HomeMy WebLinkAboutBLD2022-01554 - BLD CD Environmental Health Review - 12/20/2022 (2) 4 #
•N•P''''`IACI, MASON COUNTY COMMUNITY SERVICES Permit No: blc\71,7:01559
(11,1''''' PERMIT ASSISTANCE CENTER: -•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
' c 615 W.Alder Street,Shelton,WA 98584
•j.` —�..�'" ,M Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 1
:y�i ``>> Belfair.(360)275.4467•Phone Elma:(360)482-5269 1`�" ')V / f
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BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
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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:Lynnwo0P STATE:WA ZIP:98037
PHONE#1:360.620-0514 PHONE:425-743.1555 CELL: NIA
PHONE#2: EMAIL :permitdept@permabllt.com
EMAIL:dhcook777@gmail.com • L&I REG#TOWNCPF099LT EXP. 06302023
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑
NAME Town&Country Post Frame Buildings EMAIL Permltdept®permabilt.com
MAILING ADDRESS 16521 Highway 99.Suite C CITY Lynnwood STATE ) /(t. /ZIP 98037
PHONE 425.743.1555 CELL wA • Vv �/A0A1
PARCEL INFORMATION: '1iA
NUMBER(12 Digit Number) 121074190024 ZONING RR-5 ���`T �" ' �q
PARCEL g `i 4
LEGAL DESCRIPTION(Abbreviated) TR 2-0 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%: YESO NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: 44111M0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Garage
IS USE: PRIMARY El SEASONAL 0 NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Pants]of Bldg) ❑ NO Q
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 ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.sq.
GARAGE 300o sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached 0 Detached 0
MANU E INFORMATION: *4 COPIES OF THE FLO D*
MAKE MODEL YEAR LENGTH
WIDTH BATHS SERIAL NUMBS
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOB EXISTING SQ.FT.
EXISTING BEDROOM > PROPOSED BEDROOMS 0 TOTAL BEDROOMS y S
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 V.,�6) 09/22/2022.
—Slgnsip,irt`t.P.W4 4JER(Meet be signed by the OWNER) D.t.
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT .
PLANNING DEPARTMENT
FIRE MARSHAL r�
PUBLIC HEALTH \(� 'IVSIz's -C"i7`r17/1'k, oar294
Document 10:ed846b07f7033dc35ea601ae257c882eae426169e12a371b5f6e8e64e68770rt
• 4
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
`. '\Fry , Drainfield/Reserve area
\ D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
\,_<<.• 50ft,down gradient of Drainfield/Reserve area
04,
"�\ `',\ y No S400Lpoles p l,.i d-4; ZYh�j
\ ` : .\`� 10'minimum to mend All so;is /n place
0� ,'� \ ,.? \ existing drainfield and
dtl \\ reserve EH APPROVED
�� Rhonda Thompson 01/23/2023
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! 4.03`(— RECEIVED
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t 5 W.Alder Street
--- -- _..__.._...--1---" RR5 Zoning
Front Yard Setback. 25'.
/00Q Side & Rear Yard Setbacks. Residential dwelling
and accessory structures is 20'.
_____.-• i 0;_OR 10%width of lot if not more than 100' wide
I OR approved ADV N
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01/23/2023-... IAPPROVED ��' •.i cv
MASON COUNTY DCD PLANNING N
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Digitally : -c--' ' .':r'7r A , ., \
Stott Ruddy signed
: by Scott s