HomeMy WebLinkAboutBLD2023-00026 - BLD CD Environmental Health Review - 1/10/2023 „0,,.:.�, ;;. j,: MASON COUNTY COMMUNITY SERVICES Permit No. 2 �/J�
,: _ ,. PERM?ASS/STANCE CENTER: 'V�S�lZ�- oc��a
urr& •BUILDING.PLANNING•PUBLIC HEALTH.FIRE MARSHAL
' ., t,-.1.,_;',” 615 W.Alder Street Shelton.WA 96584 l?,
•-7_ Phone Shelton:(360)427-3670 ext.352•Fax.(360)427-7798 Phone w�
Sotlalr(360)275 4467-Phone FJrna(360)48�5269 �1�17�L
""'��� BUILDING PERMIT APPLICATION 4
•I ( 1
PROPERTY OWNER INFORMATION:
CONTRACTOR LITFORz17ATION:
NAME:Napped Enterer z.c tic NAME:RND Construction
MAILING ADDRESS:3139 Donnelly Drive
CITY: MAILING ADDRESS:271 o c�mtna DriveSTATE WA ZIP sssaf
PHONE#1.340 sze 4602 CITY:x°"" STATE WAe2
PHONE#1. PHONE_36°460 7 ss CELL- rn
EMAIL.:oiymw nacocx gmaa.o r„ EMAIL:^a Bgmmicom Z
L&I REG#6°354°561 EXP 12/3 I/a
PRIMARY CONTACT: OWNER El CONTRACTOR
NAME' KaaP'4 I� OTHER
MAILING ADDRESS 3739 Dannelly Drive
EMAIL wrnw adeern adaseyr„a.co n rn 0
CITY aTT't" STATE WA ZIP t D Z
PHONE 3o06zaaeoz CELL
PARCEL INFORMATION: =
PARCEL NUMBER(12 Digit Number) - Z2 21/-5-1- O/0a5- ZONINGZONING2
LEGAL DESCRIPTION(Abbreviated)
Pleasant Cove Beach Traci Vo1.4 Plats Pg 4 FIRE DISTRICT Bewail' '�'�SITE ADDRESS 4883 NE NorthshoreRoad to tvorm Ishote Road 04/ ERT CO I.,E crr earatr D
DIRECTIONS TO SITE ADDRESS Sere Route 3 to Northshore Rd(Route 398)West 1
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO I] SNOW LOAD:3T4nsf
IS PROPERTY WI T1IN 200 FT OF THE FOLLOWING: (ChM—all Mat appiri
SALTWATER❑ LAKE❑ RIVERiCREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER IReplaoemeM
USE OF STRUCTURE(Residence,Garagc,Cann'orb.B1d„Ele.)Residence
IS USE: PRIMARY Q SEASONAL 0 NUMBER OF BEDROOMS
NUMBER OF BATHROOMS')
HEATED STRUCTURE? YES(Whole Bldg;0 YES lP a[I ofBld�l 0 NO 0
DESCRIB-?WORK Deliver,instug.set-up,lie down,aiming,carnerd foundation
SQUARE FOOTAGE;tproparrd,
1ST FLOOR'313z sq.IL 2ND FLOOR sq.ft. 3RD FLOOR
sq.rt. BASEMENT sq.ft-DECK sq.it. COVERED DECK sq.11 STORAGE
GARAGE sq.R- OTHER sq.R.
It.Attached❑ Detaclrcrtl® CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF 111E FLOOR PLAN REQUIRED'
MAKE:ifViic'//%ySt a/5 par1ODEL.4RAK/7_TETOY✓
YEAR,2022 LENGTH 41:,.I.
WIDTH )I-Z BEDROOMS .1 BATHS r SERIAL NUMBER
•
VIRONMENTAL REALM:
SEWAGE/SEAVER SOURCE: SEPTIC H SEWER❑ NEW 0 DUSTING[j
PLUMBING IN STRUCTURE? YES[3 NO❑ If_yes,attach completed IPaterAdetq,ract•Fontt
PERINIETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
OWNER acknowledges that submission of inaccurate information may resort in a stop work order orpermd revocation Ackrrmvledgement of such is by
signature below.I declare that I am the owner and I further declare that tam entitled to receive this permit and to do the work as proposed.I hove
obtained permission from all the necessary parties,including any easement holder or parties of interest regardIng this project The owner or legal
representative,
resfierc�turne(s)for review and inspection.This permiffapplicalion represents that The information provided Is e and grants
null void ifwork or authorized cIoyees of Mason County access the is abovet c described property
days or if construction work is suspended for a period of 180 days �� not commenced within 180
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)
•
X `'_. L -{/)� 4112122
Sigrtature of O Ea't cyst be signed by the OWNER) Date
DEPART.t'IENTALREVIEW APPROVED DATE DENIED _DATE TAGS/NOTES/COA'DITIONS
BUILDING DEPARTMENT j
PLANNING DEPARTMENT
FIRE MARS(-LAL
• PUBLIC HEALTH Y 172411
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