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Home My WebLink AboutBLD2023-00526 - BLD CD Environmental Health Review - 6/30/2023 ` MASON COUNTY COMMUNITY SERVIC E c,�i, ,oaoa-5 005 a �. PERMIT ASSISTANCE CENTER:• • f1l•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL I� 'ir 615 W.Alder Street,Shelton,WA 98584 nrt 'Al r 2 _ n Phone Sneaon:(360)427-9670 ext.352•Fax:(360)427-7798 Phone MAY 1 1 2023 ,�/ Be/fair(360)275-4467•Phone E/ma:(360)482-5269 BUILDING PERMIT APP66A l NI d er Stre ENVIRONMENTAL PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: HEALTH. NAME: Stacey Stage NAME: Integrated NW Construction.LLC. MAILING ADDRESS:6120 NE North Shore Rd. MAILING ADDRESS: P.D.Box 1088 • CITY:Beltak STATE:WA ZIP:98528 CITY: w.rlSPort STATE:WA 'LIP:98548 PHONE#1:425-220.1182 PHONE:253-888-5314 206-310-4239 • EMAIL: PHONE#2: CELL: caraiyn@integratedNWoonslrutlion.cam EMAIL: OpticodeCdtwimail.axr LRI REG#INTEGNC843J1 EXP. 04/21/20a am PRIMARY CONTACT: OWNER❑ CONTRACTOR 0 OTHER❑ LJ L NAME Caaynvatem ean EMAIL carayn@htegrate6NWconstrudion.com JUN 3 0 2023 MAILING ADDRESS P.D.Box 1008 CITY Noodspo4 STATE 'WA ZIP 98548 PHONE 253-888.5314 CELL 208-310-4238 RECEIVED PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 22299-54-90052 ZONING LEGAL DESCRIPTION(Abbreviated) CLIFTON8'aCoU osaoo.Tasrark1rsorrasarneoFSPssaswu• FIRE DISTRICT SITE ADDRESS 6120 NE North Shore Rd. CITY Beltatr DIRECTIONS TO SITE ADDRESS Head north on N 2nd St toward W Pine St 56 ft, Turn right onto W Pine St 1.7 mi, Continue onto WA-3 N 21.8 mi Turn left after Dairy Queen Grill&Chill(on the left)0.2 mi,Turn left to stay on WA-300 W 3.3 ml,Continue onto NE North Shore Rd Destination will be on the right P IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD: 25 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheek all that apply): SALTWATER❑ LAKE 0 RIVER/CREEK❑ POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION 0 REPAIR 0 OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Lind Residence IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parris1 of Bldg)0 NO 0 DESCRIBE WORK Installation of Manufactured home SQUARE FOOTAGE:(proposed) 1ST FLOOR 1.320 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft COVERED DECK sq.ft. STORAGE ft. OTHER uI� sq.ft GARAGE sq.fi. Attached❑ Detached❑ CARPORT sq.ft Attached 0 Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE Timberland MODEL Winthrop-7133 YEAR 2922 LENGTH 40' WIDTH 26' BEDROOMS 2 BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING 0 PLUMBING IN STRUCTURE? YES 0 NO 0 Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT. EXISTING BEDROOMS s 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 See afiICie1 ed s7 �i Signature of OWNER(Must be siq by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 079. (Wto/ ("iG4 4,a,Is Mad. Apr A)23,01:19p Lakeview RV Resort 7137230395 p.2 /.��T� c r•�r MASON COUNTY COMMUNITY SERVICES Permit No: 'W��``�\ PERMIT ASSISTANCE CENTER: .„ !:7 '�65 •BUILDING•AL:NNING•PUBLIC HEALTH•F-IREMARSHAL " • •"' 875 W.Alder Street.SheRon.WA 98534 ? Phone Shahan 360)4274870 ext.35?-Fac(360)427-7798 Phone 7r �„ BeUefr•(360.1275446T.Phone Elms:(360)482-5269 • BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: • CONTRACTOR INFORMATION: NAME: 818ceYSta42 M9ILING ADDRESS: NAME: Megrared NW Cartel upJor,ue. 912e NE Non_Shots Rd MAILING ADDRESS:CITY: - STATE:tv" :28523 P.o.Bmt 1 ooe PHONE>>II:425-22ana2 CTi'i: 1:c 3swr. STATE:WA ZIP:>tsscs PHONE i/2: PAON E: 368.53 4 CELL: bs sic az s EMAIL_ coccee wrnae.ao,u EMAIL:caratyng�In eoraLodVKoon t urtbn.rom Liu REG#1 WTEGNC843J1 PRIMARY C ONTACT• Exp.04/1L1/20Q NAME caremvonorcv OWNER❑ CONTRACTOR El OTHER 0 MAILING ADDRESS PA•B«Taos EMAIL carolYn fl epre RyyosATE PHONE 25 38S CITY" °" STATE VIA ZIP 99 4E CELL too-ato.axty PARCEL INFORMATION: PARCEL NUMBER(I2 Digit Number)222 09-54-300 57 ZONING LEGAL DESCRIPTION(Abbreviated) R7=10H6'J.M:1iUNa0l�,TN ST 4kEf�of lNy7gebG sv+afl9aln4•FIREE DISTRICT SITE ADDRESS 6120 NE North Shore Rd. CITY Bell".DIRECITONSTOSITEADDRESS Head nxt_on N 2rel St lomat W Pine St 56 It Tum right oral W Pine St 1.7 rN,Contnue onto WA-3 N 21.8 mi Tum lett after Dahry Queer,Grill&Chit forme WI)02 rrl, Tian tel to stay an WA-303 W 3.3 M,Continue onto NE Noah Shen Ray Destination MI be on the right IS THE PROJECT WITHIN 380 FT OF SLOPE(S)GREATER THAN 14% YES.