HomeMy WebLinkAboutBLD2023-00238 - BLD CD Environmental Health Review - 3/3/2023lemi
o,, cc N MASON COUNTY COMMUNITY SERVICES eZ
i � �2 �h�P� 'A PERMIT ASSISTANCE CENTER: Permit No: -1 ' 0' 61
•BUILDING•PLANNING•PUBLIC HEALTH•Fll3G4?AA61etto +_ ` 1/ r, ��
615 W.Alder Street,Shelton,WA �198�i84° •,_.,'c.-i-•- 'I '- - N V,R 0 N M E N TA L
\ l Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone nr,,,,,
�\ _� Belfair(360)275-4467•Phone Elma:(360)482-52691. l — 1 L, HEALTH
BUILDING PERMIT APPLICATIQN„et
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: SD'El
Philip Wolff NAME: same
MAILING ADDRESS: 7300E Grapeview loop MAILING ADDRESS: MAR 0 3 2023
CITY:Allyn STATE: Wa ZIP: 98524 CITY: STATE: ZIP:
PHONE ill: 360-490-1019 PHONE: CELL: 1 C E I VE D
PHONE#2: EMAIL:
EMAIL: boadhaven@hotmail.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER[ CONTRACTOR❑ OTHER❑
NAME same EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 121 O5 51 62005 ZONING R3
LEGAL DESCRIPTION(Abbreviated) Pt sec b 121 N K1 W W.M FIRE DISTRICT MFD 3
SITE ADDRESS 5081 Grapeview Loop Rd CITY Allyn WA
DIRECTIONS TO SITE ADDRESS Large white house across the Grapeview loop road from the new
Port paved parking area and bathroom
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (('heck all that apply)
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER [Replace
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Eac.) Residence existing deck
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(WholeIldg)❑ YES(Part/s)nj Bldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE: (propose•existing
1ST FLOOR sq.ft. 2ND FLOOR 1 *ft. 3R FLOOR sq.ft. BASEMENT sq.ft.
DECK79(Q 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 MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC[J SEWER❑ / NEW❑ EXISTIN4
PLUMBING IN STRUCTURE? YES❑ NO9' If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NKSit. EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS O. TOTAL BEDROOMS _
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 APPLIC TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X. ature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH CieRr G127 3 �.t C a e I •;•
RR5 Zoning
Front Yard Setback. 25'. b L) ab-D0,R3b
Side & Rear Yard Setbacks. Residential dwelling
and accessory structures is 20'. 03/28/2023
OR 10%width of lot if not more than 100' wide
OR approved ADV
APPROVED
MASON COUNTY DCD PLANNING
SCO1T RUETAAtCP
No expansion- In existing footprint
Digitally
Scott Ruedy signed
by Scott
'�, Ruedy
'u�
1
• , EH APPROVED
Rhonda Thompson 06/22/2023
9 Sn g l Lbf fr
I 0-C c_ i ..
I.�oLr�- 5.0 t/
i �bL `�
-- kR- re c fi c-,-) T`• X1(
4
KI 5' min ►'
v
� I IS`, .
10' m' I '
I',
let
14.1
e-a
--m rp
• r &,) G c.4;
EH Setbacks
TOPOGRAPHY PROFILE:
A.) Drainfield/Reserve requires 10'setback from footing/foundations
Flat B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reserve area
Direction: Scale: / Approval: for office use
Building Permit number: / / ?/ - 2 O Building:
Owner/Applicant: r//', = /, ` (fir~ Date of Planning:
ap�pli tion: Env. Health:
Parcel Number: 2/�s - 5 7- Z c'c>_ //202,3
Cindy Waite
80 E Pickering Lane
Shelton, Wa. 98584
360-426-2113
360-701-0205 _
cindyewaite(a)msn.com Cti ( 1`I
1 June 11, 2023 JUN 1 4 2023 U
RE: Phillip Wolfe
PO Box 2566
Grapeview, WA. 98546
RE: 5081 E Grapeview Loop
Parcels #12105-51-62005
Rhonda—I went back out to this site on 6/10/2023. My original plot showed the septic
tank 5' from the residence. In is actually 8' from the proposed deck. There is a 7' wide
concrete sidewalk along the side of the residence. The tank is 8' from that sidewalk.
This sidewalk originally supported the deck that they are replacing.
Respectfully submitted
•
r'.
Cindy Waite
•
4 d W
%,s U / I
SLS/ o. i
il
.,., N,. . . lir r
NI t-
-N. (63"
/ ,
,.\--. .„ ,; •1 ( 7 ;
-N.\ 1
i /
— NS si. i,. / ,
11r C.. .r•
CV Q\ <'
'- (kL1.)(..k (''' Ir3 14 ''.i.-'-N‘'..`,,..
)-tT";:-.. .. ........,...
r A 1 t ..,.. ...
...... 2 0 %
6 (n ftl n TATE('h''QT,� l" (�
-., rli
b.�041Kg4.'
FR � vo% m •.v, ., Z
rat t ��