HomeMy WebLinkAboutBLD2023-00096 - BLD CD Environmental Health Review - 1/23/2023 .fr, 46•rz-vv,14 MASON COUNTY COMMUNITY SERVICES Permit No: 120;1)•663 )c1
PERMIT ASSISTANCE CENTER:
� .�� •BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL RECEIVED
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615 W.Alder Street,Shelton,WA 98584 ` l�
. Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone 2023
yj ay Belfair:(360)275-4467 Phone Elma:(360)482-5269 JAN
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BUILDING PERMIT APPLICATION 615 W. Alder Street
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: a
NAME:Felicia Butterfield&Stephen Butterfield NAME:Washington Home Center
MAILING ADDRESS:Po Box 1979 MAILING ADDRESS: 61 SE Ryan RD
CITY:Belfair STATE:WA ZIP:98528 CITY: Shelton STATE: WA 'LIP: 98584 D i
PHONE#1:425-516-1829 PI-IONS:800-490-9424 CELL: 360-280-0076 ;
PHONE#2:757-880-9550 EMAIL : kain.kirkendoll@washhome.com r
EMAIL,:redneckandkitty@yahoo.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 •
NAME Felicia Butterfield&Stephen Butterfield EMAIL i
MAILING ADDRESS PO Box 1979 CITY Belfair STATE WA ZIP 98528-1979
PHONE 757-880-9550 CELL 425-516-1829
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32011-14-00050 ZONING RR5
LEGAL DESCRIPTION(Abbreviated) TR 5 OF SE NE SEE SURVEY 9/115 FIRE DISTRICT
SITE ADDRESS 2230 E Agate Rd CITY Shelton
DIRECTIONS TO SITE ADDRESS From planning office,head north on W Alder ST to N 1st ST.Turn right onto N 1st St.Turn left onto E Pine ST.Continue onto HWY 3 N.
From HWY 3 N turn right onto E Agate RD.Driveway is 500 ft past mile marker 2 on the right side.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:30 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK D POND ❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW 0 ADDITION ❑ ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence
IS USE: PRIMARY 0 SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3
HEATED STRUCTURE? YES(Whole Bldg) 0 YES (Part[s]of Bldg) 0 NO 0
DESCRIBE WORK Land clearing,new septic,new well,new electric,grading,new manufactured home
SQUARE FOOTAGE: (proposed)
1ST FLOOR 2065 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK 80 sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE sq. ft. Attached 0 Detached❑ CARPORT sq.ft. Attached❑ Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE Cedar Canyon MODEL 2067-LS YEAR 2023 LENGTH 70 ft
WIDTH 29 ft 6 in BEDROOMS 3 BATHS 3 SERIAL NUMBER 223 KID 7935
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form
-PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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 LICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42) �J
ignLOWb% heOWNER)
Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL .� �,/�/(
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�130 • \ " _ EH�SETBACKS
` A)Dr 'nfield/Reserve requires 10'setback from footing/foundations
B)Se is tank(s)retquires 5 setback from all footing/foundations
C)No foundation/perimeter drains within 30'down-gradient of drainfield/
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p &)N cut(s),bank(s)(greateLthan 5' over 45 degrees)within 50'
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PARCEL..32O11-ail-oco5O
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