HomeMy WebLinkAboutBLD2022-01532 - BLD CD Environmental Health Review - 12/12/2022 MASON COUNTY COMMUNITY SERVICES Permit No:�I�2oZZ"��J3�,
4 PERMIT ASSISTANCE CENTER: '.. `.._a'
p- e •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED
61 5 W.Alder Street,Shelton,WA 98584
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Phone Shelton:(36)427-9670 Phone•Fax:((36)482- 2 96 Phone DEC 1 ^O^^
Bel(ak: 360 275-4467• Elma: 360 482-5269 2 L eL
BUILDING PERMIT APPLICATION Street
PROPERTY OWNER LNFORMATION: CONTRACTOR INFORMATION:
•
NAME:Robb&Melissa Nicholas NAME;Estes Builders
MAILING ADDRESS:6689 SE Cougar Mountain Way MAILING ADDRESS:259003 Hwy 101 .
CITY:Bellevue STATE:WA ZIP:98006 CITY:Sequlm STATE:WA ZIP:98382 J
PHONE#1:206-384-8686 PHONE:360-683.8756 CELL: 360-516.0701
PHONE#2: EMAIL:permits@estesbuilders.com
EMAIL..:robb.nicholas@yohana.com;smmackie@hotmaii.com L&I REG#ESTESBL981 DL EXP. 3/1,3/2024 Z
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑ W•=
NAME Emily Scavarda-Estee Builders EMAIL permits@estesbvilders.com J
MAILING ADDRESS 259003 Hwy 101 CITY Sequine STATE WA ZIP 98382 z
PHONE 360-6838756 CELL 360-516.0701 O W
PARCEL INFORMATION: 4a [r =
PARCEL NUMBER(12 Digit Number) 32231.1200130 ZONING RRS `
LEGAL DESCRIPTION(Abbreviated) TR 13 OF S 13.14 AC ci G.L.3S 52/4-5 • FIRE DISTRICT 6 z
SITE ADDRESS 4182 Hwy 106 CITY Union w
DIRECTIONS TO SITE ADDRESS From Shelton travel North on Hwy 101:turn east on E Purdy Cutorl Rd,continue on Hwy 106 ter 12.8 mi:property u on the fight.
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❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR 04, OTHER 0 Demotieherdrebuld' foo'P'"
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Err)SFR
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK Demolish existing SFR and rebuild entirely within existing footprint.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 88_0--sq.ft. 2ND FLOOR 655 sq.ft. 3RD FLOOR _sq.ft. BASEMENT 880 sq.ft.
DECK409 sq.ft. COVERED DECK36 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR • LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 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 ern 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
/Docusphed by. DoeeSlgned by COUNTY CODE 14.08.42)
X PM/ MdatAs :AWASSO. l�(dkb As 12/12/2022 I
�'P1 iYI'Eb61'0WNER( li1`l I.'•gei`b the OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
PUBLICF AHEALTH 101 7/1 t 't'z, I(1t1-� �f 11 I w) 1
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4182E STATE ROUTE108
i }IQIII 11 PARCEL 322314300130