Loading...
HomeMy WebLinkAboutBLD2023-00458 - BLD CD Environmental Health Review - 4/28/2023 t,01:1. rr,'I'c MASON PERMIT COUNTYASSISTANCE COMMUNITYCENTER: SERVICES % •r ' No:.L))(I Off) . Util4b romoli ',�'72 •BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL ' C E IV E D z `�)' c0 615 W.Alder Street,Shelton,WA 98584 4i9 �` �� ti f Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone �`h �Y Belfair:(360)275-4467•Phone Elm:(360)482-5269 iC� �4e r,,R • 2023 Z BUILDING PERMIT APPLICATION /GF491 W alder Street s PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA7ON: > z NAME:? 12cN 0(Able .VS \r lAst C LA r"•�c Ni W (�NAME: C-0Z CoVl ` t t0 km tAC MAILING DRESS: �,o veev1� 1/\fAU MAILING ADDRESS: 2-,1 N•-1-\Ahin \torN -o\ = m CITY: ' tcv-) STATE: WI°Y ZIP: Q,c)$\-{ CITY: CY1Q\c \S STATE: \N-K ZIP: 61 tCi232 Z PHONE#1: PHONE: •10o.114D.b345 CELL: PHONE#2: EMAIL : riz.loeCcA @InvvoCkeY\l�ovvIRS.v t > EMAIL: L&I REG# NWC112 Cq-2 cl EXP. R 12-5/Zy PRIMARY CONTACT: OWNER ❑ CONTRACTOR[} " OTHER 0 NAME -2\Qe((A VYlQ1S - 1\1w Site Ttow1.eS EMAIL MAILING ADDRESS SY�� CITY STATE ZIP PHONE N5�V ,L PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 2 - 21 • Cj 2-• b D D b 7 ZONING 10-ZS14`21'lfia 1 LEGAL DESCRIPTION(Abbreviated) W 0Y1*`(I AVIA 2 '-1 FIRE DISTRICT SITE ADDRESS 26 b �. C�AQRYIS Ufa.. 1 Q 'rOt-, CITY ShQ\'�"t> -� DIRECTIONS TO SITE ADDRESS �J S� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ©SNOW LOAD:2 ) psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF 0 STREAM 0 TYPE OF WORK: NEW Er ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0 USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc.) --R.S\G\QV('a • PVC) lA IS USE: PRIMARY Er SEASONAL ❑ NUMBER OF BEDROOMS -j NUMBER OF BATHROOMS 2_ HEATED STRUCTURE? YES (Whole Bldg) Er. YES(Part[s]of Bldg) 0 NO ❑ DESCRIBE WORK IAoewie t (fi A 2:2)%4" X I-}-Z $„ W1AhtoACt1AV A kow\Q SQUARE FOOTAGE: (proposed) 1ST FLOOR 116 sq.ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK 32- sq. ft. COVERED DECK 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 pA\WI-t--\ox\o0N- MODEL PtD 1-F{zNZ) YEAR 2_02_2) LENGTH t{-2. S'. WIDTH 23'--'' BEDROOMS ?j BATHS 2 SERIAL NUMBER T t7 ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC Er SEWER ❑ / NEW a". EXISTING 0 PLUMBING IN STRUCTURE? YES E' NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 3 / TOTAL BEDROOMS 5 OWNER acknowledges that submission of inaccurate information may result In a stop work order or permit revocation.Acknowledgement of such is by 1 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) a . L,iL x j -� .. "Si ature of OWNER(Must sitlned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH