HomeMy WebLinkAboutBLD2023-00135 - BLD CD Environmental Health Review - 1/23/2023 (----0,..4-c'!�NIW� MASON COUNTY COMMUNITY SERVICES Permit No:A )L VgD -- 0V 1�5
PERMIT ASSISTANCECENTER:
`!2 BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
0 615 W.Alder Street,Shelton,WA 98584 RC` C r� 1 1.) ` /
„i .:: �j
y�,,,,,�� ,. Phone Shelton:(360)427-9670 ext.352•Fax:{360)427-7798 Phone
��" Belfair:(360)275-4467•Phone Flma:(360)482.5269
�� BUILDING PERMIT APPLICATION IAA 2 3 -"--' 7z
PROPERTY OWNER INFORvATION: i CONTRACTOR INFORMATIONlCr k'ff34VIRONMENTAL
Mike•Auseth t,1 .
NAME:Geoff&Karen Saunders NAME: � I EA LT
MAILING ADDRESS:12221 2ND AVE NW MAILING ADDRESS: E 6301 AGATE RD.
• CITY:SEATTLE STATE:WA ZIP:98177 CITY:Shelton• STATE: WA ZIP: 98584
PHONE#1:206-383-9916 PHONE:1-360-490-0170 CELL:
PHONE#2: . EMAIL:klauseth@hctc.com
EMAIL:GEOFF-KAREN@COMCAST.NET L&I REG#AUSETCI03602 EXP. 3;10/25
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0
NAME EMAIL ••
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12108-21-00070 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 4364 E.GRAPEVIEW LOOP RD. CITY ALLYN
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO 0 SNOW LOAD:3 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 •ADDITION❑ ALTERATION❑ REPAIR 0 OTHER 0 REPLACEMENT
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Etc.)aFsroENCE tGAMGE
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Perils]of Bldg)0 NO❑
DESCRIBE WORK REMOVE AND REPLACE EXISTING RESIDENCE.NEW SEPTIC,WELL.ANC POWER,REMODEL TO EXIs'wG GARAGE
SQUARE FOOTAGE: (proposed) BASEMENT UPPER 123
MAIN FLOOR 1441 sq.ft. UPPER FLOOR 532 sq.ft. OFFICE .115 sq.ft. BASEMENT LOWER 323 sq.ft.
DECK 564 sq.R COVERED DECK 971 sq.ft. STORAGE sq.ft. OTHER sq.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:
SEWAGE/SEWER SOURCE: SEPTIC El SEWER 0 / NEW 9 EXISTING 9
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS a 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 are 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)
•
• 1-19-23
Signet o agent Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT • "
PLANNING DEPARTMENT
FIRE MARSHAL 'n }�,d(�' �J
PUBLIC HEALTH 1 V')t,�� N '&t!r'�''S "`'
�w �cmmam m 7 N N m Q N m N D O O va v�fr^/ m M
.09 5c• 7 - m _o to 0 77Q QO �7
m N�A 3-9.^g. w Z W SD -+ ¢� (D 0 CJl
m m"g a>o o n O n N
m =° tea6 7 1 0 N z) 0 "� O
wllli:itlii:
a dpg3 si a cn ge=a°'—< 3 m e x r N 0 , a
' '.8 ;' 3 '48. # I > GJ < O c (n �-
' _« C N
oa ull
a 0 fn (�
D0 .c_ m CO -•n _ _ I .wow...e. . X-
•
fl:jL [ i1ij
N O N •
(D . m
N yv N.w w �� r- ---__w'I 1 • -
J
m ' > > .1 CL
II ��-vgi \ n j
f
--1 z I i i O !v
cE81 1 IIi r �_ VI Q (D
li' ,s 1 ry111 i Icf41 (p .
€ I114 8 1 1 q
�,1 1
IL
eB
1 I 16
I 1 I , I i i
7I
+\I 1 I �Ai 4a
f
s i �\ i i 1EE� j i IF y 1Li a u
1 y
I t 1 , ii —I 6 � .
ti
.1 i /-1
I/
1
if3 iI °i b. E 1 i
ai ° iI II i
E ti' I I 1 A� a1
plm I �_. ill 7.7 �`. — " ��
II I
I imi m -1 ; Ili L—1
I r� '.a
I III — g z b
z \1. I 1 ° 4 1 -�
z t
g
61
3 --k-7'NI. Nk ..0..4\h
s a
111 rI j �
\�V I O �O
a
— 4
11III
i i i411 : t i1 zc .9 CO
se:! I ;8! 4I maF Y
1 I j °' 1 a
= a m
o
N
o o�° �y m o
1 N m ��t = o
r - W5 Ow N ,A .—+
w C and 5_m a
f ma3yp 5 g n N) p , p x.
O m A ? --a
w
N3 n g_3 Cl)
> > �—r
Q E x NEW RESIDENCE FOR: g. S
a a °i „ GEOFF AND KAREN SAUNDE S _ as' r �_ '
'pis i -0o Z§ e�' 1wc 3 is sIS. i
4 W O_R I S MASON COUNTY 2-5 , C P i i'd y D.
Ili a N s . 0111110m._
7
t