HomeMy WebLinkAboutBLD2023-00542 - BLD CD Environmental Health Review - 5/15/2023 e.a" c.'t-�a�,cir MASON COUNTY COMMUNITY SERVICES Permit No: kCI 2�2'9 'l�0`4 2
ti PERMIT ASSISTANCE CENTER:
1 I I • i; BUILDING•'6 5 W.Alder StreetPLANNING• /SheltonTWA 98584 MARSHAL RECEIVED
y: " r= Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
.21 ` ,\�- Belfair.(360)275-4467••Phone Elma:(360)482-5269 15 2023
°-•...o >,. MAY
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFOI6-1A 'I : e r re t
NAME:Brian Lentz NAME: rn
MAILING ADDRESS:71 E Westlake Drive N MAILING ADDRESS:
CITY:A1Nn STATE:WA ZIP:98524 CITY: STATE: ZIP:
PHONE#1:360-266-1366 PHONE: CELL:
PHONE#2: EMAIL: ?r- .
EMAIL.:brian_s_lentz@msn.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER p CONTRACTOR❑ OTHER❑
NAME SAME AS OWNER INFO EMAIL
MAILING ADDRESS CITY STATE ZIP di ,,,,, ...rri
PHONE CELL
Z
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 122195000068 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT �ilk
SITE ADDRESS7t E WESTLAKE DRIVEN CITYALLYN �
DIRECTIONS TO SITE ADDRESS FROM SHELTON,N ON HWY 3 TO ALLYN,L AT E LAKELAND DR,L ON E LAKESHORE DR, O
L AT STOP SIGN ON WESTLAKE DR S,PROJECT ON THE LEFT
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES 0 NO D SNOW LOAD: 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❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION p ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)RESIDENCE
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS4 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Part/V a.(Bldg)0 NO❑
DESCRIBE WORKCONVERTING GARAGE TO BEDROOM,BUILDING NEW ATTACHED GARAGE
SQUARE FOOTAGE: (proposed)
1ST FLOOR A G sq.ft. 2ND FLOOR WA sq.ft. 3RD FLOOR" sq.ft. BASEMENT WA sq.ft.
DECK WA sq.ft. COVERED DECK 105 sq.ft. STORAGE N/A sq.ft OTHER WA sq.ft.
GARAGE520 sq.ft. Attached I] Detached 0 CARPORT N/A sq.ft. Attached❑ Detached 0
MANUFACTURE TION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MODEL YEAR LENGTH
1 TH BEDROOMS _ BATHS SERIAL
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER I] / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.1225
EXISTING BEDROOMS 3 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 4
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 APP CATION OF 180 DAYS OF MORE WILL CAU14SE THE APPLICATION TO BE EXPIRED.(MASON
X 4J/�V\— COUNTY CODE .08.42)
-- 05-15-23
Signature of OWNER(Must be signed by the OWNER) Date
DEPJIRTMENTAL REVIEW •APPROVED DATE DENIED ::.DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH Col-u 6 3
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