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HomeMy WebLinkAboutBLD2022-01490 - BLD CD Environmental Health Review - 11/30/2022 ' l,,.c)`G.''`'+�t, MASON COUNTY COMMUNITY SERVICES Permit No: 2 C)22."0 ILf iO PERMIT ASSISTANCE CENTER: • '. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 6 A tl I• 0.,7 615 W.Alder Street,Shelton,WA 98584 , \ECE 1/ r. ,, �; Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone V.-AY?' 1 ._( I v ED 1y2t 1v6s Belfair:(360)275-4467.Phone Elma:(360)482-5269 ^ ;• �)'Fii:iNO V �t 0 11)21 BUILDING PERMIT APPLICATION 615 I,� Aler S PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: , tree NAME: 221055200046 NAME: MAILING ADDRESS:2870 E.Mason Lake Dr. W. MAILING ADDRESS: CITY:Grapeview STATE:WA ZIP:98546 CITY: STATE: ZIP: PHONE#1:253-670-8572 PHONE: CELL: PHONE#2:253-279-4272 EMAIL : EMAIL:joe.snyderftbceengingeers.com L&I REG# EXP. / / PRIMARY CONTACT: OWNER El CONTRACTOR 0 OTHER p't NAME EMAIL I 1✓I ROAadC PHONE MAILING ADDRESS CELL CITY STATE �.�_ Lir�! N!,1 �� N L PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 22105-52-00046 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) MASON LAKE ESTATES #3 TR 46 FIRE DISTRICT SITE ADDRESS 2870 E. MASON LAKE DR. W. CITY GRAPEVIEW DIRECTIONS TO SITE ADDRESS TAKE WA-3 N. LEFT ON E. MASON LK RD. LEFT AGAIN E. MASON LK DR. W. SITE IS ON THE RIGHT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD: 75 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND ❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEW © ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENCE / GARAGE IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Pants]of Bldg) 0 NO 0 DESCRIBE WORK CONSTRUCT NEW GARAGE AND UPPER LEVEL RESIDENCE ON LOT SQUARE FOOTAGE: (proposed) . 1ST FLOOR 63 sq. ft. 2ND FLOOR 692 sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK 269 sq. ft. COVERED DECK 184 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 1199 sq. ft. Attached© Detached❑ CARPORT sq.ft. Attached❑ Detached 0 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 © SEWER❑ / NEW 0 EXISTING 0 PLUM131NG IN STRUCTURE? YES 0 NO❑ If yes, att completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES It NO EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS 1 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 PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X $//ilz2- Signature o NT ate DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL , PUBLIC HEALTH \ l `c1( Z-s GEC A ii piam; F t291? ip aaiilRi BQQ;a2 1 ,, a ga.FS@ ,, Si l i 11] at 1st I i 4l lY1 gIi -iii1 q al �l�� 1Is iW d 111101 14 a _• g }' ([ (`tly 3{ ' 7 p _ �� Q•1� 931 3 I t 1 '! 8Ex 4 4f�7 it t qq4 t i$ i1 il i igi iti iilt 1 Il!1,1 it{Tt!i 1 #11 l aria gaa it 1l Flgi 'i t1 l C1�1 � ii I i 4 I s l i ° 1 It i""l1 1 iIg! a :�_/i n i -r - t i i lil ii E'ii f 1 Ill lilt li wig 1 1 �Pill 4gliii it i=i ill 1 t s a c,s -: Pia 9$sv� 3�aa� l c$ 1 i 1 11't a q S3A1 lilt �b §1 It g "9�f9 ` i`•=Ti 1 a 55 ivii 31g8i.5 Kid € "i i is in ii rti l!7 f 1 1$ 8 is fit ii • l II i it ii li'4' s " i $ g gg Dill 3 FF } i t • 4Yi § q I itli l I fl Pli $� l€4 lilt {{igt Dill l'il j i t% 1 i7 i 1 s IOW Ili a�7/•s 3 M;$ $ §; $ !i 1 1 1 11 E. 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