HomeMy WebLinkAboutBLD2023-00294 - BLD CD Environmental Health Review - 3/15/2023 v,.9't4C;. ' ��1 MASON COUNTY COMMUNITY SERVICES Permit) o. jI A L " L���z��I
c PERMIT ASSISTANCE CENTER: !�'�/^+ '
1 •BUILDING••PLANNING••PUBLIC.HEALTH••FIRE MARSHAL l� /may
., em ' 615 W.Alder Street,Shelton,WA 98584 LJ
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F r;,' Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone FES 0 0 202,E
l,y�i `a� Belfair. (360)275-4467••Phone Elma:(360)482-5269 61 J
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BUILDING PERMIT APPLICATION AI der Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Rich Hall&Kathie Olson NAME:
MAILING ADDRESS:930 E St.Andrews Drive MAILING ADDRESS: Q'y
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CITY:Shelton STATE:WA ZIP:98584 . CITY: STATE:
PHONE#1:425-681-6184 PHONE: CEL : � 5 202
PHONE#2: EMAIL : Ater.
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EMAIL:richardh516@gmail.com L&I REG# - .c/t/ O /
PRIMARY CONTACT: OWNER 0 CONTRACTOR ❑ OTHER❑
NAME Rich Hall EMAIL/ �a1j�
MAILING ADDRESS Above CITY
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PHONE Above CELL
PARCEL INFORMATION: HEALr' 7
PARCEL NUMBER(12 Digit Number) 32127-51-00303 ZONING RR-5
LEGAL DESCRIPTION(Abbreviated) Lake Limerick 2 Lot 303 EX 303-A,S 49/14 FIRE DISTRICT
SITE ADDRESS 930 E St.Andrews Drive CITY Shelton
DIRECTIONS TO SITE ADDRESS•Take Hwy 3 to E Mason Lake Rd-Go left uphill.Follow E Mason Lake Rd to E St Andrews Dr by Central Mason
Fire Station-Go left.Follow E St Andrews Dr past golf pro shop.930 will be on the right(water)side of the road.
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 ❑ POND ❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION 0 REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(Whole Bldg) 0 YES(Par/Is)of Bldg) ❑ NO ❑
DESCRIBE WORK Addition enlarging Kitchen&adding a pantry and office
SQUARE FOOTAGE: (proposed)
1ST FLOOR 293 sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 514 sq. ft. COVERED DECK 295 sq.ft. STORAGE sq.ft. OTHER sq. ft.
GARAGE sq.ft. Attached❑ 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 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO ❑ Ifyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 3 • PROPOSED BEDROOMS 0 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
PERMIT AP ICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
x 07 -3 d 3
Signal re of WNER(Must be sinned by the OWNER) Date
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DEPARTME TAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 141ti3 arAtAA &zistA
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EH APPROVED
Rhonda Thompson 05118l2023
EH Setbacks
A.) Drainfield/Reserve requires 10'setbadk from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No loundation/Penmeter Drains within 30fl,downgradient of \1
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5f1 and over 45 degrees)within
50ft.down gradient of Drainfield/Reserve area
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.sl PARCEL NO.. 32121-51-00303
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LEGAL DESCRIPTION. LAKE LIMERICK.2 LOT
lib Ilbe� 303 EX 303-A,9 49/14
9�h/S SITE ADDRESS. 990E 8T.ANDREWB DR
0 SNELTON,WA 9E894
03/28/2023 SITE PLAN 0 .
APPROVED xALEI I"•30-me
MASON COUNTY DCD PLANNING NORTH
SCO1T Rt/EIZY,A(CP
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COPPIal I.N.sre oc Dv Avs.O.IO.
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bIa2 2.3-oo2g ' RECEIVED
RR5 Zoning
Front Yard Setback.25'. FEB 08 2023
Side&Rear Yard Setbacks.Residential dwelling
and accessory structures is 20'. 15 W Alder Street
OR 10%width of lot it not more than 100'wide
OR approved ADV
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_ = o o r- = m ADDITION TO RESIDENCE: m o o= �° �
1 > Z r m ° m ° m o ,g § RICH HALL AND KATHIE OLSON a Ez0 T. E
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m E ` w D m LAKE LIMERICK, MASON COUNTY,WASHINGTON
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