HomeMy WebLinkAboutBLD2023-00596 - BLD CD Environmental Health Review - 5/30/2023 pyc Prl4 MASON COUNTY COMMUNITY SERVICES Permit No: f/(d �.La— � �IP
//�/ \\ PERMIT ASSISTANCE CENTER:
,+ •,1 tl•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHALRECEIVED
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`� _ JO j 615 W.Alder Street,Shelton,WA 98584
q'/ Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
�,"2 -N,t Bellair(360)275-4467•Phone Elma:(360)482-5269 MAY 3 0 2023
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BUILDING PERMIT APPLICATION
615 W. Adder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Rohr Real Estate LLC NAME:Rohr Real Estate LLC T
MAILING ADDRESS:2027 Walker Park Road MAILING ADDRESS:2027 Walker Park Road 1 1 1
CITY:Shetton STATE:WA ZIP:98584 CITY:Shelton STATE:WA ZIP:98584 Z
PHONE#1:253-398.4579 PHONE:253-398-4579 CELL:
PHONE#2: EMAIL: _ .
EMAIL:bradrohr@grnail.com L&I REG#ROHRRRE836RA EXP.o7. /14. /24 XI
PRIMARY CONTACT: OWNER p CONTRACTOR 9 OTHER❑ > Z
NAME Brad Rohr EMAIL same
MAILING ADDRESS same CITY STATE ZIP 1.71 K
PHONE CELL ' rT1
PARCEL INFORMATION: Z
PARCEL NUMBER(12 Digit Number)320215008001 ZONINGP6 (Z1Z5-- `G 0 —I
LEGAL DESCRIPTION(Abbreviated)WALKER PARK ADD OLE.a LOTS,arcw VAC ALDER aosrreu FIRE DISTRICT
SITE ADDRESS TBD CITYShetton �C) 6
DIRECTIONS TO SITE ADDRESS From Highway 3,Go East on Fairmount. Take right on Alder. Site is at the end of the road on
the right. C .
Q
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES9 NO 0 SNOW LOAD:25 psf ,
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW p ADDITION❑ ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Erc)Residence-manufactured home
IS USE: PRIMARY D SEASONAL❑ NUMBER OF BEDROOMS1 NUMBER OF BATHROOMS1
HEATED STRUCTURE? YES(whole Bldg)0 YES(Parr(s]oIBIdy)❑ NO 0
DESCRIBE WORKPIacing a manufactured home
SOI`ARE FOOTAGE:(proposed
1ST FLOOR616 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft.
0 \P ECK136 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
0'"\ GARAGE sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
EKE Guerdon MODEL YEAR1994 LENGTH44
WIDTH14 BEDROOMS1 BATHS1 SERIAL NUMBERHUD TAG ORE257116
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC D SEWER❑ / NEW El EXISTING
PLUMBING IN STRUCTURE? YES D NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 1 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1
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 cr 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X 0 4/19/2023 1
Signatur of OWNER(Must be signed by the OWNER) Date I
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ' IQl LB .L Z G 4A
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