HomeMy WebLinkAboutBLD2023-00456 - BLD CD Environmental Health Review - 4/28/2023 MASON COUNTY COMMUNITY SERVICES Permit No:
i`. PERMIT ASSISTANCE CENTER: - F.. �. O�
� •BUILDING•PLANNING•PUBLIC HEALTH•FIREMARSHAL [� 1 S ii_D
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• 1 it( r 615 W.Alder Street.Shelton,Wa 98584• R V
�` -•,.•.* Phone Shelton'(360)427.9670 er! 352•Far-;3E0)427-7798 Phone +�
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,! BeYair.(360)275-4467•Phone Elms:(360)482.5269 APR 2 U LUL3
BUILDING PERMIT APPLICATION
[PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA ON r �tff� — - - � 1v
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70 NAME:Phsr,swans NAME:Wag Homes g
MAILING ADDRESS:1133 N Grape Drove,APT Cm MAILING ADDRESS:1950 PotteryAve m m S
CCITY:MOSES tA STATE:WA ZIP:aa837 CITY:P :oou STATE:WAZIP:maa NC
PHONE at I:865206'3820 PHONE:360462.1620 CELL: 0 W
PHONE 02: EMAIL:mter.uacnakcow,rwwveacrn
EXP. i
EMAIL_ph'49 abn eierceutomodve.cco r=_._—_-_ L&I REG# —
PRIMARY CONTACT: OWNER❑ CONTRACTOR D OTHER❑
NAME K.ri Rm.. EMAIL twremaragenertggma4.xm
MAILING ADDRESS Y2NYoepareryAve CITY aerrt«. �SfA'lF.•W-., TAL
PHONE S—+ CELL • t •SS��J Al
PARCEL INFORMATION;
HEALTH
•
Digit NUMBER(12 Di it Number) ZONING
122354390152 RR5_--
ACRES
' LEGAL DESCRIPTION(Abbreviated) Lor 2 OF SPO619 PIN TR 16 S 1,210-213 —FIRE DISTRICT 6
SITE ADDRESS 12ga Timber rides dove _ CITY uric°
DIRECTIONS TO SITE.ADDRESS south on State Route 1061rom Selair to E Timber Tides Drive.travel far 1.25 miles and pracerty will be m the
South aide of E Timber Tides Delve. _�.--
IS THE PROJECT WITHIN 3118 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW 1.OAD:25 pc(
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (C2erkalll thmappA9:
SALTWATER 0 LAKE❑ RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 2 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER ❑
USE.OF STRUCTURE MeaJdmre.Garase.Commercial Alois.,Ere.)Resident
• IS USE: PRIMARY a SEASONAL❑ NUMBER OF BEDROOMS 4 NUMHFR OF BATHROOMS 3
HEATED STRUCTURE? YES(whoteBldg,.0 YES rituv a).,rrytdg,El NO 0
DESCRIBE WORK Garage is nnisnea.annealed.
-
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I SOUARE FOOTAGE:qr e:di __
1ST FLOOR.2737, ,_sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. !
DECK sq.ft. COVERF.D DECK 242 sq.ft. STORAGE sq.ft. OTHER sq.fi.
GARAGES sq.ft Attached o Drracked 0 CARPORT sq.ft. Mulched❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE. MODLL YEAR LENGTH
WIDTH BEDROOMS BATIIS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 I NEW Q EXISTING 0
PLUMBING TN STRUCTURE? YES 0 NO 0 Ifrvc,attach completed Water Adequacy Fonts
PERIMETER/FOUNDATION DRAINS PROPOSED? YES Q NO0 EXISTING SQ.PT.
EXISTING BEDROOMS_.-________ PROPOSED BEDROOMS TOTAL BEDROOMS---
OWNER acknowledges that submission of inaccurate information may reset Ina 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 sir entitled to receive this permit and to do the work as proposed.I have
obtained permission from at the necessary parties.Including any easernerS holder or parses of interest regarding this project. The owner nr legal 1
representative.represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)`o•review and inspection. This permitaoplication becomes null&void it work or authcri7ed construction is not commenced within 16.0 '
days or if construction work is suspended for a period of 18C days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 18 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
X t� - COUNTY CODE 14.OB.d2)
03/3o/Z 0 Z3
Signature of NER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATF. TAGS/NOTFS/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT i
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