HomeMy WebLinkAboutBLD2023-00465 - BLD CD Environmental Health Review - 4/27/2023 Permit No: t�2Irl 2 2' _ It%
MASON COUNTY RECEIVED
.r. 4 COMMUNITY DEVELOPMENT
I•4liw.` `r Permit Assistance Center,Building,Planning APR 2 7 2023
BUILDING PERMIT APPLICATION
--645-W. Alder Strcet m
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Michael&Bobi Jo English NAME:Troy Olson-TNT Home Builders,LLC
MAILING ADDRESS:4280 N LAKE CUSHMAM RD MAILING ADDRESS:PO Box 1126
CITY:HOODSPORT STATE:We "LIP:98548 CITY:Port Orchard STATE:WA `LIP:98366 I..I..I O
PHONE#1:623764-3786 PHONE:360-821-0166 CELL: Z
PHONE#2: EMAIL:troyatnthom m ecinc.co
EMAIL:bobLengllsh8@gmad.com L&I REG#TNTHOHB925BJ EXP. 02/15/24
PRIMARY CONTACT: OWNER D CONTRACTOR 0 OTHER 0 = m
NAME 60beJOEng4*h EMAIL boaengaah6ftmea.com
MAILING ADDRESS 4280 N LAKE CUSHMAM RD CITY Hoodsr,04 STATE WA ZIP 98648
PHONE 823-784-3786 CELL
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PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Ms05200012 ZONING Residential
LEGAL DESCRIPTION(Abbreviated) 1WANOH FALLS ADD e3 TR 12 EX 12-A S 43/175,S 53/6 FIRE DISTRICT '°^".0°^0p^" 'r
SITE ADDRESS 150 E Woods PI- CITY Belfair
DIRECTIONS TO SITE ADDRESS Directions:From Belfair,take Hwy 106 to Twanoh Falls,turn left at Creekside
then stay right all the way up the hill,turn left on Woods Pt.follow downhill to cul-de-sac.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Chock all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW D ADDITION 0 ALTERATION❑ REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence.Garage,Coatmerrial RId&Etc.)Residence
IS USE: PRIMARY D SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES Mate Bldg) YES(Pargs1 of Bldg)0 NO 0
DESCRIBE WORK New 2 story SFR Construction
SQUARE FOOTAGE:(pmpnsed)
1ST FLOOR 367 sq.ft. 2ND FLOORS sq.ft 3RD FLOORS sq.ft. BASEMENT sq.ft.
DECK 311 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 625 sq.ft. Attached D Detached 0 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 D SEWER 0 / NEW D EXISTING D
PLUMBING IN STRUCTURE? YES NO❑ If yes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 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 proposec.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 l
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X %a e / IL 4/27/23
Signatee 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 �r'f,}� WZYZ-100 CGYtp�l�i�i1� aK.CrY'(/.
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RR5 Zoning ‘ 1• .
Front Yard Setback.25'. \
Side&Rear Yard Setbacks.Residential dwelling X •
and accessory structures is 20'. .
OR 10%width of lot if not more than 100'wide A.
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OR approved ADV \
07/11/2023 `E c_
• APPROVED \ (
MASON COUNTY DCD PLANNING \
SCOTT gu 1 v,A1CP _\
Digitally \
signed
Scoa Reedy
by Scott
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The approval of this project is subject to the recommendations
and specifications outlined in the attached geotechnical report. All
applicable recommendations and specifications shall be applied
to the development on this site. Any deviation requires stamped
written approval from the registered design professional
responsible for the report and may require special inspection by
same. Structures and/or land modifications(grading, cuts, fills, ,
etc.)required in the geotechnical report, may require a separate
permit.The geotechnical report shall remain attached to the
approved building plans.