HomeMy WebLinkAboutBLD2023-00703 - BLD CD Environmental Health Review - 6/22/2023 Permit No:&L Oa(/R 3 - CO7• v�
'� = ' MASON COUNTY RECEIVED
-a` = COMMUNITY DEVELOPMENT
t'-5s Permit Assistance Center,Building,Planning JUN 22 E�rVi'�O t Ct�tTA
2023nf'.4E V
BUILDING PERMIT APPLICATION 5 W. Alder Street UIEALTH
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION.
NAm :Kahn Legacy LLC.Michelle Ginn NAME:Estes Builders LLC
MAILING ADDRESS:9e6 Tumslme Re MAILING ADDRESS:239o33"wy'o'
CITY:°si60ea STATE:CA ZIP:920" CITY:s.9wm STATE:WA ZIP:3e3e2
PHONE#1:760°'s4)369 PHONE:3604B}6756 CELL: 360-s16.0701
PHONE#2: EMAIL:permea®ealeaMddaa.c°m
EMAIL:mkheee@s°N°hwaehingmn.c°m L&I REG#ESTESBL9810L EXP. 03//13/24
PRIMARY CONTACT: OWNER❑ CONTRACTOR I] OTHER❑
NAME eaoead." EMAIL p"""I'e'e°ee°"16ef1C0ni
MAILING ADDRESS 259003H"j101 CITY s•°'° STATE WA ZIP9B3°2
� C
PHONE °6°6°a-e7" CELL 3,6516070t 171
n fV UUU
PARCEL INFORMATION: rn
PARCEL NUMBER(12 Digit Number) 22222-1 2-001 00 ZONING RRS I'/1 ry
LEGAL DESCRIPTION(Abbreviated) TR 10 of GOUT LOT 2 6 T.L S 45224 FIRE DISTRICT CNJ
SITE ADDRESS'5'71 E"'YIN CITY Beeair
DIRECTIONS TO SITE ADDRESS From Shelton lake E WA-3 through Bayshore.Turn loll on E Mason Benson Rd.Turn right on E Trails End Rd pas'Benson Lake.
Turn left on W A-I 06;Property h on the right In 09 miles.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑� SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF TILE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW p ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑R.,dewnent
USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Ere)5torapiNb''
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS° NUMBER OF BATHROOMS 05 6oraiL
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]ofBldg)❑� NO❑
DESCRIBE WORK C.L hed 290 si ulaiy tadlang with healed 1/2 bath
SQUARE FOOTAGE: (proposed)
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE"' sq.ft. OTHER 2e Bathroom sq.ft.
GARAGE sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached❑ Detached 0
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 El SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES B NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO0 EXISTING SQ.FT.
EXISTING BEDROOMS 1dano''n PROPOSED BEDROOMS ° _ TOTAL BEDROOMS °
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
r—o«asi9e.db COUNTY CODE 14.08.42)
( s1Lu b_t hiv. 05/15/2023
X
signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL / ��j�
PUBLIC HEALTH K 9�?O13 �Ij�! ,� 416 1
II
C o rJ m> �1 (,�p r p CO
D �Ny�6a �,i9�ioy =1 °_ <y Om-�DT 1 N
3y dT z m$iz o1 8a Fb m g .,
of 3"4 mN -N°n �' o $ t SZE-.. gFV — W
o a� 2 k $CC iti!O ;IM
_ F b
y�'�° 'DioI DES i i V
3.-.
1 0 ; n n'3 _ l9 0 . ni 2i f �. a z O
iO.
Z.1 'm&oN , z� W m 1
E co
i _ m z r
d .o W *° n n uuI a
n y r"D A N IF D .. 9
R o n w80 M
- o83 7C ?,,9x m n u
o
ga4• qA$ 4 TF ig 4s
0a •
= c
a
• . j
m
/ St
a
/ N
iii
/
/ n
i Y _.
o ^a N
0 i / N IT
o
/ 4, ,... ... .. /
II
- ! - -� S 00.41.46"W-114,43• /
'1y v Y 9 •�r��rP.-1 ''t\ '` ....�, .• .,i\. 7 / . i I
I „ i \ � �•yy I A.m.D i� / �pr /y� i l / / i
Z //! i , .' I� 1 lac \i I1 IF\ 1 °I:i''/+' / So%�;. , i
1 / rF !I i 6 , it p 1 'I f / 9�I 1 `/// .'�Qr i/
•
r
///" \\
� ! : 4i° s1 °fig% /�7 . .. ,
1
/
\ rt
/ I �� / r
-1.
/ p›-I . ,..:zwarir a - g -:-Ki=7"--.41 Th-xi--)4.1' t7' ,' i If /
/ I S oo•4t•46"W-106.76 / a 3
il ' n
m
I
Iii
VIII ! 1 HI IP IE F
I
Il A3r i fX tl a 2 d3g'_ z 6'I
> f` r' GINN -- E S T E S PRELIMINARY DESIGN
{� � I •�I RESIDENCE BUILDERS ��
�e
n. "F Efl� 15171 EAST STATE ROUTE 106
O °_l ! 1;1 11 BELFAIR.WASHINGTON SITF.PLAN
PARCEL p 22222-12 00100 i