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HomeMy WebLinkAboutBLD2023-01266 - BLD CD Environmental Health Review - 10/24/2023 • - .,, . MASON COUNTY Permit No:��1 2�3 COMMUNITY0 f a1w I)E�LOP�E�T Permit Assistance Center, Building,Planning R E C E I V i BUILDING PERMIT APPLICATION oJ, OCT 18 2023 PROPERTY OWNER INFORMATION: CONTRACTOR JN RMATION: cl t g reet �r NAME:EMPIRE HOME CONSTRUCTION,LLC jvAME:MASON COUNTY EXCAVATING,I -4- MAILING ADDRESS:P.O.BOX 241, MAILING ADDRESS:30 E WILLCHAR BLVD, CITY:KELSO STATE:WA ZIP:98626 CITY:SHELTON WA STATE: ZIP:985:• 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@GMAILCOM L&I REG#MASONE915PM EXP. 3 /18/24 PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER 0 NAME DAVID DUVALL EMAIL DAVIDLDUVALL80@GMAIL.COM MAILING ADDRESS PO BOX 241 CITY KELSO �W# PHONE 360-751-8062 CELL SAME ENV I R O f v M E IN (H26 PARCEL INFORMATION: HEALTH ' PARCEL NUMBER(12 Digit Number) 22017-50-00046 ZONING RR LEGAL DESCRIPTION (Abbreviated) TIMBERLAKE#5,LOT:46 FIRE DISTRICT FD5 SITE ADDRESS 540 E Lakeshore Drive E CITY SHELTON DIRECTIONS TO SITE ADDRESS ENTER TIMBERLAKE HOA VIA E TIMBERLAKE DR,TURN LEFT ON E TIMBERLAKE W DRIVE,PROPERTY ON LEFT. IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO 0 SNOW LOAD:30 psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE 1 I RIVER/CREEK 0 POND 0 WETLAND 0 SEASONAL RUNOFF❑ STREAM 0 TYPE OF WORK: NEW 9 ADDITION 0 ALTERATION 0 REPAIR❑ OTHER 0 USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)RESIDENTIAL IS USE: PRIMARY 0 SEASONAL ❑ NUMBER OF BEDROOMS 9.... NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)0 YES(Parti's]of Bldg)0 NO 0 DESCRIBE WORK NEW MFH S UARE FOOTAGE: (proposed) 1ST FLOOR q.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE CLAYTON MODEL Under Pressure YEAR 2023 LENGTH48FT WIDTH 27FT BEDROOMS2 BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 8 SEWER❑ / NEW 9 EXISTING 0 PLUMBING IN STRUCTURE? YES Q NO 0 If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO p EXISTING SQ.FT. EXISTING BEDROOMS 2 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 ranracantativa ranrasants that tha information nroviriarl is arrrrrata and nrants amnlnvaas of Mason t'.rwrnfv amass to tha ahnva rlasrrihari nronwrty 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) .111 Signature•4. ER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 11(311� 16(.', '•"f.S CzeQ Q, . el.0202Z —D12(o(i) ' / Y _ - e t0 \ )4;' D` 110, xza' `� G1)- (t 5r• •Q. 1 • i t 2-3 2- /ru,wt, , 4o Q�s4 Ems;-:� ` Pr � � 1).'0 cc . Cov o" f G . l • W l� lvx z4 21 7C%( `' '\'r'c l�' x25, KQS s Q 4 Qr (41 © n _ R.�n- �17 �' 5' mi . 1 0 PLN Approved o t ` 10/25/2023 o Mason County Community Development --►� 10' min t Gavin Scouten All Changes Subject to Approval r 1 I iilr EH APPROVED Rhonda Thompson 11 130/2 023 a -- ---- 4 -,, 1 Iv ,\--- \ rtt ___ -- 4 ,,,,,, ,v, c 22' , t_n K eslno V v- e K. OCleanout 5 c.a\e \ — 2 D s E, 1 �,,.'g o to IA 30 40 2 1 SO Gallon Septic Tank Q-L F.St—et.r, ;-,,Compartment with Effluent Filter O3 D-Bocxo�with speed-levelers 'WL,Oi re_ l'Ire"'le- Crs-1t.'�2cvu.c�i c Li nd,� Q ito surface 1-e.,1c cc.,t. 14 2217)c1_50 — 0 04L, a ObSe,-o�+10,-% For+ G 4.Lam-' �_ Lc,k e.5l,o r>✓1)r, 0) d,Ai vvi.n-.., r u r � 1zowve 2-1 )r rr W �'t' ,Ske,t cvh) \k)f gB5jy 6t w Po,„cSn — -1-c b.4. r. a.�d eNeu ro 8S� maxi Planning Setbacks esl ns home P P x �$ Front: 25' Arrow Septic g EH Setbacks 171 E. Vuecrest Dr Sides: 8' Union,WA 98592 Rear: 10' (360)898-2255 A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations *all setbacks measured from the farthest C.)No foundation/Perimeter Drains within 30ft,downgradient of projection of the building Drainfield/Reserve area *subject to EH setbacks D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area W CI N. N NOILd0 EPM E9'M 311(J073H M I1_ • • WM E?M r fit' :II I. 1:1 li Iill 1 I b $ `x ; R 1 f I C ti i'1 i 0 x 1 I.;. I Z N 'I IE• fix; , I I . i 1 b .•I I 1 1 �1 11 I '1 l.t'I ri o1 ; ; 11! II I �- Ln $E is i t N I:1 zIV iii '-4I i ' l Ix r. 14 : j , i . ; , ' iI! 11 I Y 1 I '' I 1' Ij I =, ll li:;1'.I' •i III ;'H: I sib, i11 ' . . 1;1 stn 1 • ,-, IiM i l 11 l :III. .-J,II i � 1 1IIlI;t I I I' i ' iI Ili 'I; 11 8 i1,1! Hid . 8k 1cwAnMl . o p J�.11 1 I d tu , I: `I7 K I3 p 13 co i r x I I I I1. ' `� I iv. mp IIlE1t /\. I (/) !l'M t LJ.I O d � ° 6 W c N m i a " I 2 I- t a I I