HomeMy WebLinkAboutBLD2023-00275 - BLD CD Environmental Health Review - 4/20/2023 a-5
eSs,,,;c-?�4� MASON COUNTY COMMUNITY SERVICES...>n Permit N L �)�0 -t) Q��
�`t, PERMIT ASSISTANCE CENTER: L r_. `\ Lou,
a •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 11 P
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615 W.Alder Street,Shetton,WA98584
�y` ;fl Phone Shelton:(360)427-9670 ext 352•Fax(360)427-7798 Phone AR — 8 202L'
''„iy;Y'—""" �40, Belrair(360)275-4467•Phone Ekne:(360)482-5269
tu�� BUILDING PERMIT APpL�I A1,dt =�r S}rcs} ENVIRONMENTAL
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: H ALTH
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NAME:Tom and Martha Fontaine NAME:Prime Building and Development,LLC
MAILING ADDRESS:105 Se Arcadia Point Rd. MAILING ADDRESS:4802 Thompson Lane SE
CITY:Shelton STATE:WA ZIP:885 CITY:OlYrnPia STATE:WA ZIP:8513 ngfVl
PHONE#1:541-990-1976(Martha) PHONE:206-405-0887 CELL: L11�
PHONE#2:541-207'5364(Tom) EMAIL:1,vww.primedrildrlw.c3n
EMAIL:tmerdelee5@gmail.com 1 L&I REG# PRIMEBD84303 EXP.9 /23 APR 2 0 2623
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑ RECEIVED
NAME 1ea"1a °^' EMAIL tmfontaine5@gmail.com
MAILING ADDRESS 105 Se Arcadia Point Rd. CITY shaeai STATE WA ZIP88584
PHONE 541.99a1976(kWh.) CELL 541-2m-s3e4tr..)
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)2028'50-04001 ZONING R5
LEGAL DESCRIPTION(Abbreviated)'"`"""°""'"'"o"'""""""''"""""""""'°""`' FIRE DISTRICT 4
SITE ADDRESS 105 SE Arcadia Point Rd. CITY Shelton
DIRECTIONS TO SITE ADDRESS Arcada Rd.east to sharp left on Lynch Rd east,to right on Arcadia Point Rd.,to 3rd driveway on left
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❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0 demolition
USE OF STRUCTURE(Residence,Garage,Conanercial Bldg,Etc.) Residence
IS USE: PRIMARY SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parr(s)ofBldg)❑ NO❑
DESCRIBE WORK p.molsh•.d.,9 dw.wa.DR I.R.enrwx,kitchens dear.Replace our ammo"d 1BR.1eq DR ut,enrano,ttnae raised patio.Remodel wkm.4 house.
SQUARE FOOTAGE:(Proposed)
1ST FLOOR 2912 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 852 sq.ft. COVERED DECK 401 sq.fL STORAGE sq.ft OTHER sq.ft.
GARAGE sq.ft Attached 0 Detached❑ CARPORT sq.ft Attached❑ Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE NA 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❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. unknown
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 1 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 commerced 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
3/ ''/'742 -3
Signature of OWNER(Must be s ned by the OWNER) / Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL r y //� p
PUBLIC HEALTH IS37(7 qi2) Crarr,�f ►S cride •
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PLN Approved 'e 0
04/21/2023 (7v/)f)
Mason County Community Development
Gavin Scouten / G(.— ^ s I'
All Changes Subject to Approval _ ,J
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Planning Setbacks `
Front: 25'
Southwest side: 15' (grandfathered setback -WOO/
from previous structure) ,/ 0 (/7i"�
Northeast side: 20'
Rear: 20' 9)') k/h.e,
*all setbacks measured from the farthest vG i. f
1 projection of the building
*subject to EH setbacks.
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EH SETBACKS
A)Drainfield/Reserve requires 10'setback from footing/foundations
v.
B)Septic tank(s)requires 5'setback from all footing/foundations
C)No foundation/perimeter drains within 30'down-gradient of drainfield/ '
C reserve area 4
c� D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' ' .1
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down-gradient of drainfield/reserve area `�1
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EH APPROVED
D.Anderson 05/17/2023 %
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