HomeMy WebLinkAboutBLD2023-00612 - BLD CD Environmental Health Review - 8/8/2023 Permit No'@LQae -3— cob'
MASON COUNTY RE C L—L
„ COMMUNITY DEVELOPMENT JUN _ 2023
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATIOI ,1 5 W. Alder Stree L40,0
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: AUG
NAME:Kameron&Jenny Gunter NAME:Lexar Homes/Savannah Robinson u(7 U U 2023?
MAILING ADDRESS:5401 SE Lynch Rd MAILING ADDRESS:1213 Long Rd
CITY:Shelton STATE:WA ZIP:98584 CITY:Centralia STATE:WA ZIP:93531 RECEI VED
PHONE#1:360-529-1919 PHONE:360-807-1849 CELL: 360-669-6858
PHONE#2: EMAIL:srobinson@lexarhomes.com
EMAIL:kgunterll@gmail.com L&I REG#LEXARH'86205 EXP,6-30-2023
PRIMARY CONTACT: OWNER p CONTRACTOR❑ OTHER❑
NAME EMAIL FN v r]o 1 ENTAL
MAILING ADDRESS CITY STAT LI�
PHONE CELL HEALTH
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 3190150-00015 ZONING
LEGAL DESCRIPTION(Abbreviated) OYSTER BAY FRUIT&GARDEN TRS(UNRECORDED)TR 15 FIRE DISTRICT
SITE ADDRESS5401 SE Lynch Rd CITY Shelton
DIRECTIONS TO SITE ADDRESS Continue on 1-5 N.Take US-101 N to SE Lynch Rd/SE Lynch Ln in Kamilche,Turn right onto SE Lynch Rd
/SE Lynch Ln,Destination will be in the left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14'/0: YESO 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 p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 9 SEASONAL❑ NUMBER OF BEDROOMS 3 _ NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)❑e YES(Parris)of Bldg)❑ NO❑
DESCRIBE WORK New Construction
SQUARE FOOTAGE:(proposed)
1ST FLOOR2130 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK388 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE680 sq.ft. Attached El Detached D CARPORT sq.ft. Attached 0 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 9 SEWER❑ / NEW D EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES Q' NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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 constructio7 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)
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Signature of SW (Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL r7� !y,� �,�j��/
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