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HomeMy WebLinkAboutBLD2023-00460 - BLD CD Environmental Health Review - 4/28/2023 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: fRQ.gin)aJc) Michelle, 7-weed NAME: f,4c►F/C ELK (o,v3;iv c i/cA' MAILING ADDRESS: P.o• i30:` if( MAILING ADDRESS: ivi 7 Ai)ti4Y c iu/ i?o/!.r) CITY: c lip it,,v STAT r�E> " gti CITY: 0-RAYLA,v.}i STATE: Wh ZIP: crgSy7 PHONE#1: 'toi -301-$-7x PHONE: 36o ,4go- o2.33 CELL: PHONE#2: "G - y63 -5-bCZ APR 2 6 2122a EMAIL : r F weed. e co••,cASt. v t EMAIL: L&I REG # 60Y Yq S"673 EXP. 2 / '/ / 25 PRIMARY CONTACT: 615 W AR .O£t CONTRACTOR❑ OTHER❑ NAME pit C.lit Lit7w £Et! EMAIL ,-,cf-4lt£ rr"cLo/3 P G r,,,,[ , co,., MAILING ADDRESS P.o. i3 c K tit CITY S I1ELTG,J STATE W A ZIP _. PHONE 701 - 3 3 3 - gr 7V CELL 360 - y63' s6ENV1RONMENTAL PARCEL INFORMATION: HEALTH PARCEL NUMBER(12 Digit Number) 3 Z 00 3 -(-1 Z -06 /00 (+ 000 I) ZONING /U S' rn r m LEGAL DESCRIPTION(Abbreviated) 7LZ /0 o F Gc✓T T t 07 3 S /5-z FIRE DISTRICT 5 Z °o SITE ADDRESS goo° E. Sir 17ourc 3 CITY S,q ro.,,/ t7 fri DIRECTIONS TO SITE ADDRESS 0,,,, I{w 7 3 ,voil7t ,L ,,,Li,} A/c e?TY OF _og,v'1 t',?Arhf i.) o 6 S Idf op ft#3, 8E7wi'fni ,aria Pvt.; uc. t'iSI+t-,.6- AREA d- Hwy 3 /rJft F IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO X SNOW LOAD:a5 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER N LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW`! ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 1 Zf S t,F,.IC f _ IS USE: PRIMARY, SEASONAL ❑ NUMBER OF BEDROOMS Z NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES (Whole Bldg)X] YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK n/f w /4c,-+E w/0 u;ru t rr ff nce Orr vita- DE Vf LOP PA?(,/7 Y /•v-o /aim-i f SQUARE FOOTAGE: (proposed) 1ST FLOOR 157 Z sq. ft. 2ND FLOOR x sq. ft. 3RD FLOOR x sq. ft. BASEMENT X sq. ft. DECK 7Z g sq.ft. COVERED DECK X sq. ft. STORAGE x sq. ft. OTHER x sq. ft. GARAGE x sq. ft. Attached❑ Detached❑ CARPORT 7C sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* 061.-..0f") wf57 rat- 5`6 yr MAKE 1, 3 Pti?A itc,d Ga LJ MODEL 7-f1£ SN.gs i q YEAR 2O Z 3 LENGTH 5 ' WIDTH Z 7 BEDROOMS 2 BATHS 2 SERIAL NUMBER S ritt j,v j'/7o4/ oCT/c-V ENVIRONMENTAL HEALTH: N SEWAGE/SEWER SOURCE: SEPTIC ig SEWER ❑ I NEW, EXISTING ❑ t` PLUMBING IN STRUCTURE? YES sgi NO ❑ Ifyes, attach completed Watert�Adequacy Form rqw i oMf PERIMETER/FOUNDATION DRAINS PROPOSED? YES N NO❑ E3H-ST1AI.G SQ. FT. /57 2 EXISTING BEDROOMS /v//Q PROPOSED BEDROOMS Z TOTAL BEDROOMS Z 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 8' 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 PER IT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON / -/( / COUNTY CODE 14.08.42) /1-./_ a Signature of OWNER (Must be signed by the OWNER) Date 1 I I I i I N gEG? L1 t Arofe E rED EH APPROVED ki C rgrjo W,} e 3 Rhonda Thompson 05 17 2023 G W� l /-� eo L S 3Zoa3• 2iz-aotIC-1Woo) �L� 5n615:. lr LW 7 j;/ t • • • . 0 Nog d ,: cr zyyo ;�•• / . sr( 5rf PLN Approvedp� . '� • ' 410trpspkg''�, ' 05101/2023 Mason County Community Development.lr/ �/\� 'r O / QQ /�j Gavin Scouten l f .�,r s Ail Changes Subject to Approval 0, d ' ��.rrr�^N �r`W /ON- 4 44 - ' ' • stiEb--Ve45 fa 14115271ur, 'S,.- • , iii, \ * • ., /6S) ' • i-AZ WILL 196 fsel c 51r 2023 iii is ' . ' • 0 A.6 6zhgeminr, Vest „'; 0 MV . -r , • 0 Q� y(Q {HRE A Ata(Wf! .s‘4wts • Sc 8x9 • .6 b EiknOi/' .13 . • , "Ai • (06 arkik-Mr) 3-'-ky% /- • d •• ••• 3• �� 4 © r a 00- .,,.o. (/'�� -' ") 4.. i 74114ex I ge ST } .. • W --v:\ .. ° .. ,„ _....,__ • 4- la. -to f3-6 VI VOM-Ttic l0r, X 41, ,J 'P Lt!J i 0ta ,,, 4 , `� QOP N 71 °A'., ` a n, ,- Y.\ -'1 fe,Ca,, 'I t \37;5* • - 7 -..e6'4.-e74. -sit9%_ '' / . im 5 ff aut 3 ` , 1n1� CfY�'k 1, = it IMP1�y 61211606 l 1 uxa`zer 20 ?A23- t n ..... _� Selckf{d min is(rr4i+g \.... 1 - • PVC EitiotO i TTIA G ritub 'orc'� }a+IuQfraw o F( RV,P►P�Uri � 1� I i PoPo E4Maco Fr �Pt, `�tt - Q 3 PeoP6py KiNEWlnt Planning Setbacks EH Setbacks 00-/TfftfT15Ma7ulfu-If Front: 1 15'from edge of shoreline vegetation eir A. Drainfield/Reserve requires 10'setback front footing/foundations ////// t�"lwC+��fr� /�•!� /y, L� �p Sides:20' B.)Septic tank(s)requires 5'setback from all footing/foundations I c "`^"-' ('1 b POLL"i e-- Rear:20' C.)No foundation/Perimeter Drains within:30ft,downgradient of 'all setbacks measured from the farthest Drainfield/Reserve area . a+ ... of the building D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within WTI .�� r• �UItJEWIf-'6, projection 9 50ft,down gradient of Drainfield/Reserve area �f 'subject to EH setbacks