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HomeMy WebLinkAboutBLD2022-01574 - BLD CD Environmental Health Review - 12/15/2023 ees``'` PLAktz• MASON COUNTY COMMUNITY SERVICES Permit No: 1/71/ PERMIT ASSISTANCE CENTER:,.:§irrew , i •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RE x 615 W.Alder Street,Shelton,WA 98584 ) t Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone DEC 1 5 2013 %y y) Belfair.(360)275-4467•Phono Elma:(360)482-5269 `J' `Q:l.iIi.cnt:~ 1k-1 BUILDING PERMIT APPLICATIIM5 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ENVIRONMENTAL NAME:Lisa Mellinger NAME:Andrew Spear Construction HEALTH MAILING ADDRESS:7501 25th aye E MAILING ADDRESS:2000 W Shelton Valley RD CITY:Tacoma STATE:WA Z1P:984° CITY:Shelton STATE:WA ZIP:985 PHONE#1:917-843-goes PHONE:360-400'0324 CELL: PHONE#2: EMAIL:aspearconstruction@gmail.com EMAIL:lisamellinger@hotmail.com L&I REG#967,038-00 EXP. / / PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 NAME AniDerEna7eY AndrewSpear EMAIL amber.spearconsWction@gmail.com MAILING ADDRESS CITY STATE ZIP PHONE CELL 1-1703360490-0324 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 220207590092 _ZONING Rural Residental 5 Acres LEGAL DESCRIPTION(Abbreviated) C OF SP#629&1/2 INT LOT:D S 4/139 S 41/88 S 41/108 FIRE DISTRICT5 SITE ADDRESS251 E Big Skookum RD CITY Shelton DIRECTIONS TO SITE ADDRESS Take Agate Rd east and turn right on E.Benson Loop RD. Take your first right and than the next rd to the right is E b g skookum rd. Property is on the South side of the rd IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YESE) NO❑ SNOW LOAD IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER Q LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0 USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.)Residence IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS2 NUMBER OF BATHROOMS2 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parris.)of Bldg)❑ NO 0 DESCRIBE WORK New SFR with Detached Garage/Art Studio SOUARE FOOTAGE:(proposed) 1ST FLOOR1830 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.8. 6LQ l DECK sq.ft_ COVERED DECK_L7 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached 0 Detached 0 CARPORT sq.R Attached 0 Detached 0 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]] SEWER / NEW t] EXISTING PLUMBING IN STRUCTURE? YES El NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES NOD EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2 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 an 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. PRO OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS P MIT APPUCATIO OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X r 'V - - I -z(,517 ignature of OWNE ust be sign b`(t e 0 NER) ate • DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL n PUBLIC HEALTH -' b/Z11 C .(A9'i'5 �CQ4 _ POWER POLE k... BIG , SKocKU 1 Ro EL100 PCNIT r�.. '______ ELf00 �r�/ I O FRONT ,pr) as� SETBACK--- NEW POWER «t I ZC1DA.c. Q' POLE F K"'" .I` 1 —EXISTING / I ,'tilt*, 0r`i 1 POWER LINE �-n1 o // r--ii'l \ N rr 1 �p v ' i PROPOSED gni I �r4J 1n MAINLINE z s>. �V rI. 5' SIDE 1 4..0 / I I —SETBACK --- '' 5• SIDE 1 SETBACK-- !i 1 DRIVEWA 1 L I 45'-q 1 ELId I L( 0. 1 I . 11�TRANSPORT i �� 0 SHOP 11 LINE I� I 45'-q 1/9 36•-O' I • Egit,+na.;ce w..... ELIO LI 56-0' . Li O' • HOUSE s I NTS I FLloo I ELIO✓ ' ,• 9 •-A I '• _ DECK ! o • o rn °•LOPE••• s SETBACK I s� v 0 I O EH APPROVED WELL SEPTIC I -- -- TANKS Rhone.Thompson 02,06'2029 • N • —EWE ---- j. AK LINE 1 V— BREAK LINE / Lot Area: 50768 SF EH Setbacks HOUSE footprint: 1830 SF A.) DraintieldiReserve requires 10'setback from fooling/foundations SHOP footprint: 860 SF B.)Septic tanks)requires 5'setback from all footing/foundations priveray' 2600 SF C.)No foundation/Perimeter Drains within 30ft.downgradient of DrainfieldiReserve area 1 _.., .rr5o,a :^a 52°0 SF D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft.down gradient of Drainfietd/Reserve area LOT COVERAGE 06 % GOPYRI6HT © PE9lGN NW SCALE: MELLINGEI RESIDENCE PARGEL # 22020750002 251 61G SKOOKUM RD Sig L\W I' -40' SHELTON, WA � ` PLOT PLAN Custom Honic Plaits