HomeMy WebLinkAboutBLD2022-0547 - BLD CD Environmental Health Review - 12/15/2022 os rt,1tct MASON COUNTY COMMUNITY SERVICES Permit No: l_Q 202.2 0 K./ 1 7
PERMIT ASSISTANCE CENTER:
y :'� •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHARE C E IV L..,
n -F, 615 W.Alder Street,Shelton,WA 98584 \ ,
�; Phone Shelton:(360)427-9670ext 352•Fax:(360)427-7798 Phone DEC 1 5 2V(�22
v� Belfair.(360)275-4467•Phone Elma:(360)4132-5269
`hY�J.Ni.T41 i$QI�CUder Strr'1\/r RONMENTA
BUILDING PERMIT APPL 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:360-898-0055 CELL:
PHONE#2: EMAIL:amanda@alderbrookpropefties.com _
EMAIL:amandagalderbrookproperties.com I&I REG#ABFINFH809OB EXP.1 1/1 2/22
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER f
NAME Amanda Montgomery EMAIL amanda@alderbrookproperties.com
MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA ZIP 98592
PHONE 360-898-0055 CELL_215-450-5184
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32104-52-00146 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) ALDERBROOK G 6 Y 02 TR 146 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❑�
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 Ei ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY R SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 __
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Borg's]of Bldg)❑ NO❑
DESCRIBE WORK Single family residence
SOUARE 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 503 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( NOW EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 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 1 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 ii 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
• NTY CODE 14.08.42)
X CCM/ki, ( --I 2 —
signature ofOWNER vi •- • :ned • he WNER Date
DEPARTMENTAL REVIEW AP t OV ID DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL ,' 1 �],,�,`,
PUBLIC HEALTH y2 '(Z31'/5 C`� r?M,S a�"-Q?
• . EH setbacks
0LVO22 ✓ 0 5q7
' A.)Drainfield/Reserve requires 2'setback from footing/foundations
with WAI 2022-000610
_
B.)Septic tank(s)requires 5'setback from all footing/foundations
with WAI N/A-
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Draintield/Reserve area
D.) No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
EH APPROVED 901.48"
Rhonda Thompson 01;23,2023 n' 40°20,33�� E
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16'-6 1/8" '
71
• 120 GAL LPG/ I f 7
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No perimeter or O I _
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foundation \.0 r, ' I
drains within 10 0 ...
ft of drainfield or \ ..Il r 1 1
reserve \ I'?ik, twcZ \ 74 N oo
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Minimum U' IN) `N N Lc,
setback of 2 ,, �N, \N _Id1
ft from co `, `, NN `, ti ul
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reserve to �N `N �N N 1
foundation. �N N `N CNN
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N N S3 DRIVEWAY
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S 46°32'32" W I
89'6.12"
DOGWOOD LN.
Lot 94 Hadlock 150 E Dogwood Ln.
Scale: 1" = 20 ft APN 32104-52-00146