HomeMy WebLinkAboutBLD2023-00868 - BLD CD Environmental Health Review - 7/26/2023 MASON COUNTY COMMUNITY SERVICES PermitNo:tICI702Z5 -tw«
PERMIT ASSISTANCE CENTER: T
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 815 W.Alder Street,Shelton,WA 98584 '1 E AO 9k Iv D
Phone Shelton:(360)427-9670 et 352•Fax:(360)427-7798 Phone L�gp�qq
Belfaic(360)275 4467•Phone Erma:(360)482-5269 U1 ( 62099
BUILDING PERMIT APPLICATION JUN 28 RECENED
PROPERTY OWNER INFORMATION: CONTRACTOR INFO N: cin
NAME:KYLE&KELLY CASTEEL NAME:
MAILING ADDRESS:7338 28th Ave MAILING ADDRESS: T
CITY:Seattle STATE:WA ZIP:98584 CITY: STATE: ZIP:
PHONE#1:206-353-6847 PHONE: I CELL: 1a
PHONE#2:206-412-4194 _ EMAIL : r 7
EMAIL:kellycasteelHmac.com " L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
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NAME EMAIL D
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 12132' -11-90300 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) L-:AOFSPOIWAFaasasror WOrO.t.tswlu.9sa7 FIRE DISTRICT
SITE ADDRESS41 E. PINE TREE POINT c1TYSHELTON
DIRECTIONS TO SITE ADDRESS FROM DT SHELTON TAKE WA3-N RIGHT ON E PICKERING RD.
RIGHT ON E. PINE TREE COVE. LEFT ON E. LYNDA LANE E. SITE IS ON LEFT
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:''psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheaha8 that apply):
SALTWATER❑ LAKE❑+ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E❑ ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RMlderce,Garage,Cosawmia lflog,Her.)RESIDENCE
IS USE: PRIMARY ❑+ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bfdip ❑ YES frwq J orft ❑ NO❑
DESCRIBE WORKCONSTRUCT NEW RESIDENCE - - - -- - — --
SQUARE FOOTAGE: (propored)
1 ST FLOOR 1561 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached Q CARPORT sq.ft. Attached❑ Detached❑
INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑E SEWER❑ / NEW E❑ EXISTING❑
PLUMBING IN STRUCTURE? YES ❑E NO❑ /f yes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES ❑' NCI[] EXISTING SQ.Fr.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknowledges that submission of Inaccurate infomaton may result In a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and 1 further declare that I am entined to recalve this permit and to do the work as proposed.I have
obtained parmission from all the necessary,parties,including any easement holder or parties of interest regarding this prolecL 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 permitappllcation becomes null&void 6work or authorized construction is not commenced within 180
days or 0 construchon 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
_/� OUN CODE 14.08.42)
X 6-28-23
Slignai Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH G(/h
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