❑ NO❑ SNOW LOAD_ z-LDsr IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkoff N„t4phhr SALTWATER p LAKE 0 RIVER/CREEK❑ POND 0 WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW Q ADDITION[] ALTERATION ❑ REPAIR❑ OTHER USE.OF STRI I(TURE R..r�r .r„ ( ngc r^r^^vnnl Flrig E7c.,t Rcaidence IS USE: PRIMLARY .❑ SEASONAL❑ NUMBER OF BEDROOMS 2 NUrGBER OF BATHROOMS 2 HEATED STRUCT URE? YES(1Vholc 9tdr)Q YES(Pnrr(i)ofBlJF1❑ NO DESCRIBE WORK Installation ot Manufactured hone SQUARE FOOTAGE:(pr-"..,,,t) IST FLOOR 1,320 sq.II. 2ND FLOOR sq.R 3RD FLOOR DECK sl.R BASEMENT sq.II DECKGE sq.R COVERED DECK sq.IL STORAGE sq.ft OTHER It sq.fL Attached 0 Detached Q CARPORT sq.ft Attached Q Detached[J MANUJFACTURED HOME INFORMATION. *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE Timberand MODEL wlN8rop.7 133 yEAR 2022 LbT]GTH_40' WIDTH 28. BEDROOMS 2 BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: S'EWAGE/SEWERSOURCE: SEPTIC 0 SEWER CI / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES 3 NO(] If yes,attach completed Water Adequacy Form .. PERT TI?R'FOUNDA1IONDRAINSPROPOSED? YES EXISTING BEDROOMS D ❑ NOd EXISTYNG SQ FT. PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2 CON NER acknowledges that submission of tnaocurate Information may result in a stop nark order or permit revocation.Acknowledgement of such is by signature below I declare that I am the o"MOT and I farther declare that I am emitted to receive this permit and to do the work as proposed.I have representative,eornrepresents that the Information oc,including any easement holder or parties of inberesi regarding this project The motet'or lava: and set t ear eser and th provided is accurate arr.grarrtr employees of Mason Court/aeons to the above described property or coral inspection. This pendo'apeoca bosomns null&vcid 4 or authorized construction is net tor-matted within 160 days )for le work is suspended for a period eapple days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS 1 PERMIT APPLI TION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.05.42) // II Si a of (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW I APPROVED I DATE I DENTED i DATE I TA GSINOTES/CONDITIOri-S BUILDING DEPARTMENT I I PLANNING DEPARTh NT FIRE MARSHAL n j PUBLIC HEALTH V/I '[OI tot 4bt) Al ICCob.7tll aI_ii, 1 19)L o aoa-"7-D -c)c ap RESIDENTIAL SITE IMPROVEMENT PLAN at 6120 NE North Shore Rd, Belfair, WA 98528 c1f/i1 Parcel#: 22209-54-90057 `� 83.76' SCALE: 1"=30 FEET ■ ■ VIM NMI NI= / 0' 10' 20' 30' 40' 50' 60' E P / LOPS l/ sl Ro'o NORTH 1O�OF s !� l' / /� ;'` Zb y,LNG W- E 26 y Q0c�F0 Ql(io sQt\l i/ N ON tit PQ00gp QSk1 S •. OF 5VOpE �� `ts ,\`, Project Applicant: John and Stacy Stagg OF 5'SETBACK 4 SFPTIC >'"'`. \ -( 'NJK . EH APPROVED �- 1 ,G '..:r,,"`"' \ Planning Setbacks t , h,t,N,...:, \ Front: 25' D.Md... 08/22/2023 r 1,6\ 0 East Side: 20' \IPP k‘. West Side: 5'(ADV2023-00063) 50'VEGETATED ; cor)�v Rear: 20' FLOW PATH ► r -r• `all setbacks measured from the farthest EH SETBACKS a , <30%SLOPE ,o projection of the building -' 'subject to EH setbacks A)Drainfield/Reserve requires 10'setback from footing/fop•�Lions !Z 1 B)Septic tank(s)requires 5'setback from all footing/founds DRIVEWAY C)No foundation/perimeter drains within 30'down-gradien 6f.rainfield. GRADED TO reserve area /CREATE SHEET/ O D)N D)No cut(s),bank(s) /(greater than 5'&over 45 degrees)within 50 19, PLN Approved down-gradient of drainfield/reserve area SHALLOW FLOW pp LEGEND: 07/03/2023 a Mason County Community Development PROPERTY LINE 20%o SLOPE GAl Changes S ectt onApproval ROAD CENTERLINE — — — ' ' ��gN00).' CORRUGATED RUNOFF DIRECTION — • — • — — p CULVERT SLOPE>40% /4 P�,\N� O �L O <10%SLOPE ��. , `I ,NP. til� -\‘' G � • • . �<,CI Wnc 4 .a OF OP O� 13o� 4, 07ig:O 44'4 \G O�Q 5 , �SS70NAL rNG\�� Q`��G� Oc�? • <5-/0 2- a..3 EROSION and SEDIMENT CONTROL(ESC)PLAN Prepared by. MET Engineering,PLLC,800 E.Wishkah SI,Aberdeen,WA 98520 (360)310-0270 cell,(360)289-0958 bus, :..'._a 6:<v l corn Prepared for:John and Stacy Stagg Apr.24,2023 T j SHEET 2.0