HomeMy WebLinkAboutBLD2023-00704 - BLD CD Environmental Health Review - 6/23/2023 Permit No:(hi_
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
tt'-,, Permit Assistance Center,Building,Planning JUN 22 2023
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR I F ORMATIAlder
Nd @ r
CNVI ENTAL
NAME:Kann Legacy LLD.Michelle Ginn NAME:Estes Builders LLD
MAILING ADDRESS:986TumslpneRe MAILING ADDRESS:2590o3Rwy1o1 H EAf H
CITY:00000.° _ STATE:DA ZIP:9201 CITY: °'" STATE:WA ZIP:9B362
PHONE#1:'6o-els'0369 PHONE:3606e3e556 CELL: 36's'6w01
PHONE#2: EMAIL:,errnls®talesWilder5.com
EMAIL:mlCheee@Wrelohwashnglon.com L&I REG#ESTESBL981DL EXP. 03//13/24
PRIMARY CONTACT: OWNER 0 CONTRACTOR OTHER 0
NAME E.weWar. Em1r6'-m6. EMAIL p•"11"s0paesa.aers.ccm m
MAILING ADDRESS 259W3Mry101 CITY seo' STATE WA ZIP96362
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PHONE 33'a156 CELL '°P51C'p1 m
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PARCEL INFORMATION: m o
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PARCEL NUMBER(12 Digit Number) 22222.12,00100 ZONING ARs w
LEGAL DESCRIPTION(Abbreviated) TR 10 of GOVT LOT 28 T.L S 45a24 FIRE DISTRICT
SITE ADDRESS 15171 E'gum CITY Beeau
DIRECTIONS TO SITE ADDRESS From Shelton lake E WA.3 through eayshore.Turn tell on E Mason Benson Rd.Turn right on E Traib End Rd past Benson Lake.
Turn left on WA'106.Property is on Iho r111191.0.9 m4es.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK 0 POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR❑ OTHER ❑Repacenrent
USE OF STRUCTURE(Residence.Garage.Commercial Bldg.Etc)Residence
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 2i1 NUMBER OF BATHROOMS eS•'
HEATED STRUCTURE? YES(whole Rldg)❑+ YES(Bart(s]of Bldg)0 NO❑
DESCRIBE WORK°WORK PoncaneA of Wm ma 000.nom..le."..61.020]I-001121)and r.pan.tl,, 2.005JEEd mWh.ce.S,0.0.6Oni'9*ADV.*ad B1a 46u.pNnw,d pace and ENW.0 MD al Ad,bakir.
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1411 sq.ft. 2ND FLOOR 1031i701ADU sq.ft. 3RD FLOOR46' sq.ft. BASEMENT sq.ft.
DECK 419 sq.ft. COVERED DECK 28° sq.ft. STORAGE" sq.ft. OTHER sq.ft.
GARAGE 720 sq.ft. Attached 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS 4ldanio'dt PROPOSED BEDROOMS 2.lADU 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&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
o«�spn.a er: COUNTY CODE 14.08.42)
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rkidAatt, t&t.k. 05/15/2023
gv•ears-e-�e'`o
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL // ��
PUBLIC HEALTH P- � c 7/117� iv4 o ctrh(,t
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> `f` 6s GINN E S T E S PRELIMINARY DESIGN
{tt`11 RESIDENCE BUILDERS
C7 ITV I,I° 15171 EAST STATE ROUTE 106
O ��L E 14 tl BELFAIR,WASHINGTON SITE PLAN
II PARCEL 0 22222-12-00100
,SffiC 1 • SI"6ZOZi — aoc a
SITE ADDRESS 15 17 I E 5R I 06
SEPTIC SYSTEM DESIGN PLAN PARCEL NUMBER 22222 1 200100
LOT NUMBER
CLIENT BUILD SEATTL-20G-556-2126
IN.7'•ALLCK 10 LOCATE Eic:STIt.G:PATER LINE TO PARCEL y�'ESTSIDE
r22222 1 2001 1 0 AND RELOCATE A MINIMUM Or l Cr
FEET TO MAINTAIN I0'MORIZONTAL SETBACK TO SEPTIC DESIGN LLC. OWNER BRENT MILLER
ALL SEPTIC SYSTEM COMPONENT9 900 W.MCY.CRSON ST,
KEITH PELZEL
253.2066076 SUITE I I PMB 1 28
ti.7,10WE5T5rDE5EPNC.COM SEATTLE WA 981 19
SOIL LOGS M'DCA 73•DG9 PLn A;L;P WA 93373
TAKEN 9•11.20 BY Kevin PLUM. DATE 1 2-15-2 I PAGE 1 Of 4
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00-15•RLL �eIprANAirte eft WARM TowoW.••.euv.-vlt•*aromawe WTI.&fawn lures DR!,UNCS TO BE ON'2'CENTERS ON TOP OF SAND LAYER.
I5.64•EXTREMELY GRAVELLY COARSE SANDS "'O`"017,;,=rrntCown:gr,,, tus+n.aoaaxrtrretuerowxro.uvwcxnu
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IN 4B'INCH WIDE TRENCHES.FILL TRENCHES WITH 2'fCET
A5T14 C-33 SAND TO WITHIN 9•iNGTIES Of ORIGINAL GRADE.
PLACE GRIP UNC5 ON 12'CENTERS ON TOP Or SAND.SACK
flLL WTT'1 C•INCHES Of ASTM C•55 SAND AND THEN 9'IICHLS
Of MINCRAL 504.COVER.PILL MUST SE REMOVED 5Y INSTALLER
SEC PAGE 4 PDX ORAINFICLD'IICNCTICS.
TANK KEY
A•1000 GA•LON SINGLE ,i11
COMPARTMENT'RAS,'TANK 1 II
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0-1 250 GALLON SINGLE COMPARTMENT /II
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AND REMOVED BRIDGE Warn ASTM �XE N' OE .a L //f
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Of EXISTING WET WELL TO I / 1; - I14 \1 l� BC REMOVED
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w!T WELL TO EL!REMOVED I
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