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HomeMy WebLinkAboutBLD2022-01577 - BLD CD Environmental Health Review - 12/15/2022 7 0`,s"`` 'tt:1�� MASON COUNTY COMMUNITY SERVICES t No: L. a . , PERMIT ASSISTANCE CENTER: l 7. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL �i�"•1 r 1 �` tom,i-. Y = 0„,„,,, 41, 615 W.Alder Street,Shelton,WA 98584 r t.f Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone CC v 1 5 2�7L� %t. iti Bel fair:(360)275 4467•Phone Efma:(360)482-5269 ���+ la..•rrrrt�`�, fi�5�v 1 ) BUILDING PERMIT APPLICI )W Alder Street/ 1.09sC2 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Use Mellinger NAE:Andrew Spear Construction ENV R p N M E N TAL MAILING ADDRESS:7901 25th ave E MAILING ADDRESS:2000 W Shelton valley RD CITY:Tacoma STATE:WA ZIP:98404 CITY:Shelton STATE:WA ZIP:98594 H E A LT H PHONE#1:917.843.8008 PHONH:360-490.0324 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❑ NAME An*erEnsley Andnrrspear EMAIL amber.spearconstruction@gmail.com MAILING ADDRESS CITY STATE ZIP PHONE CELL 36P601-1703 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 220207590092 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS251 E Big Skookum RD CITY Shelton DIRECTIONS TO SITE ADDRESS Take Agate Rd east and turn right on EBenson Loop RD. Take your first right and than the next rd to the right is E big skookum rd. Property is on the South side of the rd IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0 TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION 0 REPAIR 0 OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Garage/Slorage IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS1 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parris]of Bldg)0 NO❑ DESCRIBE WORKDetached Garage/Storage 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 864 sq.ft. Attached❑ Detached 0 CARPORT sq.ft. 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 0 EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO EXISTING SQ. . EXISTING BEDROOMS PROPOSED BEDROOMS 0 TOTAL BEDROOMS D OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledge ent 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. 0 PROOF OF CONTINU ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PEF3T APPLICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON \/ `I/`�Aw,( GCOUNTY CODE 14.08.42)AA rr 7 77 . J X signature of OWN ust be slgne�by thgIOWNER)� ��/7/Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL ] PUBLIC HEALTH V� u 6Z,5 '9.C U 0v-' atigo J. s • ` POWER POLE -N`N, B1G SKOOKUfN RD EL100 �'' t�`_'N-76.4 q, �` _ 1G'ur.....1 nwr" /... L�'arow' g " ELIOA ��VEr "'"" SETBACK - NEW POWER tri3 i. I —x POLE xro+u - - , <�o.� S .--EXISTING / I u�l , o POWER LINE o �� ' , iI ; rn �0 /i r.AA�tvq,INED ac t ) y9Z r r/ .:x ' 1 v I aCrcw r _5' SIDE �'11 0 ' / SETBACK --J11 / 5' SIDE 1 SETBACK-- - I ORIVEWA I i 45'-a V22 �' -0. I I .ELIG� TRANSPORT t I q SHOP iT___ LINE .� �' I, -4 ' /9' 36'-D' k«„dm /' Eugc • HOUhE O 1 \ 'v s K• r O NTh �L100 ) ELIOQ 5' s D�GK _ �o •. rri III 'i SLOPE SETBACK I o EH APPROVED WELL SEPTtc I w TANK I S C Rhonda Thompson 02'06:2023 • —� N BREAK LINE 1 BREAK LINE / Lot Area. 50768 hF EH Setbacks HOUSE footprint- 1830 (.31' A.) Drainfield,Reserve requires 10'setback from footing/foundations SHOP footprint. 860 SF B.)Septic tank(s)requires 5'setback from all footing/foundations 2600 SF C.)No foundation/Perimeter Drains within 30ft,downgradient of Driveway. DrainfieldlReserve area Total Har4ecaping 52cl0 SF D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield!Reserve area LOT COVERAGE 06 % GOPYRISHT © 2 t'l6N NW SCALE: MELLINGEIz RESIDENGE C,aaiii PARCEL- # 220207500g2 DeSi N 251 61Ca SK00KJM RP SHELTON, WA ���J�1 I' -40' PLOT PLAN Custom Home Plans • . L