HomeMy WebLinkAboutBLD2023-00026 - BLD CD Environmental Health Review - 1/10/2023 (2) ..4v;r `'' MASON,..',;=u., -4•*.; p COUNTY COMMUNITY SERVICES Permit No?1(,f 2,02 - �O� ip
4 pilltie..4 PERMIT ASSISTANCE CENTER;
I •BUILDING.PLANNING•PUBLICHEALTH.FIREMARSHAL
•r'•' ',o4ri !} %y x, 615 W.Alder Street,Shelton,WA 96584
0.
7j,.. , . :� Phone Shelton:(g60)427-3670 ext.352•For(360)427-7798 Phone ` A7
`'•`.,,•:.- .}L;� BeBaI (360)275-4467.Phone Ebner(360)482-5269 \1*171L� � opi'4C \( ( 1
BUILDING PERMIT APPLICATION [
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION-
NAME:Rapport Enterprass LLCNAmE:RNn Construction
MAILING ADDRESS:3139 Donnelly Drive MAILING ADDRESS:271 o Clinikm Odes
CITY:ctienliea STATE:WA ZIP:saws
PHONE�I:360 altar CITY:sewn, STATE:WA ZIP:91'382
PHONE:36n48°729s
PHONE#2: EMAIL- CELL: T
EMAII:a varol
L&I REG#w3sw56, EXP.
PRII+Ii ARYY CONTACT- OWA'ER a CONTRACTOR 0 OTHER Q = ]O
NAME MAILING ADDRESS 3139gonneYypme EMAIL drmpsdedrenddockeamearaor m 0
CITY o'n^Pia STATE WA ZIP 98531 D Z
PHONE 36°828 a� CELL
PARCEL INFORMATION: m
•
PARCEL NUMBER(13 Digit Number) • 2 2//-sl- p/pa5.. —fir
ZONING
LEGAL DESCRIPTION(Abbreviated)
Pleasant Cove Beach had�VoL4 vlats P9 4 FgFIRED DISTRICT BeAaR �SITE ADDRESS ass NE Nahshore Road to Ncuthshare Road 0,0 Kit APE'?r CG v+r CITY Beloit
DIRECTIONS TO SITE ADDRESS State Route 3 to Norduhwe Rd(Route 300)West r
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN I4%: YES!] NO Q SNOW LOAD:1 17ncr IS PROPERTY W1 Ii ION 200 FT OF THE FOLLOWING: lL7zg-d!:Ii appl•,:
SALTWATER 0 LAKE❑ RIVERiCREEK❑ POND❑ WETLAND El SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR 0 OTHER rr(Repla,xment
USE OF STRUCTURE(Rerjde:we,Garage C nmrarelol BMp,Ere.)1ottdeace
IS USE: PRIMARY 0 SEASONAL[] NUMBER OF BEDROOMS 1
NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES amok-ss ,0 YES rPa4 j ofpwrl❑ NO❑
DEsoRur WORK Dewar,Install.set-up,lie down,skirting,cement totutda8on
SOUARE FOOTAGE:rprvpo,ut,
1ST FLOOR'.3sz sq.ft. 2ND FLOOR sq.]L 3RD FLOOR sq.ft. BASL-MIN'! sq.fl.
DECK sq.ft. COVERED DECK sq.IL STORAGE sq.IL OTHER R
GARAGE sq.It Attached El Detached s9-
❑ CARPORT sq.ft. _�rtaclrerl❑ Iletaclred❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
1 MAKE JMc rI-Heysr.11 (p IoDEL.4RA^t(7TETo>u
�vmTli i I_z YEAR 20� I_Evcrx Oh!o
BEDROOMS I BATHS 1 SERLAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE SEPTIC❑ SEWER❑ INEW❑ EXISTING j]
I
PLUMBING IN STRUCTURE? YES
❑ NO❑ ItOtr attach completed IPater:Ider)rrucr Fonn
PERIMETER/FOUNDATION DRAINS PROPOSED'? YES El NO° EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 1
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement 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 I have
obtained permission from all the necessary parties.including any easement holder or parties of interest regarding this pmjecL The owner at legal
and structure(s)representative,represents
ets and inspection This erreprovided
is accurate and grants employees of Mason County err'Pc%to the above described property
P appticalion becomes null&void if won(or authorized construction is not commenced within 180
days wit construction grit is suspended fora period of 180 days.
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.d2)
X (� .... , :-e �i '> 4/12/22
Signature of 0 u be signed by the OWNER) Date
DEPARTMENTAL MENTAL REVIEW APPROVED DATE DENIED `DATE TAGS/NOTES/CONDMONS
BUILDING DEPARTMENT
•
PLANNING DEPARTMENT
FIRE MARSHAL
• PUBLIC HEALTH V'e) 17,411 Uti,\43 d.
~~— InglyMinp
' P1 : : i'
:;. Llse
e ® 4dg � a
N -5- ,;401tili-4211 mi;ROldill 15 9-ed 1§:i rn..,_
,,, •L - Oii 1 11 tR:li 1 1;iiifiii1A4i6 10111!iti C,,,,r,0,3 Ti.:C..a; y
e g
li ii �� - ,, > .i 5 3 gt0
d
0 S p N O
t44I
i Q i W
Y 1 O O Y
ti
h a '
iP _° <,
11 '• iii..2•Ii.iini•
I .$�
X4jP'
° is,,;
akP-,i,i,§--,..[7.1`a gl.). _diI_lpI1 '2',Z-.'1,' i. /i4eN•'.//
" / 0 O-:)-r--TPt1).
T - I
1 $ .'r'o x !1 CD
4.•.,./
o • ,A
IASi8 a . t�1 A gd II !
i/ V4.6 /J. si:::.:!' ''''' ----1 (-0 r-r-i
„ s /41414p
J4Y4.‘ ir ' X:
.o r�e *% ‘,,s4 ' y�, x
4. . % 4 / /, I- [21111Te—gi-oile• —•
/ .;,. ,, ,,,,,„f MMIHMMINIII
/ , „,,.,. /
AN.
C . E
r
. : ::.: 1iiiiii. .::iiiliilimi:,. 1
ii
y
9
•
•
'. " � a. gr � , s J Fi1e
rt.
p
: ,' p w • L . W
L �°M G . 2 tit ' @yyh yyyy. a c2
-0 vF n , g
ro
Lo
rn ca Q
coIDCO
a 3
I
c
tn
'3 c
la) ° Q
'J
a
cr � 8 to
w
o c a� co
0 L ° 3 3 on a m
i. rJ 4J al a+ N ^'G,TT
4-0_
j al r0 r0 @ •0 QJ 4
U O O O c cu Q
C! ® O
cc of L/ ce d w o d 0lAni
CV rn 4 !xi tD r\ ap rs-
ElBC 1
F.= tis":"eNb :
... 2x
(...) . , 1.?a 1,4.4.2.,
(...D r - II
„ r 0 it : --:: 'A.4,7,7
:,
1
,.
terns nos e► is ••its
aJ tL .11r
11 12
r � �
Z m
V b
0.. [ III