HomeMy WebLinkAboutBLD2022-01553 - BLD CD Environmental Health Review - 12/20/2022 r'('.r'''t't• MASON COUNTY COMMUNITY SERVICES Permit No: L►/ tit � 0 i �J53 k•:c PERMIT ASSISTANCE CENTER: r r'Ni71I���"
X •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL L L. � L ID
•J ig„.1 1 615 W.Alder Street,Shelton,WA 38584
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- ^,;q. f Phone Shaw:(360)427•k7670 eat.352•Far(360)427-7798 Phone DEC 2 0 2022
%h yv Belgic(360)275-4467•Phone Elmer(360)46-5269
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BUILDING PERMIT APPLIW19,1 Alder StrgENV I R O N M E NTF,'
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: H EAU"H r0
NAME:Jacob&learn Geist NAME:COVAL HOMES LLC C�
MAILING ADDRESS:si E Heetherwood CT MAILING ADDRESS:1eso Poliey Ave.
CITY:Shelton STATE:WA ZIP:98584 CITY:Pon Orchard STATE:WA ZIP:28368 1 A
PHONE#1:(303)463-0110 PHONE:380-652-1520 CELL:
PHONE#2:(300)700.2915 EMAIL.:oonstruaronoowaclares aom
EMAIL:Kmchaprnant 230yahoo.00m L&I REG#COVAt.l1L8940D EXP 11/04,Q3
PRIMARY CONTACT: OWNER Q CONTRACTOR❑ OTHER❑
NAME warn Geist EMAIL Krnichsopmen12341tyahoo.com
MAILING ADDRESS 51 E Hosthen wood CT CFIY shown STATE WA ZIP Wee
PHONE CELL(8ee48S0110
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 5202521-00020 ZONING Rural Residential
LEGAL DESCRIPTION(Abbreviated) TR 2 of N1/2 NE NW See survey 4/59 FIRE DISTRICT 1e
SITE ADDRESS 2431 W Highland RD CITY Shelton
DIRECTIONS TO SITE ADDRESS r'nm w 130ea1 Y"moar"di.O Se,sri oro W wyirm Rd,mown'Pm 23 w W 2431 on ne.(Inge barn rise a dtMwy)
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO Q SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: pock anthasapyy):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW Q ADDITION 0 ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence.Game,.Carmen-kg,Bloty Etc.)Residence
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 3 _ NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(wlwkBldg) J❑ YES(Poems.)ofXdp❑ NO 0
DESCRIBE WORK , a
SOUARE FOOTAGE:(pmpo o Vi k VA`-_)
1ST FLOOR 1956 sq.ft. 2ND FLOOR WA sq.ft. 3RD FIAOR N/A sq.R BASEMENT N/A sq.R.
DECK N/A sq.ft- COVERED DECK sq.ft STORAGE N/A sq.ft. OTHER N/A sq.ft.
GARAGE 575 sq.ft. Attached❑ Detached 0 CARPORT N/A sq.R Attached❑ Detached 0
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 0 SEWER 0 / NEW C EXISTING❑Q
PLUMBING IN STRUCTURE? YES 0 NO❑ Ijyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknowledges Old submission of inaccurate information nay result in a Nap work order a penult revocation.Acknowledgement of such is by
*nature below!deice that I ern the owlet and I further dodos hat I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,inducing any easement holder a perils of inbred regarding this protect The owner or legal
representative,represents Ord the intonation provided is accurate and grants employees of Moon County access to the above described property
and structure(s)for review end inspection.This permit/up pi icaion becomes null&void If work Cr authorized construction is not oommencad within 180
days a If oonstructon 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
PE IC N 0 80 DAYS OF MORE WILL CAU14SE.08.42)THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE
X- U /1�1 (Z f 2_012,,22
Signature of OWNER(Must be elaned by the OWNER) Date ,
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL 44c j
PUBLIC HEALTH ''r� l ;[((1 L-'1) `(1N/1)(1\AS
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M.Halverson DesignGEIS LLC 1ST,JACOB&KAITLIN Ste i"rn Parcel#52025-21-00020 .`r..,H
PO Box 1519 Shelton Wa 98584 51 E HEATHERVv000 CT 2431 W HIGHLAND RD 1
HalversondesignlIc(a�ouilook.com SHELTON WA 98584 t,„•„