The URL can be used to link to this page

Home My WebLink AboutBLD2023-00823 - BLD CD Environmental Health Review - 7/26/2023 0MASON COUNTY COMMUNITY SERVICES Pep(t1�jo 7) PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL Trust 615 W.Alder Street,Shelton,WA 98584 JUL J92023 �5W Per Phone Shelton:(360)427-9670 eat 352•Far:(360)427-7798 Phone JUL 16 ZOZ3 BeHeir.(3W)275-4467.Phone Elme:(360)482-5269 615 W. Alder Stre RECEIVED BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: T z NAIyE:GLENN A PETERSEN NAME: G MAILING ADDRESS:PO BOX 2B83 MAILING ADDRESS: _ CITY:SELFAIR STATE:WA ZIP:98528 CITY: STATE:_ZIP: TT'10 PHONE#I:(360)2T5.8831 PHONE: CETT.: D z PHONE#2:(360)271-9353 - WvLA L: EMAIeteewansenQgmailswm L&I REG# EXP. / / = L:p M Z PRIMARY CONTACT: OWNER Q CONTRACTOR❑ OTHER[] b NAME OIA'R PEIERBEN EMAIL peteswansenQgmail.com MAILING ADDRESS PO BOX 2883 CITY BEIFAIR STATE WA ZIP98628 PHONE g$0)n5=8ffl31 CELL(380WI-93113 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 222215MOOOD ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS181 E HILLSIDE DRIVE CITYBELFAIR DIRECTIONS TO SITE ADDRESS tram SR 1011.sash on Twamh Fats Drto Hillside Dr.Mellon Mbiae dme ro Me.just eandes sbssl mom Snewrap street sign IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOB SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chacknll amroppty): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW EI ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n USE OF STRUCTURE(Watdeare.Grange,CommeremtBlr{q,Brc)RwMentlal IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS2 HEATED STRUCTURE? YES(IFhats Bldg)❑i YES(Parr()oJBW)❑ NO❑ DESCRIBE WORK SQUARE FOOTAGE: (praparadJ IST FLOOR ISM sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK ft. COVERED DECK sq. sq.ft. STORAGE sq.ft. OTHER sq.R GARAGE sq.ft. Attached❑ Detached❑ CARPORT eq.ft. Attached If Detached❑ FACTU ON: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL AR LENGTH WI BEDROOMS BATHS SERIAL ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑+ SEWER❑ / NEW❑i EXISTING❑ PLUMBING IN STRUCTURE? YES❑+ V NO❑ Ifyes, attach completed Water Adequacy Farm PERIMETER/FOUNDATION DRAINS PROPOSED? YESX NO[] EXISTING SQ.FT, EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 GWNER acknowledges that submission of Inaccurate information may result In a Mop work order or permit revorstlon.Acknowledgement of such is by signature below. I declare that I am the owner and I further declare mat I am entitled to raCsive this permit and to do Me work as proposed.I have obtained permisson from all Me necessary parties,Including any easement holder or parties of Interest regarding this project. The madder or legal representative,represents that the information provkled Is accurate add grants employees of Mason County access to the above described property - and structure(s)for review and inspection. This permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or 8 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 14.08A2) x L- li�� _/(-1 �j 2023 nature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH C44 1 REVISED SITE PLAN Dec 5, 2023 Lot 2E'4"wide �r ELEV 2 l ELEV 228 rank APPLICATION 5 mir BM2023-00 82#3 10y'[I to to Fn APPLICANT GLENN PETERSEN N PARCEL' 5 e' wineinnwW aelu,q mepmesx xss 22221530M .�..._ � •�pk(e�Mb5�+9M W l3'3" DRIVE power pole water meter ELEV 244 g"D�E EH Setbacks AI D�sanewrRss.�Ia r—1p wlmex dam mwmpnooaamioaa ad Sepdc 4aklal�e4uxes s wroazx nam tlllwAo gnwo.Nuna �ti0 WNP I.ndalwIPuImeler Drama wnnm son.e,&tmnml DmIa0elNPaanae.,.z D.I No cN asnMlal lmeme,Ilan su zat ovn as call—1 willun �[�` swl.mrm amaam of D„mn.wRa:ere.area ELEV 241 283' EH APPROVED smle l"=20' Rbonda Thompson 12115/2023 11240