HomeMy WebLinkAboutBLD2023-00034 - BLD CD Environmental Health Review - 1/12/2023 (2) �sr�`" '''-t.� MASON COUNTY COMMUNITY SERVICES Permit No:Q)LQ )Q��_ QObz w,
.'- PERMIT ASSISTANCE CENTER: ^E C E I\/E D
'•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSr
7 4 I. ,o i 615 W.Alder Street,Shelton,WA 98584
t:f_ z Phone Bel/a c(360)275-4467•Phone Elma.:(360)482-52698 Phon'AN � 2 2023 E N V I R 0 N M E N TA L
rye•(it
^j` PERMIT APP o L HEALTH
BUILDING �� Aider Street 1
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: �`P
NAME:Rohr Real Estate LLC NAME:Rohr Real Estate LLC `"II 7
MAILING ADDRESS:2027 walker park road MAILING ADDRESS:2027 walker park road
CITY:shelton STATE:wa ZIP:98584 CITY:shetton STATE:wa ZIP:98584
PHONE#1:253-398-4579 PHONE:253-389-4579 CELL:
PHONE#2: EMAIL:bradrohr@gmail.com
EMAIL:bradrohr@gmail.com L&I REG# EXP. / /_
PRIMARY CONTACT: OWNER p CONTRACTOR 0 OTHER 0 •
NAME same EMAIL same
MAILING ADDRESS same CITY STATE ZIP
PHONE same CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22018-50-00267 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) TIMBERLAKE#1 LOT:267 FIRE DISTRICT District 5
SITE ADDRESS 60 E Totten Place CITY Shelton
DIRECTIONS TO SITE ADDRESS From Agate,turn onto Timberlake Dr.Take first Right.Turn left on Totten PI. Ste is on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE❑ RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW Q ADDITION❑ ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc)Residence
IS USE: PRIMARY Q SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)B YES(Pawls)of Bldg)0 NO 0
0 DESCRIBE WORK New manufactured home
SOUARE FOOTAGE:(proposed)
1ST FLOOR 1242 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 138 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 CONES OF THE FLOOR PLAN REQUIRED*
N,IAKE CMH Albany MODEL 72DRM28443AH22 YEAR 2023 LENGTH 46
WIDTH 27 BEDROOMS 2 BATHS 2 SERIAL NUMBER ALB041532ORAB
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 8 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach co pleted Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL 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 8 void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
I 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 APPLICAT N TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) /�
Signature of Fr,
NR(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT �j��
PIRE MARSHAL / 1 (l. C fi5 � q.S2-ll�
PUBLIC HEALTH 1"`C-1 `I���
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