The URL can be used to link to this page

Home My WebLink AboutBLD2023-00621 - BLD CD Environmental Health Review - 6/6/2023 1a :0'.1.4 ' tt;1 MASON COUNTY COMMUNITY SERVICES Permit No: i (13)O2 i 'CO 21 PERMIT ASSISTANCE CENTER: �.' v� . ••BUILDING••PLANNING••PUBLIC HEALTH••FIRE MARSHAL may(yW�� ., 615 W.Alder Street,Shelton,WA 98584 Y v• _ A� •`�~ Fy .:l DA_ Phone Shelton(360)427-9670 ext.352•Fax:(360)427-7798 Phone l LI 01:5 /' Ly d�v r v Be/Eair.(360)275-4467•Phone Elma:(360)482-5269 IJJJJ'"'��- BUILDING PERMIT APPLICATION G ?j PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: `,• GaryBosley&Carol BosleyStephanie Robinson C�� C� NAME: y NAME: F� MAILING ADDRESS:2205 crystal springs rd w MAILING ADDRESS:8609 146th st ct e CITY:University Place STATE:Wa ZIP:98466 CITY:Puyallup STATE:Wa ZIP:98375 C PHONE#1: PHONE:253-306-7275 CELL: PHONE#2: EMAIL:emeraldforestconstruction@gmail.com 7/3EMAIL:gsbosley@aol.com I.�I REG#EMERAL•784MM EXP.07/14/24 = Q PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER D D Z NAME Stephanie Robinson EMAIL emeraldforestconstruction@gmail.com r MAILING ADDRESS 8609 146th st ct e CITY wn"w STATE via ZIP 98325 g�.,�•� PHONE 7533061275 CELL = 1 1 1 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 322027800500 ZONING RR 5 D LEGAL DESCRIPTION(Abbreviated)TR 5 OF SURVEY 26/81 FIRE DISTRICT r SITE ADDRESS8159 NE BELFAIR TAHUYA RD CITYTAHUYA DIRECTIONS TO SITE ADDRESS From betfair head west on WA 300,take a right on NE Bellair Tahuya RD,at mile marker 8 turn left down Private Road,Site will be at then end. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑+ SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW p ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage.Commercial Bldg,Etc.)Residence IS USE: PRIMARY El SEASONAL 0 NUMBER OF BEDROOMSX' NUMBER OF BATIIROOMS "-Z3 HEATED STRUCTURE? YES(Whole RIdg) +❑ YES(Part/s]ofBldg)0 NO 0 DESCRIBE WORK Build new 1500 sgft residence 4 SOUARE FOOTAGE:(proposed) 1ST FLOOR 785 sq.ft. 2ND FLOOR 708 sq.ft. 3RD FLOOR sq.ft. BASEMENT ___sq.ft. DECK sq.ft. COVERED DECK 201 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 539 sq.ft. Attached❑+ Detached❑ CARPORT sq.ft. Attached 0 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❑+ EXISTING 0 PLUMBING IN STRUCTURE? YES El NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD 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.Acknowledgemert 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 COUNTY CODE 14.08.42) X 4/30/23 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 / �e I�' PUBLIC HEALTH , 'fzbh3 �4 4✓ ►"' t ` ' NPKjfncrr N 322027630400 EH APPROVED Rhonda Thompson OG26r tl23 EH Setbacks w e A.)0rainhekl.,Reserve requires 10'setback from foofinp4oundalions ___*_ B.)Napo,nd l or requres 5'Drains*froOm ail 301.dow gradrO tiof ��I c-I 2S 02 22 - Do I C.)No IourMalarsa'wimeier Drains*Om 30n.dowrgradiant of G Jl./Y'2_ DrainhekliReserve area S 0.)No Cut Bank)3)IgreaIor than 51t and over 45 degreesr...Alm 501l,down giadionf of Drainlield/Resrrve area r - - 330ft t.ivJte Rd Ea figment II \ ��,Driveway\ Neighbor 3zzozraooeo0 Drain held \\ _ 85ft (zz Elccaical Vault■ \. /� Future 20 x 20 gar e 45ft yott 40ft Soft / r Septic tanks I — —f �/' y2 Dr illr�c)Wrll +i� / ` \ / 701.81ft _____ _\ — 100(t `Proposed house spot — IooR — — Planning Setbacks Front: 25' Sides: 20' Rear: 20' °all setbacks measured from the farthest projection of the building °subject to EH setbacks PLN Approved Parcel ff 322027600500 06/08/2023 8159 Ne Belfair Tahuya,Tahuya WA,98588 Mason County Community Development Gavin Scouten Turn right onto NE BelfairTahuya Rd from WA 300 W and turn left All Changes Subject to Approval at Mile Marker 8 down the private easment driveway.Property will be at the very end.