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HomeMy WebLinkAboutBLD2023-00784 - BLD CD Environmental Health Review - 7/10/2023 oJ.4�`C�MASON COUNTY COMMUNITY SERVICES Permit No:- BLp2a .3-vb7 4 ,z PERMIT ASSISTANCE CENTER: TRW •PLANNING•PUBLIC HF}iLTH•F9RE MARSHAL ENVIRONMENTAL 15 W.Alder Street,Shelton,WA 98584 -"iy„,✓--� Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone HEALTH m. �,/ Befair:(360)275-4467•Phone Elma:(360)462-5269 o\Sh •Nr / BUILDING PERMIT APPLICATION RECEIVE] PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: JUL I �^ NAME: Bilk )(0AN A-k� NAME: , cJLJ(3 MAILING ADDRESS: L AI C.b 3 ts-1-(r V r= ")a-:: MAILING ADDRESS: 615 W. Alder S# CITY: O\pivi,-;., STATE: U.44 ZIPn851)0 CITY: STATE: ZIP: PHONE#1: 36c S34- 3.7511 PHONE: CELL: PHONE#2: 360 ,rr'ri-17AL p EMAIL: EMAIL: b(1(,y7avtdI 69N�2i/, loon L&I REG# EXP. / / 1.--- W 3 r • PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER 0 J U L 1 0 2023 v NAME "A(tt lam" [e- EMAIL MAILING ADDRESS 4a)( b3'4 iW kV r- CITY !JI-yat pot STATE_Li h ZIP cf 07 b t PHONE CELL 360 c??t -31c9 RECEIVED PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ':f'a i 3. FAD 0 C' S 3 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Sh'O It`( C I to Lake 0 R. CITY S k z I Ai DIRECTIONS TO SITE ADDRESS Ni ,_-k a 6N k I 1 m i le. f t S 4-llaa io CGS.ne j 3/41L0L((` 4L1BtpkS / esil}-24/04A02-OA Ls?-ef' 1,1,4 el IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO sit SNOW LOAD:3I psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check at!that apply): SALTWATER❑ LAKER( RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n 4 USE OF STRUCTURE(Resldenc aru a omme:rialBldg Etc) L1) 57v•« Aa t 1 poy�vit cotuif Ox"G:Q ..9z1) IS USE: PRIMARY❑ SEASONAL El NUMBER OF BEDROOM{ c&.. _e NUMBER OF BATHROOMS 1- HEATED STRUCTURE? YES(Whole Bldg)0 YES(Para[sJ of Bldg)❑ NO❑ DESCRIBE WORK N'L.iti scP a-U Sint,.i e Rh,'x $/ Wi -k 12-X_L t ltep4-iI 1 eiin Lto‘?4,4"' i SQUARE 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 sq.ft. OTHER sq.ft- GARAGE/9.2i? sq.ft. Attached❑ Detached igi. CARPORT ' _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 . SEWER❑ / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES_ NO❑ Ifyes,attach completed Water Adequacy Form . PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOD EXISTING SQ.FT: EXISTING BEDROOMS_ _ PROPOSED BEDROOMS _ TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate intomiation 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 1 am entitled to rzutive this permit and to do the work as poposm1.1 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 '&91 y aaOv2� Signature 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 , A ![Z(Z013 Not/fat64u1, 11mos ("--- •.,.8,ttac•P�v�`Y MASON COUNTY COMMUNITY SERVICES Permit No:ti,(}aDa -0o7sq PERMIT ASSISTANCE CENTER: , •BUILDING •PLANNING •FIRE MARSHAL i I, k 615 W. Alder St-Shelton, WA 98584 0 f www.co.mason.wa.us BUILDING -)y AN Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 --J.Hy N^ Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 . PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: at,l 9,(1),1,Qe__ NAME: MAILING ADDRESS: 61I b- Gi,. w r MAILING ADDRESS: CITY: © ,,,,, t:, STATE: LU R ZIP: 967.51 to CITY: STATE: ZIP: 1' PHONE: i3 i s S '1- 3 7$',' PHONE: CELL: 2nd PHONE: '36 u c -7u o EMAIL: EMAIL: h;i' ,y"',Ad le efevt4.ii,CD,,.---- L&I REG# EXP. /_/_ PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 4a 13 5 5 cc oc>S 3 Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: 8bC 1/4 cl l.e.L.Ike- 6 R. CITY: Sine..L'1(6,0 DIRECTIONS TO SITE ADDRESS: , if.l o d'i-k ova 1 c 1 u.tip,,-F I mile -vzt wt S he-L 1 ?u la l 1 c t,e c t2.t S Ise (- tvt1-c cf 4_ }e d Co vo wta.:vtl-ly . TYPE OF JOB: NEW IllIMAADD' I ALT1 I REPAIR' 'OTHER' I USE OF BUILDING *mid sleep LOCATION OF FIXTURES/UNITS— 1ST FLOOR) 12r'D FLOOR' 1 BASEMENT II= GARA OTHER( I PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG' 'Natural Gast (Ductless 1. Toilets 1 Type of Unit No.of Units Fees Bathroom Sink 1 Furnace Bath Tubs Heat Pump I ' Showers I Spot Vent Fan y Water Heater Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent I Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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,owners legal representative,or contractor.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 authorized agent 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X '7/�i /2CSignagot,,,ati? a of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev: 1/27/2016 JBN �tt��� ►�luv) 1-1..., PLANNING SETBACKS i �a . �" • Front: 25' mho Rear and Side: 20' -�� � • "Subject to EH Setbacks SUBJECT PROPERTY ---- '..Must also meet 50' setback . from lake r•Y '..V. 1 Z!r„^r Ytr �.ri Yw`eYa^l Nng'IV 4 w ,wor YWUrI.I\t. ••a�u„q jYr Ma, alwrry: ,.sr nM.w. in: nO.w•.. -- .. tc trt. • 1 4.----- •.. . .. ..• .•,. .27..:. • .: ..,:.•., ' :•-•,. .. - •- 7 C_ ..w--�+ 1 • -- -.-•---.. -. ' -?=T.;r -1_- -_ . I. t-a-z,s� \ 'it k�ree lC� Y \.. ..- r �= a Full"ifr . t n1M1. ._..- r � ;7 �lj �1' I fz...1/41"Q-as'PR* \ 1 $.chi^ �. • • I EH SETBACKS © A A)Dran5e(d/Reserve requires 10'setback from footing/foundations 8)Septic tank(s)requires 5'setback from all foobng/foundanons • I C)No foundatio. perimeter crams within 30'dovmigradient of drainlotd/ `,.S. reserve area © I DI No culls).bank(s)(greater than 5'&over 45 degrees)within 50' r ?RC 04 If 1 dfm'n•gradeent of dranheld/reserve area • EH APPROVED .. \ \1:1) s [SkQa>~p e D Anderson 09/12/2023 '11`KK�'N • ` 5t;x�t8t : i SA P * tk WI ex% I 1 7A ` 7--- 1 APPROVED 11t MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE \ le'ockAkk 1 CHANGES SUBJECT TO APPROVAL By: • 7e --\ i Date: 07/25/2023 . 1 fi1%6 S c-G 4...9 = \ AGO 4oT^srs ,ai,`0.. 11 t off" '��Q'r� I.OT `g ��� 5 i31% gcl,, ` cL.y-4to. • ecy _L—_.czA u 35-So- 00053 $(12 o Up• C9.12 sun Lam- fir. l • -�l.� r _.-- la` Pay�`�trr� PLANNING: f mac. 1. ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING