HomeMy WebLinkAboutBLD2023-00540 - BLD CD Environmental Health Review - 5/15/2023 .,,. -. MASON COUNTY Permit No:OWQ O 3 0 05t-e0
COMMUNITY DEVELOP 1`YE I V E,:
Permit Assistance Center, Building,Planning MAY 15 21123
BUILDING PERMIT APPLICATION r,
5 1r,/ /•.
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 7a(-71 /3 . (0cchi' NAME: I 1 • ENTAL
MAILING ADDRESS: 11,1 • L. zz / Lei MAILING ADDRESS:
CITY: 5.0 e i Iv.-) STATE:W;4 ZTP:9 f3_II;v CITY: STATE: ZIP: f i-t-.A TH
PHONE#1::34.,-C • 3'33 - Uf le,. PHONE: CELL:
PHONE#2: EMAIL:
EMAIL__PS- ri (.1-,:. / 'v1 C1('/cc1 , c 00-) L&I REG# EXP. / /
PRIMARY CONTACT: OWNER ' CONTRACTOR❑ OTHER❑
NAME EMAIL '!
MAILING ADDRESS CITY STATE ZIP �,,
PHONE CELL
I
PARCEL INFORMATION: __ �F
PARCEL NUMBER(12 Digit Number) 3 2 L/2 I 5) & 203(' ZONING ,, �t�
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 3() e ‘ f/ri e- P/6t.CE CITY `jhc /-Fu t
DIRECTIONS TO SITE ADDRESS 5•OV1 R ei et f•f?r rq. vo-- (r"eStL'le u_ ( c;->-, /Vic• /<c<.t<-,•
L. , (oil 1i'iC`'Lcn p/GtC c'
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO SNOW LOAD: 5psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check allMar apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW1g ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)
IS USE: PRIMARY' SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS '. -HEATED STRUCTURE? YES(wholeBldg)'J YES(Pan/s)of Bldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE: (proposed)
1ST FLOOR`` /ZCiG�sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK Z 9C 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(01hi 11iG./7L't4G,100,,,+t MO) ELrvaf1 L/a217 Lie YEAR 2013 LENGTH geS) .
WIDTH .27 BEDROOMS —3 BATHS 2—_ SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEWV EXISTING❑
PLUMBING IN STRUCTURE? YES-5t NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YESig NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS 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
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
�y4�� COUNTY CODE 14.08.42)
C7�
X N! 6. Cc%�.Gt • 3----r Ar 2 3
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL n I , ( (/yam
PUBLIC HEALTH '%J L 6h13 �' ) Az
PLN Approved e)11JORON-3- 0.05 (0„
05/16/2023
Mason County Community Development EH Setbacks
Gavin Scouter)
All Changes Subject to Approval A.) Drainfield/Reserve requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
t VIEW PLACE C.)No foundation/Perimeter Drains within 30tt,downgradient of
3v C Drainfield/Reserve area
D.)No Cut Bank(s)(greater than Stt and over 45 degrees)within
�. 50tt,down gradient of raintield/Reserve area
I�v��e� v1N
i.
N �v I / EH APPROVED
Pier pads �v O j DRIVE // Rhonda Thompson 06/08/2023
only . ' 2o1
y�� /
CIL: �5' min j `
\ + 0 20'
r r
r far
PROPOSEE� /
HOME ,. Deck to be
/�/ �� supported by pier
pads or must
�✓ ji 411 maintain 10 ft from
- 2 A D .'CLc reserve. J
.�
,/ E ��
18 V
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Ny'D / ''' / /-,',, /', ,, '
1100 SF DRIP RESERVE /1 ,' /-' ' ' ,' ' ''` '
900 SF REQUIRED ""e' ' '' ,' ,'' ,c r ''
/ '',' . ' ' ' ' ' 'u? '' ,,'
•
/.
Y r` i 28'
`'
.
Planning Setbacks �1°' `b9
Front: 15' (ADV2023-00065)
East side: 5' (ADV2023-00065)
West side: 20'
Rear:20'
*all setbacks measured from the farthest
projection of the building
*subject to EH setbacks SHEET 1 OF 2
DIRECTIONS: JIM HENRY DESIGN SERVICES. INC.
FROM SHELTON.EAST ON HWY 3,RIGHT ON
AGATE RD,RIGHT PO BOX 14531 TUMWATER WA 98511-4531 360-956-7242
ON E CRESTVIEW DR,LEFT ON E PARKWAY._V:..c=7 ON VIEW
PLACE TO SITE ON RIGHT.
E CRESTVIEW DR CUSTOMER: KIM DELANY
TP#: 32021-55-02036 PROJECT NUMBER:
E PARKWAY BLVD
f-E VIEW PLACE SITE ADDRESS: XXXX VIEW PLACE
t INSTALLATION / LEGAL:
:ORD DRAWING SITE SHORECREST TERRACE 2ND ADD BLK 2 LOT 36
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