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HomeMy WebLinkAboutBLD2024-00730 - BLD CD Environmental Health Review - 6/13/2024 MASON COUNTY PermitNOi COMMUNITY DEVELOPMF EIVED 40? "Mj*TAknce Center, Building,Planning HEALTH BUILDING PERMIT APPLICATION )UN 13 2024 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: f feet NAME:Daniel WBlakopf NAME:Mike Raid Ores Construction MAILING ADDRESS:W12 East Mbar St MAILING ADDRESS:3 McNn We,E Suite a CITY:Seetm STATE:WA ZTP:90112 CITY:owes STATE:WA ZIP:9050E PHONE#I:(w)s2 41 PHONE:380-191 Ore' CELL: 36,I-7V Ii PHONE#2: EMAIL: MMiG4sL1 L,Ryrntw6pAt earl EMAIL:danlel.welskoptopnell.mn L&I REG# 6&4crW2f744 EXP.&jMUW PRIMARY CONTACT: OWNER❑ CONTRACTOR$ OTHER NAME Nkde Narmy EMAIL NeNeohonomot m MAILING ADDRESS seat 1N is CITY Ewnmlon STATE A®eaa IPTs PHONE CELL 7saa12%ass' m 2 PARCEL INFORMATION: r, PARCEL NUMBER(12 Digit Number). 103091004 ZONING O LEGAL DESCRIPTION(Abbreviated) NE114 SW1/4 SEC 10 TWP 20N RNG tQW WM FIRE DISTRICT Min R lard 12 SITE ADDRESS ea0 East South Nland Orhe CITY Steffan j DIRECTIONS TO SITE ADDRESS Ld number off East South IM.rd Drive an aelomese gate a..Into shared Us.". Appros 1/4 mile down the laneway 3 separate driveways fork at a meeting point. The property Is on the lest and has a tamp poet cosh a minter assignation IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO[a SNOW LOADOW psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Caeakatl ouu vp/y): SALTWATER EI LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑+ ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Rdidari Garage.Commercial Bldg,Etc)Reamed IS USE: PRIMARY❑ SEASONAL E] NUMBER OF BEDROOMS-2--- NUMBER OF BATHROOMS-2--- HEATED STRUCTURE? YES(Whole Bldg) 0 YES(Panlsl of Bldg)❑ NO❑ DESCRIBE WORK Irorll modular single tarty horre SQUARE FOOTAGE: f vc vv G/ 1ST FLOOR'OW sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.R. BASEMENT sq.ft. DECK�W sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.fL GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW❑+ EXISTING❑ PLUMBING IN STRUCTURE? YES❑+ NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2 OWNER acknowledges that submission of inaccurate Information may result In a stop work order or peril revocation.AcknaMedgemelt of such is by signature below. I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this protect. The owner or legal representative,represents that the intonation provided is accurate and grants employees of Mason County access to the above desai bed property ant smucture(s)for review and inspection. This permillapplication becomes null 6 void Rwork or authonzed construction is nor commenced within 100 days or g construction work is suspends a pared of I days. PROOF OF CONTINU OF ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICA OF 1 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X Signature of OWNER( uat ba s'aned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH � p ~ \ ' \� . . . . n ■ j LL § 2 ! � Q � / \ Hl a Rmt � : © mJ , � . . . . . . . . . . .. . . . . Rhonda Thompson From: Daniel M.Weiskopf <DWeiskopf@mcnaul.com> Sent: Wednesday,July 10, 2024 7:44 AM To: Rhonda Thompson Cc Mike Reid;Beth Subject: 540 E.South Island Dr. New Modular Home Permit Caution: External Email Warning!This email has originated from outside of the Mason County Network. Do not click links or open attachments unless you recognize the sender, are expecting the email, and know the content is safe. If a link sends you to a website where you are asked to validate using your Account and Password, DO NOT DO SO! Instead, report the incident. Hi Ms.Thompson, Mike Reid at Once Construction is helping get my new home built. Mike said you need an email from me stating that we have not yet utilized the septic system since it was finished and approved.That is correct. It has not been used. Please let me know if this email will suffice or if I can provide any additional information.Thank you. Dan Dan Weiskopf I Attorney ®MCNAUL EBEL XAWaOr & MIIOOCM rllC 600 University Street Suite 2700 i Seattle,WA 98101 (206)389-9372 1 Cell(646)326-3274 1