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HomeMy WebLinkAboutBLD2022-01430 - BLD CD Environmental Health Review - 11/7/2022 (""::''-''.1.1..,„`.r MASON COUNTY COMMUNITY SERVICES Permit No:�L19Oa2--0193o PERMIT ASSISTANCE CENTER: ` .I 1. 615 W.Alder .BUILDING' PUB Shelton,LIT WA IRE 4 1 EC EI\if`D '%j Phone SBhelraii((360)2754467 PPhone Elmax(360)482 526 — 1 ZOZZ EN VI R p N M EN Tq HEAD t BUILDING PERMIT l tg street TH PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: C i1 NAME: 1/wt'LJ nZ USr Jt i S r-c UUAtrok. NAME: 5prr\-a- AS ©0-,Yr G MAILING ADDRESS:5 Qy0 (^t(1 j/A/t(M_ Sa) MAILING ADDRESS: (' .136 CITY:3 LjIPJA STATE:NfA ZIP: q1S4.Y2 CITY: STATE: ZIP: PHONE#II: (y Ski— (pre-74 39 PHONE: CELL: PHONE#2: EMAIL: EMAIL:7�(/f�t +}OrLCGIn L&I REG# EXP._/_/_ PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER 0 NAME JE' ).1 p2_ LOAL-rD EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL__ (p,• �'7.13 9 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 32121 —S—OCG O c ZONI� /e./C// c LEGAL DESCRIPTION(Abbreviated)LA1C_�U/he l ir I -ors-st►Ia['_aSTRICT__ SITE ADDRESS sin n G• &AL1 101C Pv CITY SftEllzril DIRECTIONS TO SITE ADDRESS FRG* L-H W 3 TUaN ONTO E. 11114$CYJ 1-41--t tO) ` ) jU �` AUTD E. 01L A IetL 2 �k4) Cce&vr, p e-cr tr /NTtresrer IS THE PRO ECT W fF k 300F1 OF SLOP��A 74%: Y.��C7 SNOW LOAD:ipsf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKER RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEWS ADDITION❑ ALTERATION 0 REPAIR❑ OTHER 0 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS La NUMBER OF BATHROOMS 3 HEATED STRUCTURE?'YE-6,41kltole YES(Pailful of Bldg) NO 0 DESCRIBE WORK SOUARE FOOTAGE: (proposed) 1ST FLOOR {7 �7 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT� sq.ft. DECK sq.ft. COVERED DECK '2.I4' sq.ft. STORAGE sq.ft. OTHER y 7 sq.ft. FP:VI r Po�ecH GARAGE L$'7 sq.ft. Attached Detached 0 CARPORT sq.ft. Attached 0 Detached 0 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 0 / NEV* EXISTING 0 • PLUMBING IN STRUCTURE? YES N. NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES$ NOD EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 2 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,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 8 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) laC ,c� a��.l r\/ // 7 -?O2Z Signal e9( NER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Q �,a PUBLIC HEALTH � ti13PCS CGJ'} � S c, t ' -"�;^ SITE ADDRESS: CLIENT: t.tp;,WQ- 01 y30 841 E BALLANTRAE DR JENNIFER WALTON SHELTON WA c18584 5040 Woodbine Dr SW Parcel # Olympia WA ci8502-2561 32121-50-00005 Div #1 Lot #5 DATE PRINTED EH setbacks 11/06/22 A.)Draintield.Reservn�requires.2.•setback from tootingrtoundatio^s wdh WAI 2021-D0)42 B.j Sepik lank(s)requires_5•setback from hfeeL foundations L. 00.oQ' with wAl N'A � —'----- 1 C.I No foundatiorvPenmeter Drains within 30ft,downgradient of --~i Drainfiet Bank(S) area �{,`_' --- i---� D.)No Cut Banks)(greater than 5tt and over 45 degrees)within r't � 50ft,down gradient of DramfreldrReseve area N r` Lime _1 /� C 1 �O� # I _� 1� 5.00' S.00j I 6 __I ty- 0 I u II 6 O/ 0 to i Existing Septic Tank �. Y1� r` and Pump Chamber - * , 50 From OHWM . 'f L to be pumped and �,,,,�ter©,R. n abandoned o r.a0 ° i0 9curd Piacemer.t Treth?s.np Uint/ N 7—' From OHM 14k _ c)n w_I Prlma ` e I ill � ii - Tren _ I COMMON LINE TO -1 Al Reserve Tr II a- COMMON LINE - TO ROOF CORNER OF N I� II 3 ROOF CORNER OF HOUSE TO THE WEST - U1 z,c......,....v k ' ..a 1 HOUSE TO THE EAST (lec+ams deck xcpert.•ptis.«t7 --- . _1 t' ' '\ F t I _rqi`'r) Lot 4 5e tiof Tank �t \ I Location See 250 G1 LP 1MK I I).ti• \, 1 (' I / Easement Rcorde e (v�twHr t-rocct)--_L 1 ) APIs 1725665 1n u ti - •°'-— N-f 7. .--,•„,, i.,)1 •00, -6-3' 1 .0 I f ----r ji t o Gj I.� 9J. t VI Mk OS 55.00' ... SITE PLAN 17, SCALE: 1"= 20'-0" c ga}Ip - rae O r - -' --, I', e 20'-0•. 2.r_ 40.-0 3��_ �,-0,r � SCALE CHECK = 3" I cauo.d k- 431A br.404 ►MVS e " f T;9Lc Uiucf Be1(G d DrAi+4foetd res-C R 2. see i A-2_ 04 covKf`( Xperc)Vect/7) t olisfrvC.44o+'t pt4oS 1 oaciti'rL.oIrt,e,