HomeMy WebLinkAboutBLD2021-00488 - BLD CD Environmental Health Review - 6/27/2023 On..Gn Emdgre lD.1CP0fiW0.C%94?P2B588NBBO6BAOPF3
MASON COUNTY COMMUNITY SERVICES Permit No- EI D2021-00488
PERMIT ASSISTANCE CENTER: p r!"`C I\V/ —
.BUILDING•PIPNNFIG•PUBLIC M1b1L.. BEMAPSHL
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615 W.NEer5trae1.5Mllm,ini
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BUILDING PERMIT AP A�Tjq'f(IdefS
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI ENTAL
NAME: Dave&Debbie Musselman NAME: SUPMW HOmeS HEAL H
MAILING ADDRESS: LXNt Ka,af PI SF MAILING ADDRESS: 1 cal S SDIh Avr F
CITY: Port Orchard STATE: WA ZIP: 98366 CITY: Tacoma STATE: WA ZIP: 98446
PHONEM: 916-730-4286 PHONE: 253-331-1490 CELL:
PHONER2: 360-932-1619 EMAIL: constnut ion Usuommahomescom
EMAR.: d bbi < I T�pm2Im L&I REG N SUPREH180703 EXP.U/2-T2A G un11u
PRIMARY CONTACT: OWNER❑ CONTRACFOR❑ OTHER® T ?NAME Kevin Klein/f Fea5tuiyN EMAIL _s
MMLINGADDRESS F.U. BOX 1176 CITY Sumner STATE WA ZIP 98390 L
PHONE 706-7104IS6S SELL m0
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PARCEL INFORMATION:
PARCEL NUMBER U 2 Digit Numbm) 12216-75-90032 ZONING
LEGAL DESCRIPTION(AbbrvBatW)TR 3OF SURV 15/99 TR 2 OF SP Y2107,S 413134 FIRE DISTRICT 5
SITE ADDRESS 51 E Pe d a00n Dr CITY Belfalr
DIRECTIONS TO SITE ADDRESS Head E on W Alder tomW NKth St take the Ist exit onto Nist St tL n
left an F Flm St DOW WA 3 N. to E North Uy Rd t WA-ant F PropeM'c�lef
IS THE PROJECT WITHIN HIS FT OF SLOPE(S)GREATER THAN 14%; YESD NO®
IS PROPERTY WITHIN 300 FF OFTRE FOLLOWING: 1CI.LtaBbbrnaFI
SALTWATER❑ LAKE❑ KIVERItC EEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF Q STREAM 1(]
TYPE OF WORK: NEW K ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(ReaEev,ra cy,Cnx...easBNB. ,L) Pe denre
IS USE: PRIMARY[Z SEASONAL NUMBEROFBEDROOMS 4 NUMBER OF BATHROOMS_
NEVIEDSTRUCTURE? YESlWM(e RAW® YES(Pat??twig ❑ NOD
DESCRIBE WORK ann7 RnFt CFR
SOUARE FOOTAGE:p,mPn6¢N
1ST FLOOR 2641 sq.ft 2ND FLOOR_sq.& 31UD FLOOR_sq.H. BASEMENT_
DECK sq.fl. COVERED DECK 50 eq.ft. STORAGE ,ft OTHER
GARAGE 756 sq.fl. ANached R Dn. ❑ CARPORT p.ft. ALBBW❑ DeuLhed
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODE?. YEAR LENGTH
IVIDT11 BEDROOMS HAMS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC[a SEWER❑ / NEW IQ EXISTING
PLUMBING IN STRUCTURE? YES Q NO❑ (()cs,attach comyI.,rd Wmer Adn,u Farm
PFUMETERTOUNDATION DRAINS PROPOSED? YES NO®-. EXISTING SQ.FT
EXISTING BEDROOMS PROPOSED BEDROOMS 4 TOTAL BEDROOMS
DINNER int]es me wdni6SmnNii—me intomawn"result in a dop' I*L erorp nmh rewulWn.P nminnge—n N suN Yhj
y0rmlure Gelmv loetlare IM1eIlinn Ne miner enE NrNertletlere Mell am anlilleE to rtPniM tllis permhano to Eo Ine vaM a6 pmpo7r M1eee
Cdeire0 paimisson lmm eII1hP rcLessery panie;Intlu0in0 any e6semenl nol0er or paNes o!Interest re0ar01np Mis prolePl- The—er or kgd
RpA6¢nlallw,repttsenLs Nel Me IMormelion goNEeE Is xarale FE Bren15 employees o1 Mason Cwnly eLcess to Me e5ore tlescnEeo pgeRy
Hq SNLW RIs11M reWew enE inspec4on. TM1ls p¢rmhlappllfd4on Eeavnn nullflwinOm,rk or eul6mnzM wnSrvNon is not evmmencao xMin lBO
Eryx or RmnswctimxoM B suspergeElor a p¢rioE M 180 Ery6.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
R(AFWCATION OF 1SO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
'f\ M23
ER IN 1 IMb OWNER? Dale
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTEWCONDITIONS
BUILDINGDEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
I PUBLIC HEALTH
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