HomeMy WebLinkAboutBLD2024-00993 - BLD CD Environmental Health Review - 8/15/2024 P•u W. Y CONTACT: OWNER❑ CONTRACTOR❑ OTHER ' WZ O l — vy
3
NAME .ti attson - Mattson Land Consulting. LLC EMAIL mattsonlandt onsuMelcloud.Gom
MAILING ADDRESS 21227 88th Ave E CITY Graham STATE WA ZIP M8338
PHONE 253.228.7462 CELL
PARCEL INFORMATION: RECtIVED
PARCEL NUM13ER(12 Digit Number) 221321190313 ZONING Rj §: '_4 20 TL
L,GAL DESCRIPTION(Abbraviatoa) LOT: D OF SP#2630(R) AF#1701883 FIRE DISIRICT
SITE ADDRESS30 E Pine Tree Pt CIIY61-14" ary_ �_,
DIRIONS TO srm ADDREss Non 6th to W Alder St, R @ let cross at onto W ,e 1 t
ECT % nl
about to N 1st St, L onto E ne t, stay on N, onto PIC a nQ Rd, R ontoPine ireecove
IS THE PROJECT WITHIN 300 Fir OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:25 Pd
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ch daOrhor ppty):
SALTWATER❑ LAKE❑ RIVER)CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWg( ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE oaSTRUCTURE cm,� c..r;arBwg..)RESIDENCE
IS USE: PRMIARYt SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBEROF BA
HEATED STRUCTURE? YES(ITh,I.BkW,,01�YES(Par+le7A'Nki l❑ NO[]
DESCRIBE WORKPLACE MANUFACTURED HOME ON THE PARCEL f/
SOUAREFOOTAGE:
1ST FLOOR 1248 sq.R 2ND FLOOR sq.8. 3RD FLOOR sq.fL BASEMENT sq.it.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.R GIBER sq.R
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE Karsten MODELThree Little Birds YEAR2024 LENGTH24
WIDTH 52 BEDROOMS3 BA� SERTALNUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEWZ EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If^all cool�leted Water Adequacy Form
PERA9ETER/FOUNDATION DRAINS PROPOSED? YES ❑ No EXISTING SQ.FT.
IDUSTING BEDROOMS PROPOSED BEDROOMS__( TOTAL BEDROOMS
OWNER acknowledges that wbmieelon of Inaccurate I"ohm"lon may reaus In..
atop work artier or Permit re,::
signature below. I declare Mat 1 am the owner and I further declare them 1 am errtl8e0lo receNe thle permit anc"
obtained ,ermaabn from all the necessary Portia%including any easement holder or partlee of Interest regart
representelNe,represents that the Information pmlded Is accurate and grants employees of Nason County a-
and structure(s)for review end inspection. Thls perma/applkatlon becomas null 8 vold if work or aulhorizad c
days or'd construction work Is suspended for a penod of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPI
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATI(
COUNTY CODE 14.08.42)
v.Ey lLa �lil l�i �2,-I ,•
Signature of OWNER(Must be elanetl by the OWNER) Data
DEPARTMENTALREVEEW APPROVED DATE DENIED DATE TAGR/NOT'ESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MAITTSON LAND CONSULTING LLC
25SMI
ARNOLD
WEft.T.M
Sheri WA 95584
PARCE1.221321190313
SCALE'1' w
JULY 26,21124
EH APPROVED PINE TREE CONE
Rhonda Thompson 09/17/2024
ibk ..... ......... ...........
PRI
AND, y
aeur FSERV,
A"IFIELD
REA
eviefooir-
X
NOT AN APPROVED SEPTIC DESIGN
Must use SING 2024-00280 for septic installation I SO FIOWR.4 he
EH Setbacks j
A) Onenlield/Resome uvreleve 10 wdeek from feerne0eurdAthir.
8)Seefic Mink(s)requiree F everek from all fooling4ounorevens
C)He heeNteliondPivernAter Oneve,within 3N,devi,neduirut of
DDurfieldiRievirve.. 'min
0.
5M own grouirent 0 DrunfieWReer,"O Noe IT
I No Cul Banies)(greater plan 5ft red over 45 degrees)within
SIR
N124W
64 1
PLN SETBACKS
From(N):25'
Sides:20'
Rear:20'
'all sefteaclea measured from the fawheent
porfeerflon of the buildire, tl
'subiect to EH setbacle; V
PLN Approved A
oar,412024
Mason County Community Development
Gavin SCIDuch",
All Changes Subject W Approval
Dinlammir
verever,C.A-tycNiAe not-quire surveys for
building.AS.result,site plate her,not referit I
Noeuritteata it is the applicer's huretereellbilfty ----------------Ri-
to comply with setback requirements.
21,111
CLEARING
AREA
f WT
PROPOSED SFIR
PROPOSED nRIV5WAY 381511F
PROPOSEDTOTAL: 4867SF
LOT SIZE 1MAeN. 47.D45SF
_MhyL IMPERVIOUS COVERAGE 101%
NOTE;T P��!IB�S PLAN re FOR CONCEPTUAL USE ONLY.THIS 18 NOT A UEGAI.SURVEY,NOR IS IT INTENDED TO BE OR REPLACE ONE.
uut So �m��nxlaWl�nO�ums,obj�orM anesandswuMnaWmlmdu�nas
W,4�
I ehieeftneurver for ft precise location of eq feature,objeol.hourNivey.