HomeMy WebLinkAboutBLD2023-00990 - BLD CD Environmental Health Review - 8/21/2023 Permit No: 1 e l fl �Air
-
-LO� i0
,. ,x.: MASON COUNTY
' ._�0., COMMUNITY DEVELOPMENT RECEIVED
'' , ` Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION AUG 21 2023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMAkm W. Alder Street
NAME:David and Anne Mullen NAME:Same as owner
MAILING ADDRESS:PO Box 303 _ MAILING ADDRESS:
CITY:Grapeview STATE:WA ZIP:98546 CITY: STATE: ZIP:
PHONE#1:253-255-2990 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:f3ts@hotmail.com L&I REG# EXP. /_/_
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Devid No*, EMAIL t3ts@hotmad con
MAILING ADDRESS Po Box 303 CITY Grap"vlew STATE WA ZIP 98546 S
PHONE 253-255.2990 CELL 253.255-2990 T 0
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12108-43-000zo ZONING Rural Res 2.5
LEGAL DESCRIPTION(Abbreviated) TRACT 2 OF GOVT LOT 5&TAX 1041 S47/69 FIRE DISTRICT 3 = n SITE ADDRESS 490 E Stretch Island Rd S CITY GrapeviewZ
DIRECTIONS TO SITE ADDRESS From Grapeview Loop Rd,East on Eckert Rd across Stretch Island bridge.Right onto E Stretch island Rd S.
Continue 0.5 mi,property is on gravel road on right at stake labeled 490. 3>
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES E❑ NO❑ SNOW LOAD:_psf r
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all than apply).
SALTWATER D LAKE❑ RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 'f 4
IS USE: PRIMARY 0SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMSV0
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part/sJof Bldg)❑E NO❑
DESCRIBE WORK New SFR w attached garage
SQUARE FOOTAGE:(proposed) 'I `C.f4:(( !{,.{,i_. )wSEMLIUr ieg� ,(I _
1ST FLOOR 2469 sq.ft. 2ND FLOOR 2101 sq.ft. 3RD FLOOR _ sq.ft. BASEMENT SIB) sq.ft.
DECK sq.ft. COVERED DECK 800 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 767 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 E❑ SEWER❑ / NEW❑ EXISTING❑E
PLUMBING IN STRUCTURE? YES❑E NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES E❑ NOD EXISTING SQ.FT. 645
EXISTING BEDROOMS 1 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 4 (..--"'
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 urn 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
COUNTY CODE 14.08.42)
X 717)\------7 t-..../4---- g/Z l/Z s
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 e� _ n n
PUBLIC HEALTH t014fl,3 cijApC cCdtd4d(
YRO'�INM�III Iy4111 LIS$6 VM'.bWAlO OZOOOi19Olil.1.+�.4 V
MAIM Itsel .MS MV arm SlOI Y. lc•.. •w 9KY6VM'W t d.•9 Oeu-sszt5i
3 S P6 PWI44I'M3 O6P u6II1M.p y
CI•.l •R.9
JN1�d NISN3 �, ., ..6P9..� 6c,6eV
�•, wn NP•wD rM'N4^�PP9M
s3HenH wt/3 . u6lsea a6euleia uallnw a 1
qp M JV
Ico 2 $ LS. . •
I\ ; 2
o 4 141
s o to E$ R G' \♦ 'i i
co g iklt
Fii
o v ;..
E $Cp ST u5 12� ao gi _e .. 1;1'^ \\ z
yyyy�U my6 305$ N i6 _ N \ ♦♦♦
IPI
as,EE •IIiI
20
mn "' m-.2 C.. , \ \•iii
g �- �R▪•. i \\ ::: \iii
- 4 V€a•. _.4-- t...i1v:�:.''''."..-'"..:-',a - .--'s'..\`LU!
1m4z�S+ R •`.` // i \
frpg $ m 98818 <mcioo5i 3 5i / :�.. \
'5Zira `.
go i$ m a«l4 yyHH� j"� 1 / 1
d--
c 4 . 1 \yip ::' /
d-d3 idtiIi 1II ac FmBE P gN O \\`- \ \\ \
43$ $I�Sio � Cl c�.w 1 . V III -- - �.
glgs ellJ$x•? •B28 F mc6 wP9 w= g NOQ 1"9 ii '._ �• �.,
IIii �� �� �-a =8 -: ifs =WQliS g•of r- pyv2 ; f. ;..1i;.' — —8$g5Iigg c";31,§1 flj}
�9111011h
N}cB Uo R. 1 : E� 43t$T9�j �p CQ�N i 7 g[•y9ElY LL(n 10�� Y I q 1'.41iistat sS I ,
L. v v• • m I /, ,g , I '
II ' IID
0' �� , _ __
Y/ IT!flor!
p • m 1 (• sI /' 7 ___- I
S2 !cI j_iO c §1 i! \J:--- -y
W L r. -d1.'.1-/11111 -t.gElt:g.Ntir----::: ::'-:::::•-_--,-.: t.tiNt, \ `,,
m \ \ \\ �4
444%,
„Q 5Z :zeta S n .. -exs @ ;�.• . \\ \\ �.
�53 a 8 �� F8� g MN g •\\ \\ .\ �o
( stg°og i \ \ \
LL �@5 - gS�4R 8 ! I.
\ \
N Q \ \
5.
OOU'ry S '•.\
w +� E i,�L t,
x m ; ,31ixb.A 21c1 S gr.., cg '4�'opai,.
2 w N �osr
M W1 % s § ` ? . u3 g y-
�n u'a' H m o w a a Z. __�_,e\
5