HomeMy WebLinkAboutBLD2023-00978 - BLD CD Environmental Health Review - 8/16/2023 .,,.‘'`�`'•`'' '1t MASON COUNTY COMMUNITY SERVICES Permit IrC c -� Il^ PERMIT ASSISTANCE CENTER:.-E:6 l V L U ..
'.3 .BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
') I' 615 W.Alder Street,Shelton,WA 98584
'1. �� _ Phone She/ton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
AUG 16 2023
?/1) ,aY Belfair(360)275-4467•Phone Elma:(360)482-5269
"-•ttttwo 615 W. Alder Street m
BUILDING PERMIT APPLICATION Z
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: =
NAME:Tyson Kruger NAME:Coval Homes m
MAILING ADDRESS: 1325 Wingwood PI MAILING ADDRESS:2023 125th Street East r-
r-CITY:Shelton STA"IE:WA ZIP:98584 CITY:Tama SPATE:WA ZIP:98445 -�
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PHONE#1:360-870-3241 PHONE:253-693-4446 CELL: = •
PHONE#2:360-412-3673 EMAIL :info@covalhomes.com
EMAIL:tysonkrugerl@gmail.com L&I REG #COVALHL 894 QD EXP. 11042023
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0
NAME Tyson Kruger EMAIL tysonkrugerl@gmail.com
MAILING ADDRESS 1325 Wingwood PI CITY Shelton STATE WA ZIP 98584
PHONE 360-870-3241 CELL 360'870-3241
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32027-76-00030 ZONING Rural Residential 2.5(3.65 acres)
LEGAL DESCRIPTION(Abbreviated) TR 3 OF SURVEY 2/101 EX PTN LYING ELY OF WLY RIW S 50/227 FIRE DISTRICT Mason County Dist.#4
SITE ADDRESS 1981 SE Blnns Swiger Loop Rd. CITY Shelton
DIRECTIONS TO SITE ADDRESS From Arcadia Rd,Right on the 2nd entrance of Binns Swigger Loop Rd. Once on Binns Swiger,the property is
less than a mile up on the right hand side.There is a gate,but it is not locked,and can be opened.There is currently no address marker.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE ❑ RIVER/CREEK 0 POND 0 WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION El ALTERATION ❑ REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES (Whole Bldg) ❑r YES(Paw[s]of Bldg) ❑ NO ❑
DESCRIBE WORK Construction of new home
SQUARE FOOTAGE: (proposed)
1ST FLOOR 2052 sq.ft. 2111D FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
f. t
DECK sq. ft. COVERED DECK 352 sq.ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE 528 sq.ft. Attached d Detached 0 CARPORT sq.ft. Attached❑ Detached❑
MANUFA D HOME INFORMATION: OPIES OF THE FLOOR PLAN REQUIRED*
MA MODEL YEAR t NCT—H------'
IDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑' SEWER❑ / NEW ❑r EXISTING 0
PLUMBING IN STRUCTURE? YES ❑ NO 0 If yes, att, -ompleted Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES' NOS EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 3 TAL 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
PERM T APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
1 COUNTY CODE 14.08.42)
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Si t re o NER(Must be signed by the OWNER) Date
DEPART ENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL r
PUBLIC HEALTH 2c(23 `U\69, r)t.t. '�(
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EH APPROVED
Rhonda Thompson 09:'20/2023 Fr of t y0,1-J Cj6
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co cz A.) Drainlield/Reserve requires 10'setback from tooting/foundations
.NC .� B.)Septic tank(s)requires 5'setback from as looting/foundations
C.) i i) C.)No foundation/Perimeter Drains within 30ft,downgradient of
Draintield/Reserve area a
1 E D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
Soft,down gradient of Drainfield/Reserve area
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