HomeMy WebLinkAboutBLD2023-00800 - BLD CD Environmental Health Review - 7/20/2023 Permit No:bII(l,21) -ot -)
,►,; .,. MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT !AM
\\ :4441 Permit Assistance Center.Building.Planning JUL 1 3 2023
BUILDING PERMIT APPLICATION JUL 2 0 2023
615 W Alder Strt
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: RECEIVED
NAME:Dawna+Henry Robinson NAME:Adair Homes
MAILING ADDRESS:33 Stozyk rd Raymond,WA 98577 MAILING ADDRESS: r -..
CITY: STATE: ZIP: CITY:1311 SE Cardinal Ct STATE:WA ZIP:98683
3607017936 PHONE:
PHONE#1: 425 363 0054 CELL:
PHONE#2: EMAIL:hweller@adairhomes.com
ESL:henryrob4@hotmail.com+drobinson@peell.k12.wa.us L&I REG#ADAIRW626RZ EXP.01 /09/25 =
m
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0 rn
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP '
PHONE CELL = r1
PARCEL INFORMATION: z_,
PARCEL NUMBER(12 Digit Number)422095400035 ZONING
LEGAL DESCRIPTION(Abbreviated)'°'—'""'"""'"""""'""""""°°"""""'—'—"' FIRE DISTRICT r
SITE ADDRESSTBD Kokanee Park Court CITY Hoodsport
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:40 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence 1
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS s._7 NUMBER OF BATHROOMS;:
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s]of Bldg)0 NO 0
DESCRIBE WORKBuilding a new SFR with 3bed,2 bath house with attached garage
SQUARE FOOTAGE: (proposed)
1ST FLOOR1524 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK144 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE440 sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached 0 Detached 0
MANUF D HOM *4 COPIES OF THE FLOOR PLAN REQUIRED*
y E MODEL L-E1Qf
'WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Fo1711
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
/. /
Signature of OWNER(Must be signed by the OWNER) Date--
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESiCONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL (�
PUBLIC HEALTH a(Nt(7/3 4/N I 5
DecoSign Envelope ID:38C81580-U 0-a5O0-AtUF-9U8WCbB3332
"AA ADAIR HOMES'
PLANNING:
PLOT PLAN LL SETBACKS ARE MEASURED OM
THE FURTHEST PROJECTION OF THET
BUILDING
The information on this Nan has been provided and reviewed by the property ounrer who by signing below:1)Acknowledges and Accepts full responsibility for its accuracy and
completeness:2)Is responsible to ensure that the improvements to the site take place in conformance with this plan:3)Will establish all the corner irons.lot lines and code
required setbacks required of this property,any change(s)to this plan must he pre-approved by the governmental agencies with;indiction,the mortgage lender.the contractor
and documented
Customer Signature: I N w,riliu,sok, Date: 5/25/2023
}meerr wwn es o.
Customer Signature: Date: 5/25/2023
If(`i--+
-- - EH Setbacks
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A.) Drainiield/Reserve requires 10'setback from toobngrtoundavons
B.)Septic tanks)requires 5'setback from all tootingi1oundations
` C.)No toundationfPertmeter Drains within 30ft,downgradient or
Drainlield/Reserve area
�}. D.1 No Cul Bank(s)(greater than 5ft and over 45 degrees)within
50ft.down gradient of Draintield'Reserve at ea
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Tank location
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PLANNING SETBACKS ./ r�
i Front: 10'ADV2021-00131 !!! APPROVED
Rear:20'(NW and SW) MASON COUNTY DCD PLANNING
Side:5'(NE and SE)ADV2021-00131 SITE PLAN REQUIRED TO BE ON SITE
'Subject to EH Setbacks CHANGES SUBJECT TO APPROVAL
By; �'"�� ' Data:07/25/2023
13115E CARDINAL COURT SUITE 100 VANCOUVER.WA 98683 360.448.0061 ADAIRI4OMES.cmn
.Al',Om reer..ed CM..1..1 Z020 CP CCP v591.WACCU ADAIVI'MAZ waif V NAMMh0 AZ v rpts