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HomeMy WebLinkAboutBLD2023-01051 - BLD CD Environmental Health Review - 9/7/2023 Permit No -D 1 b% I MASON COUNTY COMMUNITY DEVELOPMENT SEP 6 .. Permit Assistance Center,Building,Planning O 202 SCr O 72023 BUILDING PERMIT APPLICATION 615 W. Alde eet RECEIVED PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Forest Majuere LLC NAME:N/A / MAILING ADDRESS:2460 Westlake Ave N Boat St MAILING ADDRESS: IT I CITY:Slain* STATE:WA ZIP:98109 CITY: STATE: ZIP: 73 PHONE#1:2°6-953-827s PHONE: CELL: PHONE#2: EMAIL: EMAIL:CMAJOR©CMAJORPR.COM L&I REG# EXP. / / .M PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0 NAME David Taber/Neiman TaberArcalteos EMAIL dt@neimantaber.com D ".1 MAILING ADDRESS 1435 34th Ave CITY seatue STATE WA ZIP 88122 r PHONE 20rr76°-55° CELL str.s23ao1 = m PARCEL INFORMATION: z PARCEL NUMBER(12 Digit Number)22010-30 910D2 ZONING R-10 LEGAL DESCRIPTION(Abbreviated) NE 1/4 SW SECTION SEcON 10.TOWNSHIP 20 NORTH RANGE 2 WEST,W.M. FIRE DISTRICT SHELTON p SITE ADDRESS 520 EAST SOUTH ISLAND DRIVE CITY SHELTON 98584 I 1 DIRECTIONS TO SITE ADDRESS Take right onto into driveway oft of E South Island Dr. 2 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO❑ SNOW LOAD:,>( psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION 0 REPAIR❑ OTHER 0 7USE OF STRUCTURE(Residence,Garage.Commercial Bldg.FJG) Vacation house ,(,� IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)0 YES Mar/ff./of Bklg)❑ NO❑ DESCRIBE WORK ne.Ui) P 'Yf l TICLI.L. SOUARE FOOTAGE:(proposed) 1ST FLOOR 720 sq.ft. 2ND FLOOR n/a sq.ft. 3RD FLOOR°la sq.ft. BASEMENT n/a sq.ft. DECK°la sq.ft COVERED DECK 31° sq.ft. STORAGE&a sq.ft OTHER n/a sq.ft GARAGE N/A sq.ft. Attached 0 Detached 0 CARPORT n/a sq.ft Attached 0 Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH TH BEDROOMS BATHS • ENVIRONMENTAL HEALTH: `54a k- SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO 0 If y s,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. ° ��j EXISTING BEDROOMS .2, PROPOSED BEDROOMS_ TOTAL BEDROOMS_ 1�'' OWNER acknowledges that submission of inaccurate Information may result in a stop work order or permit revocation.Acknowledgement of such is by .�r•� 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 wv 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 suspended for a period of 180 days. PROOF OF CON NTUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERM! / T ON, I l/ OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON y, COUNTY CODE 14.08.42) x /' G e/ .)---LI Signature of -ER(Must be signed by the OWNER) Date / 4 DEPARTMENTAL REVIEW] APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT L- • PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 71 t S. ( Cr\-44 ,4424 I "' o p O n W D ' • F`z O O�.O V 17 iz *fin°cg5. npp1adm_ R. W N .x 33 2�m2"m v Z J o�mm$ o M 0 Ti CD wCD3�.m m r 3 m m 1 m fin' N I. _ la Lo ika_. .1.._...'... I D N m m O I o X mI = ) ' < ma ?oaCO IIa 3 9. n I p air o o w a 3 r.' x I • 4- _.1 N a. 003 cn Ito rr m . 1 - I { ? o o nI 8 !AI • i ( f 1 ' •K 1 W, '� ' .1.�w.r.uA„ \y if 1 y IQ uy _1 G I I q � 1 f� Vyp H1.M,nlOs�nf�M 1. • i:- .., .. 1'. .1 • I :_'_ • 1 • iRI •1 1 -is14 ,. ig@ : I; 1 . 11 d f I ,i4,. z is 5A -I. li i 1 ' I i 1.---ii. L , . 1st. 11 1 I- -ror.slnmlaweo� . 1 S¢aa I '. •1 I I 1 ;I 1 icer 1 . I ' I 1 1 1 A) • 1 C o °_' a o 11 ? o �rJ j cDoo N • 1 Iv C Z 2. 5. N 0.0 li CD Su c 5 3 v� I 2 3 7 c n 3 N'a ,N� to CD (D M 8 mom 0• 12 cr 0 i I o w ° 1 F Q jjijI ' m o CD a' . :K K x Ka 1 ^ K K q �' Is 1 S M co --------------.w w1g---_•------------4 P. i FZ Y. S i • I 1 y sm