HomeMy WebLinkAboutBLD2023-00276 - BLD CD Environmental Health Review - 3/9/2023 7.
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e�,v�^`''`L^-v,i fr MASON COUNTY COMMUNITY SERVICES Permit NO: I _ /L
` 9 PERMIT ASSISTANCE CENTER:rm
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL1 '0 615 W.Alder Street,Shelton,WA 98584
`%t-f. , Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone MAR 09 2023
,i;`' Bel/air:(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. a de treet Z
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C
NAME:Christopher Gaynor NAME:County Line Development LLC ' v 3,
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MAILING ADDRESS:1500 E Mason Lake Rd MAILING ADDRESS:1811 Padrick Rd CITY:Shelton STATE:WA ZIP:98584 CITY:Centratia STATE:WA ZIP:9••'' ,
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PHONE#1:360-990-2881 PHONE:360-292-0909 CELL: 10
PHONE#2: EMAIL:mike@countylinedevelopmentllc.com ��
ESE,:christopher_t__gaynor@yahoo.com L&I REG#COUNTLD781R7 EXP.12/27 •`♦
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PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 y! 1
NAME Chiieodber Gaynor EMAIL christopher_t_gaynor@yahoo.com `/
MAILING ADDRESS 1500 E Mason Lake Rd CITY sharon STATE WA ZIP98584 r
PHONE CELL e6P490-2881
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)32134-23-90020 ZONING RR5
LEGAL DESCRIPTION(Abbreviated)`'"°""'"""""'°'"o""'''''"`3"".''''°'''"".3" FIRE DISTRICTS(Central Mason)
SITE ADDRESS 1500 E Mason Lake Rd CITY Shelton
DIRECTIONS TO SITE ADDRESS State Route 3 North to Mason Lake Rd.Lett on Mason Lake Rd approximately 1.5 miles.
The property is on the right hand side,passed McEwan Prairie Rd,behind a gate.There is a post at the gate with the address of 1500.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:30 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thatapp/v):
SALTWATER❑ LAKE❑ RIVER/CREEK D POND 0 WETLAND❑ SEASONAL RUNOFF D STREAM 0
TYPE OF WORK: NEW® ADDITION 0 ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Err.)Residence
IS USE: PRIMARY El SEASONAL 0 NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(whole Bldg)❑•' YES(Part(s)of Bldg)❑ NO 0
DESCRIBE WORK Manufactured Residence being brought onto property,in ground electrical installed,well,septic and parking area
SQUARE FOOTAGE: (proposed)
1ST FLOOR1836 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❑ Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
1 jECMH Albany MODELINS681F Eucalyptus yEAR2023 LENGTH68 Feet
WIDTH27 Feet BEDROOMS3 BATHS2 SERIAL NUMBERPENDING
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC B SEWER❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 lfyes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.0
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 permitlapplication 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 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X
D 3/o8/z3
gnature OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL 1 ��1
PUBLIC HEALTH VP (I f�I�JL% 1/013 " .l[llr
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