HomeMy WebLinkAboutBLD2022-01539 - BLD CD Environmental Health Review - 12/1/2022 AJnerosipn l3:F72C9A5G34E9-EC1t-8652-601AC569e2S3 ��D^ /; I��/�
• f7 \
MASON COUNTY COMMUNITY SERVICES Permit No: Gb2 UvPERMIT ASSISTANCE CENTER:
BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL
I• j 615 W.Alder Street Shelton,WA 98584 /
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 1\ir--- Fr
jai N.' Belfaic(360)275-4467•Phone Elma:(360)482-5269 -'L.I i. L -,
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ,1. V✓ %
NAME:William Kennedy NAME:KS Homes LLC
MAILING ADDRESS:PO Box 77 MAILING ADDRESS:52 E Mossflower Lane
CITY:Beltair STATE:WA ZIP:98528 CITY:GmPeviev+ STATE:WA ZIP:88548
PHONE#1:360-731-9596 PHONE: CELL: 360.490-7945
PHONE#2: EMAIL:kyle.kennedy@kshomesco.com N
EMAIL:bigfootevergreens@yahoo.com L&I REG#KSHOMHL813OR Exp.09/19/23 /V--)
PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑
NAME Ko.Ksrvrntry EMAIL kyie.kennedy@kshomesco.com
MAILING ADDRESS 52 E Mossflower Lane CITY or'o"'r" STATE WA ZIP I
PHONE 36O- O-T 45 CELL 36°490-MM5 I1?0
PARCEL INFORMATION: lye "t I`! /I i7.
PARCEL NUMBER(12 Digit Number) 123292200080 ZONINGRRS /q/ 7- 1 V q/
LEGAL DESCRIPTION(Abbreviated)W 1/2 SE NW NW EX PCLS 1&2 OF PARCEL 3 FIRE DISTRICT North Mason
SITE ADDRESS 186 NE Fern Way CITY Belfa'v
DIRECTIONS TO SITE ADDRESS Turn right on Fern way,stay to right go down small slope and stay right and home site wil be on the right.
TS THE PROJECT WTTHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD:28 psf
TS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)ADU
IS USE: PRIMARY El SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg) r YES(Parr/1)of BIk)❑ NO❑
DESCRIBE WORK New ADU Residence t u CE,4 y,k,
SOUARE FOOTAGE: (prnpased)
1ST FLOOR875 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 sq.ft. Attached❑ Detached 0 CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: e '63 d✓)
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW El EXISTING 0 p V
PLUMBING IN STRUCTURE? YES El NO❑ Ijves,attach completed R'aterAdequacy Form ��,�—' 1 --„,./—
��
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 d°/' �Q,t'�y",�r,1�
OWNER acknowledges that submission of Inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by p,n`,
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 tLtVs)
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding the project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above descrioed property `
and structure(s)for review and inspection. This pennNapplication becomes null&void if work or authorized construction is not commenced within 180 Yl'll
days or If construction work is suspended for a period of 180 days. LJ
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
��/°a��// �// COUNTY CODE 14.08.42) �,` �iniv V
William Kt?hhi°,t7,/ 06/09/22 ��\
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
PUBLIC HEALTHV'taT 7/ I '0 C( \.t 11'`-,-..
• 1
1
SID2O22--as39 ' I ' t rya RECEIVED
Ae-nne_c_V ., DEC 01 2022
P 615 W.Alder Street
\7 \ All setbacks are measured from the furthest projection of the
I j� 1 - building.
�D 3�y (n RR5 Zoning
-� ��` �oy9( Front Yard Setback.25'.
'Al. "* Side&Rear Yard Setbacks. Residential dwelling
h' ""'"' h n \
3 \ and accessory structures is 20'.
�"'% OR 10%width of lot if not more than 100'wide
ii OR approved ADV
`r t
L. c \ - — 12/20/2022
\
EH APPROVED I %iJ ,Q APPROVED
rm:roe'',14oe ezcr.mso i + i MASON C�N'Y DCD PLANNING
SCOTPRTY,AICP
EH Setbacks o P.,...,A.) ki CrainhuReser'e requires ivsetborh hom lootinp'oundolons \
\N., \ •I•
l
8.,Sept c tanki<)require!5 selbadr horn all Iwtinglounoatbns \, �• w_D tg tat
dll
C.1 No lounda on'Penmeter Drains within 3011.downgradient of
Crainlield'Roserve area \\ 'scot .. n
C.1 No Cut B,tnklsl(greaser than Sh end Over 45 dogroos)Whin �,�j
soft.down gradient of DrainheidiRel0fv f area •'4" Ri•
•
rt
.,�
' )
\ /
,\ /
: �4 •
j
�9
0 ) _„, .._. _
x
i
1
/ % Ay.,
r '
( 7 ----....._ •‘")-
O
(Gx'''7,r'`'t. Zr
i t,j
i
I
333
i