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HomeMy WebLinkAboutBLD CD Environmental Health Review - 3/17/2025 opttcoe*,, MASON COUNTY COMMUNITY SERVICES ftE PERMIT ASSISTANCE CENTER: P.BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 MAR 13 2025 all Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 4, Belfair:(360)275-4467•Phone Elma:(360)482-5269 615 W. Alder Stree q� BUILDING PERMIT APPLICATION ENVIRONM Croy, - --- -- Ro PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATDLTH NAME: Edward Nockles NAME: Cascade Fence and Deck MAILING ADDRESS: 450 E. Way to Tipperary St. MAILING ADDRESS: 4415 NE Minnehaha St . CITY: Shelton STATE: WA ZIP: 98584 CITY: Vancouver STATE: WA ZIP: 98661 PHONE#1: 206-669-0995 PHONE: 360-892-5478 CELL: PHONE#2: EMAIL : davids@cascadefenceanddeck.com EMAIL: nockles@gmail . com L&I REG# CASCAFD897BQ EXP. 01/ 18/ 26 PRIMARY CONTACT: OWNER ❑ CONTRACTOR❑ OTHER(T NAME Pierce Permits - Robin Pierce EMAIL robin@piercepermits . com MAILINGADDRESS13023 NE Hwy 99, Ste 7-PMB 390Ty Vancouver STATE WA ZIP 98686 PHONE CELL 503-812-2036 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 321225000055 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) Lake Limerick 3 Lot : 55 FIRE DISTRICT SITE ADDRESS 450 E. Way to Tipperary St. CITY Shelton DIRECTIONS TO SITE ADDRESS From E State Route 3/WA-3, turn left onto E Mason Lake Rd. Turn left onto E Saint Andrews Dr. Turn right to stay on E Saint Andrews Dr. Take the 1st right ooty E Way *n-T p-rar'] Sr-Ko,tsa_' yr, the Dijht IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE IN RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ TYPE OF WORK: NEW ❑ ADDITION IN ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Deck IS USE: PRIMARY [2 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(PartIs]of Bldg) ❑ NO[3 DESCRIBE WORK Replace existing deck in existing footprint, replace ext . stair SQUARE FOOTAGE: (propose+existing) 1ST FLOOR sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft. DECK 62 4 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER 35 sq. ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ® SEWER❑ / NEW ❑ EXISTING PLUMBING IN STRUCTURE? YES ❑ NO ® If yes, attach completed Water Adequacy`Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO® EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 0 TOTAL BEDROOMS --- 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,induding 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) 03 /08/ 2025 x Signature of OWNER(Must be sianed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL wrrrr111r. .111•111111 I V 0 O2, c? n m 33QN O= 3:i gmlm� SOD O n R0 N -�m nooc>w> , 7ai�y'7) m C CD O pN p COZY281p ,nN NAU P, C ,C12 2 a 5. 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WAY TO TIPPERARY ST. © FENCE & DECK Z SHELTON, WA 98584 Ii i