HomeMy WebLinkAboutBLD2022-01554 - BLD CD Environmental Health Review - 12/20/2022 �.or'`r'-r'.,1�tirlr ��
MASON COUNTY COMMUNITY SERVICES Permit No: CI(A1i�� 0 1559
PERMIT ASSISTANCE CENTER:
1 •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
•r_ 1r.
�) I. • 615 W.Alder Street,Shelton,WA 98584
j,' - .. Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone �y ,,v
4,,,,, 1"; Belfair:(360)275-4467•Phone Elms:(360)482-5269 o
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BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:David Cook NAME:Town&Country Post Frame Buildings
MAILING ADDRESS:PO Box 652 MAILING ADDRESS:16521 Highway 99,Suite C
CITY:Grapeview STATE:WA ZIP:98546 ._ CITY:Lynnwood STATE:WA ZIP:98037
PHONE#1:36o-62o-0514 PHONE:425.743-1555 CELL: NIA
PHONE#2: EMAIL :Permitdept@permabilt.com
EMAIL:dhcook777@gmail.com . L&I REG#TOWNCPF099LT EXP. 0602023
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑
NAME Town a Country Post Frame Buildings EMAIL Permitdept@permabit.com
MAILING ADDRESS 16521 Highway 99,Suite C CITY Lynnwood STATE en f. ZIP 98037
PHONE 425.743.1555 CELL NIA ' y RJR
0PARCEL INFORMATION: /�j l .',�k/v�
PARCEL NUMBER(12 Digit Number) 121074190024 ZONING RR-5 14:1,'f " 1 Zq4
LEGAL DESCRIPTION(Abbreviated) TR 2-D OF NE SE TR 4 OF SP#2682#620301 FIRE DISTRICT 3
SITE ADDRESS 3590 E Grapeview Loop Road CITY Grepeview WA 98546
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE ❑ RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM ❑
TYPE OF WORK: 41101E9 ADDITION 0 ALTERATION 0 REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Garage
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Bart(s)of Bldg) 0 NO 0
DESCRIBE WORK 60'x 50'Pole Building,no heat or plumbing
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. STORAGE sq.ft. OTHER sq.ft.
GARAGE 3" sq.ft. Attached❑ Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANU INFORMATION: *4 COPIES OF THE FLO D*
MAKE MODEL YEAR LENGTH
WIDTH BATHS SERIAL NUMBS
ENVIRONMENTAL HEALTH:
1 SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING r❑
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOM .. . PROPOSED BEDROOMS 0 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&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 i e.� 09/22/2022.
—ZSign5t53,tiee 'rS/XMI s NER(M •t b. •toned bytn. OWN ER) Dace
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH \I'—U I \hiSI 's w 7- &S ct4,Q94
Document ID:ed846b07f7033dc35ea601ee257c882aee426169e12a371b5f6e6e64e6877017
.•
All setbacks are measured from the furthest projection of the
building.
EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations
',� B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
i • \ • Drainfield/Reserve area
�'--.. -\ \ D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
'. \. c.. '� 50ft,down gradient of Drainfield/Reserve area
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)\(..
�P� ' - y� h/o SEook p;le5 pole cons{rNc.f,'otii
y ;:\`�< lace w1�h1 Vb.'', 2rht)
� ►'►tend Oi!/ so,/S ,n P
t `�`\ \,':, '�\ 10'minimum to
j ! 0 '�'k existing drainfield and
N c� reserve EH APPROVED
i 1 •
� ` Rhonda Thompson 01/23l2023
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t+-leis 70 1 !,,N4.-!---'41,c, ,, y
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Alder Stre t
. -. . ._-4- ' RR5 Zoning
j Front Yard Setback. 25'.
I Side & Rear Yard Setbacks. Residential dwelling
• iooQ and accessory structures is 20'.
OR 10% width of lot if not more than 100' wide
------ t'._-- `�°� OR approved ADV
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01/23/2023 __,� I �'
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APPROVED ~',,,I N
MASON COUNTY DCD PLANNING a
SCOTT R11EI�Y,AICP
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