HomeMy WebLinkAboutBLD2023-00190 - BLD CD Environmental Health Review - 1/31/2023 a��,vt'`"P41 oi ., MASON COUNTY COMMUNITY SERVICES Permit No: I ( 1o2 � O 0 lc10
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PERMIT ASSISTANCE CENTER:
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: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
s ��'�k •LL 615 W.Alder Street,Shelton,WA 98584
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%�-.. i Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
14-���'` Be/air(360)275-4467•Phone Elmo:(360)482-5269
BUILDING PERMIT APPLICATION �, A• 7/ _
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: `7_____! '4'1.. � �o
NAME./(NC/tga L tspl`e 1•v.Mf 1 /�./�6vt��/�64s'4e NAME:Derray's LLC • 7/ <' 2
MAILING ADDRESS:36 E.Rodius Ct. MAILING ADDRESS:3801 Pacific Ave SE VG/.
CTTy:Shelton STATE:WA ZIP:98584 CITY:Olympia STATE:WA ZIP:98503
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PHONE#1:360-349-8737 PHONE:360-491-9500 CELL: 360-239-7208 ci'
PHONE#2: EMAIL:gary.detray@gmait.com e/t
EMAIL: L&I REG#DETRAL•973BT EXP. 3 /6 /23
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER 0
NAME carsDerrar EMAIL same
MAILING ADDRESS same CITY STATE ZIP
PHONE CELL r�
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PARCEL INFORMATION: �'f n o
PARCEL NUMBER(12 Digit Number) 320071190012 ZONING ii O�,i,'r r g
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT �/� '_
SITE ADDRESS36 E.Rodius Ct. CrryShelton • r `
DIRECTIONS TO SITE ADDRESS Nisi St.to E.Johns Pre•he Rd.turn right.follow to E.Batstone Cutoff Rd.turn lek first on b4 address first CO right.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:,25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW[" ADDITION 0 ALTERATION❑ REPAIR 0 OTHER 0 R,Plecetr"Mrw'U ld"ome
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY(SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Purr/s)oJBldg)0 NO❑
DESCRIBE WORK Remove existing trailer home,replace w/mfd home
SQUARE FOOTAGE:l! (proposed)
1ST FLOORJ'f b 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 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Redmam MODELWynwOOd YEAR /992 LENGTH ' 52/
WIDTH 28 BEDROOMS 3 BATHS 2 SERIAL NUMBER 7/57 75 fil/
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.784
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 APPLICATION OF AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
-2
X 01-20-2023
Signature of OW R(Must be signed the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL �y
PUBLIC HEALTH Q(7 '5/l0�j rnis coM4tV/1s Vied
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