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HomeMy WebLinkAboutBLD2022-01530 - BLD CD Environmental Health Review - 12/12/2022 mMASON COUNTY COMMUNITY SERVICES Permit No: :2)Ili i'.2�r ;),3 •C)1`.)).l L. PERMIT ASSISTANCE CENTER: t ��99 •BUILDING•PLANNING.PUBLIC HEALTH•FIRE MARSHAL i i 615 W.Alder Street,Shelton,WA 98584 RECEIVED `"`�II'�AA+�••.�►►^ 1t «.n _ ^-,'a Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone CO Beffar::(360)275-4467•Phone Elms:(360)482-5269 • \.~. DEC 12 77"_. r�'� BUILDING PERMIT APPLICATION ( �1 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: - IdE'r `- t1 eet NAIy ARVER, JOEL & TENNILLE NAME: KAMRAC COMPANY LLC MAILING ADDRESS: 809 E Corvallis Rd MAILING ADDRESS: PO BOX 460 CITY: Corvallis STATE: MT ZIP:59828 CITY:Stevensville STATE: MT ZIP:59870 PHONE#1: 253-691-6405 PHONE:253-255-2842 CELL: rn PHONE# : / EMAIL:kamrac2U19CCc�''ggmail.com Z EMAIL:(1t4 V i., {,:L(f)i 1)1.<.:( . Cur") L&I REG# KAMRACLBO7JN EXP.7 /19/ 24 Z PRIMARY CONTACT: 1 OWNER❑ CONTRACTOR❑ OTHER NAME Megan Madsen EMAIL meganmasen(a�hotmail.com = D` MAILING ADDRESS PQOX 1482 my Sumner STATE WA ZIP 98390 fly 0 PHONE 206-396-2625 CELL D z PARCEL INFORMATION: r{ PARCEL NUMBER(12 Digit Number)22103-51-00012 ZONING RR5 = n LEGAL DESCRIPTION(Abbreviated) BENSON LAKE#2 TR 12 S 51/95 FIRE DISTRICT 5 "" SITE ADDRESS 2231 E MASON BENSON RD CITY Grapeview -I DIRECTIONS TO SITE ADDRESS WA-3 N,Turn left onto_Mason Benson Rd E I— Destination will be_on the left IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO® SNOW LOAD: osf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE 2 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ® replacement USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.) SFR 7 IS USE: PRIMARY ESEASONAL❑ NUMBER OF BEDROOMS_ 2— NUMBER OF BATHROOMS I/ HEATED STRUCTURE? YES(Whole Bldg)® YES(Part/sJ of Bldg)❑ NO❑ DESCRIBE WORK Demolish existing cabin and build new SQUARE FOOTAGE: (proposed) 1ST FLOOR 929 sq.ft. 2ND FLOOR 483 sq.ft. 3RD FLOOR 71 sq.ft. BASEMENT sq.ft- DECK 209 sq.ft. COVERED DECK 613 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFA D HOME INFORMATION: N/ PIES OF THE FLOOR PLAN REQUIRED* 71( MODEL YEAR LENGTH / WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING en PLUMBING IN STRUCTURE? YES© NO❑ yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES Nig EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS2 replacemeotAL BEDROOMS 2 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 PER IT APPLICATION AYS,OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42)X 7 idt� (1111z lit ignature o N ust be signed by the OWNER) Date DEPARTMENT REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ' fri)frZiZj C-C31116 `t '(V4S Ctaa9k �� tt e fcaa� ss alR a ? aF [:(1-,----" \\ - — ii ^7 sr� Ij�CS#3t 6C Ri kI ; I illiimipli3 +y� $ it 11'40 �'!11 2„ . ,. i Ir4 i &Pi ? a %i IJ,IIIJI Illi ; si 7 I 1 y { srG S l 4 q / _ L' ' 1 5$ 1211 g^00(71:DD 7] 000�� D o F n-o e" 8 c c F0 ciW n;Pm_ mmwN °g/^\ D Wi ° z; 9; ♦ gj • x �' = o d.� g n = N m G O u VI u7 / \ m J O:n f/i w m� m 3 N 0 0 .I. A O cr ♦ NNQN W F.F Niir!, . is a5o Y(Jt\ Zfsa \ � B mw m x Aes ♦ ki oor' \ n X C10 ,^ S ,o. f. 3a° RI V m ® \ —i 0 L� 2 \ , N M 3 o m j $ VA O z o q `? 1., 2 il '\ z 1 o `/ pp \ 0w' i , ♦ \ ' Ai m 3 b 71 S o l N aka ` `♦ n L i W �. \ m �` T CT' g \ Al � \ {l C o , , 3 m p m ,h N `i •\ , v a Z gtlo N ° i ' a NOSdW O aVOH NOSN3B — sa ly vi %pc y g 2 4 Q 6 \ 1-, b 13§fig li r ^ ' .BBff FF p h \ Ilh g II4