HomeMy WebLinkAboutBLD2024-01370 - BLD CD Environmental Health Review - 4/24/2025 MASON COUNTY Permit OLv a.o ci— O\37 D
4, -
COMMUNITY DEVELOP
Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION NOV 13 ?024
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
TONY I&SHANNON A HUBERT NAME:CUSTOM CUT CARDEIf 5Y — • Alder Street
NAME:MAILING ADDRESS:1240 NE BELFAIR MANOR DR MAILING ADDRESS:PC BOX 2626 n
CITY:BELFAIR STATE:WA ZIP:98528 CITY:Belfair STATE:WA ZIP:98528 ..
PHONE#1:3602652083 PHONE:360 551 8828 CELL:
PHONE#2: EMAIL:davidkcustomwtcarpentry.biz
EMAIL:SHANNON.HUBERT@YMAIL.COM L&I REG#CUSTOCC82400 EXP. 1 4/25/_
sr 'J
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑ 2.1> 7
NAME LaRRY STEVENS EMAIL LMSDESIGNSLLC@GMAIL.COM y
MAILING ADDRESS 91 E WHEELWRIGHT STREET04 CITY ALLYN STATE WA ZIP 98524 ,,,..t
PHONE CELL 3602278861 m
PARCEL INFORMATION: -I
PARCEL NUMBER(12 Digit Number) 12330-24-90004 ZONING RESIDENTIALISINGLE FAMILY
LEGAL DESCRIPTION(Abbreviated) S1/2 N1/2 SE NW LOT:4 OF SP 02319 suRVEY 34/87 FIRE DISTRICT 2
SITE ADDRESS 1240 NE BELFAIR MANOR DR CITY BELFAIR C cJ/�
DIRECTIONS TO SITE ADDRESS 4/0k v[^V)
Head northwest on WA-300 W 0.2 m Turn lee to sty on WA-300 W 0.9 mi Turn ngM onto NE Sand HM di m Rd di Ten lea onto NE Belau MawDI 30 mi Turn right a Desenon wr be on then. 2 O
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO D SNOW LOAD:40 psf /QF �(i2
IS PROPERTY WITHIN
LAKE RIVER/CREEK 0 POND 0 �eGWE/TLAl Mai aD�❑ SEASONAL RUNOFF 0 STREAM❑): C
SALTWATER 0 �/�
ElFO
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Dc.)RESIDENTIAL
IS USE: PRIMARY D SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)D YES(Parris]of Bldg)❑ NO❑
DESCRIBE WORK MASTER BATH/ADDITION.NEW GARAGE WI FAMILY ROOM ABOVE AND DECK
SOUARE FOOTAGE:(proposed)
1ST FLOOR 504 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 192 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 624 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
11 MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES D NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS P OSED? YES 0 NOD EXISTING SQ.FT. 1973
EXISTING BEDROOMS 3 V PROPOSED BEDROOMS 0 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 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 project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or if construction�uspended for a period of 180 days.
PROOF OF co?i7INUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT A-P,PtICATION OF 18 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
A // COUNTY CODE 14.08.42)
X j 9/23/24
gnatu e of OWNE ust be s ed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL / ��
PUBLIC HEALTH IiT �I z S ��� ���E3�`'"�_
p m A Z
im O�
re. O •• ? mo_000ron
N a 3 -a. 2-o"g F,?4 o
ii: 3R.. m °
R ^• ' JQ JOU J! IB 3N _ :
3m '45,atiiVi
o 1.= - -� ... jo�dON m
I _
y 1 o y_. ' -N C/)
A- CD 4 1 w m n
I I_ 1 5 el:18"=.5.2.
I�1 I i t ____i c a
e I \\ ` p
\\ I
'1►
li
CD rn
/ I
I i
F
I
I I
1 I
I \ I
I
I
w62o.4,bb3 ;. r°0910
41 Wg,ag t8 .^ 4 I I
o :mm
_An a RQa; S
o�
a o..at, 'l M € L .J
2ii
m n yy3:Y3 ;J;Eliy
gR S � i 3 gYn
oN a `&_
ii "it! lilt i j 11
n { r
9 D MR MRS HUBERT II 4 H
m SITE PLAN 1240 NE BELFAIR MANOR DR 1 3 z=
'" u unn BELFAIR.WA _ s i i H 2,