HomeMy WebLinkAboutBLD2024-01361 - BLD CD Environmental Health Review - 12/2/2024 'PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:John Kilbourne NAME: Pending -02024013so1
MAILING ADDRESS:611 Yakima Ave S MAILING ADDRESS:
CITY: Tacoma STATE: WA Z(p:98405 CITY: S
PHONE#1: (253)448-9036 PHONE: L .
PHONE#2: (253)284-3170 EMAIL :
EMAIL: Ikilboume@leveldesgnnw.com L&I REGIt
PRIMARY CONTACT: OWNER El CONTRACTOR❑ OTH�'Q NI �St
NAME John 101boume EMAIL Alibi) m. leveldes nnw.
reak
MAILING ADDRESS 811 Yakima Ave S. CITY Taoame STATE WA IP 9 05
PHONE (253)2843170 CELL ( )
PARCEL INFORMATION: P F6
PARCEL NUM13ER(12 Digit Number) 32104-50-00045 ZONING F
LEGAL DESCRIPTION(Abbreviated) PCL 5 OF BLA#02-47(r)AF#17835B8 FIRE DISTRICT
SITE ADDRESS 71 E Country Club Or Fast CITY Union,WA 98592 O
DIRECTIONS TO SITE ADDRESS Lot is located in the Alderbmok Goff and County Club
IS THE PROJECT WITIDN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 Fr OF THE FOLLOWING: (1heckall that opy(y):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑+ STREAM❑
TYPE OF WORK. NEW p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(R.I*..,Gamga,Commescm/Bldg,Etc) Residential
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 4
HEATED STRUCTURE? YES(whole BW 0 YES(Partpj oJBW❑ NO❑
DESCRIBE WORK Custom build of a single family residence
SQUARE FOOTAGE: (p oomed) ME
1ST FLOOR 1888 sq.R 2ND FLOOR S37 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 822 sq.R COVERED DECK 178 sq.ft. STORAGE sq.R OTHER 405 sq.ft.
GARAGE 719 sq.ft. Attached El Detached❑ CARPORT sq.1L Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUMEDa T
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER .�
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES NO❑ /Jyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES El NO[] EXISTING SQ.FT. 2377
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknowledges that submission of inaccurate information 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 I further declare that I am entitled to recelve this pemmff 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 project. The owner or legal
representative,represents that the information provkled is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This pernNapplication becomes null 8 void 0 work or authorized construction is nit commenced within 180
days or 8 wnslticlion 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
t �_` _ p n�,�k p COUNTY CODE 14.08.42)
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95gnWare 8f OWNER(Must be sinned bvthe OWNER) Date
THE FAY & KILBOURNE RESIDENCE
71 E COUNTRY CLUB DR E EROSION CONTROL PLAN LEGEND
UNION, WA 98592 EH APPROVED _ o C� UMp"sIETTF INCCE
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