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HomeMy WebLinkAboutBLD2022-01523 - BLD CD Environmental Health Review - 12/8/2022 • Ta.?,:r.,, MASON COUNTY COMMUNITY SERVICES rID . .�, ..� V ' 7T PERMIT ASSISTANCE CENTER_ Permit o: (( ; � ; •BUILDING •PLANNING•FIRE MARSHAL Ss , 615 W.Alder St-Shelton,WA 98584 Ak - } Phone Shelton.(380)427b6I0 eat 352 • FaX (360)407-7796 Rene a.a/ Behar(360)275 457� Phone Sma:(350)452-5269 ry,`�/ BUILDING PERMIT APPLICATIOI�I . t , PROPERTY OWNER INFORMATION: I CONTRACTOR INFORMATION: NAME-Integrated NW Construction _ NAME/Carolyn Val demon oho Integrated NW Construction) MAILING ADDRESS: PO Box 1008. MAILING ADDRESS'. PO Box 1008 CI IT:Hoo&pon STATE: WA ZIP'98548-1008 CITY:Hoodspon STATE. WA ZIP.95548-1008 PHONE II. 243488-5314 x I PHONE 253-85R-5914 x I CELL. 20E2310-4239 PHONE 42: 206-310-4239 _ EMAIL_candvrV)mtcgratedowconstruction.rote EMAH„ caralynn integratednnconsnuction.com L&I REG M INTTEGNC843.0 EXP_0420/2022 m CONTACT PERSON: OWNER CONTRACTOR GI OTHERD NAME_ Amanda Wolgernuth MAILING ADDRESS:PO Box 1008 CITY'.Iloodspon STATE: WA__ZIP 98548 PIIONE 206-550-8946 CELL: 360-968-9493 EMAIL: adminekintegratednwconstruction cote m PARCEL INFORMATION: r Z PARCEL MEMBER(12 Digit Number) 32104.56-00001 _ZONING _ m LEGAL DESCRIPTION(Abbreviated)Au)ERBROOK G&Y F2 TRACT I DIV r.S 5010 FIRE DISTRICT_ 2 SITE ADDRESS II E Flangwood I n _ CITY Union DIRECTIONS TO SITE ADDRESS Jwne East on E Maozatuta Dr Right on E Vine Maple Ln First left D onto E Flaggwood Ln,and site is the first on the Left IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESn NO© IS PROPERTY WITHER'200 FT: (GafoIDMrayp62 SALIWATER 0 LAKE RIVER/CREEK❑ POND[] WEI LAND[i SEASONAL RUNOFF STREAM IR TYPE OF WORK: NFW a[ ADDITION n ALTERATION it REPAIR n OTHER I] USE OF STRUCTURE(Rdarncr Garage,Comema!Bldg.Etc) Residence IS USE PRIMARY SEASONAL NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 325 HEATED STRUCTURE? YES(Whole Bldg)f7 YES(Parr/siofBldg)D ❑ 2-Full,1-3/4,1-1/2 DESCRIBE WORK Construction ofa new single family residence (ValuationJProject Bid Amowir.-a 300.00H) J SOUARE FOOTAGE: 1ST FLOOR 1313' sq.R. 2ND FLOOR 1010 r sq.Il. 3RD FLOOR N/A sq.N. BASEMENT MA sq.It. DECK 167 sq.ft COVERED DECK 294 . sq.fl. STORAGE 70 Vs sq.9. OTHER NIA sq. GARAGE 526 : sq.R Attached Douched n CARPORT NIA sq.fl. Attached n Detached'] MANUFACTURED HOME INFORMATION: *4 COPIES OF TIRE FLOOR PLAN REQIIIRED* MAKE MODEL YEAR LENGTH WIDTH - . BEDROOMS BATHS SERIAL NUMBER OWNER acknowledges that submission of inaccurate information may result in a stop work order or permiVevocation. 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 stucture(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 PPLICA N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON eit// OUNTn CODE 1408.421 X 1 L` 11I24121 nature ofC ER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS 'Intake Manner: Approved&Ready for Pick-Up. Visit us on-line: http://wver.co.mason.wa us/community_dev/ ererebee I : I \ \ � \ \ 1 ) ( ; \ ) \ . ( hi § \) \ / § % ) / ` ` t \ / % 2 ; ) { % 9 « ) $ ) : \ \ / 2I I .13 , < . , ( \ \} / \ ! j \ j ! C Ti g § \ »\ § 0gi g > ; g . \ \ \ I % ? re Q } \ l ! �^ ? ; 3 < . . r \ \§ / / . . . E )\ i- I adA{ ? � , ¥_ E / y \ « \ y \ \/ \ \§ . . \ \ l \ id � ' U \ \ $ I 2 $ « ) © , P\ ) � ` / / J . \ 3 . n \a ~ d \ J - fi% / 1 f / j ® . , \ j [ 0 / \ \. \ \ \ � ^ � «\ . INI I1 I \ \ \ i ¥ \, a , , \ { hi, . /