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Home My WebLink AboutBLD2023-00241 - BLD CD Environmental Health Review - 3/7/2023 ``c\�\ MASON COUNTY COMMUNITY SERVICES PermfE. ld Ze29, —ov2'i'� \ PERMIT ASSISTANCE CENTER: H •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 1 g .A I• " 615 W.Alder Street,Shelton.WA 98584 MAR 0 I rF ,E C I` / \�y f Phcne Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Pho 2013 V E D !9.14"' Bet/air.(360)275.4467•Phone Elma:(360)482-5269 .Hi,.rA> CEIV ED r11AR U ? BUILDING PERMIT APPLICATI•RE 2023 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 7 'J W. A'der Stree NAME:AB Fine Homes NAME:AB Fine Homes MAILING ADDRESS:871 E Beach Dr MAILING ADDRESS:871 E Beach Dr CITY:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:98592 PHONE#1:360-898-0055 PHONE:360-898-0055 CELL: PHONE#2: EMAIL:amanda@alderbrookproperties.com EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH809OB Exp. 1 1/1 2/2 2 PRIMARY CONTACT: OWNER❑ CONTRACTOR Q OTHER❑ NAME Amanda Montgomery EMAIL amandafalderorookproperties.com MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA ZI?98592 PHONE 360-898-0055 CELL 215-450-5184 PARCEL INFORMATION: C� PARCEL NUMBER(12 Digit Number) 32104-54-00070 ZONING RR5 C V/n0 LEGAL DESCRIPTION(Abbreviated) 'aDERD"°°'rd+Y u Amr°r,'O&P 6 .P 'oFetASW-sEESLAVE",WEIrwFIREDISTRICT6 / ' A SITE ADDRESS 341 E Jack Pine Ln CITY Union �.// -!'tl_ i I '/�/�� DIRECTIONS TO SITE ADDRESS Right on Manzanita,right on Jack Pine Ln,continue through the stop sign • ,LL'd / 7• V / lot is on the left before Paintbrush Ln. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW p ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc.)Residence IS USE: PRIMARY E SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Pan(s)ofBldg)❑ NO❑ DESCRIBE WORK Single family residence SQUARE FOOTAGE:(propose+existing) 1ST FLOOR 1810 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.f1. DECK sq.ft. COVERED DECK 189 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 503 sq.ft. Attached 0 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 0 SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES 0 NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO0 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 an,entitled to receive this perrnit 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 MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X 1.3 I2_I 23 Signature of OWNER(Must be si v the OWNER) D to DEPARTMENTAL REVIEW APPROO D DATE DENIED DATE T.4GS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAI. PUBLIC HEALTH *;Z), UkVit 1� 'J ( .LW R Zoning Front Yard Setback. 25'. Side& Rear Yard Setbacks. Residential dwelling 93'-1 1/2" (11) and accessory structures is 20'. OR 10%width of lot if not more than 100'wide OR approved ADV 03/28/2023 APPROVED MASON COUNTY DCD PLANNING N SCam klIE1)YA1CP rn Digitally -N signed CO Scott Ruedy by Scott Ruedy D IV 0CIA DRIVEWAY o . -13 HEAT PUMP /, . - Z \ s I— ;120 GAL LPG ? 21'-8" ' � ' 9 1I8" 29-y 4 i i _ II) \ • a i� \ .\( 24'-6 3/4 # ilck / \1:0 17;\ )r-Ae' \\i' tiff l N r ' " ADV2023-00030- 10' Min \ A ' ELl 2,,,, \\\ EH Setbacks A.) Draintield/Reserve requires 10'setback from tooting/foundations 3 B.)Septic tank(s)requires 5'setback from all footingrfoundations DRIP �• C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area RESERVES �(,��" D.)No Cut Bank(s)(greater than 5f1 and over 45 degrees)within / 50ft.down gradient of Drainfield/Reserve area / / / RECEIVED / EH APPROVED v/ Rhonda Thompson 04/03/2023 MAR 03 2023 615 W. Alder Street Bkc\2023- OOZE( I LOT 63 HADLOCK-341 E. JACK PINE LN. Scale: 1" = 30 ft A.P.N. 32104-54-00070