HomeMy WebLinkAboutBLD2023-00864 - BLD CD Environmental Health Review - 7/25/2023 1.y r � �) ��'X�Cl4J 'I/ 4-D• Q,s"'` rr t-f, MASON COUNTY COMMUNITY SERVICES Permit Vo: _�Ic t'
PERMIT ASSISTANCE CENTER:
•I I•016 �s •BUILDING•PLANN6 5 W.lNG•Alder Street/Shelton,C HEALTH
91RE 584 MARSHAL
JUL 25 2023
%t,f- ,� Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone
,, Belfair(360)275-4467•Phone Elma:(360)482-5269 615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ER�.
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NAME:AB Fine Homes NAME:AB Fine Homes
MAILING ADDRESS:871 E Beach Dr MAILING ADDRESS:871 E Beach Dr .- UL. 2 t�il j
CITY:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:98592 [ [J
PHONE#1:360-898-0055 ext 3 PHONE:360-898-0055 ext 3 CELL:
PHONE#2: EMAIL:amanda@atderbrookproperties.com L�'` r
EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH809OB Exp. 2/2 4 J
ter.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME Amanda Montgomery EMAIL amandaQalde brookproperties.com =
CZ — • MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA ZIP 98592_ m
PHONE 360-898-0055 CELL 215-450-5184 J."
PARCEL INFORMATION: —.-� rn
PARCEL NUMBER(12 Digit Number) 32104-54-00050 ZONING RR5 Z 7
..
E LEGAL DESCRIPTION(Abbreviated)"r0ERBROOK c a v w TR.50 n PIN 51 PCL 13 OF BLA�-4s SEES 3ae3-iFIRE DISTRICT MCFD 6 LZ SITE ADDRESS 190 E Paintbrush Ln CITY Union
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DIRECTIONS TO SITE ADDRESS Right on Manzanita.Right on Jack Pine,and left on Paintbrush Ln. r
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY a SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS__
HEATED STRUCTURE? YES(Whole Bldg)Q YES(Perils)of Bldg.)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE: (propose+existing)
1ST FLOOR 2368 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft
DECK sq.ft. COVERED DECK 164 sq.ft. STORAGE 558 sq.ft. OTHER sq.ft.
GARAGE._ 614 sq.ft. Attached Q 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: SEPTIC Q SEWER❑ / NEW Q EXISTING❑
PLUMBING IN STRUCTURE? YES Q NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO0 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 dedare 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 permiUapplication 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
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 l If rtn-5 04, );-QJ.-S Gu79-A,S.
RR5 Zoning
Front Yard Setback. 25'.
Side & Rear Yard Setbacks. Residential dwelling EH APPROVED
and accessory structures is 20'. Rhonda Thompson 09/18/2023
OR 10% width of lot if not more than 100' wide
OR approved ADV EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing.'foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft.downgradient of
Drainfield/Reserve area
D.)No Cut Bank(s)(greater than 51t and over 45 degrees)within
170'-Q" 50ft.down gradient of Drainfield/Reserve area
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08/22/2023 i, )
APPROVED / /
MASON COUNTY DCD PLANNING / /
SCOTf IuEDy,A(ea' v /
I �, DRIVEWAY
Digitally / 9 /
Scott ��signed / /
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by Scott ' /
Ruedy /
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41'-8 5/8" /1'-6 //8" \
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PAINTBRUSH LN.
LOT 59 BRINNON-190 E. PAINTBRUSH LN.
1 Scale: 1" = 30 ft APN 32104-S4-000S0
-bid 21523- C bin.I