HomeMy WebLinkAboutBLD2025-00193 - BLD CD Environmental Health Review - 2/12/2025 MASON COUNTY Permit No: �IGIAj ' CDILI2J
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COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
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BUILDING PERMIT APPLICATION pIj�
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r0 1
NAME: Teresa Treadwelll NAME:HilineHames v�
MAILING ADDRESS: OlytOpic Avenues MAILING ADDRESS:1130882d A.E
CITY: Bremerton STATE: WA ZIP:98312 CITY:Puyallup, STATE:WA ZIP:M73
PHONE#I: 425. 785, 3580 PHONE:253440-1849 CELL:
PHONE#2: EMAIL :P oonsbuctOnfghnmahomea.sam
EMAIL: temitreadwa• to omeast..ne L&I REG#HIUNH'MW3 EXP. 4 /23/26
PRIMARY CONTACT: OWNER® CONTRACTOR❑ OTHER❑ L
NAME eress- readwell EMAIL teritreati.lC((+ek4Q'Co#lWt'i16r
MAILINGADDRESS 147 Olymnic Ave' CITY Bremerton STATE—Lii ZIP JejY
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32'021-59-02013 ZONING
LEGAL DESCRIPTION(Abbreviated) Lot 13a BLK 2 Shoreorest FIREDISTRICT
SITE ADDRESS 221__ Eastou_ V ew e. tonwaqyS CITY
DIRECTIONS TO SITE ADDRESS N from shelton on Hw Rt on
Agate ss refoad Rt on Crestview L E Hillcrat hr R f RT ev1e.! L 3
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO CO SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (CheekaRahmapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW$ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Reeideruv,Garage.Commercrat mdg,Ex.)IS USE: PRIMARY ❑ SEASONAL Ij NUMBER OF BEDROOMS eJ, NUMBER OF BATHROOMS)_
HEATED STRUCTURE? YES(While RIdg1 g] YES(Pon(s/ofRldg)❑ NO❑
DESCRIBEWORK Construction pf a 2 bedroom 1 bath home
SOHARE FOOTAGE: (prepared)
I ST FLOOR 6113 sq.ft. 2ND FLOOR ` sq.ft. 3RD FLOOR — sq. ft. BASEMENT — sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq,ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached Detached❑
MANUFACTURE *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAK MODEL LENGTH
DTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER[] / NEW EXISTING [I
PLUMBING IN STRUCTURE? YES W NO❑ Ifyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES . NO[] EXISTING SQ.FT,
EXISTING BEDROOMS. d __. PROPOSED BEDROOMS o7- TOTAL BEDROOMS_01
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature belo
w.I decare that I am the owner and I fuller declare that I am entitled to receive thin permit and to do the work ea proposed.I have
obtained permission from all the necessary parties,Including any easement holler 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 desai bad property
end structures)for review and inspection. This penniVapplicatlon becomes null ti void h work or authoduad construction is not commenced within 180
days or F construction work is suspended for a period of IN 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
COUNTY CODE 14.08.42)
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Sigriature of OWI ER p uat M alanetl by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 50rj, 2b2 -(7031y
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