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HomeMy WebLinkAboutBLD2023-00856 - BLD CD Environmental Health Review - 7/9/2023 # C- BLD� 3-ODB5(v PROPERTY OWNER INFORMATION: �I L' CONTRACTOR INFORMATION: ( NAME: RA`LcN-c, 51 "6-. D FIT GLde,..t (0 NAME: BAQ.iAlb y ! 1'r I)�✓cL-o,7M l MAILING ADDRESS: )-C1 l 3 l/xf AVEAE /.....). MAILING ADDRESS:>�9/ .? 4 rev /Iv= t ) CITY: 'ice,i i LE- STATE: Li A ZIP: :e. ..�.c'I CITY:5 i.A %L STATE: J Z:P: r fib/ f..9 . PHON3#l: Spy 46 5 & 4. I P E:'?fY� - � -Sb`B(CELL:�0 4, 33e, rf�o?� PHONE#2: aGi�� -5 3 O 2EMAIL :G Gzt1'z-Ho^.^-r 5 4.._c l-DoTLi>cep. co el, EMAIL:,_a2q01._q-1V-4%5 L Lc.0 60),D0ir-,C.6-‘ L&I REG#BAVieJ 7'7 1L7— EXP. Otp/D(/, ;5 PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME C 21,vt A(QL-)0 f.J1 '-/ EMAIL cesiV2._- t�b^^-t5 I-I- c_ �DUitct)04.co MAILING ADDRESS?14 At(L4) fLtt jZ-� CITY Q&(1-t-5 l o STATE t✓'4 ZIP/S� �7O �P-I#1 at'b 33 1 .2 20 CELL J -o61 $r„ (- PARCEL INFORMATION: AL *PARCEL NUMBER(12 Digit Number) 3.2 Q )(4, - 5 '3 - O 14 0 o 5 opq� EA LT H ,„„ LEGAL DESCRIPTION(Abbreviated) DISZC R4T &SITE ADDRESS X - A t c, ifZ� E. iU L4o v t3 b f l DIRECTIONS TO SITE ADDRESS alc,0 y 5, D l :.te to r G Rt) r D,,,;--I o 5 5"6-P 'T utiZx, fL t cf-cs. e (N.i G tz t S :VI t t.ti.) c e ry I t r' v-6 7 C G R-LZ'.,Lb 6 ? FUTz—' 2Ce,,, IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO A SNOW LOAD: 2S psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER ❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEWX ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc.) n E la) 1� —IfYI t= IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) 1ST FLOOR I LlQ4 sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq. ft. GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑ X MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE e_nrt„5 ") MODEL b ILEA ^--k_ YEAR a 0 3 LENGTH c WIDTH a� BEDROOMS BATHS SERIAL NUMBER) 0 ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER ❑ / NEW' EXISTING ❑ PLUMBING IN STRUCTURE? YES NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO ' EXISTING SQ.FT. EXISTING BEDROOMS O PROPOSED BEDROOMS 3 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 COUNTY CODE 14.08.42) z Signature of OWNER Ivrust be signed by the OWNER) Date 1 I I I I I 'Imperial Homes Baring Site 16"Stretch 16"Stretch 16"Stretch 52'-0" r r 1 6'-lO 6'-8 —4-- — 21,-0„ il'-3O" W-16 I D-. W63 W-5 W-35 at .. agrat . ':farimmiii .., -,_, - -7 s'IIILIF 4, .__ ir •EMI — e `un- Dining Rm. _, 14 itchen " - Bedroom#2 I `l the i TA/ —i . ■■ i D 0 o PAO \` ■_ (;, --_ , tO Tut;SM,J m•1 moms .1 _ I I •III_ a"" a I BATHS}_ o ae., • u�ar.1, • _ - ��, r / \f w.aa -. c j Be oom#3 _`Q D Living Room f°t t2 Primary Bedroom ` g m I / 0� W-35 W-35 W-63 W-63 D'I W-35 A/a , t 14'-8" / 5'-4" 20'-0" 12'-0" DREAM 27x48 DRM 482F 't' '4 t S 'M1C. T cN THREE BEDROOM, TWO BATH - 1,298 SQ. FT. CC g ca.��tN (A). 0 c 0 O e-� i 5 ',Ili .j o ^, 9%S'e 2/ 73 0� � rn ` 0on Fri- oz0 D or m j C r- C —; zcz -n z ‹ n7 m tbLDvW -i-UU65(p • E G 2G as/`)LA) Q©tr, G.,,.J-Ei �Q o icbR`.r i • • /;9-,))* v EH APPROVED EH Setbacks / Z Rhonda Thompson 09/19/2023 4` A.) Drainfield/Reserve requires 10'setback from footing/foundations / . • aM 4-` B.)Septic tank(s)riquires 5'setback from all footing/foynl a{tions a: C.)No foundatio Ff'erimeter Drains vwithin 30ft,do gstdient of r� �6; Drainfield/Res area v ' / I 3\ p) D.)No Cut B s)(greater than 5ft and over 45 degrees)within , J 50ft,down gradient of Drainfield/Reserve area r' �� SI Q" . t / .J i J i . ` �`� V • ` J • " I l • II �� FnrJ r 5` j fir_-N� -, Y5a R `' rI 7- I- 10' min to drainfield34 K 3` 1 4 - ? 1 rft Planning Setbacks M, ,.�_ ? i J R (' 'e'J rl L WEST Side: 18' (ADV2023-00094) A 49 ______JJ I ' EAST Side: 5' (ADV2023-00094) PLN Approved Rear: 20' all setbacks measured from the farthest � 1 08/22/2023 projection of the building • mmunity Development *subject to-EH'setbacks M • -1 Gavin Scouten All Changes Subject to ApprovalI.- - _...11• r °� .- 'Pr: t r r 3 , I O 4-7, 1 PA RG 6.L At 3, 0 Vo -53'��t ©o 5' ` ' 3 r £ . );2 .1cN w to off.._.._ Adn,I'C v. i..1 • / Sl_