R/✓/L. / �j 2
z
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:����L'f 'V6 '
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St- Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair. (360)275-4467• Phone E/ma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Robert Drexler NAME:
MAILING ADDRESS:51 E Sinclair P1 MAILING ADDRESS:
CITY:shenon STATE:— ZIP:g8584 CITY: STATE: ZIP:
I"PHONE:3so.s20-24ss PHONE: CELL:
2°d PHONE: EMAIL :
EMAIL:Robdrex@gmail.com L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):22018-51-00110 Zoning:
LEGAL DESCRIPTION(Abbreviated):LT 110,Timberlake No 3,vol6,Pg5103-106
SITE ADDRESS:51 E strrdwr P1 CITY:shehon
DIRECTIONS TO SITE ADDRESS:
1 Hwy 3 to Agate Rd to Timberlake Dr to left on Eastlake Dr to right on Sinclair PI to address on left
TYPE OF JOB:
NEW 17-7-71 ADD=ALT=REPAIR=OTHER=USE OF BUILDING Single family home
LOCATION OF FIXTURES/UNITS—I sT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPG=Natural Gas=Ductless=
Toilets 1 Type of Unit No.of Units Fees
Bathroom Sink 1 Furnace
Bath Tubs Heat Pump
Showers 1 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 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 TH APPLICATION.
x �
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 1BN
MASON COUNTY Permit No: - I E D
COMMUNITY DEVELOPMENT
DEC 17 2024
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Robert Drexler NAME:
MAILING ADDRESS:51 E Sinclair PI MAILING ADDRESS:
CTTy.Shelton STATE:WA ZIP:98584 CITY: STATE: ZIP:
PHONE#1:360-620-2466 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:robdrex@gmail.com L&I REG# E)P.
PRIMARY CONTACT: OWNER p CONTRACTOR❑ OTHER❑
NAME Rob.nDr.A., EMAIL robdrex@gmail.com
MAILING ADDRESS 51 E Sinclair PI CITY Shelton STATE WA ZIP98584
PHONE CELL 3e0b20-246e �G
PARCEL INFORMATION:
PARCEL NUMBER(12 Di.-it Number) 22018-51-00110 ZONING
LEGAL DESCRIPTION(Abbreviated) LT,TimberlakeNo 3,Vol 6,Pgs 103-106 FIRE DISTRICT
SITE ADDRESS51 E Sinclair Pi CITYShelton
DIRECTIONS TO SITE ADDRESS HWY 3 to Agate Rd to Timberlake Dr to left on Eastlake Dr to right on Sinclair PH to address on left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf
1 IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thatapplv):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION I] ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY I] SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑� YES(Part[s)ojBldg)❑ NO❑
DESCRIBE WORKAddition of 314 bath in daylight basement
SOUARE FOOTAGE:(proposed)
I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 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 SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE. YES NO❑ If yes,attach completed WaterAdequatyFonn
PERIMETER/FOUNDATION DRAIN PROPOSED? YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop"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 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. INACTIVITY OF THIS
PERMIT��ICAT ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X I -Ll y
Signature of OWNER(Must be signed by the OWNER) D, ate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 'f/ 3