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Home My WebLink AboutBLD2023-00859 - BLD CD Environmental Health Review - 7/26/2023 • ��sti`` "�N tict^ MASON PERMIN COUNTYASSISTANCE COMMUNITYCENTER: SERVICES Permit No:t')V(I. 1)9j27 -( Ij .BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL RECEIVED !•rs.,7 -0 615 W.Alder Street,Shelton,WA 98584 - '-7, - Phone Shelton.(360)427-9670 ext.3 2••Fax (360)427 793 Phone J U L 25 023 ��1 �y Belfair(360)275 4467.Phone Elma:(360)482-5269 t4).m Ns`,^ BUILDING PERMIT APPLICATION 615 W. Alder Street �( PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: It I[ \.N NAME:AB Fine Homes NAME:AB Fine Homes 7 6 2023 ` ' J MAILING ADDRESS:871 E Beach Dr MAILING ADDRESS:871 E Beach Dr : - WED ''3CITY:Union STATE:WA ZIP:98592 CITY:Union STATE:WA ZIP:98592 ---- --�,;`{ PHONE#1:360-898-0055 ext 3 PHONE:360-898-0055 ext 3 CELL: PHONE#2: EMAIL:amanda@alderbrookproperties.com _. 2 __..c EMAIL:amanda@alderbrookproperties.com L&I REG#ABFINFH8090B EXP. 11/12R4 j' C PRIMARY CONTACT: OWNER❑ CONTRACTOR Q OTHER❑ C V NAME Amanda Montgomery EMAIL-_amanda(galderbrookproperties.com '� ' ��• MAILING ADDRESS 871 E Beach Dr CITY Union STATE WA ZIP 98592 r'-^ v lam. PHONE 360-898-0055 CELL 215-450-5184 — , PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 32104-54-00114 ZONING RRS 'T `' LEGAL DESCRIPTION(Abbreviated) �DERBROO t 08 V H TRACT 114 Div 4 SEE S 3083100 FIRE DISTRICT MCFD 6 v SITE ADDRESS 71 E Country Club Dr N CITY Union 1 .�� ` DIRECTIONS TO SITE ADDRESS Right on Manzanita.Right on Jack pine Ln,continue straight onto Country Club Dr North. 0 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ 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❑ SEASONAL❑ NUMBER OF BEDROOMS ...7 NUMBER OF BATHROOMS t'A HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parrl[s)ofBldg)❑ NO❑ DESCRIBE WORK 11E C ko 5 t f. SOUARE 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 0 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 9 NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOEl 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 properly 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) 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 ] Cffigh 3 CV � i J af\.-S c d c .e4 0//31/2023 APPROVED MASON COUNTY DCD PLANNING SCOT EVEbv,AICPCD COUNTRY CLUB DR. N. Digitally signed by Scott 79'7.32" Ruedy S 1 °31'08"l E P RR5 Zoning D o r =ront Yard Setback. 25'. / H Side & Rear Yard Setbacks. Residential dwelling and accessory structures is 20'. N DR 10% width of lot if not more than 100' wide DR approved ADV \ / �'\-9 5/8n / / _ ___ I - f 1 fI 1 I I ADV2023-00096- 5' Min - .' - I 1 I iii � I C^, �\ I- - 1 — I All setbacks are measured from the furthest �'^L� M Projection of the building. >II setbacks are measured from the furthest =r >rojection of the building. _, I ADV2023-00096- 5' Mir 120 GAL LPG j ' I NI G t' ') ,1 ' 1 j I \ co t pp�_ __pc�, I �� 1— 02 p I L rIN 1 I ' _ ImJ 0`416 In ' mi 4- _ !` HEAT PUMP „ l EH Setbacks ! o 0 A.) DrainfieldlReserve requires 10'setback from focting/foundations ' B.)Septic tank(s)requires 5'setback from all footin'foundations '5. 0 C.)No foundation/Perimeter Drains within 30ft,dowhgradient of 7 Drainfield/Reserve area O D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 1 50ft,down gradient of Drainfield/Reserve area I 1 \ (V 1 1 \ \ 1 1 � EH APPROVED \ 1 \ Rhonda Thompson 09/19/2023 i; I \ \ \ LP 1 DRAIN ELd\ \\ I I 1 1 1 1 \ 1 I 1 \ \ \ 1 I I 1 \ \ 1 \ \ I I 1 1 \ \ M 4 10'37"I \' \\ 8010" , LOT 114 BRI NNON 3 BR-71 E COUNT RY CLUB DR N Scale:1" = 20 ft A.P.N. 32104-54-00114 -61c12G23 00E355c1