HomeMy WebLinkAboutBLD2023-00623 - BLD CD Environmental Health Review - 6/6/2023 w` 6 "`� MASON COUNTY COMMUNITY SERVICES Permit No: , ; • )/ +�
1.
r117s0. PERMIT ASSISTANCE CENTER:?
�°< BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
' p 615 W.Alder Street,Shelton,WA 98584
( , ( , JUN 0 5 2023
��� 6 Phone Shelton 360 427-9670 ext.352•Fax: 360 427-7798 Phone
. dS BeNau:(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 5 W. Alde Stre
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Don and Kelly King Calvin Toeuner ��(
NAME:
MAILING ADDRESS:1837 N wh tman St. MAILING ADDRESS:2205 S 252nd St ./G
CITY:Tacom STATE:WA ZIP:98406 CITY:Des Manes STATE:WA ZIP:98198 �Q
PHONE#1: PHONE:253.3802004 CELL:253-380'2004 m
PHONE#2: EMAIL:toellnedic®gmail.com
EMAIL:Kellyking4849@yahoo.com L&I REG#TOELLC'8560M
EXP.09/19)23
PRIMARY CONTACT: OWNER 0 CONTRACTOR D OTHER 0
NAME c.""T0e11e` EMAIL Toellnedlc@gmail.com
MAILING ADDRESS 2205 S 252nd st. CITY oanKK^M STATE WA Z1P98198 IT1 0
PHONE 253- 4 CELL
> z
PARCEL INFORMATION: Ei
PARCEL NUMBER(12 Digit Number)42307-50-00100 ZONING 19-residential = rfl
LEGAL DESCRIPTION(Abbreviated) lake Cushman#2 Tr 100 FIRE DISTRICTHoodsport 1/
SITE ADDRESS41 N Lilliwaup PL CITYHoodSport
DIRECTIONS TO SITE ADDRESS lake Cushman Divisions 2,3,4. Head down Mount church and Lilliwaup PL will be on the left hand side.
r.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO D SNOW LOAD:55 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 0 ADDITION D ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Etc.)Residential
IS USE: PRIMARY Eif SEASONAL❑ NUMBER OF BEDROOMS.' NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Part(s)o'Bld NO❑
DESCRIBE WORK Raise attic to make livable and add bathroom t V '•)t t lt Q
SQUARE FOOTAGE:(proposed) 552 - 1 ne I uciA: n t-.LA) 1Iti-4€'tI D L S-1 Ct-4'' .
1ST FLOOR sq.ft. 2ND FLOORS sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK208 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED H *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAK MODEL _LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC D SEWER❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES D NO❑ )lyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 4 PROPOSED BEDROOMS 0 TOTAL BEDROOMS I
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 constriction 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
�i COUNTY CODE 14.08.42)
X Vary/ 1.6q- 6/2/2023
Signatur of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 0P wl(/o23 (Ondr"isr1Seaw.
1 N I -1.t al N 1 0 N 3 3) 3 T{10101001
{F b1�}(y5 yae BYSBE YM'LLOdS000H ' i
I N I U MB :I ID 13 4 i i.#t S j jy t0F 4 11Od11YMm1111► ' 1�M
4 !�zit 1 W l•it i )!i_=uf ��
i ea 4s . i pip 7�;;p:d11 NOIlI00V MEW DMA r i V
a
v
r�\
0 0 OM
LU 3 c.,
--ILy
X
w
¢
J
U
11 1
_U
g i
U'
P.
!6 ��r�r�•�r� \ .
+ r ! .� Irr .;rr1iii/7/109•44////ip
1 � r1 I
i
%�i;%,;!ice%%.
.gip. ,�
i
ova 1
• \ z
J
o_
w
H
8
--IO ir 1. Q
F- ezv 1 R I--
0
arc m
O Hit f 2
? Vs' Ul 'Ai b.o&3yaa vJ
a 1
Z W":/
,.z:. :o mg. S..:'tilt '4 + ,
111 i i
ONIntla3BNIOINI 3 y taI j3 iI] Spf([! I
BS1V;',MAf`,00106u P
, l rN:)t
t tPLi
Mi ¢izli.-+ 9 or• ?Os +` yy •
O I
,. .. ... ,fib- i=Pthll ! V0 ONIN.. th
v
o . N C
e a
au
oa u
go, d 3
O,,,, m o N
�E$a a w N_
v > a
V 0
Q`.. , ~o W
O Ny
— w HVN 4'1 J.
uvitvtb2.% J. Q UuH9 dw 5U-+v �a W aq
dr
l'6 p
L 2?'aU
'E N O
W«L N?:-
'E..Y O m§g
O H Z v Z 5
amuvoo
i
•
— O 1! !� �,11,0, ,,II, ' V,1r, 'et t.' ^.g —
I0/f\ ` ' +Y+;
I
I /� % ela dnbM1)
I ,//j/i,, 2 I )�)•N
1 !g%%��%�i%. •
r
.r \ Z
Q
N
Cl_
\ W
\. 1—
—
CO
Z J
O w Q
N '1 p'
F- o 1 H
o N 7
/ 2 �3
Q f 'D s K
K W
3 o d� 8 o Q a n QwVUp�O ^ QQf a mZ z 3 j
a2vxWareaZ- oahaa /)
z E W
Ct
J N d zttn-a�Ja 0_.d rv3 N ce
�'