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HomeMy WebLinkAboutBLD2022-01497 - BLD CD Environmental Health Review - 10/13/2022 4 •w�� `•r'L''titi l MASON COUNTY COMMUNITY SERVICES Permit No: $Idjo22-O M? PERMIT ASSISTANCE CENTER: •.t'i. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL , •. I M >� l' 615 W.Alder Street,Shelton,WA 98584 lJ ' ("'r`—I �./,f �' Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone r�`v �1t yv v Belfair:(360)275-4467•Phone Elma:(360)482-5269 �, 'lb')•I I I:Is; ' BUILDING PERMIT APPLICATION 615 W. /1'd ; PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Nam: John & Brenda Leech NAME: MAILING ADDRESS: 1311 Starling St. MAILING ADDRESS: CITY:Steilacoom STATE:WA ZIP:98388 CITY: STATE: ZIP: PHONE#1:425 213-6945 PHONE: CELL: PHONE#2:253-732-4448 EMAIL : EMAIL:JOHNLEECH@COMCAST.NET • L&I REG# EXP. / / BRENDALEECH1@GMAIL.COM PRIMARY CONTACT: OWNER © CONTRACTOR❑ OTHER 0 41 NAME EMAIL Vli) MAILING ADDRESS CITY STATE OAIP. PHONE CELL r,4'V PARCEL INFORMATION: �T/y T44 PARCEL NUMBER(12 Digit Number) 22212-56-00010 ZONING LEGAL DESCRIPTION(Abbreviated) ROSE POINTS TRACTS, EDDYS TR 1FIRE DISTRICT SITE ADDRESS 40 E ROSE POINT LN CITY Belfair • DIRECTIONS TO SITE ADDRESS FROM SHELTON TAKE WA-3 N. LEFT OFN MASON BENSON RD. E RIGHT ON E. TRAILS RD. RIGHT ON E. STATE RTE. 106 .LEFT ON E. ROSE POINT LN. 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 0 RIVER/CREEK❑ POND ❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEW 0 ADDITION ❑ ALTERATION 0 REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)SFR ATTACHED GARAGE REPLACES CABIN IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg)0 NO 0 DESCRIBE WORK New SFR to replace existing SQUARE FOOTAGE: (proposed) 1ST FLOOR 970 sq.ft. 2ND FLOOR 1275 sq.ft. 3RD FLOOR 101 sq.ft. BASEMENT sq. ft. PATIO UNCONDITIONED UNCONDITIONED SHOP DECK 682 sq.ft. COVERED DECK 404 sq.ft. STORAGE 00 sq.ft. OTHER ;301 s . ft. GARAGE 494 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0 HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: i SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING ❑ PLUMBING IN STRUCTURE? YES 0 NO 0 If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOO EXISTING SQ.FT. 576 EXISTING BEDROOMS 2 To BE REMOVED_ 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 Courity access to the above described property i 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 10/12/22 Signature of OWNER(Must be signed by the OWNER) Date • DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT . PLANNING DEPARTMENT FIRE MARSHAL • PUBLIC HEALTH Pr Z)I? i.7i) (-- 0 A•5 ctk.).2-Pi NE 4 HOiUhi:1 Y� 9H9 Dm b7 �0 $ �E i i Sp 00 p AAy m m m0 Z h1A v proyyyy r Dnm /E m rtjx A� / ,, A� v w 11 Eri w f 4. ri . y I CD m$' o m CD M p A \ /� n I I mm0.1 m O 6 Y f n O d y }� -- i / y o2A n cD <,'� ��. (1 ED �,`�c �,. /` ��' ,'� p.OmD-gyp Z D \ m ,, ''\CP / ./4,,,, '..<:4NSt /,'' N\\\\\\4?\\, ., IN° 4:"AL, -,'‘ 44. ' IN \.. # L\ ;;:gv \ T•s Ev N c3r QX z r� \ R DtA 3 z �N E \ /` Ra 9Sm r AAA °1-' m s4 .11[ II' OP jc \ \i/ r N� m QQ A A .cC r • A D m L �• 'S / 0-ti mrm 6)? ..• $r: . . 6 .,..(1 §7<' zi„'is'z,, O6 .. Aq D jL' S4m e r aNz IA Q' r -0 A g'f CA mz m m A 6 -Immm D n ZZ D r ALA Dm • DA O rr r m A r Q m o Amo 2 F m • N O C3 m z m D 0 cC T E m o aJ„ R m m =0 -2 r�z 7 � N � h...)� eO Nncn i 6 09. o Al mmm� Nm � m OaaP D Zr —� t. o c N�m m , 6 0 D� z � m O Xi0 --ImA m D A _ z N kV A c m C m z Em -iZB�Nz � D. N OD J � 0 z • 4 O r •rl 2 zT r' Oz o m N 6 @ `-° < OO m w ° ' m o 0 u