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HomeMy WebLinkAboutBLD2023-00166 - BLD CD Environmental Health Review - 2/9/2023 DocuSign Envelope ID:1283915F-2CAB-49C0-979D-7C209F79EA49 �_1�/j A O j f_ Q MASON COUNTY COMMUNITY SERVICES Permit No: C (: (� `( ", PERMIT ASSISTANCE CENTER: r. ••BUILDING••PLANNING•PUBLIC HEALTH•FIRE MARSHAL �' 1 I I•, 615 W.Alder Street,Shelon,WA 98584 R E C E' Phone Shelton:(360)427-9670 ext.352.Fax:(360)427-7798 Phone 6,,, V�D Bel'ac:(360)275-4467•Phone Erna:(360)482-5269 BUILDING PERMIT APPLICATION FEB 09 20?3 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W A s NAME: Vincent Kurz NAME:SOUTH SHORE CONSTRUCTION INC er Street MAILING ADDRESS: PO Box 2655 MAILING ADDRESS:PO Box 963 CITY: Belfair STATE: WA ZIP:98528 CITY:BELFAIR STATE:WA Z :98528 PHONE#1: 509-435-2481 PHONE:360-275-0818 _ CELL: PHONE#2: EMAIL:southshore©q cam �r EMAIL:vinnykurzalive.com Lad REG#SOUTI-ISC016NL EXP. I-11E ►Y s vg NTAL PRIMARY CONTACT: OWNER❑ CONTRACTOR' OTHER❑ ALTH NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)22221-53-00030 ZONING RR5 LEGAL DESCRIPTION(Abbreviated)TWANOH FALLS ADD#1 LOT:30 FIRE DISTRICT SITE ADDRESS 71 E Christmas Tree PI CITY Belfair DIRECTIONS TO SITE ADDRESS From highway 106 between Union and Belfair.Turn uphill onto E Twanoh Falls Dr.Turn left onto E Hillside Dr. Turn right onto E snowcap Dr.Turn left onto E Christmas Tree PI.Property will be on the left.There will be a tree with a small brown wooden sign that says-E-79" IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO SNOW LOAD:25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check ail that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER JCZ Replacement USE OF STRUCTURE(Retdm,ce,Garage,Commercial Bldg,Btc) Residence IS USE: PRIMARY, SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(Whole Bldg)V YES part[aj of Bldg)❑ NO❑ DESCRIBE WORK Replace Manufactured home with new MH for residential use SOUARE FOOTAGE: (p.opored) 1ST FLOOR 2560 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❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE Fleetwood MODEL Wingate 40644G YEAR 2023 _LENGTH 64 WIDTH 40 BEDROOMS 3 BATHS 3 SERIAL NUMBER N/A ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW X EXISTING❑ PLUMBING IN STRUCTURE? YES X NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOO EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 OWNER aclmoMedges 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 fuller 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,inducing 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 structures)for review and inspection. This permitlapplication 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 APPUCATION OF 180 DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) FT' 2/6/2023 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 • 1 PUBLIC HEALTH V ft 3/70 I?Qi3 ands 1os Act&il 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 30'down-gradient of drainfield reserve area D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' down-gradient of drain- - • -- I I I -- `J— EH APPR� ED EXISTING SHED �`L).Anderson 03/-I :023 � ' f,/� 8.27 \- PROPOSED ' FUTURE 24' X 24' LAND NG 1-5-) \ GARAGE \___ __- _.--- 6.5' PROPOSED 40' X64' MH -� RECEIVED EXISTING \-4 FEB 09 2023 - \DRIVEWAYI C , N 615 W. Alder c',,- N N (5\ ... z Tr) oO O CD _ 10' i 3 5. , PLOT PLAN .\T RESERVE`. VINCENT KURZ _ ar. 0 in 71 E CHRISTMAS TREE PL \ ,, ,, / BELFAI R, WA 98528 - _ PROPOSED PARCEL:22221-53-00030 - SIP2oZ3 -oo (t (40 SCALE: 1 "=20' _ Woter Woter--0 E CHRISTMAS TREE PL