HomeMy WebLinkAboutBLD2023-00862 - BLD CD Environmental Health Review - 7/26/2023 f , �0,, ykc MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•.F) BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
g 615 W.Alder Street,Shelton,WA 98584
in)' JUL 2 5 2023
q. „^ Phone Shelton:(360)427-9670 ext.352•Fax.(3Gv)427-7753 Phone
•i. �h,Yo, rrl, `.`,v Belfair(360)275-4467•Phone Elmo:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder,. ...._____eet
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: JUL'. NAME:AB Fine Homes NAME:AB Fine Homes U
MAILING ADDRESS:871 E Beach Dr MAILING ADDRESS:871 E Beach Dr z���?a
CITY:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:98592
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PHONE#1:360-898-0055 PHONE:360-898-0055 CELL: RECED
PHONE#2: EMAIL:amanda@alderbrookproperties.com
EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH80908 EXP. 1 1/1 2/2 4 rn
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ > Z
T NAME Amanda Montgomery _ EMAIL amandaC5alderbrookpropertiescom f'�'
V MAILING ADDRESS 871 E Beach Dr CITY Union _STATE WA ZIP 98592 �"�
({ PHONE 380-898-0055 CELL 215-450-5184 1+-
= PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32109-50-00042 ZONING RR5
LEGAL DESCRIPTION(Abbreviated)ALDEasaooK c a Y as LOTS•t s as vci 25 OF au s02 s3 SEE S 3aa3o,oFIRE DISTRICT 6 r
SITE ADDRESS 60 E Hemlock Ct CITY Union
DIRECTIONS TO SITE ADDRESS Right on Manzanita,right on Vine Maple Ln,continue right on Vine
Maple Ln,and then left on Hemlock Ln and then a right onto Hemlock Ct.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN I4%: YES') NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM n
TYPE OF WORK: NEW E ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
.� USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)Residence
v IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
_T HEATED STRUCTURE? YES(Whole Bldg)Q YES(Part's]of Bldg)❑ NO❑
DESCRIBE WORK Single family residence
SOUARE FOOTAGE: (propose+existing)
1ST FLOOR 1810 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 189 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 503 sq.ft. Attached Q Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUI D*
MAKE YEAR LENGTH
) TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Q SEWER❑ / NE
llllll EXISTING❑
PLUMBING IN STRUCTURE? YES 0 NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOO 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 skirled by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ffff 9ET— lh kly,
4 t111144� /1°-
FRR5 Zoning
Front Yard Setback. 25'. The approval of this project is subject to the recommendations
and specifications outlined in the attached geotechnical report. All
Side & Rear Yard Setbacks. Residential dwelling applicable recommendations and specifications shall be applied
and accessory structures is 20'. to the development on this site. Any deviation requires stamped
OR 10% width of lot if not more than 100' wide written approval from the registered design professional
OR approved ADV responsible for the report and may require sp
same. Structures and/or land modifications (gradingecialinspection, cuts, fillsby,
etc.) required in the geotechnical report, may require a separate
permit. The geotechnical report shall remain attached to the
approved building plans.
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7SS,
EH Setbacks
A.) P ainfield/Reserve requires 10'setback from footing/foundations
ep .nk(s)requires 5'setback from all footing/foundations
08/22/2023 N ,= oun•. '• /Perimeter Drains within 30ft,downgradient of
APPROVED —t r
ainfiel• --serve . -.
MASON COUNTY DCD PLANNING �' No Cut Ba (• ea -r than 5ft and over 45 degrees)within
SCE RUEDY,A(CPt,down gradient•f I al'field/Reserve area
4
Digitally t'
Soon Rued),signed
by Scott tsRus �a EH APPROVED
i-D Rhonda Thompson 09/19/2023
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// i� ��`�/ �� 1`L� EMLOCK CT.
113'-1 1/8"
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060 E. HEMLOCK LN. �l� Zo23 0 �;(P ON
Scale: 1" = 40 ft APN 32109-50-00042
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