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HomeMy WebLinkAboutBLD2022-01557 - BLD CD Environmental Health Review - 12/20/2022' �suP1"G �`' ''''^:t{. MASON COUNTY COMMUNITY SERVICES Permit No: ICA -01551 PERMIT ASSISTANCE CENTER: l 'j"t� •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL - e g Fi■4 615 W.Alder Street,Shelton,WA 98584 (�`�y'�', I "'PPP o a Y Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone C \ ,fry--_� B&fair.(360)275-4467•Phone Elma:(360)482-5269 ) ‘1,4\ BUILDING PERMIT APPLICATION \�`� g7�- . ��� ���l/ PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: t •f O ;,7 ` NAM RYSON, ROBERT V JR NAME: American Home Center *<. MAILING ADDRE&49 S JACKSON AVE MAILING ADDRESS: 406 108th St S /- CITY: TACOMA STATE: WA zip:98465 CITY: Tacoma STATE: WA ZIP:98444 PHONE Al: PHONE:2 3-841- 6 0Q CELL: O PHONE#2: EMAIL: aSoncahc( amaiI.com EMAIL: L&I REG#AMERIHC978OC EXP. 09/03/21 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHERX NAME Megan Madsen EMAIL meganmaden(a�hotma'! an] MAILING ADDRESS P OX 1482 CITY Sumner STATE WA ZIP •.L •ita, PHONE 206-396-26 CELL ,r 14 PARCEL INFORMATION: 19€ 'Y/y1EA, PARCEL NUMBER(12 Digit Number)22007-50-00021 ZONING RR5 ty 'V Tq .4 4 LEGAL DESCRIPTION(Abbreviate"I M B E RLAKE #7 TR 21 FIRE DISTRICT 5 SITE ADDRESS 51 E IRONWOOD PL CITY SHELTON 1 DIRECTIONS TO SITE ADDRESS N HWY 3, RIGHT ON E AGATE RD, LEFT ON E TIMBERLAKE TO IRONWOOD PL IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO X SNOW LOAD: 25 psi IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW X ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)$ YES(Parris]of Bldg)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) 1ST FLOOR 1512 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK 72 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 GOLDEN WEST MODEL DREAM SILVER YEAR 2022 LENGTH 56 WIDTH 27 BEDROOMS 3 BATHS 2 SERIAL NUMBER FAO ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YESX NO❑ If yes.attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOX EXISTING SQ.FT. EXISTING BEDROOMS 0 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 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 P T PLICATION OF 1 D YS F MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 12/20/22 natu e of NER(Must be signed by the OWNER) Date DEPARTMENT REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH gicT '[(1 Iz3 C c.e. , .3. 01 J g 1 Li CV 65 zw a Imo' in `L.. < L LS•) r z CD w IZ W as U ,; 14.1 p =L Stl 0 Ce i •a f Z S W 0 ea E isth! i < Ceteq to ' W I. �. o : la iIIiijL in a `� .�►'�' ill! i o 2 .:1, ... Sa ° X. a W Y I Nn ff1 1 I Igr'''P I '08 NUS. W s Ii k I 8 cc t o 8 E E c i • TO V 0) c7 bn z a� a c U v oa a N C) 'G r • v a N N. CCS "Q O U ■ (_, C/p U [-i Q O � z U •a E� -+Z 2 2Eo 2 /A// %il � � /LIP 4///////////ii -o• f �� diPircr?sApƒ A¥ 6 4 :lill. °e /Al , Aliki4 1' / ��% � � > / $ R� ...Z\ ��� ® co / ± 22 > 5.. ƒ ,, % f ƒ I @ ° n @ K£.9f� - {0io»o ° k7i°$k ----II ° E}! %\ƒ \$% ,2Z a at {\) i a; } G&% nr8.C. w\ k\ tD SD $ 33\ /0 °w o } 2/ m g( D . AN.) k \ E/ . 7 1 0 B \$ƒ O \ \E@ / « 7 ©\( § q 1 m w , 01 ( C _ § ® % I U » ,. % ©` I 1