HomeMy WebLinkAboutBLD2023-00752 - BLD CD Environmental Health Review - 7/7/2023 r .� co , MASON COUNTY COMMUNITY SERVICES Permit No Elf i Cr�,`l
•E, '� PERMIT ASSISTANCE CENTER:
"..-BUILDING•PLANNING•PUBLIC HEALTH•ARE MARSHAL
y.. 615 W.AIA•r Sheet Shelton.WA 98584 ' E C E I V E D
Shelton:(�Bo)az 9670 ext :(360)42T_T78B JUL 0 71013
`= Belfair(360)273-440T•Phone Firm:(360}f82S269
BUILDING PERMIT APPU ECEIVED JUL 0 5 2023
PROPERTY OWNER INFO TION: CONTRACTOR INFORMATION: i
/ 615 W. Alder Street
NAME: %'4/ LC- C/9 r 5 Yi 1 NAME: ,SG/1
MAIL I r ADDRESS:f O. L5X S7 Si MAILING ADDRESS:
MIP
CITY: a.— •cj, STATE:QA :3/30.: CITY: STATE: ZIP:
PHONE#1: .O , �0 PHONE: CELL:
PHONE#2j- j512111 'M'LZeWSAT EMAII-
EMAIL:Oki artt n y sDN• "7/11 Al .C.?rr1 L&I REG# EXP. /
PRIMARY CONTACT: ,.* OWNER P CONTRACTOR❑ OTHER❑
NAME )afriA. E MAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
JARCEL INFORMATION: p
PARCEL NUMBER(12 Digit Nucmber)32^O/S.-/3---000 0 Q ZONING K/
LEGAL DESCRIPTION(Abbreviated) P 77i Gal- Lcit.. / /s-20-3 FIRE D
SrrEADDREss /,oO E cG/lx
DIRECIIO S TO Sl lb AD S /'• t / oc
i it ri,kt. %. th/ltS it. /"/i /> /n! PGl�c ^.1 /j
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ix
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ctrectall that app4):
SALTWATER a LAKE❑ RIVER/CREEK❑ POND❑ WE LAND®, SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW igs ADDITION❑ ALTERATION❑ REPAIR OTHER 11
USE OF STRUCTURE(Rm*tmec Gams%.Comeacidlldg Eta) S /Z' AL://7///15
IS USE: PRIMARY❑ SEASONAL g NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 0
HEATED STRUCTURE? YES(wide Rtdgl❑ YES r//rarr(s)of Bldg)D. NOEL
C-7l
DESCRIBE WORK ht(c f.3b;�n'Stor a jc 6it//(ni_ .- Pt/a(1d y Sds Pftrl�
$OUARE FOOTAGE;an/.+eAalmg:
1ST FLOOR/72 V sq.R 2ND FLOOR sq.ft. 3RD FLOOR sq.R BASEMENT sq.ft-
DECK sq.R. COVERED DECK sq.R 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 REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: StFIIC IN SEWER❑ / NEW❑ EXISTING IN
PLUMBING IN STRUCTURE? YES❑ NO21 If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES S NOD EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
CAMPER acknowledges that submission of inecarete kdomation may resiit In a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I*WNrdedere that I am entitled to receive'tths permll end to do the wok as proposed I have
obtained permission from at the necessary pates,inducing any easement holder or parties of Interest regarding this project The owner or legal
representative,represents that the kdormation provided is eoarote end grentS employees of Meson County access to the above described property
and structure(s)for review and inspection.This pdrtdtleppecaton becomes nu t a void G work or authorized construMion Is not commenced within 180
days or G co strtrbon work Is suspended fora petted N 180 deys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
X /P� ' NTY CODE 14 08.42)
—3O�Z013
Signalise of OWNER(fit be• v the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL , —
PUBLIC HEALTH ( )i3c °/I qh.1 C 1/`f1l f t I u' a
Planning Setbacks
Front:.25' oekhri 64.1j (cfikPiii4A cuve itii,I) PLN Approved i
Side: 20 07/17/2023 .-
., -- -- - /
Rear:20' 'ity ve p ' n
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EH APPROVED ----- ofz.)
Rhonda Thompson 09/14/2023 )f- • )(-*
-ro idesi end of.iearal /
..._... --_. . ,.,..
I OF(JUKAPNY FKUI-ILE:
EH Setbacks ,--
Cz-- .N ______ .
I.) Dr ainfield/Reserve requires 10'setback from footing/foundations ---------
3.)Septic tank(s)requires 5 setback from all footing/foundations I
,,,... \ /
.)No foundation/Perimeter Drains within 30ft,downgradient of . .2 7. /i
)rainfield/Reserve area '7—4..7/0 • --X1/1- . — - --- - --- --C---------::----- 2 iu 2 sitr-<
LNo CwLnit gradientl3an(s)(grearatenrittehacriiii:ft and ovveera4Sclegrees)within .. . • •
b°"12---- alD i I
..-:?:)1(1 -11,zi-.5 - (Y) P',-) ..''
Building Permit number: - , - •—• Direction: /. Scale: /
#/i•Joi 3 b 4141, /', 60Approval:for office use
Building:
id 04 'Vat. Z Ito"
Owner/Applicant:D/44AL 14-'-/(faiiii.4 khlr/---447 •tv Iler,.1c loy P4, Date of Planning:
Parcel Number: 320/s /3--V000 an 14-1•6 , I.S mik-Lapplication: Env. Health:
"- 0 f„ ....,141i1 rd.*rota
ii,2frid. iy feted
0,1 evirr, .
Alok - b,)ill anti Gle.nial 610 17llet--
50c at,e exinlini..