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HomeMy WebLinkAboutBLD2023-01504 - BLD CD Environmental Health Review - 12/15/2024 - I MASON COUNTY Permit No:�7IGI �DoI�J -D150` COMMUNITY DEVELOPMRMIVED Permit Assistance Center, Building,Planning DEC 14 2023 BUILDING PERMIT APPLICATION 615 W. Alder eet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Off, 411 O NAME: 4)j -F.. 410(rn - QrtS NAME:Huns Homes ! MAILING ADDRESS: 51,m F 1 La 1♦9✓$.,tF MAILING ADDRESS:11306 82ND AVE E CITY: 5heA4g STATE: NIA ZIP:q&S CITY:euyA uP STATE:WA ZIP:9 ZP PHONE#l: eo2 3L1q-S231 PHONE:253a7?p a CELL: PHONE#2: 02. EMAIL:rm<amtmnlo^®nuimsham...om EMAIL: V' L&I REG#HILIN11•9e313D EXP. 11 / S PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME Iltv�n o�g _ {-1C1D�So. EMAIL MAILING ADDRESS 34s0 A W&14r 5,,,* )n CITY;Shrlkan STATE W A zip-gd eq PHONE 802 a,14-32"ti1 CELL 502- PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 2Z61311502•f0 ZONING LEGAL DESCRIPTION(Abbreviated_ 0 0; 115 Ar-4050?SQ95 12/f0-9L FIRE DISTRICT SITE ADDRESS CITY .Shp_tl-b, DttIg;�eCTIONSTOSITEADDRESS 4_ 7fs�1) fa'ew prcke.ker ral� . tact Fs 4..Jg/h l�Jl�a EI�arS1 't++ isl..(ykl r'F., fray Ie- LT6ft rsce� ro� fd- IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOR SNOW LOAD: ZS osf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: rcheckal/dmtappy): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND❑ WETLAND® SEASONAL RUNOFF STREAM TYPE OF WORK: NEW a ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Bestdanm,o rage,Commercml Bldg,Bra.) f�e5 ide3r�1 ( s IS USE: PRIMARY ®. SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldgl�, YES(Parr(s/oJBW ❑ NO DESCRIBE WORK � I C /1 G"Fhrcdi SQUARE FOOTAGE: (proposed) 1ST FLOOR sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECKt(��sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 59® sq.ft. Aitachei Detached❑ CARPORT sq.R. Attached❑ Detached MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC ja SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES'j( NO ❑ IJyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES Pq.,- NO[] EXISTING SQ.FT. p EXISTING BEDROOMS PROPOSED BEDROOMS 7 , TOTAL BEDROOMS-t� OWNER acknowledges Mal submission of ineccurete Information may result in a slop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am lie owner and I further declare that I am entRled to recelve this permit and to do the work as proposed.I have obtained permission from all the necessary partles,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 structure(s)for review and inspection. This permit/applica8on becomes null&void Nwork or authorised construction is not wmmenoed within 180 days or H construction work is suspended for a period of 180 clays. 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 ,�/, �� �� ©© nn // COUNTY CODE 74.08.42) x � 'kliLt.- 'I�GL lal/lane Signature of OWNER(Must be signed by the OWNER? Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 3( PLN A 1OVed She Plan for nsoc Walter seoe Drive Shelton wnease PPKevin&to m-Nanu,2/6/2 12I212023 x/6/xox3 waon coviry LammunXy oevNopmeni RIILneyeaSWle[IIR Pppepel $[al<:1'•50 FPP[ /y•^•. �A '� ` VIN<Wa�•O� —a v +., PLN SETBACKS Font jNorin125 !, r SEea:20' ,'all eater.mearvealI am lne lantern yl i \pp lromo nal Ne e ` u rorp o eelnaAa 8 ,r N(Mao.) 1 j i I I � t - I I I I I EH Setbacks ` .I U-raver orea-a rve,lP seroe@eamlMYpMUMWme X sopva l^u.Irw�—v.emeu.aom Nll"X.yn .mew No real a l paMa NN✓n 30X.n�mgnEleM of reWPnerve area rams f jMGW 9anMbl j nolM1anelano eraseegunl'�Inln X.Wvn&a5en r,OrPnMNdRNBrvarea a yay.y YYViW auP I mmAPPROVED I—en area. I eNr