HomeMy WebLinkAboutBLD2024-01336 - BLD CD Environmental Health Review - 11/7/2024 L:,,,E,:j abaQ -0 , .
PROPERTY OWNER INFORMATION: a Pp9r CT I ' INFORMATION: REC E IV i D
NAME:Gregory Chudecke . • ` •Hector Men oza Nf11/ n 7 72
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MAILING ADDRESS: 314 '� AD I ' SS:P.O.BOX 122r�t1
CITY: STATE: ZIP: CITY:MEDI . STATE:WA Oi t S =t
PHONE#1: PHONE:(509)307-0275 CELL:
PHONE#2: EMAIL :cswiftconstruction@gmail.com
EMAIL:greg.chudecke@grnalLcom L&I REG#CSWIFSC831QP EXP. / / I Z
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER El C
NAME JEFF SCOTT EMAIL Jeft@jwslic•org
MAILING ADDRESS 110s -ATM ( - CITY STATE ZIP o
PHONE CELL (253)310-8055 > z
PARCEL INFORMATION: m
PARCEL NUMBER(12 Digit Number) 121055200075 ZONING = 2
LEGAL DESCRIPTION(Abbreviated) TREASURE ISLAND TR 75&T.L. FIRE DISTRICT D
SITE ADDRESS 480 E Treasure Island Dr.Allyn,WA 98524 CITY Allyn r
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM ❑
TYPE OF WORK: NEW 0 ADDITION ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residential
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS5
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Pants]of Bldg) tg NO 0
DESCRIBE WORK 0 nI r 0 ^ V S _,�1 a GUrG�-A.t1
SQUARE FOOTAGE: (proposed) r:
1ST FLOOR 11'7 .' sq. ft. 2ND FLOOR 906 sq. ft. 3RD FLOOR 8349 sq.ft. BASEMENT 1.298 sq.ft.
DECK 319 sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE1,115 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
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MAKE MODEL YEAR LENGTH "
WIDTH BEDROOMS BATHS SERIAL NUMBER fJ
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Q SEWER 0 / NEW 0 EXISTING 0 \--
PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form o
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 3 `- TOTAL BEDROOMS ,3 V
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 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
COUNTY CODE 14.08.42)
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Sign ur of OWNER(Must be signed by the OWNER) Date
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