HomeMy WebLinkAboutBLD2023-01262 - BLD CD Environmental Health Review - 10/18/2023 i
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.,4 y;,.,,, , y.� MASON COUNTY Permit No:j�j►d?� J. Q ii1a�
COMMUNITY DEVELOP RECEIVED
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„3,,7 O C'� 1 8 2023
. , -`.`� Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder -et
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: cn .0A
NAME:EMPIRE HOME CONSTRUCTION,LLC NAME:MASON COUNTY EXCAVATING, INC C� �'
MAILING ADDRESS:P.O.BOX 241, MAILING ADDRESS:30 E WILLCHAR BLVD, `�
CITY:KELSO STATE:WA ZIP:98626 CITY:SHELTON STATE:WA ZIP:9+""y I'3.4 0
PHONE#1:LOREN 360-751-1745 PHONE:360-490-3144 CELL: 360-490-3144 D
PHONE#2:DAVID 360-751-8062 EMAIL :MASONCOUNTYEXCAVATING@YAHOO.COM I —
EMAIL:LORENDUVALL@GMAIL.COM L&I REG#MASONE915PM EXP. 3 /
PRIMARY CONTACT: OWNER❑ ❑ ❑
CONTRACTOR OTHER
NAME DAVID DUVALL EMAIL DAVIDLDUVALL80@GMAIL.COM >
MAILING ADDRESS PO BOX 241 CITY KELSO STATE WA ZIP 98626 r"
PHONE 360-751-8062 CELL SAME
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32021-58-04008 ZONING RR li
LEGAL DESCRIPTION(Abbreviated) SHORECREST BEACH ESTATES#1 BLK:4 LOT:9 FIRE DISTRICT FD5
SITE ADDRESS 220 E HILLCREST DR CITY SHELTON
DIRECTIONS TO SITE ADDRESS Take E Agate Rd to E Hillcrest Dr
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NOD SNOW LOAD:30 psf i IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK 0 POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM ❑
TYPE OF WORK: NEW 0 ADDITION ❑ ALTERATION 0 REPAIR 0 OTHER 0 CI
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENTIAL ..r
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES (Whole Bldg) 0 YES(Part[sj of Bldg) 0 NO ❑
DESCRIBE WORK NEW MFH
SQUARE FOOTAGE: (proposed) ''
1ST FLOOR 1296 sq.ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq.ft. Z.
DECK 32 sq.ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq. ft.
GARAGE sq.ft. Attached 0 Detached 0 CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN mAKE CLAYTON MODEL UNDER PRESSURE YEAR 2023 LENGTH 48FT
WIDTH 27FT BEDROOMS 3 BATHS 2 SERIAL NUMBER .Th D R
ENVIRONMENTAL HEALTH: 6
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW ❑ EXISTING 0
PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3 g;?)
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 X
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EH APPROVED 1,.i4:d4ss*F-T-
' Rhonda Thompson 11/22/2023
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0 Cleanout QN N E cno1 4 O 2 - 00 (.p
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0 500 Gallon Pre-Trash tank N Planning Setbacks
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O NuWater BNR-500 ATU Tank Z T U . Front: 15'
J _ Sides: 6'
O 1,000 Gallon Pump Chamber 0. o c Rear: 20'
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*all setbacks measured from the farthest
projection of the building
ksubject to EH setbacks
EH Setbacks
A.) Drainfield/Reserve requires 10' setback from footing/foundations Arrow Septic Designs
B.) Septic tank(s) requires 5' setback from all footing/foundations 171 E. Vuecrest Dr
C.) No foundation/Perimeter Drains within 30ft, downgradient of Union. WA 98592
Drainfield/Reserve area (360) 898-2255
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees) within
50ft, down gradient of Drainfield/Reserve area