HomeMy WebLinkAboutBLD2023-00390 - BLD CD Environmental Health Review - 4/12/2023 4ppp.G 't'M MASON COUNTY COMMUNITY SERVICES Permit No: ( ' 2 L)- ) '1)O131 L)
PERMIT ASSISTANCE CENTER: E C E I\ / D
r 2 .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL V C
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•�t• 615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360.14 2 7-9 6 70 ext.352•Fax:(360)427-7798 Phone� q P R 2 2023
Bel/air.(360)275� Elm 467•Phone a:(360)482-5269
BUILDING PERMIT APPLICATION• 615 : • - eet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: n-I
NAME: Warren Hoss NAME: Same Z/
MAILING ADDRESS: 35433 26th Ave South MAILING ADDRESS:
CITY: Federal Way STATE:WA ZIP: 98003 CITY: STATE: ZIP:
PHONE#1:206-979-4604 PHONE: CELL:
PHONE#2: EMAIL: m 0
EMAIL: warrenhoss(a)q.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER g rn
NAME Jenniter Weddermann, Weddermann Arch EMAIL lennifer@weddermann.com
MAILING ADDRESS 4629 Yakima Ave crryTacoma STATE WA ZIP t1R4O8
PHONE 253-973-6611 CELL 253 341 6748
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32212-76-00050 ZONING R5
LEGAL DESCRIPTION(Abbreviated) TR 5 of survey 2/134 NW 1/4 FIRE DISTRICT North Mason D
SITE ADDRESS 860 NE Tahuya River Road CITY Tahuya —°
DIRECTIONS TO SITE ADDRESS Go North on State Route 3 to NE Old Belfair Hwy.Turn Left then Left again onto State n
Route 300 to NE Belfair Tahuya Road Turn Right to NF Tahuya River Road Turn Left to Site on Right(unmarked) C oo ,L
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES® NO❑ IT1 c:
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): Kin
W
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SVASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Etc.) Residence
IS USE: PRIMARY❑ SEASONAL® NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)® YES(Perils]of Bldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(propose+existing) 4 y
I .51 1ST FLOOR sq.ft. 2ND FLOOR 3 sq.ft. 3RD FLOOR _ sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 141.3 sq.ft. STORAGE sq.ft. OTHER sq.ft
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN QUIRED*
MAK MODEL — LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC® SEWER❑ / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES Z NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES® NO0 EXISTING SQ.FT.
EXISTING BEDROOMS d PROPOSED BEDROOMS 2 TOTAL BEDROOMS_2
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 APPLIC AIWORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
CUNTY COM-14.08.42)
-..-----(------/ 7 - 17
ignature 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 a sylitap3 coid4rts de,,Q
PLN Approved
04/26/2023
Mason County Comrr,unity Dev_elopment--`----- __ -- ' �j'
Gavin Scoy�ten I'',. I fit`- - -
All Changes Subj ct to Approa.I r--____ 1
Planning etbacks' IA 6
Front: 25' / I :`
Sides: 20'
Rear: 20' I :— f t
*all setbacks measu�ed from the f2lrthest _— — ri,
projection of the building t' _
it
*subject to EH setbacks __' rr �I i I
EH1 SETBACKS''., I i rc
•`
A)Drainfield/Reserve require 1p'setback from;footiagifoundatibm
B)Septic tank(s)requires 5's tb4ck from alhfgoting/found-dt►on5,._ iv
C)No foundation/perimeter rains within 30'dow i-g athent of drainfield reserve area i I ' • _
D)No cut(s),bank(s)(greater than 5'&ove.f45,Egrees)withir\ti 0' ,� _
down-gradient of drainfield/reserve area r, i
f, , fix
EH APPROVED t
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D.Anderson 08/11/2023; ti I
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SHEET HAM INFO REVISIONS E"OCT `e�' rtcw tirtnre WEDDERMANNI
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