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HomeMy WebLinkAboutBLD2022-01547 - BLD CD Environmental Health Review - 12/15/2022 rt. 'eyc MASON COUNTY COMMUNITY SERVICES Permit No: L. `C)5y 7 PERMIT ASSISTANCE CENTER: l •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARS HA �� L.. ' 1 / •)I. x 615 W.Alder Street,Shelton,WA 98584 �! A1 I 1 o I , Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone DEC 1 5 2022 �4v Bel/air.(360)275 4467•Phone Elma:(360)482-5269 �'•tfL,�, ENV 1 R O N M E NTA BUILDING PERMIT APPL 'TWWder Str PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: HEALTH NAME:AB Fine Homes NAME:AB Fine Homes MAILING ADDRESS:871 E Beach Dr MAILING ADDRESS:871 E Beach Dr CITY:Union STATE:WA ZIP:98592 ' CITY:Union STATE:WA ZIP:98592 PHONE#1:360-898-0055 PHONE:360-868-0059 CELL: PHONE#2: EMAIL:amanda@alderbrookproperties.com EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH8OJOB EXP. 1 1/1 2/2 2 PRIMARY CONTACT: OWNER❑ CONTRACTOR Q OTHER❑ NAME Amanda Montgomery EMAIL amanda©alderbrookproperties.com MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA "LIP 98592 PHONE 360-898-0055 CELL 215-450-5184 PARCEL INFORMATION: PARCEL NUMBER(I2 Digit Number) 32104-52-00146 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) ALDERBROOK c a Y s2 TR 148 DIV 2 SEE SURVEY 30/83.100 FIRE DISTRICT 6 _ SITE ADDRESS 150 E Dogwood Ln CITY Union DIRECTIONS TO SITE ADDRESS Right on Manzanita,right on Jack Pine Ln,turn left on Dogwood Ln IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO El IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Elc.)Residence IS USE: PRIMARY E} SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 __ HEATED STRUCTURE? YES(Whole Bldg)Q YES(part/s/ofBldg)❑ NO❑ DESCRIBE WORK Single family residence SQUARE FOOTAGE:(propose+existing) 1ST FLOOR 1810 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK 189 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 603 sq.ft. Attached Q 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 0 SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YE NOi EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOM 3 TOTAL BEDROOMS 3 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 pennit/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 a • - -APPLICATION TO BE EXPIRED.(MASON ` •UNTY CODE 14.08.42) X aN �` ► — I1- iZA2-2.-+— Signature of OWNER(Must be• en-d is he OWNER) Date DEPARTMENTAL REVIEW AP t O D DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL � PUBLIC HEALTHC 4 1(Z31Z3_ C r�')t ct6aC Q EH setbacks e7LV2O - 01597 A.)Drainfield/Reserve requires 2'setback from footing/foundations with WAI 2022-00061___ AB.)Septic tank(s)requires 5'setback from all footing/foundations with WAI N/A- C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area EH APPROVED 90'.48" Rhonda Thompson 01/23,2023 —N 40°20,33„ E co�— 0 16'-6 1/8" ' f r-3' 120 GAL LPG '-0, r- O u / [ ► .� 4I/ n. . 4[ I 0 . ,_____z r..: , a _ .107 •, HEAT PUMP No perimeter or O I. >s foundation :\\drains within 10 O �V ft of drainfield or\� * - i1 reserve 1 II ``1 / w � o IV co � 0 IN Minimum y \ `� it I c4 M setback of 2 J N xN N xN N.-- ft from co 4, N\ `x N, `N \ - cn reserve to = max\ `N x� �� 1 foundation. N �N `� �N I N `N ` N xN `N NN NN `N �� 1 ` ` x N N N `\ N. , DRIVEWAY ; NNN N N 0 N I 1 I I I S 46°32'32" W 'wp 89'6.12" DOGWOOD LN. 0 Lot 94 Hadlock 150 E Dogwood Ln. Scale: 1" = 20 ft APN 32104-52-00146