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HomeMy WebLinkAboutBLD2023-00112 - BLD CD Environmental Health Review - 3/9/2023 y,,r`"•`'`-+a;t, MASON COUNTY COMMUNITY SERVICES Permit No: Ic 2 L� —WI I2_ f PERMIT ASSISTANCE CENTER: _�r "1. ••BUILDING••PLANNING••PUBLIC HEALTH••FIRE MARSHAL L� I I. 615 W.Alder Street,Shelton,WA 98584 ,` C&— f Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone /V//++,, � Belfair.(360)275-4467•Phone Elma:(360)482-5269 '`YOU;. .1,y> BUILDING PERMIT APPLICATION 6 02 JAN 2 6 ?^' 3 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 1 S �V V, A rilde NAME:Mark Spaur NAME:Marty Monnier �� MAILING ADDRESS:37611 17th PIS MAILING ADDRESS:_ 9 Chi, Ib�2' t CITY:Federal Way STATE:WA ZIP:98003 CITY:Shelton STATE:WA ZIP:96584 PHONE#1:253-709-8145 PHONE:360-7eate34 CELL: 360-790-1934 X D, PHONE#2: EMAIL:monnier5@comcast.net ITl _ n_ EMAIL:spaur©comcastnet L&I REG#MONNICL994CN EXP. 'l/13/Z� rn . MI C Ca i PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑ rn 0 NAME MartSeear EMAIL spaJr©comcast.ret 0 MAILING ADDRESS 37611 17th PIS CITY Federel way STATE WA ZIP 96003 PHONE CELL 253-709-8145 PARCEL INFORMATION: EN PARCEL NUMBER(12 Digit Number) 22233.51-00004 ZONING Rural Residency /t 1 O / LEGAL DESCRIPTION(Abbreviated) MADINGS SUNNY SHORE#5,TR 4 FIRE DISTRICT 5 y r ik' • / SITE ADDRESS 4400 E.Mason Lake Dr.W CITY Grapeview A C r� ry L. DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO El SNOW LOAD:25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE 0 RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF D STREAM 0 TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0 USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.)Residence IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]of Bldg)❑ NO 0 DESCRIBE WORK Add two bedrooms,one bathroom,remodel kitchen and add an access ramp SQUARE FOOTAGE:(proposed) Xivb-ocixied1 •73t° 'Nth1 1050 1(41 Q..tfA•sntnJ q Ala II 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK 20° 144)sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER485 RaOq.ft. GARAGE 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: St•1)9 20 2I —0°CIO 5 SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW j „' EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. 736 EXISTING BEDROOMS 1 PROPOSED BEDROOMS 2 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 CONTIN TION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLI IONDAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON d DEPARTMENTAL REVIEW COUNTY CODE 14.08.42) Signa re of OWNE signed by the OWNER) Date APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS 13 1/7411'3 BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 4), W"& -/ /' all • AVISONuxEaxNekszp 8vvnwn -1'--- O.o a O CO j C(C n g .--.._.-__ _-' 7 a S L ymvfDimx� ' - Y. �;zoom ? ` 7 //� 3 J: 2 0 O m / �Bm a 1,1 Z w E vm� 3 �� m c > 4'i 74 _ w " D mom.35(71 Now rh o Q / i' m E.7-m a' of C wo (7,.�3 IA /oA., u+ f11 J mCO < O N M `/ N 0 ��3• ! tp, c.83 CO a fro /lib o / �... _ 7 t i /-- G. ii'lli 7 ') J� --- -11 \ 'flltl 4.,, , P10 Ilillgi Iii11 1fJ we s i o G---ii 'ii o'- f i I ....„.. '4 -, 0 i ,1 , 10 , . z _ 4.......... .... i ,..,-,....,,,--: - --- , 1_ •.. .. m # ®:: Jam.-. 9. -` 4 ' i �` Jf ti . y ,% ,.... , _________ ...,..._ ,t, UPC it il ii � ; `ate--�- : �' -� :� .a 40 g. p§ J1 M J C 9 a N m S ' p 7, a O .. ' 'YI c :) 1.. m II tt ,t: tt;I 4 r, OIJjr::) 1 `. ilt mg 'p 1' illy �Za ' :2_ .: 1� r n t. > �q Il ,- A