HomeMy WebLinkAboutBLD2023-00019 - BLD CD Environmental Health Review - 1/6/2023 r�w`'v`O'P` :t., MASON COUNTY COMMUNITY SERVICES i tylitJ o-(lP��3^00D' 9
r. PERMIT ASSISTANCE CENTER: SY L,.Nut Lao.i V Leo.Li
c� rolli 1•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
i s ,I I• 615 W.Alder Street,Shelton,WA 98584 A rtn^': 4s..
f if Phone Shelton:(360)427-9670 ext 352•Fax.'(360)427-7798 Phone l r�i s`! — �i`ILJ \
No ti Beffair(360)275-4467•Phone Elma:(360)482-5269
"�"�'' W. Alder Street
BUILDING PERMIT APPLICAH U
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIONS NV!R 0 N M E N TA L
NAME: Scott Hayes NAME:Wolf Industries/Jahnee Dragoo H EA LT H
MAILING ADDRESS: 920 N Colony Surf Dr MAILING ADDRESS:607 SE Eaton Blvd
CITY:Lilliwaup STATE:WA ZIP:98555 CITY:Battleground STATE:WA ZIP:98604
PHONE#I:707-225-2571 PHONE: 360-912-9519 CELL:
PHONE#2: EMAIL:idragoo@worrind.com
EMAIIL:scott_hayes@na.honda.com L&I REG#WOLFI I I921 BD EXP. 01 /09/1c24
PRIMARY CONTACT: OWNER❑ CONTRACTORS OTHER❑
NAME Jahnee Dragon EMAIL jdragoo@wolfind.com
MAILING ADDRESS 607 SE Eaton Blvd CITY Battleground STATE WA ZIP 98604
PHONE 360-912-9519 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 323095110022 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) COLONY SURF 2 BLK:10 LOT:22 FIRE DISTRICT 17
SITE ADDRESS 920 N Colony Surf Dr CITY Lilliwaup
DIRECTIONS TO SITE ADDRESS N Colony Surf Drive on the right hand side
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NONV SNOW LOAD:40 psi
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWS ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.)Residence
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS1 _
HEATED STRUCTURE? YES(WhaleBldg)Q' YES(PortIs]of Bldg)❑ NO❑
DESCRIBE WORK Placing a modular home on a concrete stemwall foundation.Thi8s home has L&I Gold Label Approved Plans
SQUARE FOOTAGE: (proposed)
1ST FLOOR 616 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 96 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER 159 sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Wolf Industries MODEL E-S YEAR 2022 LENGTH 44'
WIDTH 14' BEDROOMS 1 BATHS 1 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC' SEWER❑ / NEW❑ EXISTING V
PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOV EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
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 permitiapplicabon becomes nut&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)
Stott.`*ef Jan 3,2023
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 /�
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