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HomeMy WebLinkAboutBLD2025-00585 - BLD CD Environmental Health Review - 5/13/2025 r b_ Permit No:,)�-.IQ� --tIa6e6 - MASON COUNTY RECEIVED COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning MAY 13 2025 . BUILDING PERMIT APPLICATION 5 W. Aker Street Nyi )NMENTAL, PROPERTY OWNER INFORMATION: CONTRACTOR INFO A ALTH, . NAME:Richard Atkinson NAME:Same as Owner MAILING ADDRESS:300 NE Haven Lake Dr MAILING ADDRESS: CITY:Tahuya STATE:WA ZIP:98588 CITY: STATE: ZIP: PHONE#1:253-297-1342 PHONE: CELL: PHONE#2:253-320-0323 EMAIL : 3. EMAIL:2971352.RA@gmail.com L&l REG# EXP. 70 / DUU J PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑ G NAME Richard Atkinson EMAIL 2971352.RA@Gmail.com 4::::! MAILING ADDRESS 300 NE Haven Lake Dr CITY Tahuya STATE WA ZIP985 S PHONE CELL 253-297-1342 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 22330-50-00307 ZONING Residential LEGAL DESCRIPTION(Abbreviated) PTN LOT 2 NAVEN LANE.VP 41131.136AS112]022N.2W/RSLTPCL216U96.12) FIRE DISTRICT 8 SITE ADDRESS300 NE Haven Lake Dr CITYTahuya DIRECTIONS TO SITE ADDRESS Haven Lake rd,Left on drive way,Left at driveway T,first right to anive at site. (GPS directions are correct) • IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:21 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER ❑ LAKE 0 RIVER/CREEK 0 POND 0 WETLAND ❑ SEASONAL RUNOFF ❑ STREAM 0 TYPE OF WORK: NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence with attached garage IS USE: PRIMARY 0 SEASONAL D NUMBER OF BEDROOMS2 NUMBER OF BATHROOMS2 HEATED STRUCTURE? YES (Whole Bldg) ❑ YES(Part's)of Bldg) 0 NO 0 DESCRIBE WORK 60'x80'shop with 29'x56'3 1/8"built in apartment,all single story SQUARE FOOTAGE: (proposed) 1ST FLOOR /6)4Z sq.ft. 2ND FLOOR° sq. ft. 3RD FLOOR° sq. ft. BASEMENT 0 sq.ft. I DECK 0 sq. ft. COVERED DECK f CHsq. ft. STORAGE 0 sq. ft. OTHER 0 sq.ft. GARAGE, B s .ft. Attached Detached[i CARPORT 720 sq.ft. Attached 0 Detached 0 MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE N/A MODEL • YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER'SOURCE: SEPTIC 0 SEWER ❑ / NEW 0 EXISTING 0 PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 v TOTAL BEDROOMS 2 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) x - ZW‘---Pia ac Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL ( I PUBLIC HEALTH - ,�((-1�i� t 3 ' 'Id' a \ ., \\ W - \ csa \ ---z---> i 1 ._. k \ (-3 0.1 1 — \ `, • % ,.,. --t , v ...,.... ... \ (:). - CI \ `', u .Q 1�c , 4 '' . --4c6r-":1<.--.7 T (lb 14 �. - \\ C&' .A4 ,�y I o O \ -� m� o�wa v��o S'. a =o y a v. p C- ZYZNp G 70 �� mo01°13v �Q. .o a,..e>, =.am�z VV• I ` o EOm c=a 2 / w ow m 3_co m m rn 1 /��1 r• a 37 ui = O 00] m O g.835, m q� �'._.a < wa : C) ` /l m - o Q V • ?.cca _ o O �'�'a?� --. 1 � �,..4 l t� m g cc n o 3 An fv n nE� 1 _ -` `i 3 f 1 d c i /7C ----- -- • v \ O a I —C" \' -.1,-• \ Covcf .P "` 5 d * o+ m- __ n D /�c,fh ' �L 00 mi- .q, i j� „ m j . , 0 0 -7<003 ., le____ 01 I G23390 \\ \\ gi pc? 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