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HomeMy WebLinkAboutBLD2023-01415 - BLD CD Environmental Health Review - 11/28/2023klINEMIIIIir '' r k Permit No:0 id 8090rp 11i'777777 1 MASON COUNTY COMMUNITY DEVELOPMENT NOV 2 1 2023 Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: /7 NAME: MICHAEL LAMONT NAME: LEXUS CONTRACTING GROUP LLD �j v 7 MAILING ADDRESS: 5171 E STATE ROUTE 3 MAILING ADDRESS: 12207 NE 8TH ST _ 4/Or, '�Cf CITY: SHELTON STATE: WA ZIP: 98584 CITY: BELLIWE STATE: WA ZIP: 98005 Y PHONE#1: 907-450.9248 PHONE:425-770-7919 CELL: 425•770-7919 we C 4Oil PHONE#2: EMAIL: LEXUSCONTRACTING.OFFICE i'GMAIL.COM Rece./�� a1 EMAIL: MICHAEL.LAMONT@AK-GRAVEL.COM L&I REG# LEXUSCG775JR EXP. 04/1925 `rF® PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ ._J NAME DON HERBERT EMAIL DON©LCG-LLC.COM REBUILD < MAILING ADDRESS 12207 NE 8TH STREET CITY BELLEVUE STATE WA ZIP 98005 l.- PHONE 425770-9872 CELL 425-770-9872 Z PARCEL INFORMATION: W PARCEL NUMBER(12 Digit Number) 32135.43-00050 ZONING .. LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT Z Q SITE ADDRESS 5171 E STATE ROUTE 3 CITY SHELTON 0 LLI M DIRECTIONS TO SITE ADDRESS CC = IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:_psf Z IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): W 4 SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) RESIDENTIAL HOME IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)0 YES(Pan[c]of Bldg)❑ NO 0 DESCRIBE WORK REPLACING MODULAR HOME WITH NEW BUILD DUE TO FIRE SQUARE FOOTAGE: (proposed) 1 1ST FLOOR I SoO sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK1LO0 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached 0 CARPORT sq.ft. Attached❑ Detached 0 MANUFACTUR N: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKF/AC MODEL A, 6TF1----' 4 WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEW g. EXISTING' PLUMBING IN STRUCTURE? YESY1 NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES' NOD EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS .)-- OWNER acknowledges that submissi 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 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 n ssary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that t formation provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and s ection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is U ended for a period of 180 days. PROOF OF 0 TION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT P OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X f ate Signs 0 (Must be signed by the OWNER) DEPART. NTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL z PUBLIC HEALTH ONr y Un " C ` L \1 \ \ \ i,t7 ,. % • — kTh l• 1 -- — — - o p.. ° o o •\ •\ � •<° p• °P 8 4„ u soap o o .a --' ,,' \ \ tp \ o o \ '. \ 1. f�\\..7] .....'".- • •7.-,.. — I. : ': 11 \t§g N I ,+ if 1 .,-,, , ten_ _ -_ ...... - . ap- _____----- ,_,.. r . 9t E II S oVA -,t, • s• - .k...,,,,,4;ili • t / • ,its- i is Iti ...... ...isi iNC:i..*--- , . ,• z .3 T�y{y� C ..,.A.* � �+000'fmD O .00 �FDa-m ` n F a el2°2 v 31 co o •'0 0.0 W 3J o�^p�A 2$ D O 1:1 n CI T. ',N iflH J1 lk � 0� ` D v m � cNn._ 37 zB. 'oaf S' m w o N co a a, m o 3° o �'a c N j d < Ca y x (7 1�, cc, , N C� Q� . = E)A. 2=o X Doc N� N co a (n o D n a°oo 3 (/) W O off-' 3 ,o 0,�o o B R 13 --0 m m n O0 f 0 v°c d 0 m. N g 0 ' O0 N. E. 3 n 3 (D CD G D