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HomeMy WebLinkAboutBLD2022-01205 - BLD CD Environmental Health Review - 9/12/2022 Nram Z MASON COUNTY COMMUNITY SERVICES Permit No: L-1 ZGZ - U 1�LO `J 0 • .� PERMIT ASSISTANCE CENTER: �Tz BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ' 615 W.Alder Street,Shelton,WA 98584 RECEIVED 2 .47 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone dry Belfarr.(360)2754467•Phone Elm:(360)482-5269 �•t,t `^ SEP 1 2 2022 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORM/4 (0vW. Alder Street NAME: DEW. . RQg Qb AteAr1�, NAME: MAILING ADDRESS: I S : CITY: FOP. E.1.610 STATE:ENS ZIP: ' 4 CITY: STATE: ZIP: PHONE#1: $ k 1 1o\c PHONE: CELL: PHONE 42: EMAIL: EMAIL: K&\A /4I5 L d11SA).C.�K. L&I REG# EXP._/ / PRIMARY CONTACT: OWNER g CONTRACTOR❑ OTHER❑ NAME !JS.6 r c EMAIL /.a314-%Pts0s �Wtga • CAC" MAILING AD RESS CITY STATE ZIP PHONE 3 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) .Z2: U01 S7j� Bco 2���..2.�.�- ZONING LEGAL DESCRIPTION(Abbreviated) Lm/t,)1 S si&c. �-t•r,�ZZFIRE DISTRICT SITE ADDRESS Z% N ©kAAA.i p 4/RAC, Lo/4/0 CITY 1 Ltr/k49 DIRECTIONS TO SITE ADDRESS 141 Qj t tJ\se C o L- S lo1lP.R OFF N- O 1 L.L T S‘x Its-To RAV PLbrt A•+( 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 that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION V REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) f SJI lD IS USE: PRIMARY❑ SEASONAL'$• NUMBER OF BEDROOMS T'z d'NUMBER OF BATHROOMS T O HEATED STRUCTURE? YES(Whole Bldg)gi YES(Pan[s]ofBldg)❑ NO❑ DESCRIBE WORK KS g- Nto J¢ieie.- SQUARE FOOTAGE:�p i posed) 1ST FLOOR sq.ft. �22NND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft DECK t vDOsq.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 ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC DK. SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS 11).1t PROPOSED BEDROOMS TOTAL BEDROOMS...TWO 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 PERN41 APPLICATION OF'I AYS O MOREOUNTY WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON I I / CODE 14.08.42) nature of OWNER(Must e signed by_the OWNER) (date DEPARTMENTAL REVIEW APPROVED DATE DENIED SE� TAGS/.N S/CONDITIONS BUILDING DEPARTMENT , 1 L-1-j Z PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 6'`��� oc 1T2TOWM ----' APR 06 2023 By titeV- eC a,c d :do::;:lc=w/�� PJ�y JP(.4,r v1(3 \ n // 01. .- r le) LiL. ` -) � By It „F ♦ APPROVED 9 `, . raj ', 4. �r-;'` JUL 0 5 2023 t1MASON COUNTY Eti;..ZOtiMENTAIHEALTH \\J • ),--..> 0 • ... 1 -6,4s 1 i/ ?—- / -e..43- V. z1 il) 99_ ' : ,' vo /Aso\ \J p' 1 Y A/A4Err ,!1 :/ \(4k i .i LIC NS D ESIGNEh.R �, itoioNm V ' q' I/ LX/IRLS 05.10/ `' 3/ 1C2U� QQSF 6a F La P z I " Di Apo Aid 14e-,,v Loite f/ ,� 3� 309- s3-600zz I i 1 . . ••----• --- • - • - • • • •• •• •• I! • • . . . . ..... .. • •,,!•,. . . 1! .. . . ..-•. .... ... . ..... . . .... . • ' . . . • I I• • . . . 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