HomeMy WebLinkAboutBLD2023-01345 - BLD CD Environmental Health Review - 11/13/2023 ot
Aulhen4cgnlo.. — •°°'r-6045MZASON COUNTY Permit No: 30090Q3
O/3 S
r.�4 .` COMMUNITY DEVELOPMENT �r1�`�°� m
Permit Assistance Center, Building,Planning NOV 0 7 2023 Z
BUILDING PERMIT APPLICATION 645 A ciN tm 0
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: D Z
NAME:James Parkhurst NAME:Chris Gilooly rr
MAILING ADDRESS:3403 Steamboat Island Rd MAILING ADDRESS:1600-B SW Dash Point Road#2112 '�
CITY:Olympia STAT :WA ZIP:98 02 CITY:Federal Way STATE:WA ZIP:98023 • Y rn
S" PHONE#I: h 4114 5---C( 97.7 PHONE:253 678 8162 CELL: Z
C PHONE#2: EMAIL:253 678 8162 7{
EMAIL: by! (?A (J- /I %%(J _ / L&I REG# Creatrt835j6 EXP._/_/ r
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER D
V NAME MahTewsweeney EMAIL matt@rcttacoma.com
A MAILING ADDRESS PO Box 7935 CITY Tacoma STATE WA ZIP 98417
cy PHONE 2532a16289 CELL A' I'
PARCEL INFORMATION: rYOY 1 3 2023
PARCEL NUMBER(12 Digit Number)31904-54-00032 ZONING R-5 RECEIVED
LEGAL DESCRIPTION(Abbreviated) Fawn Lake#5 Tr.32 FIRE DISTRICT
SITE ADDRESS 360 Fuchsia Ave.SE CITY
._ (1 DIRECTIONS TO SITE ADDRESS Go South on SR 101 to SE Cole Road.Follow Cole Road south to Fawn Lake community.enhance on kn.
7 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO Q SNOW LOAD:25 psi.
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
tV. TYPE OF WORK: NEW Q ADDITION 0 ALTERATION❑ REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY❑+ SEASONAL 0 NUMBER OF BEDROOMS2 NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Pari/sj of Bldg)0 NO 0
DESCRIBE WORK Place new manufactured home on siote with accessory garage
SOUARE FOOTAGE:(proposed)
1ST FLOOR1167 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENTS l sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGES sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE L&M Homes,Pacific II, MODEL Dream 441F YEAR 2023 LENGTH“ft
WIDTH 27ft BEDROOMS2 BATHS2 SERIAL NUMBERTBD
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Ej SEWER 0 / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.0
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
OWNER acknowledges that submission of inaccurate information may result in a stop work ottle( 'Mlit revocation.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 structures)for review and inspection. This permitapplication 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 jaws Patkhut- t 10/23/23
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 '_ (�
OI PUBLIC HEALTH h•JS. I t14t4 'LI _ CC f)I i,AA eta-C12C2Z
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