HomeMy WebLinkAboutBLD2023-00242 - BLD CD Environmental Health Review - 3/3/2023 �s� ^ti MASON COUNTY COMMUNITY SERVICES Permit N 030 a - o0 ail a
a PERMIT ASSISTANCE CENTER: �''r-: rr•r 1{ r---
S O •, •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL.i.•r.�L.-• L—1-0
'fi`� a 615 W.Alder Street,Shelton,WA 98584 r ,i
•y - /^- h- Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone -..i — L L.tit:J
,. Belfair:(360)275-467•Phone Elate:(360)482-5269 ENVIRONMENTAL
BUILDING PERMIT APPLICAVOAIder Street HEALTH
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:AB Fine Homes NAME:AB Fine Homes
MAILING ADDRESS:871 E Beach Dr MAILING ADDRESS:871 E Beach Dr f M
CITY:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:98592
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PHONE#1:360.898-0055 PHONE:360-898-0055 CELL:
PHONE#2: EMAIL:amanda@alderbrookproperties.com MAR 0 3 2023
EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH809OB EXP. , 1/1 2/2 2
PRIMARY CONTACT: OWNER❑ CONTRACTOR E OTHER❑ RECEIVED
NAME Amanda Montgomery EMAIL amanda@alderbrookproperties.00m
MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA Zip 98592
PHONE 360-898-0055 CELL 215-450-5184
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32104-54-00067 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) ALDERBROOKoarwlor:6t6Pm66-Pa4OFau•oz.95<ewavermarlo°FIREDISTRICT6
SITE ADDRESS Corner of Paintbrush Ln&Fir Tree Ln. CITY Union
DIRECTIONS TO SITE ADDRESS Right on Manzanita,right on Jack Pine Ln&left on Paintbrush.
Lot is on the corner of Paintbrush Ln&Fir Tree Ln.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND[J SEASONAL RUNOFF❑ STREAM Li
TYPE OF WORK: NEW E ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Etc)Residence
IS USE: PRIMARY D SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Part/sl of Bldg)❑ NO❑
DESCRIBE WORK New SFR
SQUARE FOOTAGE:(propose+e Lsiing)
1ST FLOOR 1552 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 157 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 528 sq.ft. Attached I] 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:
SEWAGFJSEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES Q NO❑ lives,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOQ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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
PE IT APPLICATION OF 180 DAYS OF MORE WILL CAU THE APPLICATION TO BE EXPIRED.(MASON
./1 COUN c.• 14.08.42)
x i . . "f�r�
ignature of OWNE- i.toe si•ned b •WNER) 1-71,z
11, at
DEPARTMENTAL REVIEW APPRO P DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL PUBLIC HEALTH r J' 1/4-X(721 CN, 1 ))(V`- CLel
PAINTBRUSH LN. BLD2023-00242
89'-7 1/4"
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Rhonda Thompson 04/03/2023 23'-2 1/2" / >
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EH Setbacks o N.-DI,
A.) Drainfield/Reserve requires 10'setback from footing/foundations N
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area \
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
105'-5 112"
1 Lot 61 Quilcene 3 BR- NO ADDRESS
Scale: 1" = 20 ft A.P.N. 32104-54-00067