HomeMy WebLinkAboutBLD2023-00132 - BLD CD Environmental Health Review - 1/26/2023 „,49 'p`a,1,t,, MASON COUNTY COMMUNITY SERVICES Permit No: I D ZO23-00 )32
e 1� PERMIT ASSISTANCE CENTER:
P` •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
W •I L 'a 615 W.Alder Street,Shelton,WA 98584 I/1 RC
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---. - --- 4'•, Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone IVY D 9i Bel/air:(360)275-4467•Phone Firma:(360)482-5269
BUILDING PERMIT APPLICATION BAN 2R ?D?3
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 vv• q/d
NAME:DANIEL D 8 DEBRA A DEFFINBAUGH NAME:AQUA REC INC er Str
MAILING ADDRESS:1512 E SPENCER LAKE RD MAILING ADDRESS:1407 PUYALLUP AVE eet
CITY:SHELTON STATE:WA ZIP:98584 CITY:TACOMA STATE:WA ZIP:98421
PHONE#1:360.250.9258 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: L&I REG# EXP._/_/_
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0
NAME MarkcBourdon EMAIL marlr aquarec.com k)11''/
MAILING ADDRESS 1407 Puyallup Ave CITY Tacoma STATE Wa ZIP98421 • (pft/,
PHONE 253.682.1792 CELL 253227.2315 lr,3 A
"47� NTg4
PARCEL INFORMATION: -
PARCEL NUMBER(12 Digit Number) 221314400060 ZONING Res • /
LEGAL DESCRIPTION(Abbreviated) °u'Oie"'''” r'""01 " "a"'''''''"`F"`""''"'°' FIRE DISTRICT Shelton
SITE ADDRESS 1512 E Spencer Lake Rd,Shelton WA 98584 CITY Shelton
DIRECTIONS TO SITE ADDRESS FROM SHELTON:WA-3 NORTH-RIGHT ONE AGATE RD-RIGHT ON E SPENCER LAKE RD
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION❑ REPAIR 0 OTHER 0 Swimming Pool
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.)Swimming Pool
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]ofBldg)0 NO 0
DESCRIBE WORK Installation of in-ground swimming pool at SFD
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 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 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 0 SEWER 0 / NEW❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD 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 from all the necessary parties,including any easement holder or parties of interest regarding this project. The owrer 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)
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X4440965SaaD1-a70a.9587-9a574956rbc7 p�".mna+z+o ssx wvs 01/13/2023
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 /
PUBLIC HEALTH ✓,,) L 1/ M13 ((n&Ic �'�11 a /( eL
DEFFINBAUGH REVOCABLE LIVING TRUST,
DANIEL D&DEBRA A DEFFINBAUGH TRUSTEES
1510 E SPENCER LAKE RD t ' '
SHELTON WA 98584
221314400060 �J �Y.
B05/3-00132- �r ,� a._
RECEIVEC to R°
JAN 2 6 2023
615 W.Alder Stree Vicinity Map
spencer fake Road (Not To Scale)
160'
0
to
m Ota\�eNd
-' 275'
Ii \�•
nstructtoa�
----- •Entrance 1 y Ca
I �• 1�,t 3lY •�• �
3.
i d Warehouse t .12' k •�•� Silt Fence
t ` (Approx)
Existing- > .-is l e
IWell - i SFD t Proposed 15'x 44'In-ground Pool
t / \ And 8'Above Ground Spa In 24'x 60'
i i 1 Concrete Deck.
1
a. i Clearing/Grading Area Shall Not
Exceed Minimum Required to
Pool Equipment ,k,Install Pool And Deck.
a went
Shed.
Pool And Spa Will Have
�,�� cy
*`- Locking Safety Covers. O
Ota\ •66 11 ,o
430'
it
1
i
i
0
M
•
v
640
N EH SETBACKS
A)Drainfield/Reserve requires 10'setback from footing/foundations
B)Septic tank(s)requires 5'setback from all footing/foundations
1 C)Neo foundation/perimeter drains within 30'down-gradient of drainfield/
`_j' reserve area
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50'
down-gradient of drainfield/reserve area
EH APPROVED
0 80'
D.Anderson 04/03/2023
"Cet Lake Rd °reV3"9' ero)•ct: ore..,,: Votes: Aqua Rec Inc
1512 E Spencer
522883 96716 MCB
1407 Puyallup Ave
Inds: scale: Date: aev: WA 9a421
Timberdoodle Pool Project 1"=80' 12/27/2022 B Tacoma.110