HomeMy WebLinkAboutBLD2023-00948 - BLD CD Environmental Health Review - 8/9/2023 ("----
4 �oF""'.Pt-1't, MASON COUNTY COMMUNITY SERVICES Permit No*d;02 7 /ati I p
PERMIT ASSISTANCE CENTER: /'� re I\ /BUILDING••PLANNING•PUBLIC HEALTH.FIRE MARSHAL R E --
•I I. •m•'• 615 W.Alder Street,Shelton,WA 98584
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•;. �a Phone Shelton:360)25-4(360)427-9670 52•Fax:360)4(360)427-7798 98 Phone A U G 0 9 21 3 400 V v
`r,, v . Bel/air(360)275-4467 Phone• Elma:(360)482-5269
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BUILDING PERMIT APPLICATION ,���, 09?023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 1/1/4,
NAME: ROD L PURYEAR NAME:ARMSTRONG HOMES
MAILING ADDRESS: 17202 87TH AVE CT.EAST MAILING ADDRESS: 2709 AUBURN WAY NORTH
CITY: PUYALLUP STATE:WA ZIP: 98375 CITY:AUBURN STATE:WA ZIP:98002
PHONE#1: 206-839-7696 PHONE:253-833-6666 CELL: 253-797.0210
PHONE#2:253.376-7907 EMAIL: Otfice@armstrong-home.com
EMAIL: ROD@WESTTOOL.COM L&I REG#618,511040 EXP. / / D Z
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ f
NAME ROD PURYEAR EMAIL ROD@WESTTOOL.COM — 1r�
MAILING ADDRESS 17202 87TH AVE CT EAST CITY PUYALLUP STATE WA ZIP 98375 _ I Z
PHONE PRIMARY CELL 206839-7696 CELL 253-376-7907 ALTERNATE CELL
PARCEL INFORMATION: A
PARCEL NUMBER(12 Digit Number) 121195000066 ZONINGT21N-R1W r
LEGAL DESCRIPTION(Abbreviated) HARTSTENE POINTE LOT:66 SURVEY 29/171d30t147SiMeInAaes:0.15 FIRE DISTRICT CENTRAL MASON
SITE ADDRESS 333 EAST POINTES DRIVE EAST CITY SHELTON
DIRECTIONS TO SITE ADDRESS FROM HWY 3 TURN ONTO E PICKERING ROAD,FOLLOW TO THE HARSTINE ISLAND BRIDGE.
AT THE T.TURN LEFT ONTO E NORTH ISLAND DRIVE.FOLLOW TO THE HARTSTENE POINTE COMMUNITY GATE.TURN RT ONE POINTES DR E TO 333 ON THE LEFT
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO 2 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Lie.)RESIDENCE
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part/sl of Bldg)❑+ NO 0
DESCRIBE WORK CONSTRUCT NEW 2 BEDROOM 2 BATHROOM STICK FRAMED HOUSE ON CONCRETE FOUNOATION WITH CRAWLSPACE.WITH UNHEATED COVERED PORCH
SOUARE FOOTAGE: (proposed)
1ST FLOOR 1,085 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 205 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached❑ Detached 0
. MANUFACTU - N: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL AR LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER 0 / NEW 2 EXISTING 0
PLUMBING IN STRUCTURE? YES❑+ NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.N/A
EXISTING BEDROOMS N/A PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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
PER IT Al/� IC,ey ION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
_J�//) COUNTY CODE
X 14.08.42) 7/2O/ D23
Signature of OWNE (Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH '/IT FIN)
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