HomeMy WebLinkAboutBLD2023-00909 - BLD CD Environmental Health Review - 8/8/2023 RIM Perm t No: --PM 0w) •UL CAI
/ , ... ,„ MASON COUNTY 7 AUG 0 8 2023
41 COMMUNITY DEVEL li ' ►J I :5 RECEIVED z
\-` ___ Permit Assistance Center, Building,Planning AUG 0 2 2023 5.
BUILDING PERMIT APPLICATION 615 W. Alder Stre� 0
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: -CI g
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NAME:The Harstine Roost NAME:David Wayne Canfield Z
MAILING ADDRESS:6504 Capitol Blvd.SE MAILING ADDRESS:3569 Lome St SE
CITY:°him& STATE:WA ZIP:98501 CITY:Tumwater STATE:WA ZIP:965°1
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PHONE#1:36°-951-73 PHONE:36°-'91-73°5 ` CELL:
9°
PHONE#2:360-870-626° EMAIL :
EMAIL:tessa@artisansgroup.com,roussa@arhsansgroup.com ' L&I REG#CONSTL'802RN EXP. 07//07/20a
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0
NAME JssonTeeCous EMAIL lasoneanisansgroup.com
MAILING ADDRESS 6504 Capitol Blvd.SE CITY TOmwate, STATE WA ZIP 98501
PHONE 206-639.7098 CELL "a
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 121195300126 ZONING R5
LEGAL DESCRIPTION(Abbreviated) LOT 126.ADDITION#4 HARTSTENE POINTE FIRE DISTRICT
SITE ADDRESS 600 E Polntes Dr.W CITY Shelton
DIRECTIONS TO SITE ADDRESS US-101 N and WA-3 N to E Pickering Rd.in lvlason County.continue on E Pickering Rd.Take E North Island Dr to E Pointes Dr W
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER ❑ LAKE ❑ RIVER/CREEK 0 POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW 0 ADDITION:0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY ❑ SEASONAL 0 NUMBER OF BEDROOMS 4 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) 0 NO 0
DESCRIBE WORK New detached single-family residence.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1.112 sq. ft. 2ND FLOOR 1,89e sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK 6" sq.ft. COVERED DECK sq. ft. STORAGE 297 sq. ft. OTHER sq. ft.
GARAGE 64° sq. ft. Attached 0 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 ❑ SEWER 0 / NEW 0 EXISTING ❑
PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD EXISTING SQ. FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 4 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 CAUSE THE APPLICATION TO BE EXPIRED. (MASON
JI COUNTY CODE 14.08.42)
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Signature of O NER Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL �
PUBLIC HEALTH 09' 00
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