HomeMy WebLinkAboutBLD2023-00356 - BLD CD Environmental Health Review - 4/3/2023 �)rr' :y MASON COUNTY COMMUNITY SERVICES Permit No. J►OC 00-
e \ PERMIT ASSISTANCE CENTER: "
1.\•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL r , y� •] (1�}r
r 3 •)1• 'o I 615 W.Alder Street,Shelton,WA 98584 + ,` — 3 2r3L�J
�Gy . %i Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
't21� Beltai,:(360)275-4467•Phone Elma:(360)482-5269 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: n' NTAI-
NAME:Robert M Brown NAME: E N r I R O t`�
MAILING ADDRESS:12026 180th Ave Ct NW MAILING ADDRESS: u
CITY:Gig Harbor STATE:WA ZIP:98329 CITY: STATE: ZIP: L 1 FA T N
PHONE#1:530-400-7878 PHONE: CELL:
PHONE#2:360 865 8053 EMAIL: ,...
EMAIL:Akitacoveconstruction@gmail com L&I REG# EXP. / all
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑
NAME RobnWeslonCrites EMAIL Akitacoveconstructionagmail.com 1
MAILING ADDRESS 12026180tn Ave CINW CITY Gig Harbor STATE We ZIP 38323 7.- . \
PHONE 530.400.7678 CELL 253-273-5401 G
PARCEL INFORMATION: r- i
c.) 1
PARCEL NUMBER(12 Digit Number) 32021-56-03004 ZONING Residential r.
LEGAL DESCRIPTION(Abbreviated) Lot four(4),BLK 3.Shorecrest Terrance 3rd Addn. FIRE DISTRICT Shorecrest
SITE ADDRESS 61 E Panorama Drive CITY Shelton
DIRECTIONS TO SITE ADDRESS from WA 3,Turn onto E Agate Rd,Turn right onto E Crestview Dr,Turn left onto E Panorama Dr
IS THE PROJECT WITHIN 300 FT OF SLOPE(s)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD: psi
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER f
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(nholeBldg)D YES(Pants)ofBldg/� NO❑
DESCRIBE WORK Building of new House ' ,
SQUARE FOOTAGE:(proposed,
1ST FLOOR 1488 sq.ft. 2ND FLOOR 0 sq.ft. 3RD FLOOR 0 sq.ft. BASEMENT 0 sq.ft.
DECK° sq.ft. COVERED DECK(7 -7W1.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft.
GARAGE440 sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached 0 Detached❑
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❑ SEWER❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adeqrtac-v Forte
PERIMETER/FOUNDATION DRAINS PROPOSED? YES' NO❑ EXISTING SQ.FT._
EXISTING BEDROOMS ° 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 PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
XBRO N.ROBERT.MAX.1175193150;,m..7ryd11J�a,r,c,iv Lam ra MAX 1175193150 2/26/2023
Signature of OWNER(Must be stoned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL r^)t5 �.�—{ �,"PUBLIC HEALTH �9 1 ik (� r�� "') a-SC(4
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