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HomeMy WebLinkAboutBLD2023-01300 - BLD CD Environmental Health Review - 10/31/2023 ,„404. MASON COUNTY Permit No: 5 O 3-0 l 300 COMMUNITY DEVELOPMENT . . . ' _r � •:v... Permit Assistance Center, Building,Planning ENVIRONMENTAL BUILDING PERMIT APPLICATION '' I . ,, PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: OCT 3 12023 NAME:EMPIRE HOME CONSTRUCTION,LLC NAME:MASON COUNTY EXCAVATING, INC MAILING ADDRESS:P.O. BOX 241, MAILING ADDRESS:30 E WILLCHAR BLVD, ---__,.._;`L' %:_r't7r3 CITY:KELSO STATE:WA zip:98626 CITY:SHELTON STATE:WA ZIP:98584 ��„-� PHONE#1:LOREN 360-751-1745 PHONE:360-490-3144 CELL: 360-490-3144 PHONE#2:DAVID 360-751-8062 EMAIL:MASONCOUNTYEXCAVATING@YAHOO.COM EMAIL:LORENDUVALL@GMAIL.COM L&I REG#MASONE915PM EXP. 3 /18/24 PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 NAME DAVID DUVALL EMAIL DAVIDLDUVALL80@GMAIL.COM MAILING ADDRESS PO BOX 241 CITY KELSO STATE WA Zip 98626 PHONE 360-751-8062 CELL SAME PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 32021-55-02010 ZONING RR LEGAL DESCRIPTION(Abbreviated) SHORECREST TERRACE 2ND ADD BLK:2 LOT: 10 FIRE DISTRICT FD5 SITE ADDRESS90 E Ashwood Lane CITY SHELTON DIRECTIONS TO SITE ADDRESS E Agate Rd and E Crestview Dr to E Ashwood Ln IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:30 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE 0 RIVER/CREEK❑ POND ❑ WETLAND 0 SEASONAL RUNOFF ❑ STREAM 0 Cv TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION 0 REPAIR ❑ OTHER 0 USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc)RESIDENTIAL 3 IS USE: PRIMARY 0 SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg) 0 YES(Part(sj of Bldg) ❑ NO 0 DESCRIBE WORK NEW MFH SQUARE FOOTAGE: (proposed) 1ST FLOOR 1296 sq.ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. . , DECK 83.5 sq.ft. COVERED DECK sq. ft. STORAGE sq.ft. OTHER sq.ft. t GARAGE sq. ft. Attached❑ Detached 0 CARPORT sq.ft. Attached 0 Detached 0 MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE CLAYTON MODEL UNDER PRESSURE YEAR 2023 LENGTH 48FT WIDTH 27FT BEDROOMS 3 BATHS 2 SERIAL NUMBER J ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING 0 PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES El OD EXISTING SQ.FT. / ,`�, EXISTING BEDROOMS PROPOSED BEDROOMS 3 V 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 S, o y N cn 3 I to f N A (h O V (0 I o 3 I "o T. i co O to 1 CI Wn II W-I8 on 3 I ----- i 3 0 o I El\cr o J R. X N ,- _ I D7 m � 41 2f I X g 2 �, CON 3its -, I,:, c 1 z co �\ P N CO o b•o ! -n "D i i x O a„trxr cn o I. IN Sludgefib1 S Q A� rA a xa s X e 'O •0 / cn 61m j 4 S A v V RI O -0 O o Coo m / �T m J Cl m CO *:Z C H x 0 m = 7) (O CD U O E. t.1 II O I b N _� _1 W40 Wb3 tiLI___ :=!mil F Mr-MI Imo MO 1 .Ypt( L K.) .....4 ..* A D g m e _ N k �( ) --1 Of ScAk:E.:\" 2 O' f % a 0 a o 3Q 40 5 1-51 PLO 'PLAN V (A0 0 s ck.-Fc- -EMP1R \-`o CAtis-RucToN d rS - pPp c,Etr 3.1.oL\-S5-02,01 o 1 YZS�,` r—t ��ly N .10 A 3 t E_ AS vJ 009 1-p0.1� ° �� 35 i 0 1 © a, l 11ci, U1 i t f� J) ,.#•\.. . ,A. _,--, l').://06c" (,,,s I . {- roa-5 * U coymcgict Ok. 44-3— x,\,' ( s I to -k-alnut . Se 6G, Key y (D/, O Audio Visual Alarm �ge �- s � S L.o E 0 Cleanout ,k 3 500 Gallon Pre-Trash tank-P� ..S,2 �,• O 0-W `AArt .t,- Cmr'tcra.Mt 4'.4 ,,Sc. I O NuWater BNR-500 ATU Tank 9 I 5 1,000 Gallon Pump Chamber WKVE•k- . 1 Y MIN\\�r,M / I. O OValve Control Box �SHwoad L N Planning Setbacks S L-� L/- W R,�,__.` N Front (East): 25' Sides: 7' EH Setbacks Rear: 20' A.) Drainfield'Reserve requires 10'setback from footing/foundations *alI setbacks measured from the farthest i B.)Septic tank(s)requires 5'setback from all footing,foundations C.)No foundation/Perimeter Drains within 30ff,downgradient of projection of the building Drainfield!Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within *subject to EH setbacks 50f1,down gradient of Draintield/Reserve area • Arrow Septic Designs '(Z I _DO-0 -3 0 1300 171 E. Vuecrest Dr j� • PLN Approved Union, WA 93592 11/06/2023 (360)898-2255 Mason County Community Development EH APPROVED Gavin Scouten Rhonda Thompson 11/22/2023 All Changes Subject to Approval di