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Home My WebLink AboutBLD2022-00493 - BLD CD Environmental Health Review - 4/20/2022 1. ef 0J9uyG.PLI 1,,q MASON COUNTY COMMUNITY SERVICES Permit No:?i\c\2iO2L ee 1 `2) �/ _ kbP PERMIT ASSISTANCE CENTER: „r s BUILDING•PLANNING•PUBLIC HEALTH•FI MARSHAL c 0 615 W.Alder Street,Shelf ,WA 96564 /'� 11''-- ` .• 2 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone l`c' r Be/faic(360)275-4467•Phone E/ma:(360)482-5269 �r \\(` CL I V BUILDING PERMIT APPLICATION U A -- PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: A(r ' 20 "", NAME:James&Maureen Glenn NAME:Shaun Hawley Construction LLC 61 J ✓l/ MAILING ADDRESS:170 E Balmoral Way MAILING ADDRESS:130 SE Harmony Ln xi der S�r •CITY:shelton STATE:WA ZIP:58584 CITY:Shelton STATE:WA ZIP:98584 e e t PHONE#1:(425)941-2269 PHONE:(S60)463-1483 CELL: PHONE#2: EMAIL,:hamlonyhomeswa@yahoom.com EMAE,:jsglennl9@gmail.com L&I REG#SHAUNHC821BW EXP. / /_ PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME shoo""'°"°7' EMAIL harmonyhomeswa@yahoo.com I V +t MAILING ADDRESS 130 SE Harmony Lnm CITY sh•"" STATE WA ZIP9858 PHONE 1 0I -1483 CELL 04/A PARCEL INFORMATION: /led/ kl :47. PARCEL NUMBER(12 Digit Number)32122-50-00321 ZONING `�/� 4C LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS170 E Balmoral Way CITY Shelton DIRECTIONS TO SITE ADDRESS N on Hwy 3 b mason Ik rd.Won mason tk rd to saint andrews dr,l on sat andnww;dr b ahstland.Ron balmoral way b 170 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND 0 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.)garage IS USE: PRIMARY El SEASONAL❑ NUMBER OF BEDROOMS° NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parl(s]of Bldg)Q NO❑ DESCRIBE WORKnew construction garage addition SQUARE FOOTAGE:(proposed) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE806 .ft. OTHER sq.ft. GARAGE792 __sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0 MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR o LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW❑ EXISTING Q PLUMBING IN STRUCTURE? YES Q NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. I EXISTING BEDROOMS PROPOSED BEDROOMS_ 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 Inn ' representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property V) and structure(s)for review and inspection. This permitlapplication 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. T 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 \I COUNTY CODE 14.08.42) J ®• X 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 �c PUBLIC HEALTH \(3 0(7. S (l`47`1 1 VLI,) ,d 6/I ENVIRONMENTAL. MASON COUNTY PUBLIC HEALTH HEALT■ OFFICIAL USE ONLY r J Date received: COMMUNITY DEVELOPMENT j . 640 ENVIRONMENTAL HEALTH REVIEW Amount received Received by: (/7, 415 N.6th Street, Shelton,WA 98584 1 2` j r ry (360)427-9670,Ext.400 (360)275-4467,Ext.400EIIM M < 1.Applicant/Property Information •,`r e Applicant Name Asses Parcel Number t.S 1 Mg04E-& (rt,co-'N 2► te -sc7 � - 0c'3 ‘ Mailing Address- Street ity State Zip Site Address- Street City /70 t 8 AIL mox."1- obei / Sri/A-07J, wA VS 4( C9.La.ct Person Contact Pion Contact Email trAviv Haw141 (3c0o) ��3-1��3 fear yk s ujl h"t' `'`'^-1 2.Type of Review/Job 3.Job/Site Information Check all that apply Residential ❑ Commercial ❑Tennant Review g New ❑ Replacement ❑ Pre-Application + = Existing Number Proposed Additional Total Bedroors ❑ Remodel Addition ❑ Other(explain below) Bedrooms Bedrooms Deccciibey✓o ��./ �,y� tact /y' Use for remodels,additions,or replacements �f a//o IWO CIA reoi W 1 51v'?OJ1L {a t o( fYtt 6. 