HomeMy WebLinkAboutBLD2023-01267 - BLD CD Environmental Health Review - 10/18/2023 ( ij\. MASON COUNTY Permit No: R1�9-vr2-3-o 1? 7
' L COMMUNITY DEVELOPM t'
ogitkiat
Permit Assistance Center, Building,PlanningHriALY)4"3
BUILDING PERMIT APPLICATION 6151N. Alder SIB
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: EMPIRE HOME CONSTRUCTION, LLC NAME:MASON COUNTY EXCAVATING,INC .ri O
MAILING ADDRESS:P.O. BOX 241, MAILING ADDRESS:30 E WILLCHAR BLVD, rtA �� Nn1,
CITY: KELSO STATE:WA ZIP:98626 CITY:SHELTON STATE:WA ZIP: 84
co PHONE#1:LOREN 360-751-1745 PHONE:360-490-3144 360 490-31 m r 4
PHONE#2:DAVID 360-751-8062 CELL:
EMAIL :MASONCOUNTYEXCAVATING@YAHOO.CO 0 �
EMAIL:LORENDUVALL@GMAIL.COM L&I REG#MASONE915PM Exp. 3 /18/24
PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER❑
NAME DAVID DUVALL EMAIL DAVIDLDUVALL80@GMAIL.COM
MAILING ADDRESS PO BOX 241 CITY KELSO
PHONE 360-751-8062 STATE WA ZIP 98626
CELL SAME
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32021-58-04009 ZONING RR
LEGAL DESCRIPTION(Abbreviated) SHORECREST BEACH ESTATES#1 BLK:4 LOT:9 FIRE DISTRICT FD5
SITE ADDRESS 210 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 NO El SNOW LOAD:30 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER ❑ LAKE 0 RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION 0 REPAIR❑ OTHER 0
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENTIAL 3
IS USE: PRIMARY ❑ SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) Q YES(Part[s]of Bldg) ❑ NO 0
DESCRIBE WORK NEW MFH
14
SQUARE FOOTAGE: (proposed)
1ST FLOOR 1296 sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq.ft.
DECK 32 sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq. ft. �.
GARAGE sq. ft. Attached❑ Detached 0 CARPORT sq. ft. Attached 0 Detached 0 S
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
IVIAKE CLAYTON MODEL UNDER PRESSURE YEAR 2023 LENGTH 48FT
WIDTH 27FT BEDROOMS 3 BATHS 2 SERIAL NUMBER .,
ENVIRONMENTAL HEALTH: t
SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW Q EXISTING 0
PLUMBING IN STRUCTURE? YES El NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO p EXISTING SQ. FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 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 p fission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
9/20/23,4:30 PM image.png
WAS ...--1t.JUF.... 1 D/15'prium.7,
UTILITY KITCHEN F EX
9'-0"x 12%5"
h
r ___ _
7
111111 JMOINEMI
,11V1111.11.11.11.1.111.1111
+ i_ 11.`;'1,- Vi
ii cct
BEDROOM 3 rBEDROOM 2 LIVING ROOM
9'-0"x 12'-5" °r 9'-0"x 12'-5" 16'-2"x 12'-5"
JJJI
0 _
>71 '
. r
......__ J__L_•.m....a..._r______ffi.._s
https:llmail.google.com/mail/u/0/#inbox/FMfcgzGtxKRXvBxDCQW WHSsmVzTkQQKq?projector-1 1/1
•
85 -' 3
5 -v 5
Z),N'`P (246se1 - L�� I
MhNu-'AO-cI IR-ED co 5 Is G
to� c;_
® tom � To
S�000 , s D
33s • '� as,
r
\v T`
5
• 1a5'
EH APPROVED
Rhonda Thorrpson 11/22/2023
o tO z0 3c AO ;,,... 0-l lrr�. s`KA_CUy1 T 0\3\,
PLOT i2Lni --7 f .,tv- -\o'' 9,3 rGG',s -;CO ":60t
DAN\,t DU,\/AL-(— f.� = - 0_a.o" ^,s ` r ,ci. s ' c
`PA�c, 1- TMOL\-58-Q \Oo ` VJ I,�,j„ �& Y,tCA, Cb:.\1
-210 1l LC, c-V Pt- Planning Setbacks
Front: 10' PLN Approved
Sides: 6' 10/25/2023
• Key: • Rear: 20' Mason County Community Development
*all setbacks measured from the farthest Gavin Scouten
OAudio-Visual Alarm projection of the building All Changes Subject to Approval
*subject to EH setbacks
OCleanout �j Ip
3 500 Gallon Pre-Trash tank—`�� ~'� �-O "
04 NuWater BNR-500 ATU Tank
O 1,000 Gallon Pump Chamber EH Setbacks
A.) Drainfield/Reserve requires 10'setback from footing/foundations
O Valve Control Box B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Perimeter Drains within 30ft,downgradient of
Drainfield!Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield%Reserve area '
Arrow Septic Designs
171 E.Vuecrest Dr
Union, WA 98592
(360)898-2255