HomeMy WebLinkAboutBLD2023-00568 - BLD CD Environmental Health Review - 5/25/2023 MASON COUNTY COMMUNITY SERVICES Permit Nf1 Ic r '�
PERMIT ASSISTANCE CENTER:
riii W lii
•AUIING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
,., - I.. 6151k.Alder Street.shatter.WA 9B.r8a MAY 22 2023
. Phone Shelton'(360)427-9670 awl.352•Fain(36t 427.7798 Phone
ti �' QeHai,(360)275 4467•Phone;Far
1 �" 615 W. Alde- Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Remy&Erie Gutierrez NAME:Integrated NW Construction /�
MAILING ADDRESS:23014 8501 Ave W MAILING ADDRESS:P.O.Ses 1006 r� 4'
CITY:Edmonds _ STATE:WA.----.ZIP:98020 CI IY:lieedeScsi STATE:WA ZIP: 9`�
PHONE I/I:!=5-3"2".___.._.—_�_._ A___ PI ZONE:253.e88 sa14 CELL: �'
PIJONTE fit: _ _ EMAIL:Adrnmen+eg'awNwoonaux�on.com 4)
EMAIL:ennandieniyEPtestmsS oom�_—__ __�—— LR1 REG if INTEGNCMM31t EXP.O 3'31/24 �/`� <)
PRIMARY CONTACT: _ OWNER 0 CONTRACTOR[ OTHER 0 O = q,
NAME anixinGaor EMAIL eamkot ring el oonmemeoncem �.t�
• MAILING ADDRESS I' re ae 0 e 1ao8 CITY Hdrpan STATE W" ZIP" ' V V
PHONE 2634ee531e CELL ► Z
PARCEL INFORMATION: E
` PARCEL NUMBER(12 Digit Number) 3211676002o6 ZONING 91'Undav°bped'Lend = Z TR
LEGAL DESCRIPTION(Abbreviated) 20OF SURVEY 6/30.S 51/d5 FIRE DISTRICT
SITE ADDRESS 120E Spied C1 East C TY Swim, D
i DIRECTIONS TO SITE ADDRESS From Downtown take Hwy 3lowards Sanaa.Turn L onto E Mason Lake Ad. L. AndrewsTwn onto SaintAndrews Dr N
Turn L onto E Sunny WoodsTurn Rd..Turn R onto E Tranquility In..Turn Ft onto E Spirit aE.Destination will be on A at end of Cusoe-sae..Chain across driveway r
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 147%: YES[ NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheek al that opp1j:
SALTWATER 0 LAKE❑ RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW[ ADDITION 0 ALTERATION 0 REPAIR 0 OTHER (l
USE OF STRUCTURE(Resu/rwce,amve.Conwrcrctol111dg.Era)Residence
IS USE: PRIMARY[ SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(insole Bldg)[ YES parr/s/ofmri 0 NO❑
DESCRIBE WORK Site Charing and Prep for iratasseon olN.rrwrwdt+eme,Wes&Driveway _I.1_ielda rtJt. ME_
SOUARE FOOTAGE:(p•opos`d)
1ST FLOOR 1.861 _sq.ft. 2ND FLOOR sq.11. 3RD FLOOR_ _ sq.ft BASEMENT sq.ft.
DECK_ sq.ft. COVERED DECK sq.ft. STORAGE sq.R OTHER eq.ft.
GARAGE _sq.R.Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Tni6«Land _MODEL K1n9tI." - YEAR 21120 LENGTH 63
WIDTH_ 46 BEDROOMS_ 3 BATHS 2 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC a SEWER 0 / NEW[ EXISTING
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. 804
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER acknoModges that submission of Inaccurate Information may result In a slop work order or permit revocation.Aclmomfedgement 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 end to do the worts es proposed.I have
obtaned permission from aN the necessary parties,including any easement holder or parties of interest regarding this prelecl The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
end structure(s)for review and inspection. This permifopptcation becomes null&v id if work or authorized construction Is eat commenced vethtn 1811)
days or if construction work is suspended for a period or 180 days
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP CATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.03.42)
5 17123
attire OWNER
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES(CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL �j / /,,��j 1 ,/f
PUBLIC HEALTH q n/30l to W r'f/�FD"alS alAf/la
RESIDENTIAL SITE PLAN at 120 E Spirit Court, Shelton, WA98584
Parcel#: 32116-75-00200
ADU CONSTRUCTION PLN Approved SCALE: 1/4"=30 FT
NOT APPROVED 06/02/2023 MN
WITH THIS PERMIT 0' 30' 60' 120' 180' 240'
Mason County Community Development
Gavin Scouten
All Changes Subject to Approval NORTH
ROAD EASEMENT
E SPIRIT COURT E q w E
EH APPROVED
/ \ �.lL S ........ oemaox3
CD / ' ,p\ EH SETBACKS
•Jai .0 (.' AI Drawnf,eld/Rturve requires 10'setback horn footng/foundauoos
dj . — ,• \ `C \ B)Septic lank(s)requi•es 5'setback from all fooung/foundanms
1 / !� Q No foundalion/permetei drains within 30'down-grad.ent of(Winfield/
otJ.' "' EDGE OF ROAD r.,,_ area
�JPC� -641,W E PROPOSED . DI Nc(uqs).Dankls)(greala than S'&we 45 degrees)w th n 50'
doom-gradient of draMiNd/reserve ale.,
VP'
PT J��� "" W WELL
a 24'x24'ADU
a �;� APPROVED LOCATION OF
o_ PROPOSED TRANSFORMER
50'VEGETATED AND BURIED LINE TO HOUSE
FLOW PATH(6) 20'WIDE DRIVEWAY
/
��-�, PARKING ; / •
45 Note:Silt Fencing is not required since
V ' • PRIMARY/RESERVE / • -�F`,p this parcel is mostly level within
SEPTICl-e" DRAINFIELD , the building footprint areas.
TANKS 7 SE1 BACK •Q . / �'Z
' 2%DOdUNWARD SLOPE /�
. / L,
; f
q�, " f f
• \/
MOSTLY lY 2nd AND 3rd GROWTH
50'VEGETATEJJ' FIRS SOUTH AND SOUTHWEST, / Planning Setbacks
FLOW PAIL-I'(6) OF THE DRAIN.FIELD AREA Front: 25'
PROPOSED /
3-BDROM c. ' , " Sides: 20'
i -tip
c�o`�' Rear: 20'
i Ic�tYtE ���P' 0h , *all setbacks measured from the farthest
-c\dui projection of the building
i e- • *subject to EH setbacks
PROPERTY LINE(715')
• SLEEVE WATERLINE WITHIN 10' �tiN1�GNwn itl•
OF ANY SEPTIC COMPONENTS ov Ht 4°
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RESIDENTIAL SITE PLAN Prepared by: MET Engineering,PLLC,800 E. Mshkah St.Aberdeen.WA 98520
(360)310-0270 cell,(360)289-0958 bus, SMorta@eol.com
Prepared for: Remy and Erin Gutierrez,Owners May 17.2023 1. SHEET 1.0
Rev:May 19.2023 1