HomeMy WebLinkAboutBLD2023-00705 - BLD CD Environmental Health Review - 5/1/2023 aumurlr.
e ¢���o`"''` A, MASON COUNTY COMMUNITY SERVICES Permit No:
c PERMIT ASSISTANCE CENTER:
4111111117
i. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 MAY 01 2023
f ,t Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
BeBeek(360)2754467•Phone Elmo:(360)482-5269
b y`
��'`'�tr1�'" 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Angela Goodwin NAME:DG Builders.inc
MAILING ADDRESS:220 E Dawn D<'e0 MAILING ADDRESS:Po Box 1999
AI WA 98524 Part Orchard WA 98368 t_
CITY: hm STATE: ZIP: CITY: STATE: ZIP: � C=
PHONE#1:360479'6982 PHONE:38a731 ono CELL: 360-731'6M M Z n Z
PHONE#2: EMAIL:dgouidersin ^aa.com r� UUU
EMAIL:Sedie2929@hotmaltcom L&I REG#DGBUIG8932C8 EXP. /_/ w I ,
m N
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 D N rT Q
NAME r v."*, EMAIL henrym1941@gmaI.com L•-) Z
MAILING ADDRESS PO Box 268 CITY Tm.)10^ STATE WA ZIP 98393
PHONE 36a-7313069. CELL 393'73i-3089 L
PARCEL INFORMATION: =Z
PARCEL NUMBER(12 Digit Number) 221127800030 ZONING RRS
LEGAL DESCRIPTION(Abbreviated) 121212 FIRE DISTRICT D
SITE ADDRESS 220E Dawn Drive CITY Allyn r
DIRECTIONS TO SITE ADDRESS East on Route WA 3 to Right on Dawn Drive.Approximately 200 yards down rock road to 1st house on right
IS TICE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR 0 OTHER 0 garage
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)external deck with roof
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Pan[s)ofBldg)❑ NO 0
DESCRIBE WORK construct deck on rear of existing home.Add roof over new deck
SOUARE FOOTAGE: (proposed)
1ST FLOOR° sq.ft 2ND FLOOR° sq.ft. 3RD FLOOR° sq.ft. BASEMENT° sq.ft.
DECK sq.ft. COVERED DECK sq.ft STORAGE 0 sq.ft. OTHER sq.ft
GARAGE 576 sq.ft. Attached 0 Detached 0 CARPORT 0 sq.ft. Attached❑ Detached 0
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 r❑ SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES❑ NO 0 ffyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 _ lye 1 EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS J�V( 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,inducing any easement holder or parties of interest regarding this project The owner or legal
representative,represents that the information provided s accurate and grants employees of Mason County access to the above descn ned property
and structure(s)for review and inspection. This permitlapplication 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 1�llORE WILL SE THE APPLICATION TO BE EXPIRED.(MASON
// COUNTY 14.08.42)
x y I /a'-)
C
Signature of OWNER(Must be signed by t OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL l� �
PUBLIC HEALTH ] 4.0k3 C, .�, "
5 -',�g' '
?
.../..s
'. ‘.
/ .
/..,.% ,..,
._.
iv
.•7 ....•'
. c . .
,
.,,,
r •. A/6 lest
. -N.•
-• \ ..-., • f
. \ ,-, .•.. -.-_, , / P';--.:.,,,e)0 .
We)1
/11' 1 t>\
. ...5#
• \
...,
. . aSA qtlf • -
• \
. • " 1.1.
; .
•c" P. 'N,.......,
/
.,-; ,,.1 .. \ ,•''S ' , ,. -..,.....
/ -1:V t . ,, ' 4••• •;.• --------1L
r ...,, / •
' ..- • ...•••
, \eft,'• i'ltVs... ,
kr• '•' 1 .
. '
....:i • 6-i• '\.\:. ./ /'-.1/ . "•‘.1 ,'
, '4. .. •
'p . • I'\.?. / v)
• i'v 1 .
.-- •
/7-
. ', 1
% .. 1, /...%/,-r•---,1-
(-O.. ' -• i
/ -• ,,"
,... .. \ 0-- t • i EH APPROVED
• '; 0 7-------..... -11- .1 • ! Wanda Thompson 06/272023
•
e-C 6 t„.
-t\ • ,•fr. 11. .. _-• ...•
-: 00'107 -------------,--,-, •
1 ;17\1: / .4.:‘••S--.......-------
•
f..
,.:
.,.
••
1...•, ...•jr ..•
(,) •
r.), • .,,,,.,
=.:- •
7.--N-' --- ''' •
•
--•.,..) v:i, . . / ,., r/():. ,?? .• -ric•.a00202. —
,., 00
EH Setbacks q . ,
• . \(; z ,.,, r..,.,..Atc._,/, N
A.)Drainfield/Reserve requires 10'setback born footing4oundations • ,.
B.)Seplic lank(s)requires 5'setback horn all footing/foundations . . ...,
. .
C.)No foundationrPerimeter Drains within 3011,downgradient of ' .
t '
Drainfield/Reserve area i . ..,''% r.F. /
D)No Cut Bank(s)(greater than 5ft a ove
r 45 degrees)wthin .. S.
5011.down gradient of Drainfield/Resenre area
'N.
\ .• ..,1
.. 11..,
. /
. . \ r•
--
r .• -‘• - (''"\ , -d-' / • / - •
-S c,s7 .-fe.- / .'z. , .\ ,..
6.,
• -
•
1 ,
. 741,6,...iiv .42,-;24. 1 ,;N
- ,/- -
,240' • '•• ,/ - •
- ,
. - .• ' - --• •—• /. ,..
,..
-•.. .._
i
Sr Pi / „ ..: .--,
i , • , ,- / _..: ,.
. .
/.,..
(it., f.•s.s—d '4..., r• •-" '• i
' r L ..,,.., •.,-) 1 / , A I ,, •
; , rf v .:: • . • I
e,z• i (-i .-- -, ir : ,r2 g/c2 7 0-0 L-.),30
______ .cze -. ; , . _ .._..,
/-• .• •••• /--/e/1 1"/
4— ,---''' •'. ' ' • — . '
. _ ..
/
4'enty,,,2: iy- Li.:60 q.4741.
, •
••
t 1 • •,,,p.„