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HomeMy WebLinkAboutBLD2023-00053 - BLD CD Environmental Health Review - 1/17/2023 MASON COUNTY COMMUNITY SERVICES Permit No: ����U �� ,� I ..•"\ PERMIT ASSISTANCE CENTER: r [�' ��r" }, BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL L_ �,1..•0 �f x 615 W.Alder Street,Shelton,WA 98584 ) " '` ( ( ) JAN 1 / 2023 �eti.•!.. F � Phone Shelton: 360)427-9670 exf.352•Fax: 360 427-7798 Phone \( \ Bef/air:(360)275-4467••Phone E/ma:(360)482-5269 2 BUILDING PERMIT APPLICATCO8 W. AldrivrifkoN M ENTAL PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: H EALT rl NAME:JAM, l)o51I RVELP NAME: MAILING ADDRESS: PO E9X ���� MAILING ADDRESS: CITY:Pee dk ,RD STATE:WA ZIP:_7Z���'�1QS, CITY: STATE: ZIP: PHONE#1: PHONE: CELL: PHONE#2• EMAIL: EMAIL: a. •'I( @ e CM # it k, e ', I, L&I REG# EXP. /_/_ PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER% NAME • t 'iV EMAIL ('�yp -►ft1 t ' gin /t L'Dl�1 MAILING ADD E S CrrY D127_ STATE WA ZIP PHONE CELL PARCEL INFORMATION: / j�JJr�. PARCEL NUMBER(12 Digit Number)�22114-• 76-f o/7¢ ZONING ik&s 5,k LEGAL DESCRIPTION(Abbbrev'iatted)/.QI 4. P. Z FIRE DISTRICT 3 SITE ADDRESS X(y Ee i1 L$DW Wit)/ CITY C 4P V` A ERECTIONS TO SITE ADDRESS{) air aw,//}/,5'-1741.1 JET; 4/ GPArrVtr Jf//P AV; flied N! W !�S j WfNVE r1Af4lfl�b/ DtM/ VIb r 4 , IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NON' SNOW LOAD:P-5-psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE❑ RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEW ig ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0 USE OF STRUCTURE(Residence.Garage.Commercial Bldg.£tc.J S1 . IS USE: PRIMARY SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS a HEATED STRUCTURE? YES(Whole Bldg)% YES(Pants]of Bldg)0 NO❑ DESCRIBE WORK$i 14.- gEKI 40,1154e...-raorp /ME SQUARE FOOTAGE: (proposed) 1ST FLOOR/b06 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❑ CARPORT 480 sq.ft. Attached 0 Detached1K MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE rL v MODEL MLE 2 4b4S YEAR 2O!2 LENGTH .46i WIDTH_ 6 9 BEDROOMS 3 BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEW V EXISTING 0 PLUMBING IN STRUCTURE? YES NO❑ Lives,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOS( EXISTING SQ.FT. 0 EXISTING BEDROOMS Q PROPOSED BEDROOMS 3 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 CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) XL� ( e G'LJ PE G4iT54�e>+IsuL�lue, 414e iZ,2o23 Signature of WNER( ust a signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL /'/y],� �/'�/ PUBLIC HEALTH Ol' ./2 fd�S l nd'rf(1•S acL& II nL. n -77 ! l 2 o 0 o / / % ƒ ƒ A 2 k k 0 o 0 \ c f ] & x > @ x 2 / \ % \ \ m - N 0) o ) m % % > LO - ° 0 ° 0 § a. w m C a 2 o f ƒ / > } E ¥ 0. ƒ / 3 \ o \ o • ] c .. § 7 -. / .P. 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