HomeMy WebLinkAboutBLD2023-00415 - BLD CD Environmental Health Review - 4/20/2023 �,.�"36'`'' 1� MASON COUNTY COMMUNITY SERVICES Permit No: 1�71Gl 2023 L(y l
t^ PERMIT ASSISTANCE CENTER:
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ti •BUILDING .PLANNING•PUBLIC HEALTH•FIRE MARSHAL
'�(' a 615 W.Alder Street,Shelton,WA 98584 RE C E I E D
1 f a Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone APR 2 0 2023
��yv ..N, Belfair:(360)275-4467•Phone Elma:(360)482-5269 APR 18 023
+"'•F++i`T '� RECEIVED
BUILDING PERMIT APPLICATIPN
b 15 W Alder StreE.
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 111
NAME:Mike&Lynn Eaton NAME:COVAL Homes,LLC G-
MAILING ADDRESS: 11 E Northern Sky Dr MAILING ADDRESS: 1950 Pottery Ave
CITY:Shelton STATE:WA ZIP:98584 CITY:Port Orchard STATE:WA ZIP:98366
PHONE#1:360-229-8488(Mike) PHONE:360-662-1520 CELL: R- .
PHONE#2:360-490-3742(Lynn) EMAIL :construction@covalhomes.com '
EMAIL:mikeeaton@comcast.net I lynne@masonpud3.org L&I REG#COVALHL894QD EXP. 1 1 ,04 al : -'
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0
NAME Mike Eaton EMAIL mikeeaton@comcast.net i
MAILING ADDRESS 11 E Northern Sky Dr CITY Shelton STATE WA 7IP 98584 ,p,
PHONE 360.229-8488 CELL same
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 42127-11-90020 ZONING Rural Residential
LEGAL DESCRIPTION(Abbreviated) LOT 2 OF SP#3014 AF#1906303 PTN OF NE NE S 22/58 FIRE DISTRICT 16
SITE ADDRESS 11 E Northern Sky Dr CITY Shelton
DIRECTIONS TO SITE ADDRESS State Route 101 approximately 4 miles north of the last Shelton exit.Northern Sky Drive is on the right hand side.
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 ❑ RIVER/CREEK 0 POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW ❑ ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES (Whole Bldg) 0 YES (Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK COVAL homes to build a 1782 sf residence on existing lot adjacent to existing shop.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1782 sq. ft. 2ND FLOOR 0 sq. ft. 3RD FLOOR 0 sq. ft. BASEMENT 0 sq. ft.
DECK 0 sq.ft. COVERED DECK?'41 sq.ft. STORAGE 0 sq.ft. OTHER 0 sq.ft.
GARAGE 506 sq. ft. Attached El Detached❑ CARPORT 0 sq. ft. Attached❑ Detached 0
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 0 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.
IEXISTING BEDROOMS 0 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
I 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
P MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X n 23
Sig ature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL (� p ,
PUBLIC HEALTH �`��-� I` SI L(O(7i5 1 {/r e` I' I I,S o
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EH Setbacks
A.)Drainfield'Reserve requbas 10'setback from foobngtoundalans • `" •
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S.)Septic tankls)requires 5'setback from all footingnoundaeons -
C.)No toundauon/Penmeler Drains within 3011,downgradient of / �' _
Dr)No Cot leserveSank(s)
area �
D.I No Cut Bankls)(greater than 5n and over 45 degrees)within
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50ff,down gradient of OrainbeldrReserve area `ti,,'-
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EH APPROVED i Q/�� \
Rhonda Thompson 05'16/2023 i*
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setbacks measured from the farthest
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