HomeMy WebLinkAboutBLD2023-00560 - BLD CD Environmental Health Review - 7/26/2023 MASON COUNTY Permit No: 0t02023—
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Permit Assistance Center, Building,Planning
i MENTAL MAY 18 2023 JUL 2 6?0?3
HEALTH BUILDING PERMIT APPLICATION Alder S. : ' RECEIVED
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Robert Bryson NAME: Home owner
MAILING ADDRESS: 819 S Jackson Ave MAILING ADDRESS: 819 S Jackson Ave
CITY: Tacoma STATE: WA ZIP: 98465 CITY: Tacoma STATE: Wa ZIP: 98465
PHONE#1: 360-620-4489 PHONE: 360-620-4489 CELL:
PHONE#2: EMAIL : bbryson 1951@gmail.com
EMAIL: bbryson1951@gmail.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER® CONTRACTOR❑ OTHER❑
NAME Robert Bryson EMAIL bbryson1951@gmail.com
MAILING ADDRESS 819 S Jackson Ave CITY Tacoma STATE Wa ZIP 98465
PHONE 360-620-4489 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 220075000020 ZONING
LEGAL DESCRIPTION(Abbreviated) TIMBERLAKE#7 TR 20 FIRE DISTRICT
SITE ADDRESS 31 E Iron wood p1 CITY Shelton
DIRECTIONS TO SITE ADDRESS HWY 3 to Agate RD.L on to E Agate Rd,L onto E Timber Lake Dr,L onto E Timberlake Dr W
L onto Iron wood p1
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑X SNOW LOAD: 25 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❑X ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc.) Residence
IS USE: PRIMARY ® SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) ® YES(Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK Install 3 bedroom 2 bath manufactured home.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1296 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 160 sq.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 Golden West MODEL Dream YEAR 2023 LENGTH 48
WIDTH 27 BEDROOMS 3 BATHS 2 SERIAL NUMBER Not yet built
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ® SEWER❑ / NEW ❑ EXISTING El
PLUMBING IN STRUCTURE? YES ❑X NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NON 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 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)
X � l/ S. 1 b (Z)
Signature of OWNER(Must be ned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL Q /,
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