HomeMy WebLinkAboutBLD2025-00105 Siding - BLD Application - 1/31/2025 MASON COUNTY COMMUNITYSERVtCES permit No: 'WI D
PER'dITASSISTANCECENTER: RECEIVED
•BUILDING•PLANNING•PUaUC HEALTH•F1RE MARSHAL
615 W.Alder Street,Shelton,WA 985R4
1 Phone Sheaox 60)427-9670 ext 352•Fact 51 4Z7-7799 Phone J A N 31 2025
Be wh- 60)2754457•Phone ELfira: 60 482-5259
BUILDING PERMIT APPLICATION treet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORAfATION:
NAME:
Michael Drake and Marie Truesdell NAME: Dabella
MAILIINGADDRESS: 291 E Rainier Dr MkUM;GAIMESS:11711 NE 99th St
Crj,y: Allyn STATE: WA 21P: 98524 C=:Vancouver STATE:WA ZIP:95682
PHONE Ah 702-353-3386 PHONE: 360-208-1041 CELL:
PHONE#2: 702-334-7052 EMAIL:bremertoninstalls@dabella.us
EMAIL: MnM dragor0,)outl0 k cnm L&I REG#603173309 EXP. 05 112/26
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER®-Office Manager
NANIE Sienna Skinner Lopata EMAIL bremertoninstalls rni dab Ila is
MAILING ADDRESS,2601 Cherry Ave.Ste 304 CITY Bremerton STATE WA ZIP 98310
PHONE 360-208-1041 CELL
PARCEL INFORMATION:
PARCEL NUIMER(12 Digit Numba) 122205600005 TONING 6-Rural Res 20 Acre
LEGALDESCRIPTION(Abbreviated) LAKELAND VILLAGE 8,LOT 5 FIREDISTRICT Dist 4
SITE ADDRESS 291 E Rainier Dr CITY Allyn
DIRECTIONS TO SITE ADDRESS From E Fairway Dr,bear right onto E Rainier Dr,bear left to continue on E Rainier Dr
home is located 502 ft down road,on the left
IS THE PROITECT UTIUE`1300 FT OF SLOPES)GREATER THAN 14%.: YES[] NO® SNOW LOAD:__Psf
IS PROPERTY WTIMN 200 k"r OF THE FOLLOWING: (thrrkalt rharappty):
SALTWATER❑ LAKE❑ RIVERICIEEK❑ POND[] WEIT.AND❑ SEASONALRUNOFF[I STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR 0 OTHER R-Replace Like for Like
USE OF STRUMURE{Rcrdrn�Garatt Conmaciat,U, Residential
IS USE: PRIMARY® SEASONAL NUMBER OF BEDROOMS 3 NUNOER OF BATHROOMS 2
HEATED STRUCIURE7 YES(WYAolcBtdr;® YES(Play!=]ofsW 0 NO❑
DESCRIBE WORK Re-Siding wl new plywood.Replacing like for like with same nail patterns as orig.install
SQUARE FOOTAGE:(pmporc4
IST FLOOR 170.0 sq.fir 2ND FLOOR sq.ft. 3RD FLOOR sq.ft BASEMENT sq.ft-
DECK sq.R. COVERED DECK sq.ft- STORAGE sq.ft OTHER sq.ft
GARAGE Stdrd 2— Sq.R.fuached® Detached lEl CARPORT sq,k.4nached❑ DeL.ched❑
MA1N`UFACTURED TIONfE WFORMATION: *4 COPTES OF TIM FLOOR PIA"N REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS I3ATIIS SFRIALNU\0ER
EIN'VIIM0;N'MF1N7AL TTEALTH: ** Not touching plumbing
SEWAGF/SEWER SOURCE: SEPTIC❑ SEWER® / NEW p ExISTING p
PLUMBING IN STRUCTURE? YES E) NO❑ Yfyv,attach completed WaierAdiquay Form
PFRLMETERIFOUNDATION DRAWS PROPOSED7 YES❑ NOS EXISTING SQ.FT.___—
EXISTI NG BEDROOMS PROPOSED BEDROO\IS TOTAL BEDROOMS
OWNER a-kro.Vedges that submis:lon of Inacarrate In"zillon may result In a stop work order or peen. revoattort Ac novAedgement of rh M by
signature below,I dcdam Lhat I am the owner and I further decla!n that I am entitled to receive this permit and to do the work os proposed.I havo
oL-tained permis!on from all the necessary parties,Indud�,j any easement holder or pa.1tles of Interest regarding this pn Ject.The owner a k,al
represerra5ve,represents that the Information provided Is accurate and grants employees of Mason Couny access to the above described property
and structure(s)for review and Inspection.TTIs permhhapp'cation becomes nun L vo:d tf work or eutho.._tzed construction is not arnmenced Wthin 180
days or K=strudcn 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
Zigna;_
Zt
180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.03.42)
X or
be sinned by the OWNER Data
'DEp�+.ltTi\g:�'T'AL REVIER_�^" '�!APPRO�°j:✓Dr'�1 DATE�.: � DEIN7ED DATE���TAGSl�OTES/CO�"I?[TIO\5
BUILDING DEPARTar:ti'T
PLANNING DEPARTMEINT
FIRE MARSHAL
PUBLIC HEALTR