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HomeMy WebLinkAboutBLD2023-00742 - BLD CD Environmental Health Review - 6/29/2023 Hsu"-PLAA-> MASON COUNTY COMMUNITY SERVICES Permit No: 1 I(I Zri,�-2) r( W A ° PERMIT ASSISTANCE CENTER: .S •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL W I I. a 615 W.Alder Street,Shelton,WA 98584 RECEIVED .f". 2 Phone She/Ion:(360)427-9670 ext.352•Fax:(360)427-7798 Phone y' Belfair.(360)275-4467•Phone Elm:(360)482-5269 N,,�a J U N 29 2023 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORM/MONW. Alder ree NAME:RAILROAD AVE LLC-BOB KRONENBERG NAME:RAILROAD AVE LLC OL.—h e r— MAILING ADDRESS:301 E WALLACE-KNEELAND BLVD MAILING ADDRESS: m Z CITY:SHELTON STATE:WA ZIP:98594 CITY: STATE: ZIP: n PHONE#1:360-280-2205 PHONE: CELL: m ' Thu PHONE#2: EMAIL T co 2 rri EMAIL: L&I REG# EXP. /_/ O o PRIMARY CONTACT: OWNER Q CONTRACTOR 0 OTHER 0 w NAME BOB KRONENBERG EMAIL bobkronenberg392©gmall.com MAILING ADDRESS CITY STATE ZIP PHONE CELL 360-280-2205 J PARCEL INFORMATION: 3'z 2.32 - '2 • 1006 I r— PARCEL NUMBER(12 Digit Number) 322325210001 ZONING RR-2.5 LEGAL DESCRIPTION(Abbreviated) UNION-GRAYS HARBOR&UCRR ADD BLK:10 LOT:1-6 S 41/44 FIRE DISTRICT NA SITE ADDRESS 151 E STAIR WAY CITY UNION DIRECTIONS TO SITE ADDRESS r 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 0 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW p ADDITION 0 ALTERATION 0 REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.)RESIDENCE --- IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)❑r YES(Part/u]of Bldg)❑ NO 0 DESCRIBE WORK NEW CONSTRUCTION SINGLE FAMILY RESIDENCE SOUARE FOOTAGE:(proposed) 1ST FLOOR 219° sq.ft. 2ND FLOOR° sq.ft. 3RD FLOOR° sq.ft. BASEMENT 0 sq.ft. DECK 100 sq.ft. COVERED DECK 2i(.`)_sq.ft. STORAGE 0 sq.ft. OTHER)( sq.ft. GARAGE 550 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* Ij MAKE MODEL YEAR LENGTH WI H BEDROOMS BATHS S ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW a EXISTING❑ PLUMBING IN STRUCTURE? YES Li NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES D NOD EXISTING SQ.FT. 0 EXISTING BEDROOMS 0 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 construction work is suspended for a period of 180 days. PROOF 0 CONTINU TION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE A PLIC ON OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X _ 6/28/2023 Signat e of OW ed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL /y p/ J j� ,,/ PUBLIC HEALTH nA 0((?5 C nd 1 ' I t QPi4k ,;;;�;.:. 10001L5LECL£ ONl37t1Yd ^�� N g P Lb566 YM'NOINfI J a V 0 a y 1 J.`dM 5>JIYlS 3 l5l K Z C w '7 'C�M 37Naal5aa ,w QvOell I dzl , = i E { +' 10 911 3AY QY0-61ItM .) ? N i a CC I & q. v '_ its t $s la 9 8 A - is !It,- o ra I ilti r gvg t SL ' ,�s r : u el \ 4 F Jai I 1` ! o erg' yo } Y • • b V O t f . li. '4. i o v ''')-' - I tilit !El. 1.4 ' . s 1 , : s rZ12 a zY a cL`;- a % 1� 1i$ 2 6 o ,' sal !Y I 3 Y` ,' a .r 5 a';a t j 1 I i a 0 rc ZJ 1 rz e 4 1 a a u z W 6 i W £I � N 0_D Y 3g , I' 2a5It pS O a0r — c I ,^, I- g . ��[[ aF'tt�((W W{ry{� J 1 i 1 N �S'runYSS�O s$ I j W .; a a$$$$$ ea c . S o $ . O - SSS8SSS=SS tt., Q I W—_W C W < ' 4. lse� ess -��� i O / i I a I s/r I W o r 4 I C6 o n � c� c r rV ti �3 ' e �; I il I rL B I N n I RI CC 4r�"aprC 2• <iS p G. 45:O. i1 t.. - / l� I (I)E °o� Q I 5 4/9r t 17L �N CO ri „ E I Lt I Q-r di I o ' , U o oh W i N E 1g„„Y W A w N I R 1 II` 1 I _ - la -0 •«--• v— ' �' �45 kI N >- L''L_ ,4in -c c— 4l I 11.."".-_-.- -T.-- i O �_ m 4 m y !s! ldd: Bad esx cn v c-0 ,n�c k I 1 -lsd.: (B U) . .- Y. I. it I � C N c« au o s o. I • Jw O } Vo CL =. v o Z O 3 L__---------j--N --- - — a) N ,� oZS o L2 o o Z d.Z L r- ro <-m v v 4-8 ,LdM 521livag`'°°s,''""`w`" C N 5 U \ o N O 'D_ ' 1Y LL CCLI_ W m00 m i F : -0 CL b o A. b L .I.i 1 i, g' tt m a o a) ' • N E azi W� v • y -. • a J O C U C y (0 O J _ O Q a 1