HomeMy WebLinkAboutBLD2023-01128 - BLD CD Environmental Health Review - 9/26/2023 f N
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PERMIT ASSISTANCE CENTER: R E C E Iv
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ��
H11101a 615 W.Alder Street,Shelton,WA 98584
1.�� �� Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone SEP 20 2023 SEP 2 6 2023
?'F av Belfair:(360)275-4467•Phone Elma:(360)482-5269
'li4�•FLI1`r�t�` 615 \N. Alder t
BUILDING PERMIT APPLICATION 13.6 `t `' 3►: LA
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATICI4 ALTH
NAME: Mike & Deb Moyer NAME:
MAILING ADDRESS:70 E Majesty's Court MAILING ADDRESS:
CITY:Shelton STATE:WA ZIP:98584 CITY: STATE: ZIP:
PHONE#1:804-822-5729 PHONE: CELL: _
PHONE#2:812-240-2002 EMAIL :
EMAIL:mikejstk(gmail.com L&I REG# EXP. / /
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 221 29-51-0001 1 ZONING RR5 .
LEGAL DESCRIPTION(Abbreviated) Wonderland. Lot 11 FIRE DISTRICT 5
SITE ADDRESS 70 E Majesty's COUrt CITY Shelton
DIRECTIONS TO SITE ADDRESS Hwy 3 to Pickering Road (Spencer Lk) - take a right- very short dist.
take a left on E Queens Way. then a left on E Majesty's Ct.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ 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 0
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY 9 SEASONAL 0 NUMBER OF BEDROOMS' NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) 0 YES(Part(s)ofBldg) ❑ NO 0
DESCRIBE WORK Push out one wall for an addition to the kitchen
SOUARE FOOTAGE: (proposed) R, d �/`eX � 17 i' y 5-
1ST FLOOR 256 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 0 Detached 0 CARPORT sq.ft. Attached 0 Detached 0
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 0 SEWER 0 / NEW ❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO 0 If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD EXISTING SQ.FT.
EXISTING BEDROOMS 2 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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)
X — ( 0 _a .�
Signa re of OWNER(Must be sianed by the OWNER) Date
DEPARTME TAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL PUBLIC HEALTH 1k7 1O
1 11,'Jz �, p3 \,vs , $ % 1
EH Setbacks EH APPROVED
A.) Drainfield/Reserve requires 10'setback from tootingrloundations
B.)Septic tank(s)requires 5'setback from all looting/foundations Rhonda Thompson 10/26/2023
C.)No foundation/Perimeter Drains within 301t,downgradient of NY REAR 6E790CK
Drainliekl/Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft.down gradient of Drainfield/Reserve area
ID'
roof NM /LI il I=MIIIIIII1
RR5 Zoning F —1
Front Yard Setback.25'. I
Side& Rear Yard Setbacks. Residential dwelling I
and accessory structures is 20'. I
OR 10%width of lot if not more than 100'wide 1
OR approved ADV
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APPROVED �, / / I
MASON COUNpTY/�DCD PLANNING =�'r5
Seoir ICuGLY,AfCP I r./ I ExeTNG SEPTIC.DRAINNELD
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PARCEL NO: 22129-51-000I1 EAST MAJESTY'S COURT
LEGAL DESCRIPTION: WONDERLAND,LOT II SITE PLAN
SITE ADDRESS: 10 E MAJESTY'S COURT SCALE: I" • 30'-0"
SNELTON,WA 985S4 Nt7RT14