HomeMy WebLinkAboutBLD2022-01550 - BLD CD Environmental Health Review - 12/19/2022 MASON COUNTY COMMUNITY SERVICES Permit No: 2 ' L J -Cii
PERMIT ASSISTANCE CENTER:
¢Z •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
�" p* 615 W.Alder Street,Shelton,WA 98584 ����
�` � ,.�-te r t Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Orr C 1
4�""'�.�, ���y BeNair.(360)275-4467•Phone Bala:(360)482-5269
BUILDING PERMIT APPLICATION 315 W. Alder Street
PROPERTY,/ OWNER INFORMATION: CONTRACTOR INFORMATION: C a ^
NAME: �C Sit'7/r/1 ��" NAME: ,D4T/2,4 ✓�S L.L c? r)-V-
MAILING ADDRESS: 440 SE 4/O/v e 4/fi MAILING ADDRESS: 3�;'7//9ACi Ffc: XIV� 5.--
CITY:S/y G/f2N STATE:J t4/ ZIP:755",; 41 CITY:0/0-to .i- STATE:Gu4- ZIP: 5253 m
PHONE#l: Z 5 3 - 3(5 - Z e,i7 PHONE:37vo'/9/ 95'W CELL: 3Le)7i37 7201' Z
PHONE#2: EMAIL: 64/2,- ri6 rIZ,A. 0 �At--J li,, c.,c,,,,-,<
EMAIL:I C t 1•11/,'l (� �L_Lit7,L8cI REG# /�67/L�t L 73 1 3 T EXP. 3 [Zz/2-2 = Jv
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑-- OTHER 0 rn 0
NAME G;-1 /2a7 0 ii Z--4-7 EMAIL D L
•-�
MAILING ADDRESS 4 CITY STATE ZIP
PHONE S � CELL 0 2-3 9 7 Z n ,3'
PARCEL INFORMATION: = z
PARCEL NUMBER(12 Digit Number) 37 'U z-71S/OC.2(..2 S6• ZONING —.4
LEGAL DESCRIPTION� (Abbreviated) FIRE DISTRICT D 71
SITE ADDRESS O 5- AG�//c_i e- b/2 CITY .S 2.-7`2) r
DIRECTIONS TO SITE ADDRESS tip �P fr, Y"l w,p 6 ,¢/< / TG
Gil --�i//•-, 'r e-,^ got�G2�s T L11�/.y�
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO Err SNOW LOAD: psi
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that appl):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW Er ADDITION❑ ALTERATIONJ 0 REPAIR 0 OTHER 0 i '/.�/ _
USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc. /L 4
IS USE: PRIMARY[- SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS 7----
HEATED STRUCTURE? YES(Whole Bldg) YES(Part[sJ of Bldg)0 NO 0
DESCRIBE WORK /X/.5f,// Ai1A z-/a/te ON 5-",:74-.i — i-H,4-C -/4-/ /xT
SQUARE FOOTAGE:(proposed)
1ST FLOOR Z7O7 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached tQ" CARPORT sq.ft. Attached 0 Detached 0
MANUFACTUREDA HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE /24t H ry,2c3O/Z MODEL 57C 4`2/6341& YEAR iQ 2j3 LENGTH (, 9'
WIDTH Lig(p r BEDROOMS X BATHS `- SERIAL NUMBER 7 3 D
ENVIRONMENTAL HEALTH: /
SEWAGE/SEWER SOURCE: SEPTIC V SEWER 0 / NEW 0 EXISTING IV/
PLUMBING IN STRUCTURE? YES[ NO 0 If yes,attach completed Water Adequacy Form
PERIMETER'FOUNDATION,DRRAINS PROPOSED? YES I' NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS --C- PROPOSED BEDROOMS .e.s-7.- TOTAL BEDROOMS
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 LICAT OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X 1 - I(1 ' 21)2a'
Signature OWNER( st be signed by the OWNER) Date
DEPARTMENTAL REVI APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ( 7,'Z'5 Gc+.4 zT�(,I/ls tit
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