1/Wt� • + = Existing Sq.Ft. Proposed Sq.Ft. Total Sq.Ft. Basement?(yes or no) Total Number of Floors Interior Remodels need to attach an Existing Floor Plan and Proposed Floor Plan with room designations.Max Paper size 11x17. Property on Shoreline(yes or no) 4.On-Site Sewage System/Sewer Information Perimeter Drains Proposed?(yes or no) Property Served By: ,JOn-Site Septic System ❑ New ❑ Existing Number of Employees(if appllcable) ❑ Sewer Connection ❑ New ❑ Existing 5.Water Source Information Permit No.(if applicable) Plumbing in structure? 'es ❑ No Name of Sewer System(if applicable) If yes: Using an existing on-site septic system will require a current maintenance report Please submit a completed Water Adequacy Form. and a Record Drawing(Asbuilt).Documents for both of these requirements may An incomplete submitted Water Adequacy Form may be be on file with Mason County Public Health.Other requirements may apply. returned,and hold up review process. 6.Site Plan A scaled Site Plan is required with all permits,except interior remodels. An incomplete submitted site plan may be returned,and hold up review process. Paper size for site plan can be 8.5x11,8.5x14,or 11 x17(max). Please use checklist below: ❑Property lines/dimensions ❑Primary Drainfield area ❑Reserve Drainfield area ❑Existing/proposed wells ❑Waterlines ❑Septic Tanks location ❑Location of curtain/perimeter drains ❑Direction of Slope ❑Driveways/Parking areas/Easements ❑Existing Structures/buildings ❑Proposed Structures/Buildings ❑Sewer lines/tanks ❑Additions ❑North Arrow ❑Scale Bar Applicant Signature ,ei.„..........ai...6 Date y/y/aa OFFICIAL USE ONLY- -- - Departmental Review Approval Intls. Date Notes,Conditions,Related Permits Water Adequacy Sewer/Septic System Tenant Review Revision THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised 12/7/2015 RR5 Zoning Front Yard Setback. 25'. Side & Rear Yard Setbacks. Residential dwelling C3' and accessory structures is 20'. OR 10% width of lot if not more than 100' wide ,Ac y OR approved ADV \P SCALE-1"=30'-0" 01 /13/2023 APPROVED 4, MASON COUNTY DCD PLANNING DECK - SCOTT ZUE2v,A:P 2 BDRM RES Digitally TUBOUT/CLEANOUT Sett n•ttdY signed , SHED by Scott Ruedy SHED 10FT !— --} ,, . SEPTIC TANK GRAINFIELD(LOCATEOft3Y SLEEVE WITHIN 10FT OF SEPTIC COMPONENTS) HOWDY'S DOODY ON 10 19/22) ' 50FT2 DRIP R/A _. PROPOSED STUBOUT/CLEANOUT 11 *ROPOSED GARAGE\. / EH APPROVED 2�1 f C•NVENIENCE RESTR•IOM Rhonda Thompson 01130/2023 (SLAB ON GRADE) i 3 W ,10FT , , 560E72 DRIP R/A 5' Min ADV2023-00007 (TYPE 4 SOIL) All setbacks are measured from the furthest projection of the building. EH setbacks C PY A.)Drainfield requires.2'setback from footing/foundations V with WAI 2022-00119 Reserve requires 10'setback to garage MORP B.)Septic tank(s)requires 5'setback from all footing/foundations BP— with WAI_.N/A- ` C.)No foundation/Perimeter Drains within 30ft,downgradienl of I` Drainfield/Reserve area I 8 !1 D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 1• 5011,down gradient of Drainfield/Reserve area JIM HUNTER & ASSOC. CONTRACTOR P.O. BOX 162,OLY,WA 98507 LOCAL 753-1226 1971 JHANDASSOCIArrseI4OTMAIL COM INSTALL DATE- RECORD DRAWING SITE ADDRESS/LEGAL 170 E BALMORAL WAY OWNER- JAMES GLENN - F:NAL DATE- 10/19/22 SITE X 2328 TP° 321225000321