HomeMy WebLinkAboutBLD2023-00849 - BLD CD Environmental Health Review - 7/23/2023h ....._ 9 ,�
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7i`�-�r.•. MASON COU NTY COMMUNITY SERVIC P it No: L-�(rLa2�t/�-Ot�Oq ;
i iPERMITASSlSTANCECEHTER:
1( Iti 'f •BUILDING•PLANNING C.
PUBLC HEALTH•FIRE MARSHAL
,. 815 W.Alder Street,Shelton,WA 9a584 EN VI R O I Vf!�4
/ Phone Shelton:(360)427-9670 eel.352•Far•(360)427-7798 Phone J U L 2 4 2023 EN TA L '
,' • / eehaar.(360)275-4467•Phone Etna:(360)482.5259 H EA LT
BUILDING PERMIT APPLICATI,QVAlder Street H
i.
PROPERTI'OWNER INFORMATION: CONTRACTOR INFORMATION:
i NAME Julie&Peter Brink NAME To be determined JUL 2 6 2023
MAILING ADDRESS:6721 Cascade Ave. MAILING ADDRESS:
CITY Gig Harbor STATE:WA ZIP95335 CITY: STATE: ZIP:
PHONE#1:312.952.0415 PHONE: CELL: RECEIVED
PHONE#2: EMAIL:
EMAIL:luliekbrink@gmall.com L&I REG# EXP. /
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER
NAME Sieve Tenet EMAIL steve@terrelldesign.com
MAILING ADDRESS 841 NW 65th Street cry Seale STATE WA ZIP98117
PHONE CELL 206.853.5339
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)22230.23-90032 ZONINGResidential
LEGAL DESCRIPTION(Abbreviated)"`r".6""Src'°"a'°"ab`a'oan.RMoE'"(St W" FIRE DISTRICTDIstrict 6
SITE ADDRESS11511 E Slate Route 106 CITyUnion
DIRECTIONS TO SITE ADDRESS Site Is west of Twanoh State Park&east of Union on State Route 106
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IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESE NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF TIIE FOLLOWING: (Check all dmrappl)):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER [%]Replace existing
USE OF STRUCTURE(Raidcnce.Gatyre,Commercial Bldg Eia)Resideme •
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMSI NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(Whole lige)0 YES(Pang/ujBldg)0 NO 0 •
DESCRIBE WORKReplace existing structure within existing footprint
SQUARE FOOTAGE:(proposal)
1ST FLOOR1,576 sq.ft. 2ND FLOOR sq.f1. 3RD FLOOR sq.R. BASEMENT sq.ft •
DECK sq.ft. COVERED DECK sq.fL STORAGE sq.f1. OTHER188 sq.ft.
GARAGE sq.ft Attached 0 Detached 0 CARPORT sq.ft Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATIIS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ ljyes,attach completed Water Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.1507
EXISTING BEDROOMS 2 .__ PROPOSED BEDROOMS? TOTAL BEDROOMS 1 .
OWNER ecknwwtedpes that submission of Inaccurate Inlormo0on may result In a stop work order or permit revocation.Acknowledgement of such Is by r
signalize below.I declare that I am the owner and I further declare that t ain entitled to recites this permit and to do the work as proposed.I have •
obtained omission from all the necessary parties.Including any easement holder or parties of Interest regarding this project The owner or legal
representative.represents that the Inlonnat.on provided Is accurate and grants employees of Mason County access to the above described properly
end structures)for review and Inspection.This pennlUappficabon becomes nut&void if work or authorized construction Is not commenced within 180
days or I 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 APPUCATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
XC 5'aifIaoa3
Signature 01 OWNER(Must be algned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 11-14
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0 r y y 4.o z UNION,WA98592 PERMIT DRAWINGS @ fE,„c v(P ! 4 ._._.