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HomeMy WebLinkAboutBLD2022-00706 - BLD CD Environmental Health Review - 6/3/2022 ,'r9o� ceuhr Permit No:MASON COUNTY COMMUNITY SERVICES fJJ�L a a�.f�)n .1I L 4. PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ` 615 W.Alder Street,Shelton,WA 98584 RECEIVED ^` Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair:(360)275-4467•Phone Elma:(360)482-5269 Rt, JUN - 3 2022 BUILDING PERMIT APPLICATION ��LL PROPERTY OWNER INFORMATION: CONTRACTOR INFOI 'Ar er Street Crivellone,Joseph Alpha Steel Buildings,Inc. NAME: NAME: MAILING ADDRESS: 5631 S.K St. MAILING ADDRESS: 1724 Cole St.Ste.10 CITY: Tacoma STATE: WA ZIP: 98048 CITY: Enumclaw STATE: WA ZIP: 98022 PHONE#I: 360-731-5591 PHONE: 360-825-7768 CELL: PHONE#2: EMAIL: alphasteelbldgs@gmail.com EMAIL: joe.crivellone@gmail.com L&I REG# ALPHASB117PU EXP. 7 /11 /2023 PRIMARY CONTACT: OWNER❑ CONTRACTOR© OTHER❑ ENVIRONMENTAL NAME John Fuchs EMAIL MAILING ADDRESS SAME AS CONTRACTOR CITY STATE ZI -I..EA LT H PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 51901-52-01008 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) LOST LAKE VIEW TRACTS BLK 1 LOTS 8-9 FIRE DISTRICT SITE ADDRESS 1127 Lost Lake Rd., CITY Shelton DIRECTIONS TO SITE ADDRESS W Railraod Ave to W Deegan Rd W to W Cloquallum Rd,turn right,follow W Lost Lake Rd to 111 W I nst I ake View Dr IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO x❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): (approx.225'from Lost Lake) SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) Detached Pole Storage Garage IS USE: PRIMARY E SEASONAL❑ NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0 HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Perils)of Bldg)❑ NO 0 DESCRIBE WORK SOUARE FOOTAGE:(propose+existing) 1ST FLOOR 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 1.944 sq.ft. Attached❑ Detached E CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL N/A YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC E SEWER❑ / NEW❑ EXISTING x❑ PLUMBING IN STRUCTURE? YES❑ NO® If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ �( NO® EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 0 TOTAL BEDROOMS 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 8 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 PERM! APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION/TO BE EXPIRED.(MASON gitzvcCOUNTY CODE 14.08.42) X S g ature of OWNER(Must be slatted by the OWNER) Date DEPARTMENTAL REVIEW APPROVED;: DATE DENIED.• DATE. TAC:SINOTES/CQNDTITONS, BUILDING DEPARTMENT PLANNING DEPARTMENT , FIRE MARSHAL � Q PUBLIC HEALTH '.r k-{(-7-4/7j� r-�Gv\.B � XS�o./L,s C IMMIMINIMMIMMEMinis a.A�'NI' Sa M a C4 p ,a,14<2.1\ it a a rD o \ Djm zO � dN N a -`rDO , !o o W � o A \\ a fTl O \ N o R NJ tel \ \ --I S -a SL w )—` 'Q i \h\ CD 51 I r.OA1•4\ y W W !a 0 m /rF��‘\\\ r.i ice'_" \ 1 \ SAS: . > \ _ , I� �o_gc�w_nCT N .. Qoz . ozc p C V..) o v_d F� F 2. o K 5 r;IT S c t J�N 2, t o m ai 2 C tn o=" 5N m II... - a m i mm = rD 4,. n = o CD w s �� 3. �O� o�, o m CD d f7; cr D 'e T (1i m n _T a v -, 0 001 s V 3 3 A \\CI:)1°°.°°° ' -0 N n 3N N O 1111 aN C n _. o w -�-1 o m (n \ N x C o- , 1 \\ t • \\ rD LEI CD \ w x \ > c0 \\ a v,' \ * cn Y \ S \ CD Q \ (D N 7. Ln \ C v 0 00 -% ; rn un ,.._. ro — > \ \0 0 0 (/1 N I—) H c IV O r— (D O I1 M CD ro : C II � ��Q N - 1 pp- . m