HomeMy WebLinkAboutBLD2023-00224 - BLD CD Environmental Health Review - 2/28/2023 �;:,C.-PLil MASON COUNTY COMMUNITY SERA 192023 O027
� •
:- Ic PERMIT ASSISTANCE CENTS^: •
ti ,. .BUILDING•PLANNING•PUBLIC HE''.TH•FIRE MAR;-1-/AL FEB 2 81013 RAC
B 0 615 W.Alder Street,Shelton,WA 98584 �/ /
' 111 " Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7718 Phon V �D
t�•1.7 a Belfeir:(360)275-4467•Phone Elm:(360)482-521 9 RECEIVED JAN 2
y°)•F1urt.ty~ 5 2023
BUILDING PERMIT APPLICATION 6/5 w
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: wr Street
NAME:Steve Robinson NAME:Town&Country Post Frame Buildings
MAILING ADDRESS:20 E Coyote Lane . MAILING ADDRESS:16521 Highway 99.Suite C
CITY:Shelton STATE:WA ZIP:98584 CITY:Lynnwood STATE:WA ZIP:98037
PHONE#1:(360)951-9083 . PHONE:425.743-1555 CELL: N/A
PHONE#2: EMAIL :permitdept@permabilt.com
EMAIL:waigy709@gmail.com LBLI REG#TOWNCPF099LT EXP. 06302023
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑
NAME Town&Country Post Frame Buildings EMAIL permitdept@permabilt.com
MAILING ADDRESS 16521 Highway 99,Suite C CITY LYnnwOod STATE WA ZIP 98037
PHONE 425.743-1555 CELL N/A
PARCEL INFORMATION: •
ENVIRON"DENTAL
PARCEL NUMBER(12 Digit Number) 220035000005 ZONING RR5 HEALTH
LEGAL DESCRIPTION(Abbreviated) Hart.Retrt.#1 S20/80 I. '"5 1/47 FIRE DISTRICT 5
SITE ADDRESS 20 E Coyote Lane CITY Shelton
DIRECTIONS TO SITE ADDRESS Go North on Hwy 3 to Pickering Rd-Take a Right-Take a Right-Follow Pickering Rd to E harstine Bridge-
Cross Bridge,take a right on E N Island Dr.-follow-E Coyote Ln on Left
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM ❑
TYPE OF WORK: NEW 0 ADDITION'❑ ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Garage
IS USE: PRIMARY ❑' SEASONAL 0 NUMBER OF BEDROOMS° NUMBER OF BATHROOMS°
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg)0 NO❑r
DESCRIBE WORK 20'x 20'Pole Building,no heat or plumbing
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.40° sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANU INFORMATION: *4 COPIES OF THE FLO RED*
MAKE MODEL _ YEAR _LENGTH
WIDTH BATHS SERIAL NUMBE
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO0 EXISTING SQ.FT.
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 0 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 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.
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)
Xa10R1.41+ 10/28/2022
signergP:D2TRRgr1YMNER(Must be siar,ed by the OWNER) Date
1 DEPARTMENTAL REVIEW APPROVED SATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT •
PLANNING DEPARTMENT
FIRE MARSHAL . ,
PUBLIC HEALTH ) - . 3/2 y/ 13( (0 Ns t Ns a &fc 4 •
Document ID:1b38bdc32ae7819fb24b8ab21234896f9ad74f9fd16fe4b259o10012d911b170"
VyTown A Country.A Division en of.: ....••.. .... �._ ,r .. _ ...t.Site Plan
PERMABILT nut wy.. --.yrn.neM1wAMba)- 8,....adaAra:OOMg SR.PIM 7,3 s.pdcand dntilod m of a Rr..er enc.in Cink
a�an Eot 00g 6meng, O S.b.k.0 Ovation of proP.M
M+a.a l:p wnst may(&lathy bindings ku pock.of po•wsed&touting bJldir l/odMs os water.an O.
adreasetrae.a waadrzasn.ra i.bt Na•t1e1 .�!Proposed Cuddbg .P.M.m �a[
POST FRAME BUILDINGS raau(42gla+an•soon..-.1sa 0 � ❑,�aa rood
pnoposeewxvg �P�y J^`*+(5 o ")
Contras us..Tow0cvarea0 �.� . 50 A ebb Slla Addrass' 4
Building Proud"' a_.+Ma<en•imersoaatenrou.wen Job Nam.:
Z2.00 3 Sppo0O c Lepel0lscdptlon: fpr,.ea.-I 9b'sn�
li Accwnn:
RECEIVED
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JAN 2 5 2023 -
615 W.Alder Street
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Stormwater to gutters to
downspouts to 1
splashblocks to natural `_ e ?`t o +/—
vegetation •
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EH SETBACKS
N Drainf,eld/Reserve requires 10 setbak from footng/foundatons
B)Septic tant(0 requires 5'setback from all looting/foundations
C)No foondation/peoimeler drains within 30'down-gradient of drainfield/
area
c DI No No cogs).bank(s)(greater than 5'&on.45 degrees)within 50'
down-gradient of drainf<Id/reserve area
EH APPROVED i
See--/e- = /: 3o
o.,,,--0n 03.0•'2023
2oil 5/'z'- . St A-e r-
DO HOT SIGN INCOMPLETE SRE PUNT
Coslomer Ins veriflid and approved the location of the building.oAwKatir rs of the building to the No.40.and verifies that Grid White•Customer Copy Rain White-O0k.Copy
an utonios ant shown on inn drawing In the cor��ytl-��Catio'n�.,( q
CUSTOMER SIGNATURE, --%s•�"� /T'UsM• � LEAD a /0/.23
0 2012 Porna-Brae e,dosti.s PR-34 8/2020 . 1111/11111 llt)I1Q