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Home My WebLink AboutBLD2023-00807 - BLD CD Environmental Health Review - 7/26/2023 �\`v`NG.PL,,k4<I MASON COUNTY COMMUNITY SERVICES Permit No: a02j7-- c' PERMIT ASSISTANCE CENTER: R E C E D E `'] i , .. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL�I t• • 7° 615 W.Alder Street,Shelton,WA 98584 �'� r. '•�", JUL 1 7 2023 !. � �fi Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone °y?`°' Fli.01-0'`sy Belfair:(360)275-4467•Phone Elma:(360)482-5269 615 W. Alder Seet JUL 2 62023 r BUILDING PERMIT APPLICATION ENV O(` tsdENjAL PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION NAME:Vincent Sr Gina Villeneuve/Eddy Et Al,Teddee Arlene NAME:Rodney Bishop-Dream Home Services(Construction Management Company) MAILING ADDRESS:4465 Golden West Ct MAILING ADDRESS: 14412 S.E.266th Street CITY:Gig Harbor STATE:WA ZIP:98335 CITY:Kent STATE:WA ZIP:98042 PHONE#1: 360-862-3055 PHONE:206-679-5111 ELL: 206.679.5111 PHONE#2: EMAIL :dreams@seanet.com EMAIL:vincev63@yahoo.com 'L&I REG#UBI-601-219-671 EXp. 1201/?02 PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER 0 NAME Ethan Giliming/Jared Baehmer EMAIL Permits@elevationhd.com MAILING ADDRESS 2102 East Main Suite 105 CITY Puyallup STATE WA ZIP 98372 PHONE 866.657.4371 CELL 253.317.0826 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 122162400040 ZONING RR5 LEGAL DESCRIPTION(Abbreviated) TR 4 OF GOVT LOT 2 W OF HWY FIRE DISTRICT SITE ADDRESS 2610 E STATE RT#302 CITY Belfair DIRECTIONS TO SITE ADDRESS Travel along WA-3 N toward Allyn,continue straight onto E North Bay Rd and continue onto WA-302E until one reaches the destination on the right. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES® NO 0 SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER 0 LAKE ❑ RIVER/CREEK ❑ POND 0 WETLAND 0 SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW la ADDITION ❑ ALTERATION 0 REPAIR ❑ OTHER 0 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Garage/Residence IS USE: PRIMARY ® SEASONAL❑ NUMBER OF BEDROOMS 1 NUMBER OF BATHROOMS 1 HEATED STRUCTURE? YES(Whole Bldg) ❑ YES (Part[s]of Bldg) 0 NO ❑ DESCRIBE WORK Construct Garage with new Single family residence above. SQUARE FOOTAGE: (proposed) 1ST FLOOR 960 sq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK 231 sq. ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq. ft. GARAGE 960 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 ❑ SEWER 0 / NEW ® EXISTING PLUMBING IN STRUCTURE? YES ® NO 0 If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 1 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) • Vs1ce Yueslegve 05/01/2023 —y„,Vi'lenewe(May 1.2023 12 11 POTI Signature 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 04 'IiZ/iV Z9 ` (ram,W is -Oiled 00E07 MASON COUNTY PUBLIC HEALTH OFFICIAL USE ONLY COMMUNITY DEVELOPMITCEIVED Date received: ENVIRONMENTAL HEALTH REVIEW Amount received: Received by: 415 N.6th Street, Shelton,WA 98584 jut_ 17 2023 Case number (360)427-9670,Ext.400 (360)275-4467,Ext.400 615 W. Alder Street - 1.Applicant/Property Information E NVI RQ N M E N I AL Applicant Name Assessors Parcel Number Vince Villeneuve 122162400040 Mailing Address- Street City State Zip Hl EALTH 4465 Golden West Ct,Gig Harbor,WA 98335 Site Address- Street City 2610 E State Rt#302 Belfair Contact Person Contact Phone Contact Email Ethan Gillming/Jared Baehmer 866.657.4371 permits@elevationhd.com 2.Type of Review/Job 3.Job/Site Information Check all that apply ❑X Residential ❑ Commercial ❑Tennant Review 2(existing str), Z(existing str-no changes) 0New ❑ Replacement ❑ Pre-Application 0 new SFR + 1 new SFR _ 1 new SFR Existing Number Proposed Additional Total Bedrooms ❑ Remodel ❑ Addition ❑ Other(explain below) Bedrooms Bedrooms Describe Work Use for remodels,additions,or replacements Construct Garage with primary residence above. One full bathroom and 1 bedroom. Existing Sq.Ft. Proposed Sq.Ft. Total Sq.Ft. Basement?(yes or no) Total Number of Floors Interior Remodels need to attach an Existing Floor Plan and Proposed Floor Plan No Garage+1 floor above with room designations.Max Paper size 11 x17. Property on Shoreline(yes or no) 4.On-Site Sewage System/Sewer Information Yes Perimeter Drains Proposed?(yes or no) Property Served By: Yes Number of Employees(if applicable) ❑ On-Site Septic System ❑ New 0 Existing N/A ❑x Sewer Connection x❑ New 0 Existing 5.Water Source Information Permit No.(if applicable) Plumbing in structure? Ef Yes ❑ No Name of Sewer System(if applicable) If yes: Using an existing on-site septic system will require a current maintenance report Please submit a completed Water Adequacy Form. and a Record Drawing(Asbuilt). Documents for both of these requirements may An incomplete submitted Water Adequacy Form may be be on file with Mason County Public Heath.Other requirements may apply. returned,and hold up review process. 6.Site Plan A scaled Site Plan is required with all permits,except interior remodels. An incomplete submitted site plan may be returned,and hold up review process. Paper size for site plan can be 8.5x11,8.5x14,or 11x17(max). Please use checklist below: D Property lines/dimensions ❑Primary Drainfield area ❑Reserve Drainfield area x❑Existing/proposed wells ❑x Waterlines ❑Septic Tanks location ❑Location of curtain/perimeter drains ❑Direction of Slope 0 Driveways/Parking areas/Easements ❑x Existing Structures/buildings 0Proposed Structures/Buildings E Sewer lines/tanks ❑Additions D North Arrow 0Scale Bar Applicant Signature r / Date /--(3-—Zu2�j FFICIAL USE ONLY Departmental Review Approval Intls. Date Notes,Conditions,Related Permits Water Adequacy / 1 W2(Z5 LiR.17 la PeiGive Sewer/Septic System DA t /22(t j CordlitAS ad(cX,d Tenant Review Revision THIS FORM MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE Revised 12/7/2015 v77 CDo 0 E R n v Rd :n Q O a) (CI E Z -0 W • N Q L. O (D •'�'•''��b 'd stir• n / ._____:::;;;:::::::::*:,..vg.w..)\ i 44...t''.4 / ,� --Ati' /� 4 \r9.10• tt 1 , ' I a 4 /' 1.,/ ti / .. it ' e - . - .-I�— f$ I 17) 10'-11 I 37-y• n• •--�. 1 91 I o 73 4 I' :..... I 4 C--N' OC Li _____---- \ s - a ' El S m D IIII " CVr r / / C5 , /" I I I I •► O4J i I Lam+ • °—' : Rss '' •a./ /\1 0 ? I ~0 3 1 ! i1 N w - L 1 g ,-, S w`,ipi, gip 1 liEs- r X ,-A rof• C jf 4E4 g - o g$ S I 7. ti_i .. '- .._`.�...r- Q-•M•«�---•�» Vince + r.��n•.� r mr04.wrw. _... ! 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