HomeMy WebLinkAboutBLD2023-00853 - BLD CD Environmental Health Review - 7/26/2023 Permit No: t ae,
f efk,, /7-----. MASON COUNTYC V ,
K.. `' ) COMMUNITY DEVELOPMENT JUL 2 4 2 3 y
Permit Assistance Center,Building,Planning
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BUILDING PERMIT APPLICATION 615 W. Alden Stru t 1 62023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ' CEiVED
NAME:PWW PROPERTY DEVELOPMENT LLC NAME:
MAILING ADDRESS:521 W B ST MAILING ADDRESS: rn
CITY:SHELTON STATE:WA ZIP:98584 CITY: STATE: ZIP: Z
PHONE#1:360490-5106 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:PWWDEVELOPMENTS@GMAIL.COM L&I REG# EXP._/ /_ 2 74)
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 I-n 0
NAME TREVORGREGORY EMAIL OWNER D Z
MAILING ADDRESS OWNER CITY STATE ZIP
1 PHONE OWNER CELL OWNER --� m
PARCEL INFORMATION: Z
PARCEL NUMBER(12 Digit Number) 32104-5400105 ZONING NR D
LEGAL DESCRIPTION(Abbreviated) ALDERBROOK G&Y/4 TRACT 105 DIV.4 FIRE DISTRICT
SITE ADDRESS 160 a COUNTRY CLUB DR I ��,i i''11 CITY UNION 1
DIRECTIONS TO SITE ADDRESS N on Br'odicdgle rd.Right on manzanita.Right on Jack pine.Follow to end-site on right
IS TILE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN l4%: YES❑ NO 0 SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE❑ RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER 0
USE OF STRUCTURE(Residence,Garage.Commercial Bldg.Etc.)NEW SFR
IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2.5
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Panful of Bldg)0 NO❑
DESCRIBE WORK NEW SFR
SQUARE FOOTAGE:(proposed)
1ST FLOOR 1490 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK f'(i sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 612 sq.ft. Attached e Detached❑ CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL LENGTH
WI H BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER 0 / NEW 0 EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOe EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS
OWNER acknovAedges that submission of inaccurate information may result in a stop work order or permit revocation.AcknovAedgement 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 pennitlapplication 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)
x 6-17-23
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 /J � Q
PUBLIC HEALTH 1IirLZ C4I c
VA,
09/06/2023
APPROVED
NEW SFR MASON COUNTY DCD PLANNING
PARCEL #32104-54-00105 SCOT WEDy,AICP (.1)+-z
160 e COUNTRY CLUB DR.
Digitally rn
signed
ScottRuedy by g Scott -
A
Ruedy
t_po irti-e,L Club 1)1 Q
- - PRESSURE BED DRIVEWAY I
1 RESERVE
1
r
` o I
EH APPROVED
Rhonda Thompson 09/18/2023
1 NEW SFR
EH Setbacks ADV2023-00093- 5' Min
A.) Drainlield/Reserve requires 10'setback from looting/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation;Perimeter Drains within 3011.downgradient of
DramfleldlReserve area
D.)No Cut Bank(s)(greater than 5tt and over 45 degrees)within
50ft,down gradient of Draintield/Reserve area
11
1 'l%
1 -
All setbac.s are measured from the furthest
projection ,f the building. SUBJECT
ADV2023 60093- 5' Min PROPERTY
All setbacks are measu ed from the furthest
projection of the buildin!.
ADV2023-00093- 10' Min
68'
RR5 Zoning
---6-i(1 '202 . 00653 Front Yard Setback. 25'.
Side & Rear Yard Setbacks. Residential dwelling
and accessory structures is 20'.
OR 10% width of lot if not more than 100' wide
OR approved ADV