HomeMy WebLinkAboutBLD2023-00063 - BLD CD Environmental Health Review - 3/8/2023 ��,�o,,"'"''LA4,vl MASON COUNTY COMMUNITY SERVICES Permit No: VCQ22) "a
• C'._.. PERMIT ASSISTANCE CENTER:
. .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
IONI. 615 W.Alder Street,Shelton,WA 98584 �� (�
-,�� Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone J A,
,iy ,,;.--
/ Belfair:(360)275-4467.Phone Elma:(360)482-5269 .4 O
tom rtt'1v10:\' sou 19 2
BUILDING PERMIT APPLICATION 1'I! �73
N: CONTRACTOR INFORMATI N�aer et
PROPERTY OWNER INFORMATIO eet
NAME: Joe and Kristie Berg NAME:
MAILING ADDRESS:9831 Marine View Dr. SW MAILING ADDRESS: , 4,,CITY:Seattle STATE:WA ZIP:98136 -CITY: STA : k44
PHONE#1:2067242476 PHONE: LL: u 8
PHONE#2: EMAIL : C
EMAIL:kristieberg@hotmail.com,joeb@slalom.com L&I REG# • / _
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑
NAME EMAIL
MAILING ADDRESS CITY ERwRw.. jEIP
NTgL
PHONE CELL ;
PARCEL INFORMATION: HEALTH
PARCEL NUMBER(12 Digit Number) 1 21 05-52-001 94 ZONING RR10
LEGAL DESCRIPTION(Abbreviated) TREASURE ISLAND FIRE DISTRICT
SITE ADDRESS 921 E. Treasure Island Dr. CITY Allyn
DIRECTIONS TO SITE ADDRESS From Shelton, Take WA3-N. Right on E. Grapeview Loop Rd.
Right on Treasure Island Rd. Site is on the right.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14°A°: YES El NO ❑ SNOW LOAD: 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 ❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION D ALTERATION 0 REPAIR❑ OTHER 0
care (aA l,�g-'►s. Covl ''i�
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 9a
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg)0 NO 0
DESCRIBE WORK New Garage with upstairs bonus room, lower level storage, and new sports court
SQUARE FOOTAGE: (proposed) •
1ST FLOOR 13 sq. ft. 2ND FLOOR 498 sq. ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 82 sq.ft. COVERED DECK 83 sq.ft. STORAGE 530 sq. ft. OTHER sq.ft.
GARAGE 775 sq. ft. Attached 0 Detached 0 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 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO D If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
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,g..�_./ _4 I— lot —z-
Signature of agent Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
•
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH K — 'Ng(z3 UP •• Ai 4
i i
Ilk
1 1 " iii sil • .!'..' - • 41 ); 63 V; "1
•_.5` V m
(1c4
1 m
4 ; . 0 .
, .
. ..
„...,A,... . . .... . ,
.. .. , w
; - .• ,..,:--
;,.. 4 • ii
!ii
I , . , iiovr,•:25:,4-!;:i*-,4,--,:.7,
•
,;4 ff,, E.
\ • J)
/ \\\ '''.Z. ..
;\\.; ,14.r '1 / U p P W>
\ 1 / $o _.o
/ ac o m
\ \\ gc 3
— --- — \ ----.-- /; 00 dg3
/ lit
\ owD3N, m
f 11 i 8 i Z a if?o
bi•
096.4 11 i 1 41 13 1 I
iii
Y
•
m
N
V • g
N
. i g D
0
3:13 ._ f ' o
/ II
gv
v
iis
z Z
r
T ••• . _,.. , :: . ; . •
. ;: , .
> �-
$ Y ' NEW BONUS ROOM/GARAGE POW T1.a _
D. —� rev
JOE AND KRISTIE BERG is 10; ; r.
ss� ! A16
W
MASON COUNTY RIASHINOTGN i 3_r
I