HomeMy WebLinkAboutBLD2023-00232 - BLD CD Environmental Health Review - 3/23/2023 o""Cl 'r�1;1.(p MASON COUNTY COMMUNITY SERVICES Permit No: 0 L9 v W7D� C 3�3
IV r c' PERMIT ASSISTANCE CENTER: �•-a g—^i
: 1. ••BUILDING••PLANNING••PUBLIC HEALTH••FIRE MARSHAL C!• i\ t
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� � � 615 W.Alder Street,Shelton,WA 98584 1
l Phone Shelton(360)427-9670 ext.352•Fax:(360)427-7798 Phone �c, -• y - 1 202�
�i' . Y- Bellaic(360)275-4467•Phone Elmo:(360)482-5269 MAIN"°�,R10N� BUILDING PERMIT APPLICATIO Stree
N €NVIRONM E N TA L
615 v\I Alder
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: H CAL I H
NAME:Randell L Henry&Leland M Henry NAME:Vintage Handyman-Dean Jewel
MAILING ADDRESS:61 NE Wagon Wheel Road MAILING ADDRESS:111 East Railroad Avenue
CITY:Belfair STATE:WA ZIP:98528 My:Shelton STATE:WA ZIP:98584
PHONE#1:916.505.1308 PHONE: CELL: 360.850.9629
PHONE#2: EMAIL:vintagehandyman64#gmail.com
EMAIL:RandieHenry@ictoud.com L&I REG#VINTAHS841 EXP._/_/ 3.
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ STt LIUu
NAME RandenL&Lea.oraHenn, EMAIL C)
MAILING ADDRESS 61 NE Wagon Wheel Road CITY 8e"er STATE WA Z1P98528 rn v.,
PHONE CELL e'e.sos.%� m �p
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)22202-54-02009 ZONING 11--Residential-Single Family
LEGAL DESCRIPTION(Abbreviated)WAGON WHEEL TRACTS ELK:2 LOT:9 FIRE DISTRICT0241
SITE ADDRESS61 NE WAGON WHEEL ROAD CITY BELFAIR
DIRECTIONS TO SITE ADDRESS 1/4 mile past Belfiar State Park on Northshore on Hood Canal side is Wagon Wheel Road(Wagon Wheel
Estates)just past Christ Lutheran Church. Exising green house is 3rd house on the left.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑Q SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply)-
SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAI($l OTHER ❑ w
Pe
USE OF STRUCTURE(Residence,Garage.Commercial Bldg.Etc.)Residential Garage an 0 1 �C'P (� 1• �,
IS USE: PRIMARY❑ SEASONAL ID NUMBER OF BEDROOMS1 NUMBER OOFF BAT ROOMS_
HEATED STRUCTURE? YES(Whole Bld n YES(Pan(s of BIM n NO n
DESCRIBE WORK New Garage and T.__ w bQetA__ --i
.
SOUARE FOOTAGE: (proposed)
1ST FLOOR 384 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 / q.ft Attached 0Detached ID CARPORT sq.ft. Attached 0 Detached El •
MANUFA GARAGE/
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❑ EXISTING 0
1 PLUMBING IN STRUCTURE? YES❑+ NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES %NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS 1 PROPOSED BEDROOMS TOTAL BEDROOMS 1
i
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 commerced 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 AP LICATION OF 180 DAY OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
yell II—&o 7c2 Z
Si nature of OWN Must be signed by t ' •WNER) Date
a
PAR' MENTAL REVIEW APPRI 'r DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL y�y�,� r
PUBLIC HEALTH 1—" q ' 1r�5_ r' r- C Wf ` S (' J
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