HomeMy WebLinkAboutBLD2025-00309 - BLD CD Environmental Health Review - 4/11/2025 :„,.,'-'. .,...:;,•,* MASON COUNTY Permit No:TALI,AtIA - 00�0C1
COMMUNITY DEVELOPMENT
>< _ Permit Assistance Center, Building, Planning
BUILDING PERMIT APPLICATION 4:i�
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: c'FG �O�
NAME:Accurate Development,Inc I NAME:Southshore Construction �% `s ,
MAILING ADDRESS:Po Box 76 MAILING ADDRESS:PO Box 963
CITY:Allyn STATE:WA — LIP:98524 _ CITY:Belfair STATE:WA ZIP:98528_
PHONE #1:206-200-3325 I PHONE:360-509-1342 CELL:
PHONE #2: EMAIL :
EMAIL:tom@thomaswoltier.com i L&1 REG# EXP. / /
PRIMARY CONTACT: OWNER❑ CONTRACTOR ❑ OTHER 0 .
NAME same EMAIL
NIAILING ADDRESS__ CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(I2 Digit Number) 22127-51-00021 ZONING SF
LEGAL DESCRIPTION (Abbreviated)_ FIRE DISTRICT •
SITE ADDRESS E.Madrona Parkway CITYShelton
DIRECTIONS TO SITE ADDRESS i,v,/3 East en Rraooenhoft.Follow Road thru curves without turning to end of road cul de sac to lot on Right
. IS THE PROJECT WITHIN 300 FT CI. SLOPE(5)GREATER THAN 14%: YES NO 0 SNOW LOAD: psf 4
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (C'hcckatl that apphy:
SALTWATER Q LAKE ❑ RIVER CREEK❑ POND ❑ WETLAND 0 SEASONAL RUNOFF ❑ STREAM 0
TYPE OF WORK: NEW [] ADDITION ❑ ALTERATION 0 REPAIR❑ OTHER 0
USE OF STRUCTURE (Residencc. Garage, Commercial Bid„Etc.)Residence
1S USE: PRIMARY (] SEASONAL 0 NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES MoleStdgt 9 YES(Part[sl of Bldg?0 NO❑
DESCRIBE WORK New Mfg Home on site
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1280 sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
a r
DECK _ sq. ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq. ft.
C,ARAGE sq. ft. Attached 0 Detached❑ CARPORT sq. ft. Attached❑ Detached❑ I
-j
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* ;,
MAKE Champion MOI)E.t_Noble YEAR2025 LENGTH48 I-A
WIDTI127 BEDROOMS3 BATHS2 SERIAL NUMBER N2848H04 i
l
ENVIRONMENTAL HEALTH: SPA Zo24 - d61 i
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER ❑ / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES ❑ NO 0 If yes, attach completed Water Adequacy Form •
PERINIFTERTOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT. 1280
EXISTING BEDROOltIS 3 PROPOSED BEDROOMS 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 Ian,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
. • > 0)
�H 00 $1' Cn -nD7
CD 0 �Q mm0_5: 3 7)
¢1 -'i Cn o'. _ > (0 Cr!
c _ D < n o. Z U -0 o0 Po _< N
¢J O n,en, m Oc v (°
CD Q O - cn
C m
p- — _{O 5 > O N ID NQ
• (O/) 0+ m o o o r < o
-0 D n 5, o 0 01 = E
O CD O a
0m .r)-
cn -, z a
D • N
n �
0- C
JO
`�- 0O o m CD o 0
x s
p, a
IHI
•
$a 3, 33 g bn nN a N6C S
� mco m \ •`
� Q M ro O \ CO
.-+ 7.n \
(n N 1 4 Da,
Cn CD r+ CD alili N
Q CD C
W ea
¢) .4. SJJ
(n
CD Proposed MH -II
K
Z o\\
o 3
Cv, o
co 3
C2 O
CD CD
a.
3
a• (D �j p) . -o 7 o- oCE)
'O 3 p 3---0 a CD
Q —1• -0 � T' do (D 0- -0 O
(D
Q 0 Q c o o � o a o o u) D m m �-
03 w-- 3 0 � > 7o 0
a0m � CDo = 3o =. m ji7 mpc C
CD a'00 •- D Q c o CCDD ; N O Cn CT
—
o w 0 0 0 = .+ p, 7 O. (D II j z D (')
ll1HiU
c �, CD 3 Dp +
!ll;1Ifijt
o •CD sT) Q � — m
5 � a -000 (�Dm A) o0
ry N
vi
W CD !y n' (D (D (ODD O CD .
o c am CA _0 s " 3
mU• 3 -00S
co- ,< aaD