HomeMy WebLinkAboutBLD2023-01042 - BLD CD Environmental Health Review - 9/1/2023 1 0�'� -'4'1X MASON COUNTY COMMUNITY SERVICES Permit No:aCb7.0 .,-,?-Qf(�(�-a-
•• ,., PERMIT ASSISTANCE CENTER:
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1 y III t� .BUILDING'615 W./NG•PUBLIC HEALTH.FIRE Alder Street Shelton.WA 98584 MARSHAL t"• /
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,.,/'�?'tid �, Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone rn
8elfair:(360)275-4467•Phone Elmo:(360)482-5269 AUG 31 2023
BUILDING PERMIT APPLICATION QiK�� A <
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: X O
NAME:Landon Fryer NAME:ZALL Investments D Z
MAILING ADDRESS:PO Box 164 MAILING ADDRESS:PO Box 164 ('- 2
CITY:aatla STATE:WA ZJP:98359 CITY:°lalla STATE:WA ZIP:9535B ''"i ..i�
PHONE#1:360-801-1687 PHONE: CELL: 360-8o1-1687 X in
PHONE#2: EMAIL:lisaevance@hotmail.com Z
EMAIL:lisaevance@hotmail.com L&I REG#zALLIIL797gk EXP. 11//12/23 -.i
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PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER 0 r"
NAME Lando^Fryer EMAIL lisaevance@hotmail.com
MAILING ADDRESS PO Box 164 CITY o'.'"' STATE WA ZIP98359
PHONE CELL 3F0-801-1687 rENI
PARCEL INFORMATION: u
PARCEL NUMBER(12 Digit Number)32021-55-02017 ZONING RR5 SEP 0 12023
LEGAL DESCRIPTION(Abbreviated)Shorecrest Terrace 2nd addn block 2 lot 17 FIRE DISTRICT 5 RECEIVED
SITE ADDRESS 171E Wood Lane CITY Shelton
DIRECTIONS TO SITE ADDRESS From Crestview turn left onto HiNcrest then right onto Woods
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0 SNOW LOAD:2D psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM 0
TYPE OF WORK: NEW 55 ADDITION❑ ALTERATION❑ REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence.Garage Commercial Bldg,Etc)Residence
IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS3 NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parr/3/of Bldg)0 NO 0
DESCRIBE WORK Install new manufactured home
SQUARE FOOTAGE: (proposed)
1ST FLOOR1440 sq.ft. 2ND FLOOR sq.ft 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK27 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached 0 CARPORT sq.R. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE CI ct...%0 )el MODEL 1DverAiy1 yEAR 2023 LENGTH 24
WIDTH 60 BEDROOMS 3 BATHS 2 SERIAL NUMBER Not yet recieved
ENVIRONMENTAL HEALTH:
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 NO.' EXISTING SQ.FT.
EXISTING BEDROOMS 0 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 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 fora period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP ATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENTED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH Orr `t(vj(23 ( 4,-k( , 0.441.2.
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• CI` • PLN Approved
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08/31/2023
. r%��`f�" Mason County Community Development
= r _am Gavin Scouten •
Sr 16—`"-" All Changes Subject to Approval
•
• : 7713t 5 ! Planning Setbacks
�c��c++`it. --_A ec� Front: 25'
1 Side: 7'
Vrsip it mat ,— ; Rear: 20'
�iPst j�G i *all setbacks measured from the farthest
, . ! projection of the building
;?ti4�` 0— . 'subject to EH setbacks
• I I.,Ci.i EH setbacks
5' miIII. I i A.)Drainfigld/Reserve requires 7'setback from footing/foundations
wit4 wAI 1023 00084
(I II B.)Septic tank(s)requires 5'setback from all footing/foundations
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`,�i.T:t' .) • I . with wAI N/A-
33& 4 C.)No foundation/Perimeter Drains within 30ft,downgradient of
. iI i Drainfield/Reserve area
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� ;e1 ot,, - —1 D.);No Cut Bank(s)(greater than 5tt and over 45 degrees)within
,/ .);No
down gradient of Drainfield/Reserve area
'In— ' i.l.a fi
' , '' 02 EH APPROVED
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Rhonda Thompson 11/27/2023 \\I
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