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HomeMy WebLinkAboutBLD2023-00289 - BLD CD Environmental Health Review - 5/16/2023 e�3�vG.rt,�,M MASON COUNTY COMMUNITY SERVICES Permit No: V 193AR 3—OOaSI� PERMIT ASSISTANCE CENTER: ^r C E IV/ u 1 PLANNING•PUBLIC HEALTH•FIRE MARSHAL K C v 1 1• •BUILDING DING••. •c 615 W.Alder Street,Shelton,WA 98584 ' �y� ': Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone MAR 13 2023 v Bella r:(360)275-4467•Phone Elma:(360)482-5269 Hl'tt�, BUILDING PERMIT APPLICT(' V Alder Street / n CA' /� PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: �� Y L�J IRON��C I v ~� NAME;Andrews,James and Barbara _ NAIvIE;Allen Homes&Construction I I L��JI MAILING ADDRESS:1251 East Leeds Drive MAILING ADDRESS:Po Box 2163 CITY:Shelton STATE:Wa ZIP:98584 CITY:Shelton STATE:We ZIP:98584 PHONE#1:253-988-0874 PHONE:360.427-1281 CELL: 360.701-5620 PHONE#2: EMAIL:allenhomesconstruction@msn.com EMAIL:ldbaandrews@hotmall.com L&I REG#ALLENHC985D1 EXP.03/31 ( I ' ` PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ ,,� rp NAME btnARen EMAIL allenhomesconstruction@msn.com MAILING ADDRESS Po Box.2163 CITY shsuun STATE Wa Z1P98584 PHONE 36o42t.12e1 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)320222390023 ZONING 18 LEGAL DESCRIPTION(Abbreviated) Range:3WTownshlp:2ONSection:22 FIRE DISTRICTS SITE ADDRESS 1251 East Leeds Drive CITY Shelton DIRECTIONS TO SITE ADDRESS westbound on Crestview,turn left on to valley rose,then right co East leads.wooden endrews spn Indicating driveway. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO© SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all gnu apply): SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND 0 WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION 0 REPAIR 0 OTHER ❑ USE OF STRUCTURE(Residence,Garage,CommerriatBldg,Etc.)Home IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)El YES(Part(:)of Bldg)0 NO❑ DESCRIBE WORKFinlshing downstairs SOUARE FOOTAGE: (proposed) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT2787 sq.ft. DECK ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached(] Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER - �NVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEW 0 EXISTING Q PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Font PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. 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 end grants employees of Mason County access to the above described property end 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 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) J Barbara Andrews nigitally signed by Barbara Andrews 3/ / 3/a2 X nate:2022 12.28 08:42 40-08.00' J Signature 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 Cif r 7 f 7) 3 ~bh U1 ,1'0 71 CCY 1 pp 1pp P G.M. - __ E. LEER r__ � I 1 -C----------1----- r----- 11 pi! ��OP i ,a��� _ N a I I J `$m I goop.> 09 io \ 1 II 1 „slid" D 3i I I �Ps sm� cn D Pi!! gA gt i.^o z aE' I gi � '"a o _ S o illy I v 11$1 iI 11 $ i s ) N D 73 4 a It I 11 s$ mCcl %Ai I I I o D q - x R 6 I I I ,� v D o, a 3 m d x • I `n p - - g I EL = m 0b 1k 6 I 3 -13 o m2 I I m D. G�,E , ill I I N o > I V \ I � 1� 1i vl A D /1 I m D 1 v g1 0 I II I I z 11 ii 1 it J --------- =d� o Q.�m,- 3 gF o g r lit A Fon�iDhlk I' N q$N`3 2 t....1, t, .4 g lil il cp T shoal GaMr2. Sc.out Rcl IS C 1 4 1 07-t}tt 4R l�A►A91.K DORM NORTHWEST LINE SITE PLAN a o1-10-x own PIPS n N a— 3 o/-27-12 awn INN No010•w io A •! ' ALLEN HOMES AND CONSTRUCTION oo sf mat mom 1n/ORX JAMES AND BARBARAANDREWS .o1-,w21Pn�m1ar11 rY ,`L.L.c.—� 5217 S SNERRUN.VENUE 156951.1699.ww.,cAMwftMN'.YN).EaR WOW WA96.J4191I