c Sln )V C&1\ 1A. S A-W CO CM -e E a N a = It 0ivo co aS2 =� � mLL a o Ct•)c aktIse NO U Q y mG 2 i Qn + V/•K a ill � d£ agi u ,t-,tl S1VH ,13, d1VH ,V, .0-•l1 - .0-,1.1 i O0►x O ti ^ et1._^ m 'di'. I M ' iro �BSA2y O «) O 80 13 n0 0 , y� QD • mn i - O Um T 70 co...... 0 + . I id wOD OC) faL' m r4 m- 00 ays I mn 0$ 00, a 'en. LW re a � 3 z" � •� o w ® � co e• i2 O @ffl to � c� oW maw t. L I _ n'ova 1 n a m ji1i i _I 2F QW 05 of I-Lc pe►- 3 z ci 51 :+Ifl i a"' o z xob * ol fit` It Zw i !• Iv 7 ,. a 1 1 J to Ja aCt , R Lu oa ,' i I- If . 0 I re z i A_ 1 , °O , / 4r h t L-- / i 1 o n�iu ' •n , gig x•- R x t. N ' 2, 'o xoe .I , .- E/ � � Ji! E J SSl�idiiCZC �- 1 \. .� Y� �AE 2 . . . . . . 3C'J IA `. ^s 2II m }� -`/8244 1 g 2 2 TR Fm i L a 0 '� .�.d.a �ro.a �t s G 1- N N N N N 0, �r m •f.ge. \9£ r 10 O-- CCC yQ{ n b b E. E. S S �b y L s 1 e in E N \ E a i_y N N i to is b c) R }�vs al g I i66� 10 C : O3 K K r irs. '' �3 m �_ t.p '� 1,..., I ®g '. .. N « N N QSt 01 1 . i Nn ( II ih ii E g;•• a;: 3 3 3 3 3 3 Lot oc-I ; a;11 2 - NPIn ♦ . 0 00 01 .0 .0 A 1'9 I .0 t .CC 00t Kt I. *y 0'0 03 A .0 A .0-.0Z Z .IIC► C .IL OS 0! C V 0'0 03 A A .0 .1-.Et Z .tit C C AL OtZ CS Z 0'0 03 .0 .0 A .9-.C1 t .0 Z Ae 001 Kt t ? Pu3 Pu3 uedS uedS tpJa4S uedS wor Pip Si' d tpBuei did tp8uei 'ON scud WO 3AV ''W qel to# ueue>oe j tiny ASO WVsile pp, Ptml i (.APose tam tiwr"Pys owl-- AU t:wm+md ddS Z=MM.MS 201 301SH PAPS dSd St Tool PL *IS Z!'3!0 910 eiz:WWI'C{LS Z US:4pl1d i•Oa (WISH)s;uewaqmbea IIeM me4SQ fi Je •` wo O 0. r: 5 CC w O n R Z N U C y $ F € ° g} N IL_. a °d F r �• �� w $ $ X N�� S! Q� rn/. N a 4 r IC) tl by m ` 1°3 0, 4 , w ., y Z w¢ =st�4 ���, r _ -.V NJ ,O ^L • o O p : , a .. Z • M w oQU t M f,. . }}, p F b\\l�`,. n ; r j C W N a C q Z ��\�`�` o o a o 5 tcc ct m L /`I` K W 0_ y g !2 i E >> r.. Q. h Q a 5 & 2 m O w a E ci a wo c, r EH Setbacks _ A.) Drainfield/Reserve requires 10'setback from footingifoundations V B.)Septic tank(s)requires 5 setback from all footing/foundations EH APPROVED C.)No foundation/Perimeter Drains within 30ft,downgradient of Rhonda Thompson 05'172023 Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area w t`n 0 Z c.I W `v o rn 0 V w NN O 0 Z Z -G x ('0w w ,00•sZt 0 0 z •cD II o O Cs/ w a...�_w.c,��_`�� / __ re�T'.''M.. --,Ha.�-a.4_�.. _ L /raw"'° wo�wm i 3NI1ALb3dO2ld ,00.6Z17 I I I I a 00 w ac ac w > p O a w� o mw O ,'iY Z a f- W (0) cn X 0 w 0 0 a. a Planning Setbacks g 3 PLN Approved Front: 25' 05/01/2023 Sides: 20' f Mason County Community Development Rear: 20' Gavin Scouten all setbacks measured from the farthest C All Changes Subject to Approval projection of the building 5 'subject to EH setbacks