HomeMy WebLinkAboutBLD2025-00554 - BLD CD Environmental Health Review - 5/9/2025 ' Permit No: BLD2025-00554
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning 05/08/2025
BUILDING PERMIT APPLICATION / 615 W. ' 'tIER -TREET
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO
NAME:Thomas W.Waller,Jr. NAME:same �>
MAILING ADDRESS:427 E Rivendell Rd MAILING ADDRESS:sa�me 9�Q " ? m
CITY:Grapevlew STATE:WA ZIP:98546 CITY:same STATE:same ZI' 44 (52 Z
PHONE#l:253 22a B a61 PHONE:same CELL: same <%6 �Q�
PHONE#2:416-624-5148(Maureen MacDonald) EMAIL:earns (< ,.fv
EMAIL:chiefwalleye@gmag.com L&I REG#n/s EXP. n/a/ X
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PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑ D Z
NAME Thomas W.wooer.Jr. EMAIL chiefwaueye' 9rrail.com
MAILING ADDRESS 427 E Wendell Rd CITY Grepeview STATE WA ZIP 9°346 ","i
PHONE 2332234461 CELL Some Z rn
PARCEL INFORMATION: 2
PARCEL NUMBER(12 Digit Number) 22116.75.90072 ZONING A6 N6 D
LEGAL DESCRIPTION(Abbreviated) TR 74 OF SURVEY 4/53 TR B OF SP 6523 S 26/14 FIRE DISTRICT 65 r'
SITE ADDRESS 427 E Rivendell Rd CITY Grapeview
DIRECTIONS TO SITE ADDRESS From the North-e&tor South on Rey 3(SR 3)to►EP.1424;(R)W.NW Mann Sao a Rd.-0.25 note Anthony Rd.;(L)0.75 m b E Rlvendol Rd.
(R)W-0.5 mN to Savage Lane:From the South-Shelton:North on Hwy 3(SR 3)to M.P.11.32(L)N D Anthony Rd.-2.5 nti to E Rivendel Rd:(L)W-0.5 mile to Savage Lane
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence.Garage,Commercial Bldg.Etc.)Resdence
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 1.75-2
HEATED STRUCTURE? YES(Whole Btdg)0 YES(Pants)of Bld&0 NO 0
DESCRIBE WORK Construction of Log Cabin(-752 sq It)Kit(w/Loft)&Concrete Foundation w/3-foot Frost Wall with associated driveway and landscaping.
SQUARE FOOTAGE:(proposed)
1ST FLOOR 480 sq.ft. 2ND FLOOR 272 sq.II. 3RD FLOOR Na sq.ft. BASEMENT Ns sq.ft.
DECK 23° sq.ft. COVERED DECK 230 sq.ft. STORAGE nla sq.ft. OTHER Ns Sq.II-
GARAGE Ma sq.ft. Attached 0 Detached 0 CARPORT n/a sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Ma MODEL Na YEAR Ma LENGTH Na
WIDTH n/a BEDROOMS Na BATHS Ma SERIAL NUMBER Ne
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES❑Q NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO EXISTING SQ.FT.
EXISTING BEDROOMS Na PROPOSED BEDROOMS 2 r TOTAL BEDROOMS 2 1/
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 structures)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 160
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)
X SG/ April 15,2025
Signature of OWNER(Must signed by the OWNER) Date
1 DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTHCAIN-fl l 'i et.G. all'-c(
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