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HomeMy WebLinkAboutBLD2023-00167 - BLD CD Environmental Health Review - 2/9/2023 DocuSign Envelope ID:BFA40A78-94D9-4CBE-A551-B3FBBE99B10F //�� (--- s�`."t tq, MASON COUNTY COMMUNITY SERVICES Permit No: P(��/ " �Ql�� c. PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ///�{� /f \ •l I. c 615 W.Alder Street,Shelton,WA 98564 1/►_r'/[ J ....�. Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7796 Phone(1 .4 V L•� �� "%r_ ` pia Befair.(360)275-4467•Phone Elms:(360)482-5269 , 03•/Ina.' r L0LJ BUILDING PERMIT APPLICATIO --3 — 9 PROPERTY OWNER INFORMATION: CONTRALTO tp O tM(!1Wl itrest NAME: Scott and Tamiryn Anders Nam:SOUTH SHORE CONSTRUCTION INC MAILING ADDRESS:1510 Pamela Ct MAILING ADDRESS:PO BOX 963 CITY:Concord STATE: WA ZIP:94520 CITY:BELFAIR STATE:WA ZIP:98528 PHONE#1: 925-250-3512 PHONE: -275-0818 CELL: PHONE#2: EMAIL:southshore©q.com EMAIL: L&I REG#SOUTHSC016NL EXP. / / PRIMARY CONTACT: OWNER❑ CONTRACTOR V OTHER❑ ENVIRONMENTAL NAME EMAIL MAILING ADDRESS CITY STATE ZIp PHONE CELL H H PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 32 1 24-50-0 00 53 ZONING RR5 LEGAL DESCRIPTION(Abbrcviatcd)EMERALD LAKE DIV 1 TR 53 S 29/191 FIRE DISTRICT SITE ADDRESS 130 E Peaceful PI CITY Grapeview DIRECTIONS TO SITE ADDRESS Head North on WA-3 2.7 mi, Turn left onto E Mason Lake Rd 5.0 mi, Turn right onto E Emerald Lake Dr 0.5 mi,Turn left onto E Peaceful PI 0.1 mi, Destination on left IS THE PROJECT WI THIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO X SNOW LOAD:25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWX ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Era) Garage IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(iilrolc Bldg)❑ YES(Part/s]of Bldg)❑ NO X DESCRIBE WORK 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.It GARAGE 1200 sq.ft. Attached❑ 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 SEWER❑ / NEW❑ EXISTING X PLUMBING IN STRUCTURE? YES❑ NO X If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION S PROPOSED? YES❑ z NIX EXISTING SQ.FT.,,,,, EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 horn 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 commexed within 180 days or if construction work is suspended fora 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) 2/8/2023 Signature of OWNER(Must be signed by the OWNER) Dale DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 311 -- (' u'I ,U (Lt S GC 4 r spuoa.023-- co i (s57 , I-- 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 n�777- Drainfield/Reserve area N V D.) No Cut Bank(s) (greater than 5ft and over 45 degrees) within ' j 50ft, down gradient of Drainfield/Reserve area j EH APPROVED „�v7 48.22' Rhonda Thompson 03'01/2023 \� 7 / GARAG E P PROPOSED LOT PLAN 3�� 30'X 40' GARAGE SCOTT & TAMI ANDERS - 55.76' 40'=- 130 E PEACEFUL PLACE GRAPEVIEW, WA 98546 1 PARCEL:32124-50-00053 / Co 00 rn N SCALE: 1 "=30' c) CD A4::: T"'" 179,p ' . EXISTING RESERVE&', DRAINFIELD PROPOSE 29.6' X 68 MH EXISTING DRIVEWAY yM C - . . ; Yi ___ -- 100.78' E PEACEFUL PLACE