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HomeMy WebLinkAboutBLD2023-01263 - BLD CD Environmental Health Review - 10/24/2023 . Xw MASON COUNTY Permit No:SL0go • COMMUNITY DEVELO T • ' v1CNTAL iiiii.l- Perrrl Assistance Center, Building, Planning O 11 i..i:� PERMIT APPLICATkil• 8 2023 �� �� BUILDINGE ,� �� ���ii �� 1 PROPERTY OWNER INFORMATION: CONTRA thiSli' 'N 'Ci�TI�N: 2�, ��,," O NAME:EMPIRE HOME CONSTRUCTION, LLC NAME:MASON COUNTY EXCAVATING, INC MAILING ADDRESS:P.O. BOX 241, MAILING ADDRESS:30 E WILLCHAR BLVD, CITY:KELSO STATE:WA ZIP:98626 CITY:SHELTON STATE:WA ZIP:98584 PHONE#1:LOREN 360-751-1745 PRONE: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 D CONTRACTOR 0 OTHER❑ 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) 22017-50-00047 ZONING RR LEGAL DESCRIPTION (Abbreviated) TIMBERLAKE#2 LOT:47 FIRE DISTRICT FD5 SITE ADDRESS 510 E LAKESHORE DR E CITY SHELTON DIRECTIONS TO SITE ADDRESS Turn right onto E Timber Pkwy,Turn left onto E Lakeshore Drive East 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❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM ❑ I t TYPE OF WORK: NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENTIAL ' IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS a, NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(Whole Bldg)0 YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK NEW MFH 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 0 Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE CLAYTON MODEL UNDER PRESSURE YEAR 2023 LENGTH 48FT WIDTH 27FT BEDROOMS2 BATHS 2 SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC 0 SEWER❑ / NEW 0 EXISTING ❑ PLUMBING IN STRUCTURE? YES 0 NO ❑ If yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOD EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2 OMERaclFno4dal1@rstbatsuhmissiwt.atinaccurate.information.mayre It,im.erstowworkorderorpCr'mfttev 5tit7ri'.•Atit11 e. h5Le15t_A bYf'i>;'t41 gii� tl I�fmor�.Il a}�ul 1Po�t II anti tthle ammo'and1 II�Itt4F`>¢Ird It*t1 I II �5tiNtil tI9 r4 lY�tl 4 watt s ti;9 49 t t A 5�WM:I t�e 21l$t,,I7f Ir iffiii5c3eiifflrra t Iltthit°mml iyputties,ircteIii1trgAtny iKKItaKiklKrCXrP ills$Mikltrfltrt&'Ss145lKt9tiArl ilrrW qt AV) RA' rnnra_cantativw ranracpntc that thn inforrnatinn ornviripel is arm uratp anri nrants pmnlnvpac of Masnn Cnrrnty ar.rrrc to the ahnvp ripccrihpri nrnnprty OWNER acknowiedgos 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) , 1 7--3 x Signature of E (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH erl— rArr74 V5 !v1/4`-I .10‘/? C" ""pte i..n■k PLN Approved a:79,09-5 —Ol ,Co3 10/25/2023 v' ` Mason County Community Development \I Gavin Scouten AC All Changes Subject to Approval �� - �} o FRI 1-5g-1T/4. , • t3 G7 o C Q A \e's't`C�� 34 d 0 0 - I • 5,i _____------ 1 ST Sj ..----;i Eyls-i-4sL 6 ------- �{z9,� , �v 3`k' 6 � 0S C- • y — " 1S s 1s 3 t - 1 o e) �- I d t1'�ir1 l� �' ` c 0 �' CD Q.• o 4xq '1/ ca 0co cn • • h o o - V'- U, r oD � 'O m I V--) o co tv = 33 = © © • 0 0 co ,I - 0_- G0 — o cn C 3 p- I v- I CD C) r22 �, 7C ...A., ----:-- 0 ®0 a3111 5- 5IQ. , � // w LLy(kAnn-y (0`&A--- ,, • Uiwvai S-Q-0-``- C15.5`t N0►2-� � -- �- �S ` e L NvES Key; t S CA`C% _ ' ' 0 Audio-Visual Alarm 0 .o Lam ' - 4`� 0 Cleanout 0 TOT I i-pov exi Sfi O 1 000+Gallon Septic Tank Er1pL2E hottE CpNS2uc \oN 2-Compartment with Effluent Filter �ARC,E t. 2L.0VI -Jo Ot041 xz-t, 0 ipoo Gallon PumpChamber �l0 E LAf;ESH02F r ' ./A.S r' EH Setbacks EH APPROVED A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations Rhonda Thompson 11/30'2023 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 I t e i 3 N p 0rn I S73 rii sP W.I. 3 V/ I • I En En� ` N I \o/ . I••1.1,ly II; D O1 ! 0 ti o .{ o0 I I� 111` I I lial xlE It •Z C '.. �7 ,. 1! I! I. N co co 3 _ O s +-ism :-::. ... c. .. ,..{ �. --. r.. r .r+.�b,�1 •r-�.r.� +. +� c :-k- r- ;r- -.-. •r —. .t-_-. -, to I . i • 1I 1440b.1 t' i : I b 1. 1 , ; i Ig 6 ,1711.7 :: H 1 !:li Li i ''.II . • II tirdaes 1 1 1 ijl;l. ;!! ! li ill 1 iota I', li I ,Ij eI ii.o I 1 ! e • 11 •'I _ 61N :I I I II1II — �� • go 8 .1 1 I i , s O 'WWI ;I ! /■ I:! ! : I •Ty l1 �101 li , '. .I; , i '• I;: I II I II g I 1 i. ., x114 :� I 1 ' jt' ' I :III "i N o (1 I 6I3 I I 1 : xl I I * d I 1• i 1. . 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