Loading...
HomeMy WebLinkAboutBLD2024-00636 - BLD CD Environmental Health Review - 5/24/2024 MASON COUNTY Permit ND: awyAz9-D20,6 p COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:EMPIRE HOME CONSTRUCTION LLC NAME:MASON COUNTY EXCAVATING,INC MAUjNG ADDRESS:P0.BOX 241. MAILING ADDRESS:30 E WILLCHM SIL �( CITY:KELSO STATH:WA ZIP;smill CTTY:SHELTON STATE:WA ZIP:885 PHONE kl:LOREN seD>51-nos PHONE:360490-3144 CELL: 380-400.91u PHONE N2:DANO 361 EMAIL:NASONCI%RAYEXCAVATING®YAHOO.CIX& EMAIL;LORENDWALLOGMAIL.COM WREG g MOSO RIWM REP._/ r PRIMARY CONTACT: OWNER E] CONTRACTOR OTHER NAME OANDwrvAu EMAIL DAMD-DWAUWQGM,ML.00sI MAILINGADDRESS POBOXMI CITY XEL30 STATE WA ZIP BM2& PHONE too-7-1 R CELL UNTIE PARCEL INFORMATION: PARCEL NUMBER(12 Dig tN.l sr) UM1-E3-04085 WN NO RR LEGAL DESCRIPTION(Abbreviated) SHORECREST ADD REPIAT BLIC 4 LOT;W FIRE DISTRICT FM SITE ADDRESS 210 E BRIDGER W CITY SHELTON DIRECTIONS TO SITE ADDRESS Fdlo r WMJ N.E%Me Rd adif E CresMew Dr E Bridget U ISTHEPRO3ECTWTTHRi3NnOFSLOPE(S)GRRATERTHANI4%: YESD NOB SNOWLOAD:W Wf ISPROPERTYWITHININNFTOFTHEPOLLOWNG: /nxtogdwalyy): SALTWATER❑ LAKE❑ IUVPLR/CREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑ TYPE OF WORK: NEW Q ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(.truss CaLye.CwwmwOlafAldg,ee)RESIDENTIAL IS USE: PRIMARY SEASONAL NUMBER OF BEDROOMS S NUMBEROFBATHR00MS2 HEATED STRUCTURE? YES(RAole Buy Q YES(P«t!•/dBkw❑ NO DESCRIBE WORKNEW MFH SOUARE FOOTAGE: pnp«W t ISTFLOORIM sq.ft 2NDFWOR_aq.ft 3RDFL0DR MI.ft BASEMENT_aq.ft DECK32 K.ft COVEREDDECK sq.ft STORAGE sq.A. OTHER_K.It GARAGE_v1.(1. Aserched❑ Ds000m❑ CARPORT sq.ft Abashed❑ Demched❑ MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED` MAKE CLAITON MODEL UNDER PRESSURE YEAR2024 LENOTH45FT WmTH 27FT BEDROOMS BATHS2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGNSEWER SOURCE: SEPTIC SEWER ) NEWEI EXISTING PLUMBING IN STRUCTURE? YES G+ NO❑ If so.attach mmPWed Weer AdWwq Form PERIMETER/FOUNDATION DEATHS PROPOSED? YES❑ NO© EXISTINGSQ.FT. EXISTING BEDROOMS S PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 OWNER eekmwletlpp IM sutmlaWn Of Ncxuratehife bn me,mat M a sure apN Oka or matt revxrbod,AdmaMeagomairt of sitl Is by MenaWre Gebw.I demo,Met I em Me owner aM I further seeder Met I em.Me eed Is reserve We permn trot to do Me xmk as popmN.I here Mlalrod pnmisaun Icon ell Me nxeaeery salves,irdudln0 ary essemert hdder or pelves dlnterest reprding this pnyeaL IDe owner or Ieyl repesmleRre,represents Mat the Infer-re,povided is eccures,«M grants employees of Meted County arcaes Ic the atone deferred"" seer tlruflure(s)fw rcvkw snot Inapedbn. TNs pennNappllcUbn hewms,null&Vold Ywork or aahorioo mnst cdon'is not commenced Within 1w tleya«YmMructlon werk re augerWed for a period«t&0 mya. PROOF OF CONTINUATION OF WORN 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 1A08.Q) X SIgrWWre a<OWNER RA -1 he I dMeR OVMERI Date DEPARTMENTAL REVIEW APPROVED DATE I DENIED DATE TAGSINOT CONDEDONS BURRING DEPARTMENT PLANNING DEPARTMENT FDIE MARSFIAL PUBLIC HEALTH — E 69-tpvE9- LN— $.e SCE ® o fc ao 30 90 �, rr P,L.os C��LaN K1 Zf�l DRtv6W�� N cMPIR�. ttOMEI ANCSRUrStON VAP- F Lw3ZI\-53"O'l a'I x S min X kx h gl E 6R1DC�EYZI N. �r �j959— 25 tae 10 1� // / p� d=T�s1•Ftot_� EH Setbacks A) Or U,tank(s)rrvereqairash's*amairfcotnVogXoathonsom / 9)N.Pfuudk(slrequir6565aan. *am allfootlogtlooMafiof Dr No IoantlafioNPerimelar Drains witM1in Salt,tlowngratlienf of / DrI No O/Pase / I D)No Cut laKK(s)(.greaterfido 5X and over d50agram)within / SOX,tlown gretlient Danfieltl/Neserve area pN l> EH APPROVED T DvaNF`e'D Rhonda Thompson 07/11/2024 '15 MIN to Batik YkJ 80 E S4-i0RECAESZ DR— e OAudio-Visual Alarm nNE" aF�N.PAU"JOY""N y © nout SON Clea '•. © 1200 Gallon Septic Tank 2-compartment with Effluent Filter O4 1000 Gallon Pump Chamber 06-JK-S"I Aa, OS Valve Control Sox MAY 0 6 2024 F'A,CN CGw4ry ENv,0hM€NT4 N€AtTN 3� B paA