HomeMy WebLinkAboutBLD2023-01339 - BLD CD Environmental Health Review - 11/13/2023 -ram Permit No:
yA,D?,�3-0133'
MASON COUNTY t--" , 1-r1
- i COMMUNITY DEVELOPMENT '
Permit Assistance Center,Building,Planning NOV 0 6 I023 = T
BUILDING PERMIT APPLICATION el the A�i�* rn>
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r
NAME:Jeremy Ritchie NAME:Covet Homes i yr- 2
MAILING ADDRESS:6815 Rosedale St NW MAILING ADDRESS:2023 125th St E
. CiTy:Gig Harbor STATE:WA ZIP:98335 CITY:Tac°rna STATE:WA ZIP:98446 '-4
PHONE#1:253 225-0519 PHONE:253 6834446 CELL: D
PHONE#2: EMAIL:bdo@covae,omes.ccm
EMAIL:jrttchle@rogtk.com L&I REG#282,337-00/CovALHLaattoo EXP. 11/,,04/24 r
PRIMARY CONTACT: OWNER 0 CONTRACTOR❑ OTHER❑ �(�
NAME Jaan,yRdrha EMAIL irtche roetk.com ��ZZ1J
MAILING ADDRESS 6815 Rosedale St NW CITY Gig Harbor STATE WA ZIP 98336 Am
PHONE CELL 253225-0519 NO V 1 3 �023
PARCEL INFORMATION:
RECEIVEDPARCEL NUMBER(12 Digit Number) 3215700043 ZONING RR5 t4
LEGAL DESCRIPTION(Abbreviated) Lot 43 Aid.G&YC Estates FIRE DISTRICT 6
SITE ADDRESS 200 E Vine Maple Ln CITY Union
DIRECTIONS TO SITE ADDRESS From Shelton:Northctiff Rd cant.on&ockdale Rd,left on McReavy Rd,left on Manzanita,Rt onto Vine Maple
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NO Q SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK 0 POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM❑
TYPE OF WORK: NEW El ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc)Residence
IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part(sjo/Bldg)❑ NO 0
DESCRIBE WORK SQUARE FOOTAGE: (proposed)
Construct a stick-built single family,1 level,3 bedroom home,2 bath with 3 car garage
1ST FLOOR 1798 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK 352 sq.ft. STORAGE sq.ft OTHER sq.ft.
GARAGE 792 sq.ft. Attached❑+ Detached 0 CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF 1HE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR .-LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC El SEWER 0 / NEW I] EXISTING 0
PLUMBING IN STRUCTURE? YES❑� NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOg EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 t/ TOTAL BEDROOMS 3 t�
IIOWNER 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)
X� `�i ' \6 " l "''`---- 11/6/23
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL I
PUBLIC HEALTH )(Lei—
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PA.OPOg-3-013.39
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EH Setbacks '..,,,...._
A.) Drainfield/Reserve requires 10 setback from footing/foundations • \\\
B.)Septic tank(s)requires 5'setback from all footing/foundations
C.)No foundation/Penmeter Drains within 30ft.downgradien(of ' --Qs,.. ..,..,
Drainfield/Reserve area / 1 o.\
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D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 4„,•••' ''S .44P
50ft,down gradient of Drainfield/Reserve area ,,' , \
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EH APPROVED , .„,„0 6•0 .1.,s..,,m_4s4,,,r.,,,,.„_,
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Rhonda Thompson 12/01/2023 , \
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