HomeMy WebLinkAboutBLD2023-00949 - BLD CD Environmental Health Review - 8/11/2023 (rsg's.PLC11.\izi, MASON COUNTY COMMUNITY SERVICES Permit No: j� )`l- -OO !` '
6� PERMIT ASSISTANCE CENTER: P'^e .t •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL Ei Pyl N TA L
..,•- ,: `y 615 W.Alder Street,Shelton,WA98584
•• _ \ •.;_1 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone AUG. filf�iry��• 'F41_ . . _ -
V: yy Belfair.(360)275-4467•Phone[lma:(360)482-5269 r-f'L�t (..
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION CONTRACTOR INFORMATION:
NAMEc krnii 48)b b i Lc LL.ti67/` AME: .5&-r/Y1-e.-
MAIL i I S:'7.7 S MOO %AILING ADDRESS: � r�
CITY:t' STATE' ZIP:qf, ' CITY: STATE: ZIP: Z!
PHONE#1: o O `73 I- (o O 4(g" PHONE: CELL:_ r
PHONE#2: 3& 7- 73 I - (D O 7`Ir A('EMAIL: �rj i 1
EMAIL: /Oaci0/26/ear 6 vee•a,/e REG# EXP._/_/ 1013
PRIMARY CONTACT: OWNER g CONTRACTOR❑ OTHER❑ RECEIVED
NAME i O UP'CT1--i EMAIL
MAILING ADDRESS S jyyr S a-Lave- CITY STATE ZIP
PHONE 349(:)—0'71 -3 g---'t. -..- CELL •3/0 O-7 3 I- @ 0'4-Z'
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)3 oZ-O a l-6-6-"O Y0 a ZONING R R
LEGAL DESCRIPTION(Abbreviated) Sh oreC S" 11Yr_ a.A �S 7lix'k S FIRE DISTRICT
SITE ADDRESS oL 1 F 112- P �°FF 1 BL-?4 LOT2 ITY S I I CL( (�N
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 4 SNOW LOAD:2/0 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW tg.. ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) Re I Q E t./Tl t4 L-
IS USE: PRIMARY% SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS vZ
HEATED STRUCTURE? YES(Whole Bldg)K YES(Pants./of Bldg)❑ NO 0
DESCRIBE WORK I t....1.5 TA i_L M•F R -± '�; .
SQUARE FOOTAGE: (proposed)
'
1ST FLOOR/Z §q.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 sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION. LG *4 COPIES OF THE FLOOR PLAN REQUIRED*
Ai GMAKE F(. - T( J7)ZT11 MODELt$4-4'4 3 5 YEAR 26223 LENGTH `( S.-
WIDTH 2 G,15"r BEDROOMS 3 BATHS SERIAL NUMBER '—
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC`1 SEWER❑ / NEW, , EXISTING 0
PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,attach co pleted Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ N EXISTING SQ.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null 8 void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
QRo0frOF TINUATION OF RK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
( PERMIT APPL ATION OF 1 1?AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X 'K(a/C4
Signature of OWNER(M t be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL �,[� ,
PUBLIC HEALTH r ulz3 CC,Y- >ram"`X04.124-6)
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Planning Setbacks
Front: 25'
Side: 5' (ADV2023-00103) B1—Da0a3-o0C149
Rear: 20'
`all setbacks measured from the farthest EH APPROVED
projection of the building Rhonda Thompson 09'2012023
'subject to EH setbacks h�v (- .$)-
Tat'lti- 64' +. Or 0 N Ie........
r '10 e
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13 9 a ...._. ------ --- X S__. 3 -_------
o Q 15' EH Setbacks
O ?� q) O 1i 5� in A.) Drainheld/Reserve requires 10'setback from tootingnoundations
N 'S 0 2 `°96 Reserve B.)Septic tank(s)requires 5•setback from all footing/foundations
o O O N Are, C.)No foundation/Perimeter Drains within 30fl.downgradient of
QN { Drainfield/Reserve area
^ E T +--•- -- D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
i.i N O . '',1 50ft,down gradient of Drainfield/Reserve area
14 N U N 2 O
o tut Jags Atr�aYG a;ealr+ra.ttn t• 3 Budding Envelope Sued To
z SLtt 4 �Ribrp„..
J c — .X el».... .»..... ... .t«». ..,..H».. ...... 57.' X 35'TO Allow For Site .
a ea Q Adjustments For Meeting
68"X , \ Drainage Requirements
oM d"""actured ____�._��1
E 3 w
+ ,, s ►--,
t . SLN 1 0"•60" Loamy Medium Sand
.—a + 61"-63"Medium Sand
''' Y r< rage t ; 63" Groundwater Seepage in sand
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SL#2 0"-58"Loamy Medium Sand
A .,
.. . ...f .. ..- `fa 58" -62"Medium Sand
r 5'm(n t ab 3 X Ja 63" Groundwater Seepage in sand
Septic IV'moo • ;
~~ Tank t CI 1 ', SL# 3 0"-10"Loamy Medium Sand
f C, a X, s : 11" 6S"Medium Sand
ufr
�� o f SLi 4 0"-12"Loamy Medium Sand
t l' '•
Sleeve Water • a O 13" -6S" Medium Sand
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Line For 40 'L ;1'mumil a, i
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r Obsrtvdtton Pori.•(4; i . '#
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40'ROW E Fir Place 0 '•
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Septic Site Plan Scale -z-1 1" - 20' ,\c]cirr-:ss 21 E Fir Place, Shelton .}r' ' 11`'"
Tax parcel #32021-58-O4028 Nellie: Roots Land Co
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d -nSite Septic Design Allied Septic Design nail Excavating
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