HomeMy WebLinkAboutBLD2022-00277 - BLD CD Environmental Health Review - 5/8/2023 09/
,rI
Request for Revision of Approved Plans
•
COMNIUSII)St HS ICI,
` O- 2J - 1-0/ DU-7
Permit Number BLD/COM: 2022.00277Applicant Name Empire Homes Const Email: BOOKKEEPER.EMPIRE@GMAIL.
COM
Phone#: 360-751-8062 Project Title: New Manufactured Home Parcel Number 320215901007
Please provide a complete, detailed description of the proposed revisions to the approved plans. Please
return this form to the Mason County Permit Center.
Revision to homes floor plan showing 2 bedroom with den originally a 3 bedroom
0
The following documents are required to be submitted with this form.
One set of revised plans or addendum indicating the changes. Yes X No_
One set of the approved construction plans. Yes_X No
(The "Red Stamped" approved site plan must be included)
Revisions are to be clouded with delta's clearly and accurately identified
on the revised plants or addendum. Yes X No
Does the plan contain a structural, architectural or soils engineer analysis? Yes No_X
(If yes, has the Registered Professional/s approved this revision) Yes_ No_
(Is a stamped and signed approval included with this request) Yes_ No_
(If no engineering or other changes requiring a registered professional have been
made,the plan may be approved without written consent of the engineer or
architect of record)
Does the proposed revision modify the footprint or location of the structure/s? Yes_ No x
(If YES, is a revised site plan, with all new setback dimensions included with this request?)
Yes No_
Additional Information:
Home is staying in the same footprint as the original site plan. No changes to the site plan were done.
Applicants Signature: 104rt?-Y(, CAMr(pbe-( Date: 5/3/2023
STAFF REVIEW SECTION
Reviewed by: (- /LIA
Department Date Assigned Date Reviewers
for Review Received Reviewer Approved Approval Origi al aluation: $
Additional Valuation:
Building p•(Ew
Sq.Ft. X S
Ft. X S
Planning —
Additional Fees: $
^/ Additional Plan Review: $
Public �;. / ry1/1(�"51 I qt5 tp'� Additional Building Permit: $
Health /�� 1—v Additional Plumbing:
Additional Mechanical: S
Fire Other: $
Marshal
Total Due: $
Public
Works
Page 1 of 1
1
I D
1 V-6" 13 4
I
' " i73
0 MI m�
I �i1•i ■ll tri L
ar III
rn
1 C , B mid: ■ ' �N
/ F3 M ci osirk, - 4 ..
ri -.., N
a-■■■a A■i �.' e. v
1 V I T0.,
S( : -* : ,.... „...•.?.. ,124i- ...
...< n gIII11
_ 77
'
m
a ill. 1 =i 1
J
g!
-� o C �� = 1 1 s� b
�' W rn �i' :*'
aria t,
p111' D
1 � 1
1 �:
-% T- 8 - vograpp. LI,.
i.... 1:1 m • n
i./1 — = 41 - Ti , / ili . X
iw m a Z
� 00 z %' •
b
` T�
9a
1
m
n
rn •
2
--I
m
72
I*s3
A Ap 4
MAY 1 6 Z023 �.
c+.soNcouNrrE y/R 0
RETotv�+ hric H, cr,' M
it